Inspection on 07/03/07 for Walstead Place

This inspection was carried out on 7th March 2007.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Excellent. 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 04/10/05

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 Mrs J Hough Unannounced Inspection 7th March 2007 09:00 X10015.doc Version 1.40 Page 1 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 Walstead Place DS0000014820.V328158.R01.S.doc Version 5.2 Page 2 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 DS0000014820.V328158.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Walstead Place Address Lewes Road Walstead Lindfield West Sussex RH16 2QC 01444 483885 01444 482254 Telephone number Fax number Email address Provider Web address Name of registered provider(s)/company (if applicable) Name of registered manager (if applicable) Type of registration No. of places registered (if applicable) Caring Homes Ltd Miss Jane Large Care Home 54 Category(ies) of Old age, not falling within any other category registration, with number (54) of places Walstead Place DS0000014820.V328158.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection Brief Description of the Service: Walstead Place is registered as a care home to accommodate 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. Accommodation is provided on three floors, and there is a vertical lift. All rooms are for single occupancy. The registered providers are Caring Homes 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 DS0000014820.V328158.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. A key unannounced inspection was undertaken by June Hough on the 7th March 2007 from 09.00 hrs to 15.40 hrs. Information gathered for the planning of the inspection was taken from the pre-inspection questionnaire completed by the registered person, and previous inspection reports. Further evidence for this inspection report was gained during the inspection site visit. A tour of the premises was made and residents, visitors and staff were spoken with. Records were examined in relation to resident’s care notes, accident and complaints, staff files and medication. Current scale of fees is from £585.00 to £750.00 per week. What the service does well: Residents live in a comfortable, safe and clean home. The home is situated in a very pleasant rural setting and surrounded by well -maintained gardens that are accessible to residents. Staff are provided with the appropriate training for their work to ensure they provide the residents with a good level of care. The home is run well by an experienced manager with a dedicated team of staff. The staff team is very stable as many of the staff have worked in the home for some years. Residents praised the staff saying they are kind and caring and that nothing is too much trouble. The home has an activities co-ordinator who plans a weekly activity programme taking into account the resident’s wishes and interests. Activities are varied including in-house events and outings. Residents are supported and encouraged to maintain contact with family and friends and visitors are made welcome in the home at any reasonable times. Walstead Place DS0000014820.V328158.R01.S.doc Version 5.2 Page 6 What has improved since the last inspection? What they could do better: 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. The summary of this inspection report can be made available in other formats on request. Walstead Place DS0000014820.V328158.R01.S.doc Version 5.2 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 Outcomes Statutory Requirements Identified During the Inspection Walstead Place DS0000014820.V328158.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Prospective residents have a detailed pre-admission assessment carried out prior to any agreement being made for the resident to move into the home, to ensure the home is able to meet the needs of residents. EVIDENCE: Admissions to the home are well planned. All prospective residents have a detailed pre-admission assessment completed by the registered manager before any agreement is made for admission to the home. The assessment includes health, personal and social care needs to ensure the home is able to meet all the needs of residents. The registered manager visits prospective residents or residents are invited to visit the home and with agreement the assessment is carried out during this visit. Walstead Place DS0000014820.V328158.R01.S.doc Version 5.2 Page 9 The home is at present looking to changing the format for the pre-admission assessments. Walstead Place DS0000014820.V328158.R01.S.doc Version 5.2 Page 10 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. JUDGEMENT – we looked at outcomes for the following standard(s): Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. All residents have a care plan although some are basic with regard to the level of assistance required. The home is in the process of changing the format of care plans to provide staff with more detailed information on resident’s needs. Policies and procedures are in place for medication and all staff that administer resident’s medicines have undergone medication training to ensure medicines are administered, handled and disposed of safely. Residents felt the staff are kind and caring and respected their privacy and dignity at all times. EVIDENCE: Four care plans and assessments were examined. At present there are two different formats being used for care plans, pre-printed and handwritten plans. The pre-printed care plans identified resident’s needs by ticking the appropriate statement whereas the individually written care plans were Walstead Place DS0000014820.V328158.R01.S.doc Version 5.2 Page 11 detailed in outlining the level of assistance required and what residents are able to do for themselves. The manager confirmed that the home is in the process of reviewing all care plans with the pre-printed version being phased out. Risk assessments are in place for moving and handling and monitoring nutrition. Some care plans showed evidence that they were completed with the resident or relative. All relatives have recently been sent a letter asking them if they wished to be part of the reviewing process for care plans. A small number of relatives have responded. The home has sufficient equipment for the needs of the present residents that include two portable hoists together with transferring aids such as slide sheets and belts. Residents have access to specialist health professionals as required and a chiropodist; physiotherapist and district nurses visit the home as needed. All residents are given a choice of GP. Residents praised the way staff cared for them and said they are kind and courteous and respected their privacy and dignity at all times. The medication administration records are clear and accurate. Residents who are able to self-administer their medicines are supported to continue for as long as possible. Medication risk assessments are in place. The bulk of the medicines are contained in blister packs from the pharmacist. Controlled drugs are stored and recorded appropriately. All staff that administers medicines to residents has undergone training for the safe handling, administration and disposal of medicines. A sample list of signatures of staff administering medicines was available on file All medicines disposed of are recorded and signed in a separate book. The home has a list of homely remedy medicines that the GP has agreed to be given to residents when required. Walstead Place DS0000014820.V328158.R01.S.doc Version 5.2 Page 12 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. JUDGEMENT – we looked at outcomes for the following standard(s): Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. Residents can participate in a variety of activities that are arranged on a weekly basis taking into account resident’s interests. Residents are supported to maintain contact with their family and friends and visitors are made welcome in the home at any reasonable time. Residents are offered a good choice of nourishing food with three meals a day plus snacks and drinks available on request. EVIDENCE: The home employs an activity co-ordinator who works from Monday to Thursday. A weekly activity programme is completed and displayed in the home with a copy given to each resident. The programme provides a variety of activities that are discussed and agreed with residents that include talks on various topics, musical entertainers, and in house activities. Outings are arranged according to popularity and demand that include visits to garden centres, shopping and places of interest. On the day of the inspection chair Walstead Place DS0000014820.V328158.R01.S.doc Version 5.2 Page 13 exercises took place in the morning and in the afternoon someone came in to give a talk on birds. Both activities had a good response from residents. Plans are taking place for a garden party in July 2007 for residents and their families. On Sundays once a month the home holds a church service. For those residents who choose to stay in their rooms the activity co-ordinator will visit them on a one to one basis. Residents spoken with said there was plenty going on in the way of entertainment and they can choose what they want to do. Visiting arrangements for the home are open and flexible but the home does make a request to visitors not to come very early in the morning or late in the evening without prior notice. Residents confirmed that visiting was flexible and staff made visitors very welcome. Menus are developed for a four- week period and reviewed four or five times a year. The cook has knowledge of the resident’s likes and dislikes in food and menus are arranged accordingly. An alternative meal is offered each day and special diets are catered for. Residents are offered three well-balanced meals per day and snacks and drinks are available on request. Residents said the food was good and there was plenty to eat. On Sundays before lunch residents are offered a glass of sherry. Meals are served in the pleasant dining area or in resident’s rooms. Walstead Place DS0000014820.V328158.R01.S.doc Version 5.2 Page 14 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. JUDGEMENT – we looked at outcomes for the following standard(s): Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home has a clear complaints procedure in place that is displayed in the home. Complaints are dealt with promptly and efficiently and residents felt able to speak with the manager should they have any complaints or concerns. Staff training on abuse ensures staff are aware of the need to report any incidents of abuse within the home in order to protect the residents from harm. EVIDENCE: The complaints log was examined and two complaints had been recorded since the last inspection in October 2005 that were resolved satisfactorily. Complaints are recorded appropriately giving the nature of the complaint, investigations, actions and outcomes. The complaints procedure was displayed in the home and residents are aware of how and to whom to make a complaint. The manager made herself available to residents if they wished to discuss any matters of concern. All staff have training on adult abuse each year, and the training programme for 2007 shows that further sessions are planned for March, April and June. Staff spoken with understood their responsibilities in reporting any events, incidents, or allegations of abuse within the home. Walstead Place DS0000014820.V328158.R01.S.doc Version 5.2 Page 15 Walstead Place DS0000014820.V328158.R01.S.doc Version 5.2 Page 16 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. JUDGEMENT – we looked at outcomes for the following standard(s): Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. Residents live in a clean, comfortable and well-maintained home. Residents have access to a spacious lounge, dining area and conservatory looking out on the pleasant garden and surrounding countryside. EVIDENCE: A walk around the home showed that all areas were clean and fresh. The home is well maintained and décor and furnishings in good condition. Communal areas include a very pleasant spacious lounge with open fire, dining area and conservatory looking out onto the garden and surrounding countryside. The home has a five-year rolling programme of maintenance and employs a full time maintenance man and gardener. Walstead Place DS0000014820.V328158.R01.S.doc Version 5.2 Page 17 Residents are able to furnish their rooms with small items of furniture and personal possessions if they wish. Residents said the home is always kept clean and fresh. Walstead Place DS0000014820.V328158.R01.S.doc Version 5.2 Page 18 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 consider all the above are key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Resident’s needs are met by sufficient numbers of competent and trained staff. The home does not employ staff without first carrying out all the necessary checks to ensure residents are protected from harm. EVIDENCE: Staffing rota’s showed that five care staff plus the manager work in the mornings and four care staff during the afternoon. At night there are three care staff. The registered manager works on the floor two days per week. Residents spoken with felt the staffing numbers are sufficient for staff to give them the level of care required, and said that staff generally responded promptly to their calls for assistance. At present the home has no staff vacancies and most of the staff have worked in the home for some years. The home rarely uses agency staff. Two of the staff files were examined to check recruitment procedures within the home. Both files contained all the relevant documents to show the necessary checks are carried out prior to new staff working in the home. Walstead Place DS0000014820.V328158.R01.S.doc Version 5.2 Page 19 All new members of staff commence on the Skills for Care induction programme. Walstead Place DS0000014820.V328158.R01.S.doc Version 5.2 Page 20 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 31, 33, 35 and 38 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. Residents live in a home that is well run and managed by a competent and experienced manager. As part of the annual quality assurance system residents or relatives surveys are sent out to gain their views on the home and the service it provides. Any improvements or actions needed as a result of the surveys are acted upon. All staff working in the home are appropriately supervised in all aspects of their work. The home has policies and procedures in place in relation to health and safety and safe working practices that are reviewed annually. EVIDENCE: Walstead Place DS0000014820.V328158.R01.S.doc Version 5.2 Page 21 The registered manager is a registered nurse with many years experience in caring for the elderly. She has also gained her Registered Managers Award (RMA). She has been the manager of the home for 6 years and both staff and residents said she is very approachable and makes herself available to staff and residents. As part of the annual quality assurance system within the home residents, relatives and health professionals are sent surveys to gain the views of the service provided by the home. The last surveys were sent out in February 2006 and another survey is planned for April 2007. Completed surveys are sent to head office of the organisation where an audit is carried out of the results. Any improvements or actions needed as a result of surveys are acted upon as necessary. Views of residents and relatives are also gained from regular contact with the manager and from resident’s meetings held once a month. The manager carries out monthly in house audits on all the services provided and a report is sent to the head of the organisation. Care staff spoken with said they have regular formal staff supervision with the deputy manager or senior carers for training and development and for all aspects of their work. Accidents, incidents, and injuries are recorded and reported to the appropriate authorities. A monthly breakdown of accidents and incidents is reported to the organisation together with any actions taken. Individual staff training files show that staff are updated in all mandatory training. Policies and procedures are in place for health and safety and safe working practices and are updated annually. Walstead Place DS0000014820.V328158.R01.S.doc Version 5.2 Page 22 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 Standard No Score 1 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 X X 3 X X N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 3 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 4 13 4 14 4 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 4 X X X X X X 3 STAFFING Standard No Score 27 3 28 3 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 4 4 3 X 4 X X 3 Walstead Place DS0000014820.V328158.R01.S.doc Version 5.2 Page 23 Are there any outstanding requirements from the last inspection? No 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. 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. Refer to Standard Good Practice Recommendations Walstead Place DS0000014820.V328158.R01.S.doc Version 5.2 Page 24 Commission for Social Care Inspection Hampshire Office 4th Floor Overline House Blechynden Terrace Southampton SO15 1GW National Enquiry Line: Telephone: 0845 015 0120 or 0191 233 3323 Textphone: 0845 015 2255 or 0191 233 3588 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 DS0000014820.V328158.R01.S.doc Version 5.2 Page 25 - 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. 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