Inspection on 26/09/05 for Walton Manor

This inspection was carried out on 26th September 2005.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Adequate. 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 Manor 04/07/07

Walton Manor 31/01/07

Walton Manor 28/02/06

Walton Manor 21/03/05

Similar services:

Snydale Care Home

Abbey The

Hawkhills

Larchfield Manor

Beeches The - North Yorkshire County Council

The Grove Waltham

Carentan House

Ravensworth Lodge

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

CARE HOMES FOR OLDER PEOPLE Walton Manor 187 Shay Lane Walton Wakefield WF2 6NW Lead Inspector Susan Vardaxi Unannounced Inspection 26th September 2005 10:00 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 Manor DS0000062365.V251877.R01.S.doc Version 5.0 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 Manor DS0000062365.V251877.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service Walton Manor Address 187 Shay Lane Walton Wakefield WF2 6NW 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) 01924 249777 01924 249777 Walton Manor Ltd Ms Linda Armitage Care Home 36 Category(ies) of Old age, not falling within any other category registration, with number (36) of places Walton Manor DS0000062365.V251877.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: 1. Can provide care and accommodation for three named service users with physical disabilities, category PD(E) 21st March 2005 Date of last inspection Brief Description of the Service: Walton Manor is a privately owned care home for older people situated in Walton village on the outskirts of Wakefield. The home is set back from the road in large well-maintained grounds, having gardens to the front and the rear. There is sufficient car parking space available. The home offers accommodation for 36 people in single and double bedrooms over two floors most of which have en-suite facilities. There are communal areas of different sizes that are comfortably furnished for the service users. Service users are registered with several local GP practices and district nurses support the care team at Walton Manor in the care of the people who live there. Walton Manor DS0000062365.V251877.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was an unannounced inspection, which took place on 26th September 2005 over a period of 6.5 hours. The inspection process included discussions with some service users, a visitor and staff, a walk round the building and grounds and checking some of the records held at the home. Thanks are extended to the service users, staff, manager and all concerned for their hospitality and cooperation throughout the day. What the service does well: What has improved since the last inspection? Some service users’ records seen showed that care plans are now being completed on a regular basis. The manager said that eleven staff have achieved NVQ qualifications and staff supervision is now being provided. Walton Manor DS0000062365.V251877.R01.S.doc Version 5.0 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 Manor DS0000062365.V251877.R01.S.doc Version 5.0 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–6) Health and Personal Care (Standards 7-11) Daily Life and Social Activities (Standards 12-15) Complaints and Protection (Standards 16-18) Environment (Standards 19-26) Staffing (Standards 27-30) Management and Administration (Standards 31-38) Scoring of Outcomes Statutory Requirements Identified During the Inspection Walton Manor DS0000062365.V251877.R01.S.doc Version 5.0 Page 8 Choice of Home The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 3 Pre-admission assessment arrangements are satisfactory. EVIDENCE: Service users’ files checked showed that pre admission assessments are completed and they are informed in writing that the home can meet their needs. Intermediate care is not provided at the home. Walton Manor DS0000062365.V251877.R01.S.doc Version 5.0 Page 9 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 Care plans ensure that service users needs are met and the provision of health care is satisfactory. However service users health could be at risk due to the poor standard of medication records and administering practices. EVIDENCE: Care plans seen had been completed from assessment of needs and reviewed monthly. The records seen showed that GPs, district nurses and other health providers visit as required. Risk assessments, nutritional assessments and records of some weight checks had been kept, however the manager said that a type of weighing scales recommended at the last inspection had not been purchased. The medication and records seen showed some inaccuracies in the number of medications in stock and the records kept. The manager said that accredited medication training was being arranged. Staff were observed interacting with the service users, no incidences were seen that could have compromised service users’ privacy or dignity. Walton Manor DS0000062365.V251877.R01.S.doc Version 5.0 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, Service users are able to exercise choice and control over their lives and maintain links with the community. EVIDENCE: Two service users were seen strolling round the grounds during the day. Service users are served their breakfast in their bedroom. Many of the service users are independent, the manager said some choose not to join in with activities and make their own arrangements; some service users have a car and go out for a drive. A service user said that they had been out for a meal to a local restaurant with friends. The manager and deputy manager said they had taken two service users away for a weekend break. They said a craft person visits twice weekly and they are considering recruiting an activities person. The service users were not joined for lunch on this visit, those spoken with said the meals are very good, fresh fruit was seen in bowls in the lounges and on dining tables, the kitchen was clean and the cook said that he has plenty of provisions to ensure service users have good meals. Walton Manor DS0000062365.V251877.R01.S.doc Version 5.0 Page 11 Complaints and Protection The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 16,18 Complaints appear to be dealt with, however recruitment procedures do not ensure service users would be fully protected from abuse. EVIDENCE: Two complaints seen in the records had been dealt with. A service user said that if they have a complaint the manager deals with it. The assistant manager said staff had been shown a video as part of their adult protection training. The staff files seen showed that two staff members had started work at the home before a CRB and POVA first check had been completed. Walton Manor DS0000062365.V251877.R01.S.doc Version 5.0 Page 12 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, 20,23,24,26 The grounds and building provide a high standard of accommodation for service users to live in. EVIDENCE: The grounds seen were very well maintained and provide and excellent environment for service users to view from their rooms or sit or stroll in. The provider said that a new maintenance person has been recruited to work on the grounds. The communal areas seen are decorated, furnished and cleaned to a very high standard and provide a very pleasant comfortable environment for service users to sit and relax and dine in. The service users bedrooms seen were clean, very well decorated and furnished with many of their own possessions. The kitchen was seen to be clean and tidy. Walton Manor DS0000062365.V251877.R01.S.doc Version 5.0 Page 13 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): 27,28,29 Staffing levels are considered to be adequate, however reduced staffing levels in the evenings at weekends do not ensure that service users choice to bathe would be met. The recruitment procedure does not always ensure that service users are fully protected from abuse. EVIDENCE: An anonymous concern had been brought to the attention of the Commission before the inspection. The staff rosters seen showed that a carer was on duty from 7pm to 9pm on weekdays to assist with bathing however not at weekends. The manager said that carers only provide personal care and are not designated to others duties in the home. The manager said that there are: 3 carers and 1 senior on duty during the morning. 2 carers and 1 senior on duty in the afternoon until 7pm and then 1 extra carer works from 7pm –9pm Monday to Friday. Some service users said that there had been a “lot of staff changes lately”; the manager said that some new staff recruited had left for personal reasons and other had not been suitable. The manager said that six staff have NVQ level 3 & five have NVQ level 2 Walton Manor DS0000062365.V251877.R01.S.doc Version 5.0 Page 14 The files of the most recent staff recruited to the home were seen; application forms, references and proof of identity had been completed. Although a Criminal Records Bureau & Protection of Vulnerable Adult checks had been requested it was found that these staff had commenced employment prior to a POVA First check being received. Walton Manor DS0000062365.V251877.R01.S.doc Version 5.0 Page 15 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): 33,38 The arrangements for safeguarding service users finances appear to be satisfactory. Attention to Health and Safety issues appear to be generally satisfactory, however the broken areas on the floor covering in the kitchen could lead to incidences of cross infection occurring. EVIDENCE: Discussions with some service users, staff, observations during the inspection and information found on service user’s records showed that the home is run in the best interests of service users. The records of monies held by the home on behalf of some service users were seen, they had been well maintained and no inaccuracies observed. The manager said that some service users have advocates to help them manage their finances. Walton Manor DS0000062365.V251877.R01.S.doc Version 5.0 Page 16 The manager said fire drills are held regularly and the assistant manager has completed a moving and handling for trainer’s course and now provides training for staff. The fire report for the fire service inspection completed in November 2004 was seen and no recommendations were noted. The floor covering seen in the kitchen was torn in places. Walton Manor DS0000062365.V251877.R01.S.doc Version 5.0 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 X X 3 X X N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 2 9 1 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 X COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 1 3 3 X X 3 3 X 3 STAFFING Standard No Score 27 2 28 3 29 1 30 X MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score X X 3 x X X X 2 Walton Manor DS0000062365.V251877.R01.S.doc Version 5.0 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. 1 Standard OP 9 Regulation 13(2) Requirement The registered person must ensure that medication is administered as prescribed and accurate records are kept. The registered person must ensure that CRB and POVA first checks are completed prior to staff commencing employment. Timescale for action 26/09/05 2 OP18 OP29 17(1)(a) Schedule 3 26/09/05 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 3 Refer to Standard OP8 OP27 OP38 Good Practice Recommendations It is recommended that weighing equipment be provided that will enable all service users to be weighed on a regular basis. The manager should ensure that staffing levels at weekends are sufficient for service users to be assisted to bathe should they choose to do so. The areas of floor covering that are broken should be repaired or in needed replaced to ensure cross infection does not occur. Walton Manor DS0000062365.V251877.R01.S.doc Version 5.0 Page 19 Commission for Social Care Inspection Brighouse Area Office Park View House Woodvale Office Park Woodvale Road Brighouse HD6 4AB 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 Manor DS0000062365.V251877.R01.S.doc Version 5.0 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. 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