Inspection on 17/10/06 for Walton House

This inspection was carried out on 17th October 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 found there to be outstanding requirements from the previous inspection report. These are things the inspector asked to be changed, but found they had not done. The inspector also made 4 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

Walton House 10/12/07

Walton House 15/02/06

Walton House 11/11/04

Similar services:

Polesworth Group Friary Road

Polesworth Group Pooley Heights

Polesworth Group 32 Station Road

Polesworth Group 70 Long Street

Breme

Polesworth Group 64 Long Street

Polesworth Group 68 Long Street

10 Whitfield Avenue

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

CARE HOME ADULTS 18-65 Walton House 4 Walton Crescent Lanesfield Wolverhampton West Midlands WV4 6DX Lead Inspector Rebecca Harrison Key Unannounced Inspection 17th October 2006 09:45 Walton House DS0000030209.V296823.R01.S.doc Version 5.2 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 House DS0000030209.V296823.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 Adults 18-65. 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 House DS0000030209.V296823.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Walton House Address 4 Walton Crescent Lanesfield Wolverhampton West Midlands WV4 6DX 01902 563223 01902 683320 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) Arcare (West Midlands) Limited Mrs Suman Bala Sharma Care Home 3 Category(ies) of Learning disability (3) registration, with number of places Walton House DS0000030209.V296823.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 15th February 2006 Brief Description of the Service: Walton House is a traditional style semi-detached property, which is located in a residential area of Lanesfield approximately 3 miles from Wolverhampton City Centre. The home offers access to local amenities and transport and is in keeping with the local community. The accommodation provided is based over two floors comprising a lounge, dining room, kitchen, utility, single bedrooms (one on the ground floor) and a bathroom. A small garden is provided to the rear of the property. The home is registered with the Commission for Social Care Inspection (CSCI) to provide accommodation and personal care to a maximum of three adults who have a learning disability. The home is owned by Arcare (West Midlands) Limited and the registered manager is Mrs Suman Bala Sharma. The homes philosophy is to Maintain a high standard of care, respecting individuality, privacy, residents dignity and independence at all times. First and foremost a happy and secure environment within the home. Potential service users and their representatives are able to gain information about this home from the Statement of Purpose and a Service User Guide available at the home. CSCI reports for this service can be obtained direct from the provider or are available on CSCI’s website at www.csci.org.uk The current fees charged per person range from £402.00 to £440.00 per week. Walton House DS0000030209.V296823.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The inspection started at 09.40 a.m. and lasted just under five hours and included looking in detail at all aspects of care provided for two people, discussions with the manager and deputy manager, reviewing a number of records and a full tour of the home. All three service users were out at day services for the duration of this unannounced inspection. 21 key National Minimum Standards for Younger Adults were assessed in addition to Standards 1,5,26 and 41 and a quality rating provided based on each outcome area for service users. These ratings are described as excellent/good/adequate or poor based on findings of the inspection. The purpose of the inspection was to assess ‘Key’ National Minimum Standards and to review the progress made by the home since the last inspection undertaken on 15th February 2006 when eleven requirements and two recommendations were made. Since the last inspection no complaints have been received by the home or referred to the Commission for Social Care Inspection. One referral has been made under adult protection procedures. What the service does well: People living at Walton House continue to be supported by a stable and enthusiastic staff team who have a clear understanding of their individual needs. Staff are provided with very good training opportunities and it is evident that the provider is committed to providing a qualified workforce. Service users health care needs are well met. Records seen evidence that individuals are supported to attend NHS Healthcare facilities and their health needs closely monitored. A quality assurance file is in place, which contained two recent letters from the relatives of a service user dated 9.9.06. One stated ‘I am pleased with the care provided. My brother seems happy and content and I am made to feel welcome when I visit the home, staff are very pleasant’. Comments received from a day service that individual’s access were positive and stated ‘The communication between both parties enables both the day centre and the home staff to maintain close links and develop responsible responses to situations if they arise.’ Walton House DS0000030209.V296823.R01.S.doc Version 5.2 Page 6 What has improved since the last inspection? What they could do better: Staff have received Person Centred Planning (PCP) Awareness training with the local team based at Pond Lane, however PCP’s have yet to be developed. The deputy manager is keen to attend PCP Facilitators training to assist with this process. A planned written maintenance and renewal programme for the fabric and redecoration of the premises needs to be developed to inform future planning, as the home would benefit from further investment to provide a more homely place for service users to live. The health and safety policy needs to be developed further and all staff made familiar with this process. Regular random checks should take place to ensure the staff are working to the policy. Further avenues need to be explored in order to measure success in achieving the aims, objectives and statement of purpose for the home therefore an annual development plan should be developed to assist in measuring success and to inform future planning. Walton House DS0000030209.V296823.R01.S.doc Version 5.2 Page 7 Managers acknowledged the need for staff to undertake manual handling training and are hoping to source this soon in addition to Lone Working. 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. Walton House DS0000030209.V296823.R01.S.doc Version 5.2 Page 8 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–5) Individual Needs and Choices (Standards 6-10) Lifestyle (Standards 11-17) Personal and Healthcare Support (Standards 18-21) Concerns, Complaints and Protection (Standards 22-23) Environment (Standards 24-30) Staffing (Standards 31-36) Conduct and Management of the Home (Standards 37 – 43) Scoring of Outcomes Statutory Requirements Identified During the Inspection Walton House DS0000030209.V296823.R01.S.doc Version 5.2 Page 9 Choice of Home The intended outcomes for Standards 1 – 5 are: 1. 2. 3. 4. 5. Prospective service users have the information they need to make an informed choice about where to live. Prospective users’ individual aspirations and needs are assessed. Prospective service users know that the home that they will choose will meet their needs and aspirations. Prospective service users have an opportunity to visit and to “test drive” the home. Each service user has an individual written contract or statement of terms and conditions with the home. The Commission consider Standard 2 the key standard to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 1 and 5 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. Appropriate procedures are in place that would enable the successful admission of a new person to the home. EVIDENCE: A Statement of Purpose and Service User Guide is in place and available to service users and their representatives. There have been no new admissions to the service since 20th November 2004 therefore Key Standard 2 was not reviewed on this occasion. The home currently has no vacancies. Signed terms and conditions of residency were available on both the care files reviewed. The service user, a relative and the deputy manager had signed one contract seen and the service user and registered manager had signed the contract for another individual. Walton House DS0000030209.V296823.R01.S.doc Version 5.2 Page 10 Individual Needs and Choices The intended outcomes for Standards 6 – 10 are: 6. 7. 8. 9. 10. Service users know their assessed and changing needs and personal goals are reflected in their individual Plan. Service users make decisions about their lives with assistance as needed. Service users are consulted on, and participate in, all aspects of life in the home. Service users are supported to take risks as part of an independent lifestyle. Service users know that information about them is handled appropriately, and that their confidences are kept. The Commission considers Standards 6, 7 and 9 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 6,7 and 9 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. Care planning systems provide staff with the necessary information to ensure the assessed needs of service users is met. Service users are appropriately supported with making choices and enabled to take responsible risks. EVIDENCE: The care documentation held on behalf of two service users was reviewed including the person that has recently been referred under adult protection procedures. Information was detailed and there was evidence that individual support plans had been reviewed at the appropriate timescales. Records available on the file of one person evidenced that a review in conjunction with the day service that he attends was held at the home on 19.01.06. Minutes seen indicate that the service user, the registered manager, deputy manager and the key worker from the day service attended the meeting. It was reported that the social worker was also invited but did not attend. Walton House DS0000030209.V296823.R01.S.doc Version 5.2 Page 11 Review minutes were also available on the file of the other person case tracked dated 11.09.06 and also evidence that the service user and significant others attended the meeting. Since the last inspection staff have attended Person Centred Planning (PCP) Awareness training with the local team based at Pond Lane, however PCP’s have yet to be developed with the people accommodated however it is evident that the deputy manager intends to pursue this area. None of the people living at the home currently access an independent advocacy service however the deputy manager reported that following a recent Inter-Agency Safeguarding Adult Strategy meeting held for one individual a referral has been made as recommended by the Chair of the meeting. Support plans and daily records seen during the inspection evidence that people are appropriately supported with decision making processes and offered choice wherever possible. Records seen on one file in addition to two letters from the relatives of the person indicate that his family play an active role in representing his best interests. Key workers are provided for continuity of care and managers reported that positive relations have been developed between the support staff, service users, day service staff and the families of the people accommodated. Various risk assessments seen on files evidence that people are enabled to take responsible risks, which are regularly reviewed and updated. Walton House DS0000030209.V296823.R01.S.doc Version 5.2 Page 12 Lifestyle The intended outcomes for Standards 11 - 17 are: 11. 12. 13. 14. 15. 16. 17. Service users have opportunities for personal development. Service users are able to take part in age, peer and culturally appropriate activities. Service users are part of the local community. Service users engage in appropriate leisure activities. Service users have appropriate personal, family and sexual relationships. Service users’ rights are respected and responsibilities recognised in their daily lives. Service users are offered a healthy diet and enjoy their meals and mealtimes. The Commission considers Standards 12, 13, 15, 16 and 17 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 12,13,15,16 and 17 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. People who use the service are provided with opportunities to develop their social and educational skills. Family links are maintained, rights and responsibilities promoted and people provided with a varied diet in accordance with their personal preferences. EVIDENCE: All three people living at the home access local authority day service provision five days per week. One of the people case tracked also attends the local college and has enrolled on two courses arranged through the day service that he attends. The minutes of his review meeting evidence that he enjoys leading an active social life and enjoys attending an evening group arranged through Mencap. It was reported that a new evening club has recently been established and that a further service user has expressed an interest in attending. It was reported that service users have developed positive relationships with the neighbours and are well known in the community. Walton House DS0000030209.V296823.R01.S.doc Version 5.2 Page 13 Family links are well established and people are supported to maintain contact through telephone calls and visits. A record of all contact made was seen on the files reviewed. Two letters of compliment from the relatives of a service user were also seen during the inspection. Service users may see their visitors in the shared space provided or in the privacy of their own room. A log of all visitors to the home is recorded in the homes diary. Preferred routines were documented on the files reviewed and evidence that people are supported with basic housekeeping tasks as much as possible according to their ability. The care plan on one file stated that the person loves washing up, shopping and basic household chores and can perform daily tasks with supervision. Service users have unrestricted access to the home however bedrooms are not lockable. Records evidence that the provider has consulted with service users and their families in relation to this. Whilst this is acceptable to the people currently living at the home, this must be kept under regular review and appropriate locks fitted if an individual requests such or if there is a future admission to the home. It was reported that the home has a no smoking policy in place and none of the people currently accommodated choose to smoke. It was recommended as a result of the previous inspection that food consumed be closely monitored to ensure service users are being provided with a varied and balanced diet. A record of all food consumed is recorded in daily diaries held on behalf of individuals. Discussions held with managers indicate that staff are currently working hard to encourage healthy eating however this poses difficulties when people are provided with meals at day services. Healthy eating was one of the outcomes seen recorded on a health action plan for one person. Fresh fruit was available in the dining room and the fridge contained fresh produce and food cupboards well stocked. Walton House DS0000030209.V296823.R01.S.doc Version 5.2 Page 14 Personal and Healthcare Support The intended outcomes for Standards 18 - 21 are: 18. 19. 20. 21. Service users receive personal support in the way they prefer and require. Service users’ physical and emotional health needs are met. Service users retain, administer and control their own medication where appropriate, and are protected by the home’s policies and procedures for dealing with medicines. The ageing, illness and death of a service user are handled with respect and as the individual would wish. The Commission considers Standards 18, 19, and 20 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 18,19 and 20 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The health needs of service users are well met with evidence of good multi disciplinary working taking place on a regular basis. The home has an effective system for handling, storing and managing medication which safeguards service users. EVIDENCE: Personal support requirements and preferred routines were documented on the files of the two people reviewed. Evidence that service users have received full medical health checks was available and Health Action Plans were seen on file. Managers reported that dementia screening has recently been undertaken for one individual due to staff expressing concern regarding the deterioration in his health. Four staff have recently enrolled on a distance learning programme for dementia care in order to support the person concerned and to develop their awareness of the condition to offer appropriate support. Occupational Health assessments were also available on both service user files reviewed and indicate that there are no specific problems identified that require further invention from this service. Walton House DS0000030209.V296823.R01.S.doc Version 5.2 Page 15 A record of all medical appointments was available and evidence that people attend NHS Healthcare appointments on a regular basis and their health closely monitored. Managers reported that they have requested the support of the Community Nurse based in the local learning disability team to assist with the development of a health risk management plan for one individual as recommended at the recent Inter-Agency Safeguarding Adult Strategy meeting held. Medication procedures appeared satisfactory at the time of the inspection. The home uses the monitored dosage (MDS) system provided by Boots Chemist and staff have received training in this system. Three staff have completed accredited distance learning training on the administration and safe handling of medicines and managers reported that the remaining two staff are currently undertaking the course. A pharmacist employed by Boots Chemist visited the home on 4.07.06 to review the homes medication procedures and two recommendations were made as a result of the visit and a certificate was seen. The home has since met the two recommendations in relation to external medication being stored separately and a designated staff member holding the medication key. None of the service users are currently prescribed controlled drugs and no homely remedies are used. The home has a medication policy dated 2002 and managers were advised to update this to ensure it reflects current practice and appropriate based on the needs of the people accommodated. Walton House DS0000030209.V296823.R01.S.doc Version 5.2 Page 16 Concerns, Complaints and Protection The intended outcomes for Standards 22 – 23 are: 22. 23. Service users feel their views are listened to and acted on. Service users are protected from abuse, neglect and self-harm. The Commission considers Standards 22, and 23 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 22 and 23 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Service users and their representatives are able to express their concerns, and have access to a complaints procedure. Procedures to safeguard service users from potential abuse are in place and the staff team are provided with the necessary training in the local policy and procedure. EVIDENCE: No complaints have been received by the home or referred to the Commission for Social Care Inspection (CSCI) since the last inspection. The home has a complaints procedure in place and support staff have a responsibility to voice concerns or complaints made by service users. Since the last inspection one referral has been made under adult protection procedures and an Inter-Agency Safeguarding Adult Strategy meeting was held on 10.10.06. Minutes of the meeting have not yet been received or a copy forwarded to Commission For Social Care Inspection. A number of recommendations have been made as a result of the meeting, which managers are currently working towards. All but one staff member has attended training in the local policy and procedure for adult protection. Managers are waiting for confirmation of a training date for the remaining one staff member to attend. Service users are supported to manage their finances. Savings accounts are held at the Civic office and personal allowances paid to the home and a record Walton House DS0000030209.V296823.R01.S.doc Version 5.2 Page 17 of all transactions is held and signed by two staff. Managers reported that the placing authority audits accounts every three months. The finances of the people case tracked were checked and were an accurate reflection of the records held. Walton House DS0000030209.V296823.R01.S.doc Version 5.2 Page 18 Environment The intended outcomes for Standards 24 – 30 are: 24. 25. 26. 27. 28. 29. 30. Service users live in a homely, comfortable and safe environment. Service users’ bedrooms suit their needs and lifestyles. Service users’ bedrooms promote their independence. Service users’ toilets and bathrooms provide sufficient privacy and meet their individual needs. Shared spaces complement and supplement service users’ individual rooms. Service users have the specialist equipment they require to maximise their independence. The home is clean and hygienic. The Commission considers Standards 24, and 30 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 24,26 and 30 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. Service users are provided with a clean and comfortable place to live. EVIDENCE: Two requirements were made as a result of the previous inspection that furniture and fittings must be of a good quality and fulfil their purpose and bedrooms must include furniture as required under NMS 26.2. A programme of maintenance is in place and identifies the work carried out by the home however it does not provide a schedule for future planning. A full tour of the environment was undertaken accompanied by the registered manager and although the home provides a comfortable place to live, many areas of the home and some soft furnishings appear tired and in need of upgrading. The manager reported that one person has been provided with a new bedroom chair and a new chest of drawers has been provided for another person however receipts for these purchases were not available. During the inspection a new floor covering was being fitted in the hall and managers reported that a service user was accompanied to the carpet shop to choose the Walton House DS0000030209.V296823.R01.S.doc Version 5.2 Page 19 type of floor covering. Some parts of the exterior paintwork have been redecorated since the last inspection and it is envisaged the remainder will be repainted next year. The downstairs toilet window also requires replacement as it is rotten. Records indicate that the Environmental Health Department or Fire Officer have not visited the home since the last inspection and there are no outstanding recommendations. The home was found clean and tidy and the staff team have recently undertaken distance learning training in relation to infection control and are awaiting certificates. A cleaning schedule was not available and the manager committed to developing a schedule to ensure staff are fully aware of what cleaning tasks should be undertaken and the timescales. Products hazardous to health are appropriately stored and data sheets were available for the products randomly selected by the inspector. Walton House DS0000030209.V296823.R01.S.doc Version 5.2 Page 20 Staffing The intended outcomes for Standards 31 – 36 are: 31. 32. 33. 34. 35. 36. Service users benefit from clarity of staff roles and responsibilities. Service users are supported by competent and qualified staff. Service users are supported by an effective staff team. Service users are supported and protected by the home’s recruitment policy and practices. Service users’ individual and joint needs are met by appropriately trained staff. Service users benefit from well supported and supervised staff. The Commission considers Standards 32, 34 and 35 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 32,34 and 35 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. People living at the home are supported by a committed, well-trained and enthusiastic staff team and are safeguarded by the homes recruitment procedures. EVIDENCE: Discussions held with the registered manager and the deputy manager evidence they have a good understanding of service users individual needs and the numerous training courses that the team have undertaken has provided them with the knowledge to appropriately support the people accommodated which has developed staff confidence and the team morale. It was reported that out of the four support staff employed, two staff have obtained an NVQ award in addition to the deputy manager. No new staff have been appointed since the last inspection and it was reported that the home has no staff vacancies. Therefore it was not possible to review the recommendation made at the previous inspection that service users be actively supported to be involved in staff selection. Walton House DS0000030209.V296823.R01.S.doc Version 5.2 Page 21 Two requirements were made following the last inspection in relation to staff recruitment. The home has previously employed staff prior to obtaining a CRB disclosure and personnel files reviewed at a previous inspection were either not available for inspection for all staff employed, or did not contain the relevant documentation required. Two files were reviewed during this inspection for staff employed post 2002 and contained the relevant documentation. Managers acknowledged shortfalls in the homes recruitment procedures that were identified at previous inspections and discussions evidence that they are fully aware of their responsibilities to ensure the appropriate staff are employed and documentation obtained prior to directly working with service users. This is imperative given staff are lone workers following induction to the home. Personnel files reviewed were presented to a good standard. Over the last twelve months staff training opportunities have significantly improved and it is evident that managers are committed to providing a qualified workforce. The deputy manager holds responsibility for staff training and discussions held with her indicate that she takes the role and responsibility seriously and is keen to ensure staff are provided with mandatory and service specific training. Her enthusiasm and drive for training is evident and she has recently developed a team training plan which all staff have signed up to for the forthcoming year. A team training matrix has also been developed and a review of this identified that all staff have completed training on Person Centred Planning Awareness, Health and Safety, Fire, Infection Control and Epilepsy awareness. Three staff have completed accredited medication training and training in Adult Protection procedures. One person has completed Disability Awareness and one member of staff has completed LDAF induction. Managers acknowledged the need for staff to undertake manual handling training and are hoping to source this soon in addition to Lone Working. Individual training records seen on the two personnel files reviewed were well presented and certificates of course attendance were also available. Walton House DS0000030209.V296823.R01.S.doc Version 5.2 Page 22 Conduct and Management of the Home The intended outcomes for Standards 37 – 43 are: 37. 38. 39. 40. 41. 42. 43. Service users benefit from a well run home. Service users benefit from the ethos, leadership and management approach of the home. Service users are confident their views underpin all self-monitoring, review and development by the home. Service users’ rights and best interests are safeguarded by the home’s policies and procedures. 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 are promoted and protected. Service users benefit from competent and accountable management of the service. The Commission considers Standards 37, 39, and 42 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 37,39,41 and 42 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The management approach of the home creates an open and positive atmosphere from which the service users benefit. Aspects of performance are being developed and the premises are generally managed and maintained in a safe manner to safeguard service users. EVIDENCE: The joint proprietor, Mrs Suman Sharma is the registered manager of the home and has fifteen years experience and has obtained the NVQ level 4 Registered Managers Award. Since the last inspection she has undertaken a number of training courses to include Health and Safety, First Aid, Infection control, Epilepsy management, Adult protection, Personal Safety and is currently undertaking a distance learning course on Dementia Care. Walton House DS0000030209.V296823.R01.S.doc Version 5.2 Page 23 A requirement was previously made for the homes quality assurance and monitoring systems be developed. A quality assurance file is in place, which contained two recent letters from the relatives of a service user dated 9.9.06. One stated ‘I am pleased with the care provided. My brother seems happy and content and I am made to feel welcome when I visit the home, staff are very pleasant’. The other stated ‘I am pleased the way X is cared for and staff are easy to talk to, the home is very clean and tidy…and I am kept informed about my brothers well being’. Two letters obtained from two different day services that individual’s access were also available on file and the comments were positive to include ‘The communication between both parties enables both the day centre and the home staff to maintain close links and develop responsible responses to situations if they arise.’ The views of service users have not yet been obtained and managers were advised that an independent advocacy service may best support this. Managers have not yet had the opportunity to develop an annual development plan for the home to assist in measuring success and inform future planning and review. A requirement was made at the previous inspection that all records required by regulation for the protection of service users and for the effective and efficient running of the business must be maintained, up to date and accurate. This inspection identified that record keeping systems have significantly improved and all records reviewed throughout the inspection were found well presented with evidence of regular review. Health and safety procedures appeared satisfactory at the time of this inspection. Risk assessments, accident records, temperature monitoring charts, staff training and service certificates were reviewed. The manager was advised to contact an engineer in relation to the five year electrical hardwiring as the certificate dated 27.02.06 indicated that some light elements do not comply to British Standard. In addition the record from the Gas Board dated 24.10.05 indicated that part of the installation and/or appliances did not fully conform with current standards. Since the last inspection cavity wall insulation was undertaken on 6.3.06. Training records reviewed on the personnel files of two staff evidence that they are in receipt of mandatory training in safe working practices in addition to health and safety. Only the deputy manager has received moving and handling training however the certificate is now out of date. It was reported that staff do not perform any manual handling tasks however following discussions managers agreed to source the relevant training for the team. Records evidence the fire officer has not visited the home since 22.12.05 and matters affecting fire safety were considered satisfactory at the time of his visit. The deputy manager also stated that the fire officer has also approved the fire risk assessment and fire plan. An Environmental Health Officer visited the home on 29.11.05 and food hygiene arrangements were found Walton House DS0000030209.V296823.R01.S.doc Version 5.2 Page 24 satisfactory. It was reported that all staff have undertaken a distance learning course in health and safety and are awaiting certificates. A requirement was made at the previous inspection that the health and safety policy must be further developed to include all relevant legislation for safe working practices. Although the deputy manager has obtained information on health and safety legislation this has not been transferred into the policy. Risk assessments for safe working practices to include soiled clothing being carried through the kitchen have been developed as required, however a risk assessment to support staff lone working was not available. Walton House DS0000030209.V296823.R01.S.doc Version 5.2 Page 25 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Adults 18-65 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 3 2 x 3 x 4 x 5 3 INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 3 23 3 ENVIRONMENT Standard No Score 24 2 25 x 26 3 27 x 28 x 29 x 30 3 STAFFING Standard No Score 31 x 32 3 33 x 34 3 35 3 36 x CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 3 3 x 3 x LIFESTYLES Standard No Score 11 x 12 3 13 3 14 x 15 3 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 3 x 3 x 2 x 3 2 x Walton House DS0000030209.V296823.R01.S.doc Version 5.2 Page 26 YES 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 YA24 Regulation 23(2)(b) Requirement Timescale for action 30/11/06 2 3 YA39 YA42 4 YA42 A maintenance and renewal programme to inform future planning must be developed and actioned for the fabric and redecoration of the premises, with records kept. 24(1)(a)(b)(2)(3) An annual development plan for the home must be developed. 12(1) The health and safety policy must be developed further to include all relevant legislation for safe working practices ( previous timescale of 31/03/06 not fully met). 13(4) A risk assessment to support staff lone working must be developed and implemented. 30/11/06 20/11/06 20/11/06 Walton House DS0000030209.V296823.R01.S.doc Version 5.2 Page 27 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 2 Refer to Standard YA6 YA20 Good Practice Recommendations It is recommended that a person centred plan (PCP) be developed with each service user as soon as possible. It is recommended that medication policy dated 2002 be reviewed and updated to ensure it reflects current practice and appropriate based on the needs of the people accommodated. It is recommended that service users are actively supported to be involved in staff selection. 3 YA34 Walton House DS0000030209.V296823.R01.S.doc Version 5.2 Page 28 Commission for Social Care Inspection Shrewsbury Local Office 1st Floor, Chapter House South Abbey Lawn Abbey Foregate SHREWSBURY SY2 5DE 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. 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