Inspection on 02/03/07 for Walton House

This inspection was carried out on 2nd March 2007.

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 House 24/02/09

Walton House 31/01/06

Walton House 22/09/05

Similar services:

Ashlong House

Norbury Crescent (30)

Edenvale

Wadham Avenue

Chatsworth Care - Dawson House

Cowden Road, 52 - 54

Chatsworth Care - Tudor Lodge

Foxley Lane (121a)

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

CARE HOME ADULTS 18-65 Walton House Hall Road Wallington Surrey SM6 0RT Lead Inspector Mohammad Peerbux Key Unannounced Inspection 2nd March 2007 9:00am Walton House DS0000060854.V327880.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 DS0000060854.V327880.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 DS0000060854.V327880.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Walton House Address Hall Road Wallington Surrey SM6 0RT 020 8647 8836 F/P 020 8647 8836 waltonhouse6@btinternet.com 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) Loving Care Ltd Dionne Rose Hawkes Care Home 6 Category(ies) of Learning disability (6) registration, with number of places Walton House DS0000060854.V327880.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 31st January 2006 Brief Description of the Service: Walton House is owned, managed and staffed by Loving Care Ltd. It is a six bedded home registered with the Commission for Social Care Inspection to provide residential care for adults with learning disabilities with low through to high support needs. There is currently five service users residing at the home. The home is a large detached property situated in a residential street close to the centre of Wallington and well placed for accessing local shops and public transport links. The property is built over three-stories and comprises of single occupancy bedrooms, all with WCs and washing facilities. There are two bathrooms, & one shower room. Also there is one lounge, one conservatory, a dining room, kitchen with a dining table, laundry, office and a room known as The retreat. Service users can use this room as another sitting room during the evenings and day to undertake activities if they wish. The service provided is in line with its aims and objectives as set out in its statement of purpose. The range of weekly fees is between £1700 and £2100 and this information was gathered on the day of the inspection (02/03/07). Walton House DS0000060854.V327880.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was the home’s first inspection for the year 2006/07. It was an unannounced inspection and took place over three hours. Some times were spent looking at records, talking to the registered manager, staff and to one of the service users. They are all thanked for their time and assistance. A tour of the building was also carried out. Overall the inspection confirmed that the home provides a good level of care for the service users who live there. A high number of positive comments were received by the Commission about the care being provided by the home. Those comments were from service users, relatives and members of the multi-disciplinary team. What the service does well: Comprehensive information about the home and the services offered (included in the Statement of Purpose and Service User Guide) is available, and potential service users (and their relatives) are encouraged to visit the home, enabling an informed choice regarding the suitability of the home to be made. A sample of service user files was examined. The home was evidenced to have appropriate assessments and care plans in place. Service users’ care and support needs had been properly assessed, and the range of health, care and social needs presented were evidenced as being met. The home encourages service users to make decisions about all aspects of their lives; this includes what to eat, where to go on holiday, for days out, and what clothes to buy. Service user spoken to felt that the staff have built a good relationship with him. The home has a settled staff group and has the numbers and skill mix of staff sufficient to meet service users’ needs. Service user was observed to be treated with respect by staff and to have his privacy and dignity respected. Comments from service users were generally positive, with indication that staff are kind and helpful in meeting their care needs. The rights and best interests of service users are generally being protected by the home’s policies and procedure; and by accurate, up-to-date and wellmaintained record-keeping. There are good opportunities for the service users to maintain contact with their families and friends. Care plans set out well the individual needs of the service users and how staff members should meet these needs. Healthcare Walton House DS0000060854.V327880.R01.S.doc Version 5.2 Page 6 needs are well monitored and the home liaises with a range of health care professionals in meeting individual needs. The home is pleasantly designed and furnished, providing communal living, recreational and dining space that meets individual and collective needs. 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. Walton House DS0000060854.V327880.R01.S.doc Version 5.2 Page 7 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 DS0000060854.V327880.R01.S.doc Version 5.2 Page 8 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): 1,2 and 5 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home provides good information and introduction opportunities for prospective service users to make an informed choice about moving to the home. All prospective service users have their needs assessed prior to admission to ensure that the home and staff are aware of their assessed needs. EVIDENCE: The Statement of Purpose, and Service User’s Guide provide prospective service users with details of the services the home offers. This enable them to make an informed decision about admission to the home .All prospective service users have their needs assessed prior to admission to ensure that the home and staff are aware of their assessed needs. The manager stated that both documents are being reviewed to make them more service user’s friendly. Service users are only admitted to the home after a full assessment of their needs has been carried out by the home and the Placing Authority for individuals referred through Care Management, involving the prospective Walton House DS0000060854.V327880.R01.S.doc Version 5.2 Page 9 service user/recognised representative. It was noted that the home also carries out a very comprehensive needs assessment. Service users or their recognised representatives are provided with a costed contract/statement of terms and conditions of occupancy which are agreed between each prospective service user and/or representative and the home. The home also has a Client agreement that is illustrated in the service user’s plan and also in writing explaining what the home charges extra for. Walton House DS0000060854.V327880.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 good. This judgement has been made using available evidence including a visit to this service. Care plans are comprehensive and include detailed information about service users’ needs, personal goals, wishes and risk assessments. Service users are involved in decision making about their lives, they participate and can take some risks so that they live as normal a life as possible. EVIDENCE: Care plans were sampled, it was noted that they were all up to date and well maintained. Overall, the plans demonstrated a thorough needs assessment, which clearly set out how current and anticipated needs would be met. The plans checked established individualised procedures for service users likely to challenge the service, focusing on positive management strategies. The home reviews the care plan of the service user every six months. Documentary evidence was available to show that the annual review included the care manager and/or other professionals from the placing authority. The plan is Walton House DS0000060854.V327880.R01.S.doc Version 5.2 Page 11 drawn up with the involvement of the service user together with family, friends and/or advocate as appropriate, and relevant agencies/specialists. The rights of service users to make decisions about their own lives is central to the ethos of the home, support and guidance is given in all areas to ensure that service users are making decisions which are in their best interests. From discussion with service user and staff no evidence of restrictions on service users were found. Risk assessments for service users were examined. Potential risks are identified covering all aspects of their daily living both inside and outside the home. The home was able to demonstrate that this standard was met as individualised care plans were in place for each service user that referred to action required to minimise identified risks and hazards. Walton House DS0000060854.V327880.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 good. This judgement has been made using available evidence including a visit to this service. Service users are encouraged to explore opportunities to enhance their quality of life as well as maintain and participate with friends and the local community, with the aim of maximum integration. The daily routines and house rules promote service users’ rights, and ensure equality and that all rights are enjoyed by service users. EVIDENCE: The findings indicated that service users are able to exercise some level of independence in their personal care needs with appropriate support from staff where needed. The overall impression gained from observing how service users live at the home, indicated a good culture of semi-independent living, with most users have reasonable control over their lives and support from staff where needed. Walton House DS0000060854.V327880.R01.S.doc Version 5.2 Page 13 Staff support the service users to become part of, and participate in, the local community in accordance with their assessed needs. All service users have very active day activities that are arranged outside of the home on a daily basis. Activity plans are individualised. Service users are actively encouraged to maintain links with their families and friends. The home has an ‘open’ visitor’s policy and simply recommends that visitor’s telephone to say they are coming to ensure there loved one will be available. The rights of service users are respected. There are minimal restrictions in daily living. The daily routines and house rules promote independence, individual choice and freedom of movement, subject to restrictions agreed in the service user’s plan and contract. The service users design their menus with appropriate support from staff if required. They are encouraged to choose food that are healthy and of nutritional value. Walton House DS0000060854.V327880.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. Overall the arrangements for health care needs of the service users are good and they receive personal support in the way they prefer. EVIDENCE: Staff provide sensitive and flexible personal support to maximise service users’ privacy, dignity, independence and control over their lives. The manager stated that where needed, guidance and support is provided. Times for getting up/going to bed, baths, meals and other activities are flexible. The service users are all registered with a local General Practitioner. Records checked indicate that GP’s and other community based medical/health care professionals are contacted on an as needed basis. In general, medication records, including medicines received, administered and returned were all being appropriately maintained. Medication profiles in respect of each service user were also available. The home uses a blister pack system for medication. None of the service users self medicate. Walton House DS0000060854.V327880.R01.S.doc Version 5.2 Page 15 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. Complaints are generally managed well, which should ensure that service users’ and relatives’ concerns are listened to. The home’s policies and procedures help protect service users from abuse and help staff if they need to tell someone about any bad care practice they may observe. EVIDENCE: The home has a complaints procedure, which is very comprehensive. The procedure explains how to make a complaint and that the complainant can expect a response about the outcome of any investigation to a complaint within 28 days. The home has in place procedures for responding to suspicion or evidence of abuse, including whistle blowing, and passing on concerns to the Commission For Social Care Inspection. The manager stated that all the staff have attended abuse awareness training. Walton House DS0000060854.V327880.R01.S.doc Version 5.2 Page 16 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 and 30 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home is homely and comfortable and promotes a family-like environment. EVIDENCE: The home is suitable for its stated purpose. It is accessible, meet service users’ individual and collective needs in a comfortable and homely way. Service users’ bedroom are personalised to reflect their individual needs, and personalities. Overall the home was decorated to a good standard throughout and appeared to be very comfortable, bright and warm. The home is kept very clean and hygienic and free from offensive odours throughout. Systems are in place to control infection in accordance with relevant legislation and published professional guidance. Walton House DS0000060854.V327880.R01.S.doc Version 5.2 Page 17 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): 32,34,35 and 36 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The staff team at the home have a range of skills and ability, which appear to meet the needs of the service users. The home’s recruitment procedures protect the service users through vigorous staff vetting. Care staff are receiving supervision on a regular basis, which contributes to the standards of care being provided to service users. EVIDENCE: Copies of the off duty rotas were seen. The home was evidenced to have the numbers and skill mix of staff sufficient to meet service users’ needs. Training in NVQ level 2 in care is ongoing. Recruitment procedures seemed appropriate. Two staff files were examined at random and found to contain all the information required by the Care Homes Regulations 2001 including a completed job application, terms and conditions of employment, an enhanced CRB check and proof of their identity. Walton House DS0000060854.V327880.R01.S.doc Version 5.2 Page 18 The home has a training and development plan. The manager stated that staff attend regular training to refresh on their skills and knowledge. The registered manager advised that all the homes care staff receive at least six supervisions a year covering good care practices and career development. From staff files sampled at random there were evidence that staff are being supervised on a regular basis. Walton House DS0000060854.V327880.R01.S.doc Version 5.2 Page 19 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 and 42 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home is managed by an experienced and well-qualified manager who ensures a quality service. Generally the health, safety and welfare of the service users and staff were being promoted and protected. EVIDENCE: The manager has been successful at her fit person interview with the Commission and is now the registered manager for the home. Throughout the course of the inspection the registered manager demonstrated a good competent management skills and appears to have created a skilled, positive and enthusiastic workforce. Walton House DS0000060854.V327880.R01.S.doc Version 5.2 Page 20 It was obvious that service user’s choices were catered for and respected in the home and that the home was run to the needs of the service user. Service user spoken to on the day of the inspection seemed happy, confident and comfortable in his surroundings. Service users and their families are consulted about the conduct of the home and their views are regularly sought by means of questionnaires, invitations to reviews, and for some, regular visits to the home, where relatives are able to meet and talk directly with care staff and the manager. The home ensures so far as is reasonably practicable the health, safety and welfare of service users and staff. Certificates relating to health and safety were up to date servicing certificates. Walton House DS0000060854.V327880.R01.S.doc Version 5.2 Page 21 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 3 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 3 25 X 26 X 27 X 28 X 29 X 30 3 STAFFING Standard No Score 31 X 32 3 33 X 34 3 35 3 36 3 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 3 X X 3 X Walton House DS0000060854.V327880.R01.S.doc Version 5.2 Page 22 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 House DS0000060854.V327880.R01.S.doc Version 5.2 Page 23 Commission for Social Care Inspection Croydon, Sutton & Kingston Office 8th Floor Grosvenor House 125 High Street Croydon CR0 9XP 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 Walton House DS0000060854.V327880.R01.S.doc Version 5.2 Page 24 - 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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