Inspection on 10/01/07 for Walton Road (195)

This inspection was carried out on 10th January 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 found no outstanding requirements from the previous inspection report, but made 1 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

Walton Road (195) 17/04/08

Walton Road (195) 25/01/06

Walton Road (195) 24/10/05

Walton Road (195) 05/03/05

Walton Road (195) 11/03/04

Walton Road (195) 19/01/04

Similar services:

Hillside

Applegarth

122 Scorer Street

Jubilee Villa Care Home

Thornham Grove

Beech Lodge

8 Thorndale Road (Homefield College)

Hunter`s Lodge

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

CARE HOME ADULTS 18-65 Walton Road (195) Chesterfield Derbyshire S40 3BT Lead Inspector Marie Bonynge Key Unannounced Inspection 10th January 2007 2:20 Walton Road (195) DS0000020116.V325577.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 Road (195) DS0000020116.V325577.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 Road (195) DS0000020116.V325577.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Walton Road (195) Address Chesterfield Derbyshire S40 3BT 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) (01246) 276892 Enable Care & Home Support Limited Mrs Aileen Parry Care Home 4 Category(ies) of Learning disability (4) registration, with number of places Walton Road (195) DS0000020116.V325577.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 25th January 2006 Brief Description of the Service: The Home is situated on the outskirts of Chesterfield with good access by bus to the town centre. The Home is registered for four residents with learning disabilities, who have lived there for at least the past 10 years. A stable staff group provides the care. The Home comprises a large domestic house, with an extension. It is spacious and is maintained to a high standard of repair. Décor and furnishings are also very well maintained. The fees for this home is £643.00. Walton Road (195) DS0000020116.V325577.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This inspection visit took place over one day in January 2007 and took place over the afternoon and tea time. It was necessary to pre-arrange this visit a few days beforehand so that the residents could be present during the visit. Discussions were held with all 4 of the residents who were proud to show the Inspector around the home. The Inspector also talked to the registered manager and the staff on duty. Other inspection methods used included the examination of care plans, staff training records, maintenance records and the medication system. Four completed CSCI resident surveys were returned that had been completed with the help of Derbyshire Advocacy Service. One requirement was made at the last inspection of this service and this requirement has been met. What the service does well: What has improved since the last inspection? Some of the bedrooms and the bathroom have been redecorated. Care plans and staff records continue to be reviewed and updated. A copy of the up to date gas safety certificate was sent to the CSCI in accordance with the requirement made at the last inspection visit. Walton Road (195) DS0000020116.V325577.R01.S.doc Version 5.2 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. The summary of this inspection report can be made available in other formats on request. Walton Road (195) DS0000020116.V325577.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 Road (195) DS0000020116.V325577.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): 2. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. A process for the assessment of residents need is in place, this assures residents that the home can meet their needs. EVIDENCE: The 4 residents accommodated in this home have lived here for at least the last 10 years and moved into the home together. No new residents have come to live here since then. There is a process in place for the assessment of a new residents needs should this be necessary. Walton Road (195) DS0000020116.V325577.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 6, 7, 9. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents are supported to take control of their daily lives in accordance with their expressed preferences and the care plan. EVIDENCE: Each resident has their own care plan that is colour coded so that the resident knows which is their plan. Two residents gave permission for the Inspector to look at their care plans, each person was aware that the plan contained information about them and they were involved in the development of as many aspects of the care plan as possible. The care plans took into account any changes that may have occurred in terms of the residents needs and were updated regularly. Reviews involved social services and health care professionals and the residents family. The service is tailored to meet the needs of each person, there have been few changes of staff since the home opened and consequently staff know the residents well. Personal and environmental risk assessments were in place that covered transport, safety, hot water and using household appliances. Walton Road (195) DS0000020116.V325577.R01.S.doc Version 5.2 Page 10 These enabled residents to participate in everyday activities such as hoovering and cleaning as part of an independent lifestyle. Advocacy services were encouraged to visit the home and had assisted residents in the completion of CSCI resident questionnaires. Residents had also been supported in attending advocacy sessions at a local venue. Walton Road (195) DS0000020116.V325577.R01.S.doc Version 5.2 Page 11 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 excellent. This judgement has been made using available evidence including a visit to this service. Appropriate individual support is given that enables the residents to enjoy activities and recreation that is suited to their needs and preferences. Good quality meals are provided in a relaxed and informal atmosphere that residents clearly enjoy. EVIDENCE: The residents in this home attend day centres in the community where they participate in various activities such as pottery, painting and baking and see friends. Residents spoke to the Inspector about having gone to the bank today, doing some shopping and going for lunch. This had clearly been an enjoyable morning with residents being supported and encouraged to take part in the daily routines of the home. Walton Road (195) DS0000020116.V325577.R01.S.doc Version 5.2 Page 12 Residents talked about their involvement in the housekeeping aspects of living in the home such as ironing their bedding, keeping bedrooms clean and tidy and the jobs they particularly liked to do and had chosen to take responsibility for. Staff supported residents in all of these areas and it appeared that everyone worked well together for the benefit of residents. Family and friends are encouraged to visit the home, residents spoke of the visits that they had enjoyed and showed the Inspector many photographs of the people that were important to them. Two residents had families who lived a distance away and staff regularly took the residents to visit and have holidays there. This visit took place over tea time, this was an enjoyable and relaxed meal where residents and staff were provided with an opportunity to share the days events in an informal way. Meals are organised around a balanced and varied menu with the opportunity for residents to choose what they want and be involved in the planning of meals. The home has sought the views of the residents who are fully involved in all aspects of the planning of daily routines and activities in the home and in the community. The home therefore provides an excellent service. Walton Road (195) DS0000020116.V325577.R01.S.doc Version 5.2 Page 13 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, 20. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Personal support and healthcare needs are met in the manner in which residents prefer and in accordance with assessed need. Medication systems are in place that serve to protect residents. EVIDENCE: The care plan underpins the personal support that is given. Regular health care check ups are planned and staff provide the support necessary for each person when they attend any appointments. Changes in residents needs are documented and communicated to staff via handovers and daily records. Healthcare and social services professionals are involved in reviews and advice is sought where a need arises. Access is provided for the dentist, optician, and chiropodist. Residents are reliant upon staff to assist with the administration of medication. Training has been completed for staff regarding the safe handling and administration of medicines in order to assist in safeguarding the residents. Policies and procedures are in place to underpin the systems. A local pharmacist visits regularly to provide advice about the medicines used. Walton Road (195) DS0000020116.V325577.R01.S.doc Version 5.2 Page 14 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, 23. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Staff training, policies and procedures assist in the promotion and protection of residents’ rights. EVIDENCE: There are no concerns or complaints having been received by the home or by the local office of the CSCI. A clear complaints procedure is in place that is in an appropriate format for the residents and is present on each persons care plan. Advocacy services are encouraged to be active in the home and residents attend an advocacy group in the community. Care review notes indicate that the residents representatives are encouraged and able to advocate on behalf of the residents. Policies and procedures in the home regarding safeguarding adults assist in the protection of residents. Staff have attended training regarding abuse awareness and the procedures to follow if they are concerned about the welfare of a resident. The registered manager has attended a 2 day course regarding Derbyshire’s local safeguarding adults procedures. Walton Road (195) DS0000020116.V325577.R01.S.doc Version 5.2 Page 15 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, 30. Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. This service provides a lovely, homely environment that residents say they like and have made their own. EVIDENCE: The house is situated on an estate that is suited to the needs of residents, close to a bus stop and local shops and facilities. This service provides a well decorated, comfortable and well maintained home for the residents who live there. Each resident was pleased to show the Inspector their bedroom and were very proud of the way in which they had arranged their personal belongings. Three residents chose to spend time in their bedrooms listening to music or doing craft work, the rooms were arranged so that they could do this. All of the bedrooms were single and spacious. For these reasons the home exceeds standards in this area. Every where was clean and hygienic. There is a crack in the bath and a recommendation has been made for the bath to be replaced. Walton Road (195) DS0000020116.V325577.R01.S.doc Version 5.2 Page 16 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. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Staff are appropriately trained in order to meet the needs of residents. EVIDENCE: Staff have accessed a range of training including moving and handling, fire safety, food hygiene and the safe administration of medicines. A programme of NVQ training is in place that staff are gradually completing. Staff communicate well with residents using signs and non verbal communication methods that are individual to each resident. The registered manager has an overall training plan that takes into account each member of staffs learning needs. The staff group is stable with one new member of staff having joined the team in the last year. This member of staff has completed an induction programme and is due to commence NVQ training. Staff files are generally in good order and follow the homes established recruitment procedures. This includes obtaining a completed CRB and POVA First check and an interview process. Two written references have been obtained except for one member of staff where one written and one verbal reference was on file. All of the other required checks were completed. A requirement has been made in respect of this. Walton Road (195) DS0000020116.V325577.R01.S.doc Version 5.2 Page 17 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, 42. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Systems are in place that contribute to the home fulfilling its stated purpose and objectives and meeting the needs of the residents. EVIDENCE: The registered manager has worked in this home for a number of years and knows the residents well. The relationships demonstrated between staff and residents were warm and positive with residents being animated and feeling free to join in and instigate conversations and jokes. There is an established quality assurance system in place with monthly recorded unannounced visits from the service manager. Resident questionnaires are also completed annually. Certificates of maintenance were kept in good order and up to date including those for wiring and insurance purposes. Walton Road (195) DS0000020116.V325577.R01.S.doc Version 5.2 Page 18 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 3 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 3 23 3 ENVIRONMENT Standard No Score 24 4 25 X 26 X 27 X 28 X 29 X 30 3 STAFFING Standard No Score 31 X 32 3 33 X 34 2 35 3 36 X CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 3 3 X 3 X LIFESTYLES Standard No Score 11 3 12 4 13 X 14 X 15 3 16 4 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 Road (195) DS0000020116.V325577.R01.S.doc Version 5.2 Page 19 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. 1. Standard YA34 Regulation 18 Requirement Two written references must be obtained in respect of each member of staff prior to the commencement of their employment. Timescale for action 01/04/07 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 YA24 YA37 Good Practice Recommendations The cracked bath should be replaced. The registered manager should complete the registered managers award. Walton Road (195) DS0000020116.V325577.R01.S.doc Version 5.2 Page 20 Commission for Social Care Inspection Lincoln Area Office Unity House, The Point Weaver Road Off Whisby Road Lincoln LN6 3QN 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 Road (195) DS0000020116.V325577.R01.S.doc Version 5.2 Page 21 - 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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