Inspection on 08/03/06 for Walton Grange Christian Residential Home

This inspection was carried out on 8th March 2006.

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

Walton Grange Christian... 25/09/07

Walton Grange Christian... 18/04/07

Walton Grange Christian... 27/06/06

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 Unannounced Inspection 8th March 2006 08:20 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.V264187.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.V264187.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.V264187.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 8th September 2005 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. 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 up to six residents with Dementia. They are provided with a dedicated lounge and dining area. 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 have 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.V264187.R01.S.doc Version 5.1 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The Inspection took place over 6.5 hours and was the second of the cycle of inspections for year 2005/6 and followed a risk assessment carried out with the CSCI risk assessment tool It was the Inspectors first visit to the home; consequently an emphasis was placed upon meeting residents, relatives, visitors and the staff team. The Officer toured the whole site to understand the range of services provided there. The officer case tracked 3 resident’s files, and the records maintained. What the service does well: 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. Walton Grange Christian Residential Home DS0000008004.V264187.R01.S.doc Version 5.1 Page 6 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.V264187.R01.S.doc Version 5.1 Page 7 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): 1,2,3,6 Records demonstrate that Residents and their advocates are involved in choosing their home. The management consider the needs of others residing at the home when making this assessment. EVIDENCE: Case records examined contained copies of individual service user care assessments, plans and written contracts stating terms and conditions. Intermediate Care is not provided at Walton Grange; respite care is provided following assessment and by arrangement with the Manager. Walton Grange Christian Residential Home DS0000008004.V264187.R01.S.doc Version 5.1 Page 8 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 Staff was focussed upon meeting residents needs. Their interactions with service users were skilful, professional and with obvious empathy for the individual concerned. Records indicate that residents and their families are involved in the social, physical and psychological care planning. Access to health care professionals and health care services is provided. EVIDENCE: Care records of 3 service users were inspected; they contained individual “needs” assessments and plans for staff to follow to meet the identified needs. The records were adequately maintained. Changes to plans and reassessment of physical and psychological needs were ongoing. None of the service users were responsible for their own medication although the facility to enable this is in place. Staff had received additional accredited training for the administration of medicines. Staff was observed dispensing medications and assisting service users to take them. Walton Grange Christian Residential Home DS0000008004.V264187.R01.S.doc Version 5.1 Page 9 Service users and visitors spoken with confirmed that staff always treated them with respect and that they were addressed by their preferred title. Walton Grange Christian Residential Home DS0000008004.V264187.R01.S.doc Version 5.1 Page 10 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 The resident group have a range of needs and abilities. Activities are mainly conducted on a one to one or small group basis. Records demonstrate the plans/systems to facilitate personal choice and maintain links with the community. EVIDENCE: Planned service user activities are usually conducted on a one to one or small group basis to meet individual’s needs and abilities. There were numerous visitors to the home on the day of inspection. Visitors spoken to confirmed their satisfaction with the quality of care and service provided at Walton Grange. A number of service users leave the home in the company of relatives, friends or staff for short periods. They visit places of local interest or a relative’s home. Service users were observed to be smart and dressed appropriately. Staff guide and assist service users with their choice of clothing and personal appearance as required. Walton Grange Christian Residential Home DS0000008004.V264187.R01.S.doc Version 5.1 Page 11 Service users had a choice of midday meal. Staff was observed to assist and encourage residents appropriately. The menu appeared to offer choice and adequate nutritional content. Walton Grange Christian Residential Home DS0000008004.V264187.R01.S.doc Version 5.1 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 the following standard(s): 16 Staff were confident and competent able to respond to concerns or complaints effectively. EVIDENCE: Staff has been undertaking additional training to both recognise and prevent abuse. Staff spoken with was confident in their ability to respond to any concerns or complaints that may be expressed. No complaints had been received by the CSCI. Walton Grange Christian Residential Home DS0000008004.V264187.R01.S.doc Version 5.1 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 the following standard(s): 19,20,21,22,23,24,25,26 The home’s owner is working in accordance with her action plan, timescale, and schedule of works to redecorate and refurbish the home. Health & Safety remedial work had commenced. EVIDENCE: The home was clean. There were no odours. Many individual bedrooms appeared comfortable and personalised. Service users are encouraged to bring personal items and memorabilia with them to achieve a personal and homely private area. Bedrooms had been redecorated and refurbished. This included soft furnishings and light shade replacement. The main dining area had been redecorated and was awaiting delivery of the blinds/curtains. Walton Grange Christian Residential Home DS0000008004.V264187.R01.S.doc Version 5.1 Page 14 Toilet and bathing facilities are in the process of upgrading and redecoration. Lighting throughout the home has been changed and is domestic in nature. The home’s owner continues to redecorate and refurbish the home in accordance with her action plan. Walton Grange Christian Residential Home DS0000008004.V264187.R01.S.doc Version 5.1 Page 15 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): 27,28,30 The numbers of staff on duty on the day of inspection was in accordance with the duty rota. Ancillary staff was employed to enable care staff to focus on care duties and activities. Visitors to the home confirmed their satisfaction with the interpersonal skills and abilities. Staff appeared both knowledgeable and skilled when undertaking their duties. EVIDENCE: Examination of the duty rota confirmed that the numbers of staff on duty was in accordance the needs of the service user group. Ancillary staff was employed to enable care staff to focus on care duties and activities. Discussion with visitors to the home confirmed their satisfaction with the staff’s interpersonal skills and abilities. Staff interviewed appeared both knowledgeable and skilled when undertaking their duties. They confirmed the benefits and skills they gained from ongoing training and updates provided by the home’s owner Mrs Walton. Walton Grange Christian Residential Home DS0000008004.V264187.R01.S.doc Version 5.1 Page 16 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, 38 The home’s owner and manager have appropriate knowledge and experience. Health & Safety, redecoration and refurbishment of the home is being addressed in accordance with the home’s action plan. EVIDENCE: Mrs Walton has owned the home for 25 years and is experienced in Residential Care. The building redecoration and refurbishment is being managed in accordance with the written action plan and schedule of work. Walton Grange Christian Residential Home DS0000008004.V264187.R01.S.doc Version 5.1 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 Standard No Score 1 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 3 3 3 X X 3 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 3 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 X 3 3 3 3 3 3 3 3 STAFFING Standard No Score 27 3 28 3 29 X 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X X X X X X 3 Walton Grange Christian Residential Home DS0000008004.V264187.R01.S.doc Version 5.1 Page 18 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 Walton Grange Christian Residential Home DS0000008004.V264187.R01.S.doc Version 5.1 Page 19 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.V264187.R01.S.doc Version 5.1 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!