Inspection on 31/01/06 for Walton House

This inspection was carried out on 31st January 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 House 24/02/09

Walton House 02/03/07

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 Unannounced Inspection 31st January 2006 9:30 Walton House DS0000060854.V281418.R01.S.doc Version 5.1 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.V281418.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 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.V281418.R01.S.doc Version 5.1 Page 3 SERVICE INFORMATION Name of service Walton House Address Hall Road Wallington Surrey SM6 0RT 020 8647 8836 020 8669 9382 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 *** Post Vacant *** Care Home 6 Category(ies) of Learning disability (6) registration, with number of places Walton House DS0000060854.V281418.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 22nd September 2005 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. Walton House DS0000060854.V281418.R01.S.doc Version 5.1 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was the home’s second inspection for the year 2005/06. It was an unannounced inspection and took place over two hours. Some times were spent looking at records, talking to the acting manager, staff and to two of the service users. They are all thanked for their time and assistance. A tour of the building was also carried out. Service users spoken to stated that they were happy with the care being provided. Overall the inspection confirmed that the home provides a good level of care for the service users who live there. What the service does well: What has improved since the last inspection? The front garden has now been completed and looks very pleasing. It was positively noted that this was done with the involvement of service users. A health and safety audit has recently been carried out and the home has worked hard to meet all the recommendations. The home has undertaken its yearly quality assurance audit and there are positive comments made by relatives as well as from professionals. A copy of the report was forwarded to the Commission following the inspection. Walton House DS0000060854.V281418.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 House DS0000060854.V281418.R01.S.doc Version 5.1 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.V281418.R01.S.doc Version 5.1 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): EVIDENCE: Standards 1,2,3,4 and 5 were met at the last inspection and there has been no change; they were not assessed at this inspection. Walton House DS0000060854.V281418.R01.S.doc Version 5.1 Page 9 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 8 Choice and decision making for service users is promoted to a high standard enabling their involvement and opportunities to contribute to the operation of the home. EVIDENCE: 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. Service users participate in day to day running of the home through regular meetings, surveys, and one to one meetings. Service users can also sit in on staff meetings as well as being on the panel for choosing new staff. All service users meetings are recorded. Service users are encouraged to help with cooking, cleaning and tidying their bedrooms. On the day of the inspection, one of the service users was going on a day trip to Oxford to visit places of interests and to look at buildings in preparation for his site seeing trip to New York, which he is planning to go sometime this year. Walton House DS0000060854.V281418.R01.S.doc Version 5.1 Page 10 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 17 Dietary needs are well catered for and a well balanced diet is provided, to ensure health and enjoyment of food. EVIDENCE: The acting manager stated that once a week service users are asked to choose the meals they want to eat in the forthcoming week before the food is purchased. Where the published menu option is not desired on the day alternatives are provided as service users wish. The acting manager ensures that a wide variety of different food options are available in the home with a lot of consideration given to the nutritional value of meals. One of the service users is on a gluten wheat free diet. Service users also have the option of where they want to eat e.g. the dining room, the kitchen or outside depending on the weather. Walton House DS0000060854.V281418.R01.S.doc Version 5.1 Page 11 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 19 and 21 Suitable arrangements are in place to ensure that service users’ physical and emotional health care needs are identified, planned for and met. Personal care is carried out in a way that service users prefer so that dignity and choice are maintained. EVIDENCE: All service users at the home are registered with a General Practitioner and they all have regular health checks. Service users are supported by the staff team when attending outpatient or other medical appointments as required. A record is kept of any health appointments. The service users also have access to other health professionals such as opticians and dentists. The home has a written policy and procedures on dealing with death and terminal illness. There is also an agreement with service users that it’s a home for life unless they are no longer able to meet their needs. Service users are also encouraged to attend funerals to those who are close to them. Last wishes are gained from service users and a format is used to show this with pictures etc. Service users will be able to spend their last days in their room if they wish so and extra help will be brought in if necessary. During this period relatives will be able to visit day or night and stay over night if necessary. Walton House DS0000060854.V281418.R01.S.doc Version 5.1 Page 12 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 23 Generally 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 copy of London Borough of Sutton adult protection procedures. The acting manager stated that all staff have had abuse awareness training. There have not been any adult protection concerns raised since the last inspection. Walton House DS0000060854.V281418.R01.S.doc Version 5.1 Page 13 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 25 and 27 The home is well decorated, homely, bright and clean thus providing the service users with safe, comfortable surroundings that meet their needs. EVIDENCE: Some of the bedrooms were checked. They are decorated to a good standard. The rooms contained a variety of personal furniture and fittings that reflected the individual’s personality. Service users have large rooms with good natural lighting and all the bedrooms have en-suite facilities. The home has sufficient bathroom and toilet facilities to meet the number of service users within the home. The bathrooms are lockable from the inside to ensure privacy. Toilets are located within reach of the communal facilities. Walton House DS0000060854.V281418.R01.S.doc Version 5.1 Page 14 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 33, 35 and 36 The staff team at the home have a range of skills and ability, which appear to meet the needs of the service users. Care staff are receiving supervision on a regular basis, which contributes to the standards of care being provided to service users. EVIDENCE: Presently the home does not have any staff with NVQ level 2 qualifications. However two staff have nearly completed the course. Three staff have applied for the course but are waiting for a starting date. In the meantime, the staff continue to receive training appropriate for them to meet the needs of service users. The staff supervision records were sampled and found that care staff are receiving at least six supervisions a year covering good care practices and career development. The staff also have an annual appraisal to review their performances against their job descriptions and agree career development plans. Walton House DS0000060854.V281418.R01.S.doc Version 5.1 Page 15 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 39, 41 and 43 The home is clearly run to the benefit and best interests of service users, with mechanisms in place to guarantee safety, and evidence good practice. EVIDENCE: Both staff and service users are encouraged to participate in the day-to-day operation of the home and to give their opinion about the way the service is delivered. This happens in a variety of ways including meetings, which take place on a monthly basis. The registered provider also carries out monthly regulation 26 visits, and a report of each visit is produced and a copy is sent to the Commission for Social Care Inspection. The home has undertaken its yearly quality assurance audit and there are positive comments made by relatives as well as from professionals. Policies and procedures at the home generally support the service in handling issues arising now and in the future. Walton House DS0000060854.V281418.R01.S.doc Version 5.1 Page 16 A business plan was available at the time of inspection. The acting manager stated that the home is financially viable for the purpose of achieving the aims and objectives set out in the Statement of Purpose. A financial plan was forwarded to the Commission following the inspection. Walton House DS0000060854.V281418.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 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 X 2 X 3 X 4 X 5 X INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 X 23 3 ENVIRONMENT Standard No Score 24 X 25 3 26 X 27 3 28 X 29 X 30 X STAFFING Standard No Score 31 X 32 X 33 3 34 X 35 3 36 3 CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score X X 3 X X LIFESTYLES Standard No Score 11 X 12 X 13 X 14 X 15 X 16 X 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score X 3 X 3 X X 3 X 3 X 3 Walton House DS0000060854.V281418.R01.S.doc Version 5.1 Page 18 No 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. 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.V281418.R01.S.doc Version 5.1 Page 19 Commission for Social Care Inspection Croydon, Sutton & Kingston Office 8th Floor Grosvenor House 125 High Street Croydon CR0 9XP 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. 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