Inspection on 27/06/06 for Walton Grange Christian Residential Home

This inspection was carried out on 27th June 2006.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is (sorry - unknown). 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 found there to be outstanding requirements from the previous inspection report but made no statutory requirements on the home.

Other inspections for this house

Walton Grange Christian... 25/09/07

Walton Grange Christian... 18/04/07

Walton Grange Christian... 08/03/06

Walton Grange Christian... 27/09/05

Walton Grange Christian... 13/12/04

Walton Grange Christian... 28/06/04

Walton Grange Christian... 24/11/03

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

CARE HOMES FOR OLDER PEOPLE Walton Grange Christian Residential Home 12 Avenue Road Doncaster South Yorkshire DN2 4AH Lead Inspector Ian Hall Key Unannounced Inspection 27th June 2006 08:40 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 Walton Grange Christian Residential Home DS0000008004.V290502.R01.S.doc Version 5.1 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. Walton Grange Christian Residential Home DS0000008004.V290502.R01.S.doc Version 5.1 Page 3 SERVICE INFORMATION Name of service Walton Grange Christian Residential Home Address 12 Avenue Road Doncaster South Yorkshire DN2 4AH 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) 01302 328439 Mrs Sandra Walton Mrs Sandra Walton Care Home 22 Category(ies) of Dementia - over 65 years of age (6), Old age, registration, with number not falling within any other category (16) of places Walton Grange Christian Residential Home DS0000008004.V290502.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 20th February 2006 Brief Description of the Service: Walton Grange is a Christian care home registered for 22 older people. The Christian approach is offered to those residents for whom Christianity is important. It does not intrude into the lives of others who attach no importance to religion. The home does not discriminate against potential residents on the grounds of non-belief. Fees range from £410.00 as of 1st April 2006. Additional charges are levied for hairdressing, chiropody, toiletries and newspapers etc. The building is a large Victorian property situated on a wide tree lined avenue with similar properties on both sides. Walton Grange is registered to provide personal care for residents with Dementia. Staff has received additional training to equip staff to meet their care needs. Walton grange offers single room accommodation for all residents. Ten rooms have en-suite facilities. All bedrooms are fitted with locks to enable residents to carry a key and lock their individual bedrooms. Staff has a master key to facilitate entry in case of emergency. Lounge areas and other communal spaces include a room where smoking is allowed with other areas providing television and quiet areas. Walton Grange Christian Residential Home DS0000008004.V290502.R01.S.doc Version 5.1 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This unannounced inspection took place over 1 day with a total of 6.5 hours being spent at the home. As part of the inspection the inspector spoke to 6 service users, three relatives, 3 staff, the homes manager and homes owner. Three residents care files and the associated records were checked. The inspector toured the home. All people spoken with were open and happy to provide comment to assist with the inspection process. Comments received were very positive describing the motivation, care and commitment of the staff team. The service provided was described as good overall. Feedback of the findings was given to both the homes owner and manager before the inspector left the home. What the service does well: What has improved since the last inspection? The system of care management continues to develop and evolve. The home’s manager and deputy manager continue to demonstrate their commitment to training and development of their care team. The Homes Owner has worked to the action plan submitted to the CSCI to upgrade and improve the environment of Walton Grange. Walton Grange Christian Residential Home DS0000008004.V290502.R01.S.doc Version 5.1 Page 6 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. Walton Grange Christian Residential Home DS0000008004.V290502.R01.S.doc Version 5.1 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 Walton Grange Christian Residential Home DS0000008004.V290502.R01.S.doc Version 5.1 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 the following standard(s): 1, 2, 3, 4, 5, Quality in this outcome area is good. This judgement has been made using available written evidence, discussion with service users, their relatives and staff. Service users and their families are given all the information they require to make a choice of whether Walton lodge is the home for them EVIDENCE: Residents and their advocates confirmed that they had discussed the care and service provision before admission to Walton Grange. Relatives confirmed they had been involved in compiling care plans for their loved ones. During the officers discussion with management it was evident that the needs of existing service users are considered throughout the assessment process before a decision to admit another service user is taken. Service users are encouraged and able to visit the home and spend time there before they make their decision. Walton Grange Christian Residential Home DS0000008004.V290502.R01.S.doc Version 5.1 Page 9 The case files examined contained individual copies of care assessments, care plans and written contracts that stated both terms and conditions of residence. These were mainly well compiled and completed. Local Authority Contract reviews were not all completed in a timely manner, despite the actions of the homes management team. Staff confirmed that any specialised equipment that may be required is obtained before any service user is admitted. Intermediate care is not provided at the home, however respite care is provided by negotiation. Walton Grange Christian Residential Home DS0000008004.V290502.R01.S.doc Version 5.1 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 7, 8, 9, 10, Quality in this outcome area is adequate. The judgement was made using available written evidence, discussion with service users, their relatives and observations made by the inspector during the visit to the home. The assessed needs of service users are documented and reviewed to a reasonable standard EVIDENCE: The officer inspected care records of 3 residents; they contained individual “needs” assessments with plans of “care” for staff to follow and meet each individuals needs. The case files examined contained individual copies of care assessments, care plans and written contracts that stated both terms and conditions of residence. These were mainly well compiled and completed with reviews completed. These were monitored at regular intervals; some plans had been amended within the timescale in response to changing needs. Relatives and a service user were aware of their care plans and that they could have access to it whenever they wanted to. Walton Grange Christian Residential Home DS0000008004.V290502.R01.S.doc Version 5.1 Page 11 Service users and relatives spoken with confirmed that staff did provide privacy and dignity. The inspector observed staff knocking on bedroom doors and waiting to be invited before entering. Relatives were observed to visit freely and continue to assist with care of their loved ones. Family members spoken to confirm their involvement in the planning and provision of social, physical and psychological care and provision. The home facilitates access to the whole range of health care professionals and health care facilities. Staff was observed to interact with residents skilfully, professionally and with obvious empathy for each individual. None of the residents was responsible for their own medication although this facility is available. Staff was observed administering medications and providing appropriate support to residents. Records and storage of medicines was checked and maintained correctly. Records of medications received and their disposal were maintained. Service users and visitors stressed that staff were always keen and willing to help them Walton Grange Christian Residential Home DS0000008004.V290502.R01.S.doc Version 5.1 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 14, 15. Quality in this outcome area for standards is adequate. This judgement has been made using available written evidence, discussion with service users, relatives, staff and observations made by the inspector during the visit to the home. Whilst staff endeavour to provide a variety of activities there is still a need to develop this area to enable more stimulation for residents. The overall care of general well being is met effectively by the care staff EVIDENCE: Visitors to the home confirmed that they were able to visit at any reasonable time, with shift workers visit at any other time by appointment. The religious and cultural needs of service users are documented and records show how these can inform basic lifestyle issues such as diet and dress, and how staff, sometimes in conjunction with families act to meet these. Relatives and staff confirmed that nourishing fluids and snacks were readily available throughout the day. Walton Grange Christian Residential Home DS0000008004.V290502.R01.S.doc Version 5.1 Page 13 There was a choice of midday meal. Staff was observed to encourage and assist with meals as needed. Seven service users require assistance with eating and drinking. Mealtimes were unhurried with extra portions available as required. Specialist diets are available for those requiring this service. There is limited recording to demonstrate the provision of choice and variety of a balance diet. The meals provided during the days of inspection both smelled and appeared appetising. Portions were adjusted to the service users likes and calorific needs. Service users are encouraged to eat healthily. Plentiful supplies of food and fresh fruit were available. There was no published menu and limited records kept of each individual’s food consumption. The home does not employ an activities co-ordinator. Care staff endeavour to organise activities on either a one to one or small group basis. None of the residents currently leave the home unless accompanied by members of their family or staff. These activities and opportunities are restricted as the staff’s role is to provide care. Staff freely gives up their free time to supplement and support activities and celebrations provided at the home. Walton Grange Christian Residential Home DS0000008004.V290502.R01.S.doc Version 5.1 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 inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 16, 18. Quality in this outcome area is good. This judgement has been made using available written evidence, discussion with service users, relatives, staff and observations made by the inspector during the visit to the home. The staff and management operate an effective complaints policy protecting service users EVIDENCE: Residents and staff stated that they had no complaints about care provided. Service users and relatives had received information that would enable them to make a complaint. They confirmed that they were able to easily access the manager and felt they would be listened to. Two relatives discussed concerns that had been raised with the homes manager. They felt these had not always been dealt with effectively and concerned meals and lack of activities provided by the home. They confirmed that they had regular and easy access to the home’s manager and area manager and felt confident that they would be listened to. Staff confirmed their confidence in their ability to respond to and deal with any issues raised. The home has policies and to provide guidance for staff responding to any complaints received. Walton Grange Christian Residential Home DS0000008004.V290502.R01.S.doc Version 5.1 Page 15 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 the following standard(s): 19, 20, 21, 22, 23, 24, 25, 26. Quality in this outcome area is poor. This judgement has been made using available written evidence, discussion with service users, relatives, staff and observations made by the inspector during the visit to the home. The homes owner has submitted an action plan to redecorate and refurbish the home. The Inspector commends the substantial progress made towards meeting the requirements. Works are due to be completed December 2006. EVIDENCE: The homes owner has submitted an action plan to redecorate and refurbish the home. The Inspector toured the building with the home’s owner. The Inspector commends the substantial progress made towards meeting the requirements. Many of the requirements were addressed in part additional work is required. Works are due to be completed December 2006. Walton Grange Christian Residential Home DS0000008004.V290502.R01.S.doc Version 5.1 Page 16 The homes owner has provided a range of colours and homely features to improve the appearance of the bedrooms. A number of families have assisted with personalisation of bedrooms with favourite items and memorabilia. Relatives stated that the home’s staff group works hard to maintain a clean and homely environment for service users. Walton Grange Christian Residential Home DS0000008004.V290502.R01.S.doc Version 5.1 Page 17 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): Quality in this outcome area is adequate. This judgement has been made using available written evidence, discussion with service users, relatives, staff and observations made by the inspector during the visit to the home. Staff time should be dedicated to activities to meet the demands of the service users and the statutory training of staff in regard to fire practice need to be kept up to date to protect residents EVIDENCE: Service users and relatives were supportive of staff stating that they were always busy and worked hard and that there never seemed to be enough of them. They undertake cleaning, laundry and some kitchen duties in addition to their care role. The numbers of care workers and ancillary staff on duty was able to meet the basic needs of the service users. There was limited time to provide 1:1 or diversional activities. The staff group without exception were well motivated and enthusiastic about their work. They confirmed that not only were they well supported in their work but actively encouraged and supported to develop personally. Staff has undertaken statutory training and updates i.e. basic food handling & hygiene and are involved in national vocational qualification training and medication administration training. Walton Grange Christian Residential Home DS0000008004.V290502.R01.S.doc Version 5.1 Page 18 The staff induction programme meets the TOPPS requirements as required by the Care Standards Act 2000. Staff has not received professional annual updates for Fire Prevention. The numbers of staff who had achieved National Vocational Qualifications was the minimum 50 required by the Care Standards Act 2000. Walton Grange Christian Residential Home DS0000008004.V290502.R01.S.doc Version 5.1 Page 19 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 31, 32, 33, 34, 35, 36, 37, 38. Quality in this outcome area is adequate. This judgement has been made using available written evidence, discussion with service users, relatives, staff and observations made by the inspector during the visit to the home. Relatives and visits have access to management at all times EVIDENCE: The manager has attained her NVQ 4 Managers Award, as required by the Care Standards Act 2000, she is awaiting issue of her certificate of completion by the examining body. Visitors to the home stated that they had ready and easy access to the homes management and that they felt mainly confident in them. Walton Grange Christian Residential Home DS0000008004.V290502.R01.S.doc Version 5.1 Page 20 Staff stated here was always a senior member of staff on duty at the home with advice and support readily available. Responsibilities were shared between senior members of the team. The manager monitors case files and the personnel files to ensure policies and procedures are adhered and enable her to identify where improvements are needed in these areas. Staff files contained evidence of completed statutory checks required protecting vulnerable adults The managers system for meeting the training needs of staff is under review. This will enable her to ensure they have the necessary skills to provide the care and service that the service users require. The home currently assists 2 service users to manage their pocket monies. The monies held and records maintained were correct. Health & Safety at Work risk assessments have been reviewed to maintain continued safety for service users, visitors and staff at the home. Statutory checks and servicing of equipment are undertaken and records maintained. Walton Grange Christian Residential Home DS0000008004.V290502.R01.S.doc Version 5.1 Page 21 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 3 3 3 3 3 N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 3 10 3 11 3 DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 2 13 2 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 1 1 2 3 3 2 2 2 STAFFING Standard No Score 27 2 28 3 29 3 30 2 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 3 2 3 3 3 3 3 Walton Grange Christian Residential Home DS0000008004.V290502.R01.S.doc Version 5.1 Page 22 Are there any outstanding requirements from the last inspection? YES 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 OP15 Regulation 16 Requirement To provide a menu for residents meal including the choices available to them and to keep a record of food served to residents The routines of daily living and activities made available are flexible and varied to suit service users’ expectations, preferences and capacities. To respond to complaints ensuring that the complainants are satisfied with the outcomes of investigations To continue with and maintain the agreed refurbishment plan of the home including bathrooms, bedrooms and communal areas. To provide all staff with annual fire prevention training Staffing numbers and skill mix of qualified/unqualified staff are appropriate to the assessed need of the service users, the size, the layout and purpose of the home, at all times. Number of staff /hours in respect of service user needs based on guidance recommended by Department of DS0000008004.V290502.R01.S.doc Timescale for action 31/08/06 2 OP12 18 30/09/06 3 OP16 22 31/08/06 4 OP19 23 31/12/06 5 6 OP38 OP27 18 18 31/08/06 30/09/06 Walton Grange Christian Residential Home Version 5.1 Page 23 Health. Walton Grange Christian Residential Home DS0000008004.V290502.R01.S.doc Version 5.1 Page 24 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 Walton Grange Christian Residential Home DS0000008004.V290502.R01.S.doc Version 5.1 Page 25 Commission for Social Care Inspection Doncaster Area Office 1st Floor, Barclay Court Heavens Walk Doncaster Carr Doncaster DN4 5HZ 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 Walton Grange Christian Residential Home DS0000008004.V290502.R01.S.doc Version 5.1 Page 26 - 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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