Inspection on 04/07/07 for Walton Manor

This inspection was carried out on 4th July 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 Manor 31/01/07

Walton Manor 28/02/06

Walton Manor 26/09/05

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 Key Unannounced Inspection 4th July 2007 09:30 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.V338701.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 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.V338701.R01.S.doc Version 5.2 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 neilgreenhalgh@hotmail.co.uk Walton Manor Ltd Ms Linda Armitage Care Home 47 Category(ies) of Old age, not falling within any other category registration, with number (47) of places Walton Manor DS0000062365.V338701.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. The registered person may provide the following category of service only: Care home only - Code PC; To service users of the following gender: Either; Whose primary care needs on admission to the home are within the following categories: Old age, not falling within any other category The maximum number of service users who can be accommodated is: 47 31st January 2007 2. 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. It is set back from the road in large well-maintained grounds, having gardens to the front and the rear. Car parking space is available. The home offers accommodation for 47 older people in single and double bedrooms over two floors accessible by two shaft lifts. Most rooms have ensuite facilities and including six suites. There are communal areas of different sizes and a newly built conservatory to provide comfortable areas for the people who live there to relax in. The provider makes information about the service available to enquirers via the service user guide. A copy of the inspection report is available on the reception desk. The fees charged in July 2007 were from £420 to £685; hairdressing, chiropody and personal newspapers are charged in addition to the fees. Walton Manor DS0000062365.V338701.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was an unannounced visit to the home by a regulation inspector and CSCI pharmacist inspector on the 4th July 2007 and was completed over eight hours commencing at 9:30am and ending at 5:30pm. The visit included talks with some people who live at the home, a visitor, some care staff on duty, the cook, the manager and assistant manager. Some records were checked, practice was observed and a walk round the premises completed. The CSCI pharmacist inspector completed an audit of medication to establish if practices had been maintained since the last visit. Some comment cards were sent to some people who live at the home, relatives, social and health professionals seeking their views of the service. Four were received from people living at the home, four from relatives and one from a GP who were generally satisfied with the care provided. An extension has been built onto the home to increase the number of places to 47. What the service does well: What has improved since the last inspection? Since the last visit the Commission is now receiving notification in writing of accidents that have occurred in the home as required by Regulation. The overall management of medications has improved ensuring people receive medications they need safely within safe practice. Walton Manor DS0000062365.V338701.R01.S.doc Version 5.2 Page 6 An extension has been built which provide en suite bedrooms and suites. The attention to detail in respect of facilities needed to meet older people’s needs whilst promoting independence is commendable. An activity organiser has been recruited and the provision of activities increased and people are enjoying the increased opportunities. Staffing levels have been increased in the evenings and at night and housekeeper has been employed to increase the staffing provision for people in the home and more staff will be appointed as needs require. 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 Manor DS0000062365.V338701.R01.S.doc Version 5.2 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.V338701.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 1,3,6 People who use this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to the service. The arrangements for ensuring people’s needs can be met, prior to people’s admission, are satisfactory. EVIDENCE: The details on the registration certificate seen had been included into the statement of purpose so people are given full information about the care the service is registered to provide. The records seen showed that pre-admission assessments had occurred and contracts provided. The manager said she visits people wherever possible and people are invited to spend time at the home prior to a decision being made in respect of admission. Intermediate care is not provided at the home. Walton Manor DS0000062365.V338701.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 7,8,9,10 People who use this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to the service. People are satisfied with the care provided. Further development of the care plans would ensure needs are met appropriately. There has been a general improvement in the recording and administering of medications. EVIDENCE: Care plans and risk assessments seen showed that needs had been identified, however, they needed some further development e.g. a care plan recorded a person’s sight was diminished in one eye, also they had poor memory, however, the detailed action to be taken by staff had not been completed. Generally risk assessments had been completed, however, a risk assessment had not been completed for someone who were self caring in respect of podiatry. The manager said the issues discussed would be completed soon. Walton Manor DS0000062365.V338701.R01.S.doc Version 5.2 Page 10 Records seen showed that GP’s and other health professionals visit when requested. Nutritional assessments had been completed and records of weight checks recorded on those records seen. A pharmacy inspection took place on the 4th July. The reason for the visit was to look at systems of medicines management and to see if the requirements and recommendations made at the last visit have been met. There is no list of staff authorised to administer medicines in the MAR folder. This means it is difficult to identify who was involved in administration if a query or problem occurred. There is a system in place to make sure MAR charts are stored securely. This means that there is a reduced risk of loosing confidential information. There are good records of medication stopped and handwritten MAR chart entries. There are good records of medication administration and stock levels. This means that there is an accurate record that medication is being given as prescribed. The use of codes to record non administration was inconsistent. The codes ‘O’ and ‘F’ were used without any explanation. There must be an accurate record of why medication was not administered to provide information to the prescriber if a review is required. MAR charts with warfarin listed have recent tests results and doses recorded. This is an example of good practice as staff have access to up to date information to check they are giving the correct dose. However this was not consistently followed. It is important that all staff, to reduce the risk of incorrect administration, follow good practice. A number of people had delays in the administration of their medication, as the supply from the pharmacy had not arrived. The inspector was informed that the medication had been ordered in plenty of time but there had been a delay in supply. The pharmacist advised that problems with supply should be addressed with the local GP surgeries and community pharmacy. A bottle of eye drops was found that had reached the expiry date. A system should be in place to check expiry dates of medicines received to make sure they will be safe to use. A number of people prefer to self-administer their medication. Good risk assessments have been performed and recorded to make sure the person can safely administer their medication. People spoken with made positive comments about the care provided. Five survey forms completed by relative’s recorded generally positive comments, one comment was “staff are fantastic.” Four surveys completed by people living at the home. “Staff usually available, usually receives care and support, they act on what’s said”. Walton Manor DS0000062365.V338701.R01.S.doc Version 5.2 Page 11 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. JUDGEMENT – we looked at outcomes for the following standard(s): 12,13,14,15 People who use this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to the service. People appeared very much at home and the home is run in accordance with their wishes. There are opportunities for people to pursue hobbies and interests and contact with the community is maintained. EVIDENCE: People were seen, and they confirmed, that they spend time in rooms pursing personal interests. The manager said some people now enjoy sitting together in the new conservatory. Information provided by the manager prior to the visit showed that activities are provided to peoples needs. An activities person has been recruited and outings and social events and clothes parties arranged. People are also encouraged to arrange their own social events. Information provided by the manager showed that Communion is provided monthly and special arrangements provided for other cultural needs. Walton Manor DS0000062365.V338701.R01.S.doc Version 5.2 Page 12 Comments made on surveys and people spoken with showed that visiting is encouraged at anytime unless people state otherwise. Information provided by the manager prior to the visit stated that people are encouraged to handle their own financial affairs, take personal items into the home to provide a homely environment. Newspapers are provided on request. People spoken with said visits can occur in the privacy of their bedrooms. People were observed sitting in the lounges reading daily newspapers, a person spoken with said they still enjoy doing crosswords. Some people living at the home said they go out to relatives. Comments made on the surveys completed by people living at the home about the food were good; one recorded “the menu is excellent” “laundry service is excellent. A relative’s survey stated he is “very satisfied, staff are very good, can visit in private if needed, can visit anytime and have a meal and is not charged for it”. A discussion with the chef occurred who said there is a choice of three meals at each lunch and evening sitting, however anything not on the menu would be provided if requested and people spoken with confirmed this. Walton Manor DS0000062365.V338701.R01.S.doc Version 5.2 Page 13 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. JUDGEMENT – we looked at outcomes for the following standard(s): 16,18. People who use this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to the service. People’s complaints are taken seriously, they are investigated and records kept. EVIDENCE: The home complaints procedure is displayed on a notice board in the home, a copy is also available in the home statement of purpose located on the reception desk. The complaints records were seen and two complaints made since the last visit regarding heating problems had been resolved. The information provided by the manager prior to the visit showed that some safeguarding training is to be provided during staff induction. The manager said further safeguarding training is to be provided and to be ongoing. Staff spoken to confirmed that safeguarding formed part of their induction, they were aware of their duty under the homes Whistleblowing policy and were able to identify the various forms of abuse. Walton Manor DS0000062365.V338701.R01.S.doc Version 5.2 Page 14 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. JUDGEMENT – we looked at outcomes for the following standard(s): 19,24,25,26. People who use this service experience excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to the service. The home provides a very pleasant environment for people to live in. EVIDENCE: A variation to the registration has been approved since the last visit to build an extension to the building to increase the number of rooms available. The bedrooms seen have adjustable beds, armchairs, coffee table, lamps, ceiling fan, bedside cabinet, chest of drawers and wardrobe with a table for people who choose to eat in their room. The new extension is well decorated and well equipped and includes some apartments with a balcony overlooking landscaped gardens. The attention to detail including equipment and facilities is commendable, independence is encouraged with the provision of small kitchens and equipment whilst also meeting peoples needs who may have some disabilities e.g. magnetic locks Walton Manor DS0000062365.V338701.R01.S.doc Version 5.2 Page 15 have been fitted on draws for people who could have arthritis making managing a standard locking device difficult and battery operated bath chairs in bathrooms. Landscaped gardens provide a very pleasant environment for people to walk or sit in a garden seat has been fitted around large tree in the grounds to the rear of the home. A large conservatory has also been built which looks out onto the landscaped gardens Other areas in the older part of the home have had some refurbishment; new carpets in a large lounge, new lounge chairs and some areas have also been redecorated. During a walk round the new extension door wedges were seen in some bedrooms. The manager said staff use them briefly to wedge doors open when wheelchairs were used to take people into their rooms. The manager has informed the Commission since the visit that staff have been made aware that the wedges must be removed when they leave the room. The laundry is located in a building outside the main house, which also accommodates some of the main water tanks and boilers. Clothes were seen drying in the area next to the boilers, and some cleaning agents were being stored in the same area. The laundry facilities are located at the opposite end of the room. There was a build up of dust and debris seen behind the washing machines and tumble dryers, which could cause a fire; the manager said she would deal with this as soon as possible. The Commission informed the fire officer of the situation immediately following the visit who has since visited the home. The manager notified the Commission and told the fire officer that the providers are planning to fit a partition across the room to separate the facilities. Walton Manor DS0000062365.V338701.R01.S.doc Version 5.2 Page 16 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. JUDGEMENT – we looked at outcomes for the following standard(s): 27,28,29,30 People who use this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to the service. The staffing levels and training meet people’s needs. EVIDENCE: Since the last visit staffing levels have increased to provide care for both existing people living in the home and increased number of people. The manager said two posts are to be created with particular responsibility with medication. A member of staff’s recruitment file was checked and Criminal Records Bureau (CRB) checks and Protection of Vulnerable Adults from Abuse (POVA) checks had been completed appropriately, two satisfactory references obtained and induction records completed. The manager said she is planning to develop the induction-training package and overall provision of training. Information provided by the manager prior to the visit shows that nine out of twenty-two staff have NVQ 2 care qualifications, medication training has been provided for some staff and others are registered to do the course. The manager said only trained staff administer medication. Walton Manor DS0000062365.V338701.R01.S.doc Version 5.2 Page 17 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. JUDGEMENT – we looked at outcomes for the following standard(s): 31,33,35,38 People who use this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to the service. The manager works to ensure the home is managed effectively. EVIDENCE: The manager has a management qualification and the skills required to manage the home, she said to support her professional development further training is planned. The manager said most of the people living at the home handle their own finances, some records and cash balances checked were found to be accurate. Walton Manor DS0000062365.V338701.R01.S.doc Version 5.2 Page 18 Some staff spoken with said they have supervision. Information provided by the manager prior to the visit showed that some equipment system checks including fire equipment had been completed. The home is making the required notifications of accidents and incidences to the Commission. Staff spoken with said that manual handling, health and safety and fire training had been covered during induction. A member of staff spoken with said she had been trained to use the mobile hoist. She was aware of the different types of sling and said this had been included in manual handling training. Information provided by the manager prior to the visit showed that further staff training is planned within the next twelve months to maintain and develop staff skills. Walton Manor DS0000062365.V338701.R01.S.doc Version 5.2 Page 19 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 3 X 3 X X N/A HEALTH AND PERSONAL CARE Standard No Score 7 2 8 3 9 3 10 3 11 x DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 2 X X 3 x 3 3 2 STAFFING Standard No Score 27 3 28 2 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X 3 X 3 X X 3 Walton Manor DS0000062365.V338701.R01.S.doc Version 5.2 Page 20 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. 1 2. Refer to Standard OP7 OP9 Good Practice Recommendations The registered person should develop the care plans and risk assessments further to include the action needed by staff to ensure needs are met appropriately. • A system should be in place to check the expiry dates of medication received into the home to make sure they will be safe to use. • A list of staff and their signatures should be kept to identify who was involved in medication administration if a problem was to occur. • The reason why medication is not administered should be accurately recorded to make sure there is detailed information if a review is required. The registered person should ensure that staff take away the door wedges from rooms once people have been assisted. The registered person should continue to monitor the laundry area to ensure it is kept free of dust and debris to DS0000062365.V338701.R01.S.doc Version 5.2 Page 21 3. 4. OP19 OP26 Walton Manor prevent the risk of fire occurring. The registered person should ensure that cleaning items are stored appropriately. Walton Manor DS0000062365.V338701.R01.S.doc Version 5.2 Page 22 Commission for Social Care Inspection Brighouse Area Team First Floor St Pauls House 23 Park Square Leeds LS1 2ND 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 Manor DS0000062365.V338701.R01.S.doc Version 5.2 Page 23 - 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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