Inspection on 04/10/05 for Walstead Place

This inspection was carried out on 4th October 2005.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Good. The way we rate inspection reports is consistent for all houses, though please be aware that this may be different from an official CSCI judgement.

The inspector made no statutory requirements on the home as a result of this inspection and there were no outstanding actions from the previous inspection report.

Other inspections for this house

Walstead Place 04/03/09

Walstead Place 07/03/07

Walstead Place 27/05/05

Walstead Place 16/11/04

Walstead Place 26/05/04

Walstead Place 27/06/02

Similar services:

The Shelley

Springfield House

Sutton Lodge Nursing Home

St Helier`s Residential Hotel

St Joseph`s

Ridgemount

Wingham Court

Old Hastings House

Extracts from inspection reports are licensed from CQC, this page was updated on 09/07/2008.

CARE HOMES FOR OLDER PEOPLE Walstead Place Lewes Road Walstead Lindfield West Sussex, RH16 2QC Lead Inspector Mr E McLeod Announced Tuesday, 4 October 2005 The Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Reader Information Document Purpose Author Audience Further copies from Copyright Inspection Report CSCI General Public 0870 240 7535 (telephone order line) This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI www.csci.org.uk Internet address This is a report of an inspection to assess whether services are meeting the needs of people who use them. The legal basis for conducting inspections is the Care Standards Act 2000 and the relevant National Minimum Standards for this establishment are those for Care Homes for Older People. They can be found at www.dh.gov.uk or obtained from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering: www.tso.co.uk/bookshop This report is a public document. Extracts may not be used or reproduced without the prior permission of the Commission for Social Care Inspection. Walstead Place H60-H11 S14820 Walstead Place V244745 041005 Stage 1.doc Version 1.40 Page 3 SERVICE INFORMATION Name of service Walstead Place Address Lewes Road, Walstead, Lindfield, West Sussex, RH16 2QC Telephone number Fax number Email address Name of registered provider(s)/company (if applicable) Name of registered manager (if applicable) Type of registration No. of places registered (if applicable) 01444 483885 Walstead Place Residential Home Limited Miss Jane Large Care Home 54 Category(ies) of Old age, not falling within any other category registration, with number (OP) - 54 Both of places Walstead Place H60-H11 S14820 Walstead Place V244745 041005 Stage 1.doc Version 1.40 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 27.5.05 Brief Description of the Service: Walstead Place is registered as a care home to accomodate up to 54 users in the category of old age, not falling into any other category.The premises are a converted and extended building in Lindfield, near Haywards Heath. Accomodation is provided on three floors, and there is a vertical lift. All rooms are for single occupancy.The registered providers are Walstead Place Residential Home Limited, for whom the responsible individual is Ms S. Turner. The registered manager in charge of the day to day running of the establishment is Miss J. Large. Walstead Place H60-H11 S14820 Walstead Place V244745 041005 Stage 1.doc Version 1.40 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The inspection was arranged to update the assessments made at the previous inspection, and lasted 5.25 hours. Seven residents, four staff and the registered manager were interviewed. Comment cards were received from thirteen residents and five relatives or visitors. A partial tour of the premises was made, five sets of care plans were sampled, and some policies, procedures and records were sampled. The inspector also attended a staff handover meeting. What the service does well: What has improved since the last inspection? What they could do better: Walstead Place H60-H11 S14820 Walstead Place V244745 041005 Stage 1.doc Version 1.40 Page 6 No recommendations or requirements were made. Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. Walstead Place H60-H11 S14820 Walstead Place V244745 041005 Stage 1.doc Version 1.40 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–6) Health and Personal Care (Standards 7-11) Daily Life and Social Activities (Standards 12-15) Complaints and Protection (Standards 16-18) Environment (Standards 19-26) Staffing (Standards 27-30) Management and Administration (Standards 31-38) Scoring of Standards Statutory Requirements Identified During the Inspection Walstead Place H60-H11 S14820 Walstead Place V244745 041005 Stage 1.doc Version 1.40 Page 8 Choice of Home The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 2 Residents receive a terms and conditions of residence from the provider. EVIDENCE: A copy of the terms and conditions of residence in the home was sampled, which provides residents with information on the services covered by the fee. Walstead Place H60-H11 S14820 Walstead Place V244745 041005 Stage 1.doc Version 1.40 Page 9 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 7, 8, 9, Residents have an individual care plan, which is regularly reviewed. More frail residents are being regularly seen by their GP. Good arrangements for the administration of medicines are in place. EVIDENCE: Five sets of individual plans of care were sampled, which record the main ways in which the resident will be assisted with their care. Records indicate that care plans are being reviewed monthly. There was also a care plan in place for a resident in the home for a temporary respite stay. Care staff are receiving training in arranging and recording care plans. Care records seen indicate that residents are registered with a general practitioner (GP), and more frail residents are being regularly reviewed by a GP. Care plans refer to healthcare services residents are accessing, including district nursing support, chiropody, incontinence support, and opticians. Policies and procedures for medication were sampled. The home has a service agreement with a local pharmacy, who provide advice on the telephone and visit to assess medication arrangements in the home. The most recent visit report made by the pharmacist was in February 2005, and indicated that good Walstead Place H60-H11 S14820 Walstead Place V244745 041005 Stage 1.doc Version 1.40 Page 10 procedures were in place. Registered manager Miss Large said that staff who administer medicines will have received at least distance learning training in medicines, and will have their competence in handling medicines regularly assessed by the home. Walstead Place H60-H11 S14820 Walstead Place V244745 041005 Stage 1.doc Version 1.40 Page 11 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 14 Residents are being encouraged to exercise choice and control in the provision of their care and interests and activities. EVIDENCE: Miss Large said that the home does not manage the financial affairs of any resident, but that a ‘pocket money’ type of account can be held for residents if they wish. Residents interviewed said they had brought personal possessions and in some cases furniture with them which has helped personalise their bedrooms. Residents and staff interviewed provided examples of how residents are encouraged to exercise choice and control over their lives. Walstead Place H60-H11 S14820 Walstead Place V244745 041005 Stage 1.doc Version 1.40 Page 12 Complaints and Protection The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 16, 18 Residents are being protected by the complaints and adult protection arrangements in the home. EVIDENCE: A complaints process is in place, and this is displayed in the home. The record of complaints was sampled, and this recorded the complaint made, any investigation carried out, action taken, and feedback provided. Responses to complaints made appeared to be being made promptly, and to be fair and balanced. Adult protection training is being provided for staff, and the managers are aware of the process for making a referral to the protection of vulnerable adults register. Walstead Place H60-H11 S14820 Walstead Place V244745 041005 Stage 1.doc Version 1.40 Page 13 Environment The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 19, 24, 26 A good standard of accommodation is being provided. EVIDENCE: The premises, gardens and grounds are being well maintained. One resident commented that “the gardens and surrounding view is a continual source of great pleasure”. Communal areas are comfortably furnished, bright and homely. There has been some redecoration in bedrooms. The registered manager said this is usually done when a room is vacated, to cause least inconvenience to residents. Bedrooms seen had been personalised by the individual resident. All areas of the home visited were clean, pleasant and hygienic. Walstead Place H60-H11 S14820 Walstead Place V244745 041005 Stage 1.doc Version 1.40 Page 14 Staffing The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission considers Standards 27, 29, and 30 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 27 Residents’ needs are being met by the numbers and skill mix of staff. EVIDENCE: Miss Large has advised the commission that there are 23 care staff and 23 ancillary staff, that 2 care staff are first level registered nurses, 11 care staff have National Vocational Qualification (NVQ) in care at level 2 or above, and that 3 staff have a first aid certificate. A schedule of training undertaken by staff was seen. Staff rotas were sampled. The inspector attended a handover for afternoon staff, during which call bells were being answered promptly, and resident care was being discussed in a professional manner. Residents interviewed said they felt well cared for by staff. Several residents said that the activities coordinator was much appreciated for being “so friendly and keeps in touch with everyone”. Staff noted that the activities co-ordinator made sure to make contact with residents who were less sociable as well as those who were sociable. Residents also said that the cook did a very good job. Walstead Place H60-H11 S14820 Walstead Place V244745 041005 Stage 1.doc Version 1.40 Page 15 Management and Administration The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. Service users’ rights and best interests are safeguarded by the home’s record keeping, policies and procedures. The health, safety and welfare of service users and staff are promoted and protected. The Commission considers Standards 33, 35 and 38 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 33, 35, 36, 38 A system for seeking the views on the service provided from residents, their relatives and visitors, and stakeholders in the community, is in place. The health, safety and welfare of residents and staff is being promoted and protected. EVIDENCE: Miss Large has advised the Commission in writing of recent fire equipment checks, fire tests, drills and training, gas. electrical and central heating checks, and other equipment checks which have been carried out. The company has carried out an audit of safety procedures in the home in June 2005, and the registered manager indicated that several of the recommendations made such as the servicing of slings have been subsequently carried out. Walstead Place H60-H11 S14820 Walstead Place V244745 041005 Stage 1.doc Version 1.40 Page 16 The home does not manage the finances of any residents, but ‘pocket money’ accounts can be held if requested. Three sets of records and receipts for residents’ pocket money accounts were seen, and appeared to be in order. A log of staff supervisions undertaken indicated that staff supervision is taking place, and the format for supervision records refers to staff training and development needs, practice issues, and the philosophy of care in the home. Miss Large has advised the Commission that all applicable statutory policies, procedures and codes of practice have been reviewed this year. A form through which the home is seeking the views of friends, relatives, and stakeholders in the community has been developed, and the registered manager said that this had been sent out. Some of the replies received so far were sampled by the inspector. This recommendation is now assessed as met. Walstead Place H60-H11 S14820 Walstead Place V244745 041005 Stage 1.doc Version 1.40 Page 17 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME ENVIRONMENT Standard No 1 2 3 4 5 6 Score Standard No 19 20 21 22 23 24 25 26 Score x 3 x x x x HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 3 10 x 11 x DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 x 13 x 14 3 15 x COMPLAINTS AND PROTECTION 3 x x x x 3 x 3 STAFFING Standard No Score 27 3 28 x 29 x 30 x MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score Standard No 16 17 18 Score 3 x 3 x x 3 x 3 3 x 3 Walstead Place H60-H11 S14820 Walstead Place V244745 041005 Stage 1.doc Version 1.40 Page 18 Are there any outstanding requirements from the last inspection? STATUTORY REQUIREMENTS This section sets out the actions which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1. Standard Regulation Requirement Timescale for action RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1. Refer to Standard Good Practice Recommendations Walstead Place H60-H11 S14820 Walstead Place V244745 041005 Stage 1.doc Version 1.40 Page 19 Commission for Social Care Inspection Address 1 Address 2 Address 3 Address 4 National Enquiry Line: 0845 015 0120 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk © This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI Walstead Place H60-H11 S14820 Walstead Place V244745 041005 Stage 1.doc Version 1.40 Page 20 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. The policy of www.bestcarehome.co.uk is to use all legal avenues to pursue such offenders, including recovery of costs. You have been warned!