Inspection on 17/04/08 for Walton Road (195)

This inspection was carried out on 17th April 2008.

CSCI found this care home to be providing an Good service.

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 Road (195) 10/01/07

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 Denise Bate Unannounced Inspection 17th April 2008 01:45 Walton Road (195) DS0000020116.V362602.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.V362602.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.V362602.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 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.V362602.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 10th January 2007 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 fee for this home at the time of inspection was £643.00. The complaints procedure is displayed in an ‘easy read’ format. People have individualised ‘statements of purpose’ as well as a detailed one for the home. Copies of inspection reports are available. Walton Road (195) DS0000020116.V362602.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The quality rating for the service is two star. This means the people who use this service experience good quality outcomes. The inspection was unannounced and took place over an afternoon. During the inspection two people living at the home and a staff member were spoken with. Prior to the inspection we looked at previous inspection reposts and a self assessment questionnaire (AQAA) completed by the manager of the home. Pre inspection questionnaires were completed recently by people living at the home and staff. Information provided by the questionnaires has been included in this inspection report. The manager was present during the inspection and provided assistance and information. A number of records were examined, including care planning documentation, minutes of staff meetings, regulation 26 visit records, and action plans. Two residents were case tracked. Care tracking involves identifying people who currently live at the home and tracking the experience of the care and support they have received during the time they have lived there. The inspector also checked that information provided by the manager matched individual experiences of the people living at the home by talking with them and observing the care received. People living at the home showed the inspector round the building. What the service does well: What has improved since the last inspection? There has been a new bath installed in the bathroom, meeting a good practice recommendation made at the last inspection. There were copies of two references for a member of staff, meeting a requirement made at the last inspection. Walton Road (195) DS0000020116.V362602.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.V362602.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.V362602.R01.S.doc Version 5.2 Page 8 Choice of Home The intended outcomes for Standards 1 – 5 are: 1. 2. 3. 4. 5. Prospective service users have the information they need to make an informed choice about where to live. Prospective users’ individual aspirations and needs are assessed. Prospective service users know that the home that they will choose will meet their needs and aspirations. Prospective service users have an opportunity to visit and to “test drive” the home. Each service user has an individual written contract or statement of terms and conditions with the home. The Commission consider Standard 2 the key standard to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 1, 2, 5 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home provides information in an accessible format and there is a process for assessing whether the home can meet people’s needs. EVIDENCE: There is a Service User Guide/Statement of Purpose for the home which is very detailed and includes lots of photographs. It includes details of the services provided, the skills and training of staff, the philosophy of the home and the complaints procedure in an ‘easy read’ format. In addition there is an individual ‘statement of purpose’ for each person in their care planning file. Care planning files are comprehensive and detailed (see later in the report). The people living in the home moved in together approximately eleven years ago and no new residents have come to live there since then. There is a process in place for the assessment of a new person should this be necessary. There was a copy of an ‘easy to read’ contract on each person’s care planning documentation. There was also a record of current charges. Walton Road (195) DS0000020116.V362602.R01.S.doc Version 5.2 Page 9 People who live at the home have limited verbal communication skills, but are able to indicate their feelings. The two people at home on the day of inspection were sociable, friendly and indicated that they were very happy living at Walton Road. Walton Road (195) DS0000020116.V362602.R01.S.doc Version 5.2 Page 10 Individual Needs and Choices The intended outcomes for Standards 6 – 10 are: 6. 7. 8. 9. 10. Service users know their assessed and changing needs and personal goals are reflected in their individual Plan. Service users make decisions about their lives with assistance as needed. Service users are consulted on, and participate in, all aspects of life in the home. Service users are supported to take risks as part of an independent lifestyle. Service users know that information about them is handled appropriately, and that their confidences are kept. The Commission considers Standards 6, 7 and 9 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 6, 7, 8, 9 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. People are supported to take control of their daily lives in a way that meets their expressed preferences and their care plans. EVIDENCE: The AQAA states that staff are observant about any changes in needs and evaluate on a regular basis. Risk assessments and other care documents are in place. People meet regularly to plan every day activities. They would like to provide more one to one sessions at weekends. People living at the home indicated that they are satisfied with the quality of care. People have a choice about their routines, e.g. they can decide to get up early or have a ‘lie in’ at weekends. Weekend activities usually take place together. Walton Road (195) DS0000020116.V362602.R01.S.doc Version 5.2 Page 11 We found that each person has their own care plan that is colour coded so that they know which is their plan. Two people 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 and were updated regularly. The staff meeting minutes contained information about people that confirmed that people were closely monitored for any changes in health or other circumstances. Reviews involved social services and health care professionals and the person’s 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 people well. Personal and environmental risk assessments are in place that covered transport, safety, hot water and using household appliances. These enabled people to participate in everyday activities such as hoovering and cleaning as part of an independent lifestyle. The afternoon gave a good opportunity to observe the interaction between staff and people living at the home. There was an easy relaxed relationship that included a good deal of humour and good will. Staff were seen to help people in a way that gave them privacy and dignity. The manager is to undertake training in the implications of the Mental Incapacity Act. Advocacy services are encouraged to visit the home when required and people have also been supported in attending advocacy sessions at a local venue. Walton Road (195) DS0000020116.V362602.R01.S.doc Version 5.2 Page 12 Lifestyle The intended outcomes for Standards 11 - 17 are: 11. 12. 13. 14. 15. 16. 17. Service users have opportunities for personal development. Service users are able to take part in age, peer and culturally appropriate activities. Service users are part of the local community. Service users engage in appropriate leisure activities. Service users have appropriate personal, family and sexual relationships. Service users’ rights are respected and responsibilities recognised in their daily lives. Service users are offered a healthy diet and enjoy their meals and mealtimes. The Commission considers Standards 12, 13, 15, 16 and 17 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 14, 15, 16, 17 Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. People get the support they need 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 people enjoy. EVIDENCE: The AQAA states that they encourage people to remain as independent as possible and they try and give people new experiences. People are fully involved in the running of the home and family and friends are encouraged to visit, or people are taken to visit them. They say they have provided holidays and day trips according to people’s choices, and that the home are good at liaising with other workers, e.g. day centre workers. They would like to provide more one to one time at weekends. Walton Road (195) DS0000020116.V362602.R01.S.doc Version 5.2 Page 13 We found that people in this home attend day centres in the community where they participate in various activities such as pottery, painting and baking and see friends. People’s routines are recorded on care plans and activity records kept. One person spoke to the inspector about doing some shopping that morning and going out for lunch. During the afternoon two people went for a walk with a member of staff. One resident had recently had a good 60th birthday party and had also been to a birthday party of a resident at another home. These social occasions are clearly enjoyed by everyone. People 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 people in all of these areas. Examples of work carried out at the advocacy group were in pride of place in the dining room. There are numerous pictures up of various outings and holidays. Both people living at the home got out their photograph albums and showed pictures of their family and holidays. Each person has photos of their families and friends up in the dining room. One person is supported to maintain a significant and long standing friendship. The home help people maintain contact with families and this includes making visits as well as inviting families to visit the home. Meals are organised around a balanced and varied menu with the opportunity for people to choose what they want and be involved in the planning of meals. There is a pleasant dining area next to the large open plan kitchen. The home has sought the views of the people who are fully involved in all aspects of the planning of daily routines and activities in the home and in the community. Walton Road (195) DS0000020116.V362602.R01.S.doc Version 5.2 Page 14 Personal and Healthcare Support The intended outcomes for Standards 18 - 21 are: 18. 19. 20. 21. Service users receive personal support in the way they prefer and require. Service users’ physical and emotional health needs are met. Service users retain, administer and control their own medication where appropriate, and are protected by the home’s policies and procedures for dealing with medicines. The ageing, illness and death of a service user are handled with respect and as the individual would wish. The Commission considers Standards 18, 19, and 20 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 18, 19, 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 people prefer and in accordance with assessed need. Medication systems are in place that ensure people get the medication they need. EVIDENCE: The AQAA said that staff observe people so that immediate action can be taken on any changing need or health care issue. They liaise with and involve outside health professionals for advice when needed. They support people in attending regular appointments. They have extensive care plans in place to underpin the personal support that is required. People were not able to express directly their opinions about the support they get for personal and health care. However, we found people clearly identified the care planning documentation as relating to them, and showed us the photographs on themselves on the care planning file. There were full details Walton Road (195) DS0000020116.V362602.R01.S.doc Version 5.2 Page 15 kept on all aspects of health care, and regular monitoring of the care plans in place. The manager and staff said they get good support from Ash Green Hospital and other professional and specialists. Regular health care check ups are planned and staff provide the support necessary for each person when they attend any appointments. Information is documented and communicated to staff via handovers and daily records. Access is provided for the dentist, optician, and chiropodist. At present no one is able to administer their own medication. Medication is kept in a locked cupboard in a locked room. We saw the records of the people who had been case tracked and there were appropriate records kept. The home had information about the medication people take and the possible side effects. We saw the report of the supplying pharmacist who had visited a few weeks previously. This confirmed that matters relating to medication were good. Walton Road (195) DS0000020116.V362602.R01.S.doc Version 5.2 Page 16 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 people’s rights and keeping them safe. EVIDENCE: The AQAA states that policies and procedures are in place and staff are familiar with them. They display a complaints procedure in picture format, and people are comfortable with talking to staff if they are not happy or wish to make a complaint. No concerns or complaints have been received by the home or by CSCI. We found a clear complaints procedure in place in an appropriate format. CSCI has recently changed its contact details and the new details were given so that the complaints leaflet can be updated. People might not be able to complain themselves in a formal way, but advocacy is encouraged through representatives and the formal advocacy service. Care planning records indicated that staff picked up when people were not happy and take appropriate action to sort out difficulties. Walton Road (195) DS0000020116.V362602.R01.S.doc Version 5.2 Page 17 A member of staff said that the safeguarding adults training was very good, and the manager said they get refresher training every year. Walton Road (195) DS0000020116.V362602.R01.S.doc Version 5.2 Page 18 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, 25, 26, 27, 28, 30 Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. The service provides a spacious, homely environment that people say they like and have made their own. EVIDENCE: The AQAA states they provide spacious bedrooms which are decorated and furnished to each individual’s preference. Three people like spending time in their rooms listening to music or doing craft work. In the last 12 months a new bath has been fitted in the bathroom. They would like to update the dining room furniture and plan to replace the curtains in the lounge and dining rooms. The house is situated on an estate that is suited to the peoples’ needs close to a bus stop and local shops and facilities. We found this service provides a well Walton Road (195) DS0000020116.V362602.R01.S.doc Version 5.2 Page 19 decorated, comfortable and well maintained home for the residents who live there. Two people were pleased to show the inspector their home, and were very proud of the way in which they had arranged their personal belongings. All of the bedrooms were single and spacious. For these reasons the home continues to exceed standards in this area. People are very pleased with the new bath. There is also a shower which some people prefer. The bathroom is large and pleasantly decorated. There is a good sized lounge, open plan kitchen, and convenient dining area that is the ‘hub’ of the home. The home would like new dining furniture, which is a recommendation of this report. All areas of the home seen were clean and hygienic. There is pleasant garden area for people to enjoy in good weather. Walton Road (195) DS0000020116.V362602.R01.S.doc Version 5.2 Page 20 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, 33, 34, 35 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. There are systems in place to recruit and train staff in order to meet people’s needs. EVIDENCE: The AQAA states that staff training is updated on a regular basis, e.g. safe handling of medication, moving and handling, first aid, food hygiene and fire training. Staff are trained to communicate well with people, and this includes signing and non verbal communication. The home hope to get more staff trained to NVQ2 standard so that they can meet current standards. The registered manager is planning to complete her registered managers award training. We found that 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. Although the home do not meet the required standard for the percentage of Walton Road (195) DS0000020116.V362602.R01.S.doc Version 5.2 Page 21 staff trained to NVQ, staff are very experienced and all mandatory training is kept up to date. 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 two years ago. A requirement was made at the last inspection to ensure that copies of two references were available for each member of staff. These were checked and found to be in place. Walton Road (195) DS0000020116.V362602.R01.S.doc Version 5.2 Page 22 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. The home is well managed and there are systems in place that contribute to the home fulfilling its stated purpose and objectives and meeting peoples’ needs. EVIDENCE: The AQAA said that people had very good relationships with the staff, who had worked there for many years. They said all the homes maintenance certificates were in good order. They said that a quality questionnaire was completed annually and that there were monthly unannounced visits form a service manager. Walton Road (195) DS0000020116.V362602.R01.S.doc Version 5.2 Page 23 We found that the manager was experienced and qualified to run the home. Staff indicated they are generally well supported, and a member of staff said that they worked well as a team. The manager said that staff had been very supportive during a recent absence from work and that staff could be trusted to work on their own and take responsibility. Quality assurance questionnaires were seen on individual care planning documentation. They are in an ‘easy read’ format and indicate that people are happy with their care. Regulation 26 documentation (reports written by the representative of the proprietor) was well presented and dealt with day to day issues in relation to every aspect of the running of the home. Interviews took place with both staff and people living at the home who ‘appear happy and content’. The home is monitored to ensure that care is provided in an individualised and ‘noninstitutional’ way. Sometimes a topic is discussed in detail, e.g. on 2.2.08 topic was catering. Generally speaking people need support with managing their finances and these arrangements are satisfactory. Information provided before the inspection indicates that all maintenance and health and safety issues are up to date. Walton Road (195) DS0000020116.V362602.R01.S.doc Version 5.2 Page 24 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Adults 18-65 have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 3 2 3 3 X 4 X 5 3 INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 3 23 3 ENVIRONMENT Standard No Score 24 3 25 4 26 4 27 3 28 3 29 X 30 3 STAFFING Standard No Score 31 X 32 3 33 3 34 3 35 3 36 x CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 3 3 3 3 x LIFESTYLES Standard No Score 11 X 12 4 13 3 14 3 15 3 16 4 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 4 3 x 3 X 3 X X 3 x Walton Road (195) DS0000020116.V362602.R01.S.doc Version 5.2 Page 25 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. 1 2 3 Refer to Standard YA24 YA32 YA32 Good Practice Recommendations The dining room furniture should be replaced to maintain high standards of comfort. Training should be made available for managers and staff to ensure that they understand the implications of the Mental Incapacity Act. The home should implement the planned system of using photos of staff so that people know which staff are on duty at any particular time. Walton Road (195) DS0000020116.V362602.R01.S.doc Version 5.2 Page 26 Commission for Social Care Inspection Eastern Region Commission for Social Care Inspection Eastern Regional Contact Team CPC1, Capital Park Fulbourn Cambridge, CB21 5XE 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.V362602.R01.S.doc Version 5.2 Page 27 - 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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