Inspection on 24/10/05 for Walton Road (195)

This inspection was carried out on 24th October 2005.

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 3 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) 10/01/07

Walton Road (195) 25/01/06

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 Steve Smith Unannounced Inspection 24th October 2005 09:30 Walton Road (195) DS0000020116.V260119.R01.S.doc Version 5.0 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.V260119.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 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.V260119.R01.S.doc Version 5.0 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 Derbyshire 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.V260119.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 5th March 2005 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 furnishing are also very well maintained. Walton Road (195) DS0000020116.V260119.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This unannounced inspection took place in just under 4 hours. Discussion was held with the Home’s Manager. Some of the Home’s records were examined, and the public areas and all of the bedrooms of the Home were looked at. What the service does well: What has improved since the last inspection? At the time of the last inspection only 1 Requirement had to be met. This was to ensure that all policies and procedures were signed, dated and reviewed by the Registered Provider, and this had been done. Two Recommendations needed to be addressed. The first was that Residents should be enabled to sign their care plans, and the second was for the Manager to ensure that Residents were included on the electoral roll. Again, the Manager has met both of these Recommendations. Walton Road (195) DS0000020116.V260119.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 Road (195) DS0000020116.V260119.R01.S.doc Version 5.0 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.V260119.R01.S.doc Version 5.0 Page 8 Choice of Home The intended outcomes for Standards 1 – 5 are: 1. 2. 3. 4. 5. Prospective service users have the information they need to make an informed choice about where to live. Prospective users’ individual aspirations and needs are assessed. Prospective service users know that the home that they will choose will meet their needs and aspirations. Prospective service users have an opportunity to visit and to “test drive” the home. Each service user has an individual written contract or statement of terms and conditions with the home. The Commission consider Standard 2 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): Standard 2. New Residents moving to the Home would be provided with an assessment of need, to ensure all needs could be met by the Home. EVIDENCE: The current four Residents had occupied this Home since it opened, approximately 10 years ago. At the time of this inspection there were no plans for any Resident to move to new accommodation, as it was anticipated that the four Residents would continue to live in the Home for the foreseeable future. However, the Manager said that should a Resident leave the Home, new Residents would receive a complete assessment of need by Care Managers in the community, backed up by an assessment carried out by the Manager. Walton Road (195) DS0000020116.V260119.R01.S.doc Version 5.0 Page 9 Individual Needs and Choices The intended outcomes for Standards 6 – 10 are: 6. 7. 8. 9. 10. Service users know their assessed and changing needs and personal goals are reflected in their individual Plan. Service users make decisions about their lives with assistance as needed. Service users are consulted on, and participate in, all aspects of life in the home. Service users are supported to take risks as part of an independent lifestyle. Service users know that information about them is handled appropriately, and that their confidences are kept. The Commission considers Standards 6, 7 and 9 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 6, 7 & 9. The Manager and staff enabled Residents to take reasonable risks, ensuring that the risks were appropriate to their abilities. EVIDENCE: To help assess Standard 6, the Resident’s Plan of Care, the records of 2 Residents were examined using case tracking methodology. The files showed that the Home maintained good records for both Residents, including risk assessments, and Residents were seen to sign the record at regular intervals. Each plan of care was reviewed at six monthly intervals and updated as necessary. However, the Manager had not ensured that each Resident, or their representative, had the opportunity to discuss their rights to choice, freedom and decision-making while staying in the Home. The Manager was seen to sign each file at regular intervals, to show that she had reviewed the contents of the file, although the files looked at did not contain a confidential section. Walton Road (195) DS0000020116.V260119.R01.S.doc Version 5.0 Page 10 It was also noticed, in one of the files, that staff had written ‘please observe’ or something similar. In the records that followed other staff had not recorded their ‘observations’ as requested. Similarly, the member of staff who requested the ‘observation’ did not say when the ‘observation’ was to end. The Manager said that staff provide support to Residents by giving them a range of choices on decision making occasions. For example, where to go on trips from the Home, for holidays, choice of meals or clothing to wear each day. Staff support Residents to take responsible risks. For example, a member of staff was observed supporting a Resident to iron her own clothes. Walton Road (195) DS0000020116.V260119.R01.S.doc Version 5.0 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 12, 13, 15, 16 & 17. Links with the local community were good and supported and enriched Residents social and educational opportunities. EVIDENCE: Staff assisted Residents with Social Security Benefit issues. The Manager said that staff attempted to provide opportunities for Residents to develop social, and independent living skills. Residents accompanied staff on shopping trips, and occasionally attended the cinema. Good contact was also maintained with neighbours. Staff were expected to support Residents outside the Home, with shopping for example, and also with evening and weekend activities. Residents, where appropriate, were able to maintained links with their families. The Manager encouraged this whenever possible, and the families could visit the Home whenever they wished. Walton Road (195) DS0000020116.V260119.R01.S.doc Version 5.0 Page 12 Residents were able to decide when to be alone, usually within their bedrooms, or in the company of other Residents. When in their bedrooms, the Manager said that staff always knocked on the bedroom door before entering Residents’ rooms. Residents’ individual files detail what each Resident was able to do and what they needed assistance to achieve. However, the Manager said that the Residents Guide did not state that Residents were expected to assist with housekeeping tasks. She also said that it did not contain the Home’s rules on smoking or the use of alcohol. The Manager provided a wide range of meals, which she said were enjoyed by all of the Residents. Mealtimes were described as being relaxed, unrushed, and flexible to suit Residents activities. Residents generally attended day centres, but when appropriate, meals were served three times a day, and at least one of these was always cooked. Drinks and snacks were also available at all other times of the day. Walton Road (195) DS0000020116.V260119.R01.S.doc Version 5.0 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 18, 19 & 20. Residents’ personal needs were well met, ensuring that their privacy, dignity and independence were maintained. The system of administering medication was good, and arrangements were in place to ensure Residents medication needs were met. EVIDENCE: The Manager said that personal support needed to be provided to all Residents. During the week, when attending Day Centres, Residents had to be up and ready to attend at the given time, although at weekends they could get up when they wished. The Manager said that times of going to bed were flexible, and happened around 9.30 pm to 10.30 pm. All of the Residents required some guidance concerning personal hygiene. The Manager said that Residents’ health was regularly monitored and potential complications and problems were identified and dealt with at an early stage. Residents were also offered minimum annual health checks. GPs and District Nurses always saw Residents in private. Records were kept of all medicines received, administered and leaving the Home, to ensure that there was no mishandling. The system was examined Walton Road (195) DS0000020116.V260119.R01.S.doc Version 5.0 Page 14 during the inspection, and a good system was found to be in place. The staff monitored the condition of each Resident and would call in the GP if they became concerned about their health. Walton Road (195) DS0000020116.V260119.R01.S.doc Version 5.0 Page 15 Concerns, Complaints and Protection The intended outcomes for Standards 22 – 23 are: 22. 23. Service users feel their views are listened to and acted on. Service users are protected from abuse, neglect and self-harm. The Commission considers Standards 22, and 23 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 22 & 23. A system was in place to record all complaints and the protection policies and procedures provided by the Home meant that Service Users were protected. EVIDENCE: The Manager told the Inspector that no complaints had been made during the past 12 months. However, the Residents ability would prevent them from making a complaint. Relatives, who could act on the Residents behalf, if ever a complaint was to be made, supported Residents on a regular basis. A satisfactory picture complaints procedure, which could be understood by Residents, was in place. However, the procedure did not state that if a Resident or their family needed to make a complaint they would not be victimised as a result. The Manager was able to state that the Home had an Adult Protection procedure. This included a Whistle Blowing policy and copies of the Public Interest Disclosure Act of 1998 and the Dept of Health guidance ‘No Secrets’ were available. She also said that all allegations and incidents of abuse would be followed up with the assistance of the local Social Services Dept. The Manager and staff safeguarded Residents money, but she was not aware of the need to provide a staff policy to prevent staff from assisting in the creating or benefiting from Service Users wills. Walton Road (195) DS0000020116.V260119.R01.S.doc Version 5.0 Page 16 Environment The intended outcomes for Standards 24 – 30 are: 24. 25. 26. 27. 28. 29. 30. Service users live in a homely, comfortable and safe environment. Service users’ bedrooms suit their needs and lifestyles. Service users’ bedrooms promote their independence. Service users’ toilets and bathrooms provide sufficient privacy and meet their individual needs. Shared spaces complement and supplement service users’ individual rooms. Service users have the specialist equipment they require to maximise their independence. The home is clean and hygienic. The Commission considers Standards 24, and 30 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 24 & 30. The Home was very well maintained throughout, providing all Residents with a safe, comfortable environment in which to live. EVIDENCE: The Home provided good quality bedrooms and other space for all Residents. An examination of the Home showed that Residents had personalised their bedrooms to varying degrees. The Home was found to be safe and comfortable, and free from offensive odours. The Home was also found to have sufficient light, and was well heated and ventilated. Walton Road (195) DS0000020116.V260119.R01.S.doc Version 5.0 Page 17 Staffing The intended outcomes for Standards 31 – 36 are: 31. 32. 33. 34. 35. 36. Service users benefit from clarity of staff roles and responsibilities. Service users are supported by competent and qualified staff. Service users are supported by an effective staff team. Service users are supported and protected by the home’s recruitment policy and practices. Service users’ individual and joint needs are met by appropriately trained staff. Service users benefit from well supported and supervised staff. The Commission considers Standards 32, 34 and 35 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): Standard 33 Appropriate staffing was provided within the Home, when compared with the Residential Forum, to meet the needs of Residents. EVIDENCE: Staffing provided in the Home was compared with the details provided by the Residential Forum. This showed that during the week beginning 17 October 2005 the Home was providing 59 hours of care a week more than the minimum amount required for 4 Residents at the Medium Dependency level. These figures were calculated without the Manager’s working time included, as recommended by the Residential Forum. Walton Road (195) DS0000020116.V260119.R01.S.doc Version 5.0 Page 18 Conduct and Management of the Home The intended outcomes for Standards 37 – 43 are: 37. 38. 39. 40. 41. 42. 43. Service users benefit from a well run home. Service users benefit from the ethos, leadership and management approach of the home. Service users are confident their views underpin all self-monitoring, review and development by the home. Service users’ rights and best interests are safeguarded by the home’s policies and procedures. Service users’ rights and best interests are safeguarded by the home’s record keeping policies and procedures. The health, safety and welfare of service users are promoted and protected. Service users benefit from competent and accountable management of the service. The Commission considers Standards 37, 39, and 42 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): These Standards were not examined during this inspection of the Home. EVIDENCE: Walton Road (195) DS0000020116.V260119.R01.S.doc Version 5.0 Page 19 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 CONCERNS AND COMPLAINTS Standard No 1 2 3 4 5 Score X 3 X X X Standard No 22 23 Score 3 2 ENVIRONMENT INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score 2 3 X 3 X Standard No 24 25 26 27 28 29 30 STAFFING Score 3 X X X X X 3 LIFESTYLES Standard No Score 11 X 12 3 13 3 14 X 15 3 16 3 17 Standard No 31 32 33 34 35 36 Score X X 3 X X X CONDUCT AND MANAGEMENT OF THE HOME 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Walton Road (195) Score 3 3 3 X Standard No 37 38 39 40 41 42 43 Score X X X X X X X DS0000020116.V260119.R01.S.doc Version 5.0 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 The Manager must ensure that each Service User, or their representative, has had the opportunity to discuss their rights to choice, freedom and decision-making while staying in the Home. The outcome must be recorded in each Service Users records. When the Home’s staff use the Service User’s record to ask other staff to monitor the condition of a Service User, staff must respond to this request when making entries in the record. The staff member who made the request must eventually sign it off when it is no longer needed. The Manager must provide a policy that states that no one in the Home can benefit from or assist Residents in the making of their wills. Timescale for action 1 YA6 17 Sch 3 19/12/05 2 YA6 12 19/12/05 3 YA23 20 19/12/05 Walton Road (195) DS0000020116.V260119.R01.S.doc Version 5.0 Page 21 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 OP6 YA16 Good Practice Recommendations All Residents files should contain a confidential section, as necessary. The Residents Guide should contain information on the housekeeping tasks with which Residents are expected to assist. It should also containt the Home’s rules on smoking, alcohol and drugs. The Complaints procedure should include a section that states that Residents nor their relatives would be victimised as a result of making a complaint. 3 YA22 Walton Road (195) DS0000020116.V260119.R01.S.doc Version 5.0 Page 22 Commission for Social Care Inspection Derbyshire Area Office Cardinal Square Nottingham Road Derby DE1 3QT 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 Road (195) DS0000020116.V260119.R01.S.doc Version 5.0 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. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. The policy of www.bestcarehome.co.uk is to use all legal avenues to pursue such offenders, including recovery of costs. You have been warned!