Care Home: Walcott House

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What the care home does well The home completes thorough assessments prior to people moving in and makes sure that people considering moving into the home have all the information they need to decide if the home can meet their needs and is right for them. Care plans are holistic and staff support people to make sure their health and social care needs are met. People are supported to take risks and lead independent lifestyles of their own choice including participating in community based activities and maintaining links with family and friends. The home is clean and hygienic and has been refurbished and redecorated. The communal areas inside and out are fully accessible and there is a lift to the 1st floor. The homes policies and procedures protect people from harm and from the risk of abuse. Staff are recruited safely and complete an induction and the training needed for them to safely support the people who live at the home. The appointed manager is learning disability trained nurse and has had previous experience of managing a registered care home. What has improved since the last inspection? This is the first inspection of this newly opened home. What the care home could do better: There were no requirements made as a result of this inspection. Key inspection report Care homes for adults (18-65 years) Name: Address: Walcott House 12 Annandale Avenue W Sussex PO212EU     The quality rating for this care home is:   two star good service A quality rating is our assessment of how well a care home is meeting the needs of the people who use it. We give a quality rating following a full review of the service. We call this full review a ‘key’ inspection. Lead inspector: Elaine Green     Date: 1 7 0 8 2 0 0 9 This is a review of quality of outcomes that people experience in this care home. We believe high quality care should • • • • • Be safe Have the right outcomes, including clinical outcomes Be a good experience for the people that use it Help prevent illness, and promote healthy, independent living Be available to those who need it when they need it. The first part of the review gives the overall quality rating for the care home: • • • • 3 2 1 0 stars - excellent stars - good star - adequate star - poor There is also a bar chart that gives a quick way of seeing the quality of care that the home provides under key areas that matter to people. There is a summary of what we think this service does well, what they have improved on and, where it applies, what they need to do better. We use the national minimum standards to describe the outcomes that people should experience. National minimum standards are written by the Department of Health for each type of care service. After the summary there is more detail about our findings. The following table explains what you will see under each outcome area. Outcome area (for example Choice of home) These are the outcomes that people staying in care homes should experience. that people have said are important to them: They reflect the things This box tells you the outcomes that we will always inspect against when we do a key inspection. This box tells you any additional outcomes that we may inspect against when we do a key inspection. This is what people staying in this care home experience: Judgement: This box tells you our opinion of what we have looked at in this outcome area. We will say whether it is excellent, good, adequate or poor. Evidence: This box describes the information we used to come to our judgement. Care Homes for Adults (18-65 years) Page 2 of 26 We review the quality of the service against outcomes from the National Minimum Standards (NMS). Those standards are written by the Department of Health for each type of care service. Copies of the National Minimum Standards – Care Homes for Adults (18-65 years) can be found at www.dh.gov.uk or bought from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering from the Stationery Office is also available: www.tso.co.uk/bookshop The mission of the Care Quality Commission is to make care better for people by: • Regulating health and adult social care services to ensure quality and safety standards, drive improvement and stamp out bad practice • Protecting the rights of people who use services, particularly the most vulnerable and those detained under the Mental Health Act 1983 • Providing accessible, trustworthy information on the quality of care and services so people can make better decisions about their care and so that commissioners and providers of services can improve services. • Providing independent public accountability on how commissioners and providers of services are improving the quality of care and providing value for money. Reader Information Document Purpose Author Audience Further copies from Copyright Inspection report Care Quality Commission General public 0870 240 7535 (telephone order line) Copyright © (2009) Care Quality Commission (CQC). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CQC copyright, with the title and date of publication of the document specified. www.cqc.org.uk Internet address Care Homes for Adults (18-65 years) Page 3 of 26 Information about the care home Name of care home: Address: Walcott House 12 Annandale Avenue W Sussex PO212EU 01243863095 01243868645 walcott@broadhamcare.co.uk Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Broadham Care Ltd Name of registered manager (if applicable) Type of registration: Number of places registered: care home 9 Conditions of registration: Category(ies) : Number of places (if applicable): Under 65 learning disability Additional conditions: (1) The registered person may provide the following category/ies of service only: Care home only-(PC) to service users of the following gender: Either Whose primary need on admission are within the following categories Learning Disabilities (LD) (2) The maximum number of service users to be accommodated is 9 Date of last inspection Brief description of the care home Walcott House is situated in a residential area of Bognor Regis that has been extended and refurbished to a high standard, the property is within walking distance of local shops, restraunts and pubs. The town centre is a short distance away. The accommodation is arranged over three floors and consists of an entrance hall, a lounge, conservatory, visitors lounge, kitchen, dining room, office, one bedroom, WC and further WC on the second floor. On the first floor there are 6 more bedrooms and the utility room and the second floor has two further bedrooms. All floors are reached by staircase and there is a passenger lift for those who would like to use it. There is Care Homes for Adults (18-65 years) Page 4 of 26 Over 65 0 9 Brief description of the care home parking for several cars to the side of the property and there are mature gardens with patio to the rear that is fully enclosed with keypad entry system fitted to the main gate. The garden can be accessed from the conservatory via steps with a handrail, the kitchen, or from the dining room that has level access. Fees range from £1,300 to £2,000 per week and are assessed on an individual basis. Fees cover the cost of of activities and day trips. Additionaly each person is allocated £250 per year towards the cost of the accomodation for an annual holdiay, the cost of actvities, staffing and food is covered by the fees. The Registered provider is Broadham Care Ltd, the Responsible Individual is Mr Michael Plant, a manager has been appointed but is not yet registered with the commission. Care Homes for Adults (18-65 years) Page 5 of 26 Summary This is an overview of what we found during the inspection. The quality rating for this care home is: Our judgement for each outcome: two star good service Choice of home Individual needs and choices Lifestyle Personal and healthcare support Concerns, complaints and protection Environment Staffing Conduct and management of the home peterchart Poor Adequate Good Excellent How we did our inspection: The site visit to this home took place between 12.15 and 14.45 on the 17th August 2009. Before the visit to the home we looked at all the information we have received from the home. This information included an Annual Quality Assurance Assessment (AQAA) which is a document completed by the home. This document gives the home the opportunity to say what it does well and provide evidence of that. It also gives them the opportunity to say what they feel they could do better and what their future plans are, how it dealt with any complaints and concerns, any changes to how the home is run, the providers view of how well they care for people, the views of the people who live there, their relatives, staff and other professionals who visit the service. This was completed and returned to us within the time limits. During the visit we observed people who live in the home, and met with the staff and Care Homes for Adults (18-65 years) Page 6 of 26 the manager in the office and in communal areas of the home. We looked at information about the people who live in the home and how well their needs are met. We looked at other records that must be kept and checked that staff had the skills, knowledge and training to meet the needs of the people they support and care for. We also saw into the kitchen and laundry and some bedrooms. The outcomes for the people who live in this home are good and the overall quality rating of the home is a two star, good rating. The Registered Provider is Broadham Care Ltd and the Responsible Individual is Mr Michael Plant, a new manager has been appointed but is not yet registered with the commission Care Homes for Adults (18-65 years) Page 7 of 26 What the care home does well: What has improved since the last inspection? What they could do better: If you want to know what action the person responsible for this care home is taking following this report, you can contact them using the details on page 4. The report of this inspection is available from our website www.cqc.org.uk. You can get printed copies from enquiries@cqc.org.uk or by telephoning our order line 0870 240 7535. Care Homes for Adults (18-65 years) Page 8 of 26 Details of our 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) Outstanding statutory requirements Requirements and recommendations from this inspection Care Homes for Adults (18-65 years) Page 9 of 26 Choice of home These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People are confident that the care home can support them. This is because there is an accurate assessment of their needs that they, or people close to them, have been involved in. This tells the home all about them, what they hope for and want to achieve, and the support they need. People can decide whether the care home can meet their support and accommodation needs. This is because they, and people close to them, can visit the home and get full, clear, accurate and up to date information. If they decide to stay in the home they know about their rights and responsibilities because there is an easy to understand contract or statement of terms and conditions between the person and the care home that includes how much they will pay and what the home provides for the money. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People considering moving into the home are provided with the information they need to decide if the home is right for them. Evidence: On the day we visited the home only two people had moved in. We looked at the preadmission assessments and other information that the home had gained for these people and can confirm that the assessments covered all the required areas. One of the people had moved from another home owned by Boardham Care and this person had visited the home several times before deciding to move in. The other person did not visit prior to moving in as in this persons case it was felt that prior visits may heighten anxiety levels and so visits would not have been appropriate. This person was visited by the registered manager in their own home to complete their preadmission assessment. Additionally 2 members of staff also visited this person before they moved in to get to know them and stayed over night. The homes statement of purpose and service user guide is available in picture for and the manager told us that these documents were going to be further individualised Care Homes for Adults (18-65 years) Page 10 of 26 Evidence: through the use of photographs of the actual home. The information these documents provide is reflective of the services provided a the home. As the a new manager has recently been appointed they will need to be amended to reflect the change in manager. Care Homes for Adults (18-65 years) Page 11 of 26 Individual needs and choices These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People’s needs and goals are met. The home has a plan of care that the person, or someone close to them, has been involved in making. People are able to make decisions about their life, including their finances, with support if they need it. This is because the staff promote their rights and choices. People are supported to take risks to enable them to stay independent. This is because the staff have appropriate information on which to base decisions. People are asked about, and are involved in, all aspects of life in the home. This is because the manager and staff offer them opportunities to participate in the day to day running of the home and enable them to influence key decisions. People are confident that the home handles information about them appropriately. This is because the home has clear policies and procedures that staff follow. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People who live in this home are supported to to be independent and to make their own choices. People are involved in running the home and included in making decisions about their every day life. Evidence: The care plans for the 2 people who have moved in were looked at. The care plan for the person who had moved from one of Boardham cares homes was clear, specific to the individual and had been kept under regular review. This plan was person centred and detailed important relationships likes and dislikes and how to support this person. Also included was emotional and health needs. Risk assessments had been drawn specifically for this person focused on maximising this persons Independence and positive outcomes. The plan detailed how the home supports this person to achieve their goals and aspirations. Examples of promoting independence and supporting individuality were seen in this care plan. The care plan for the other person who has moved into the home was still in the Care Homes for Adults (18-65 years) Page 12 of 26 Evidence: process of being drawn up. The home has gathered information from the persons last home, their family and the other professionals who have supported them. Some guidelines were already in place which had been written specifically for staff to follow when supporting this person with one of their proffered activities so that risks are reduced. Care Homes for Adults (18-65 years) Page 13 of 26 Lifestyle These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: Each person is treated as an individual and the care home is responsive to his or her race, culture, religion, age, disability, gender and sexual orientation. They can take part in activities that are appropriate to their age and culture and are part of their local community. The care home supports people to follow personal interests and activities. People are able to keep in touch with family, friends and representatives and the home supports them to have appropriate personal, family and sexual relationships. People are as independent as they can be, lead their chosen lifestyle and have the opportunity to make the most of their abilities. Their dignity and rights are respected in their daily life. People have healthy, well-presented meals and snacks, at a time and place to suit them. People have opportunities to develop their social, emotional, communication and independent living skills. This is because the staff support their personal development. People choose and participate in suitable leisure activities. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People who live here are supported to live the lifestyle they choose and access a range of social and community activities. Healthy and varied meals are provided in line with peoples preferences. Evidence: The manager explained that neither of the people living at the home are currently attending college or in employment however the home has obtained information about courses available in the local area. One person has said they do not wish to attend college but has requested that the home support them to learn to use public transport so that they can visit people in a local town independently. Both of the people living at the home access the local community on a regular basis and records confirmed this. One of person is able to go out independently and the other is supported by staff. One person is supported to visit a friend in a local town Care Homes for Adults (18-65 years) Page 14 of 26 Evidence: and staff also accompany people to the local pub and shops. The home has transport available for staff to take people out. Broadham Care Ltd makes £50 per week available per person toward the cost of activities and also provides £250 available toward the cost of accommodation for each person for an annual holiday. We were told that Broadham care Ltd also cover the cost of staffing, food and some of the cost of activities when a person is on holiday. The atmosphere in the house on the day we visited the home was relaxed and staff were seen to be interacting with the people who live there in an informal manner. Both people were given the opportunity to speak with us but declined to do so. Staff were seen to be offering people choices throughout the visit. There are no restrictions in the home other than for smoking which is only allowed outside in the garden however this is specified in the Statement of Purpose. The manager explained that as there are only 2 people living at the home, both have a choice of what they want to eat at each meal time. They told us that sometimes people choose something from the fridge other wise they go out and buy what they fancy and then are supported to cook it. One person usually helps themselves and likes to make their own bacon sandwiches. They told us that when the home is full then there will be a menu which will be based on the likes and dislikes of the people who live there and that they Will be involved in choosing what is provided on the menu each week. We were also told that there will always be a vegetarian option on the menu plus another alternative and that if someone did not want anything from the menu that they would be able to choose to a meal form the ingredients they had in stock at that time. Care Homes for Adults (18-65 years) Page 15 of 26 Personal and healthcare support These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People receive personal support from staff in the way they prefer and want. Their physical and emotional health needs are met because the home has procedures in place that staff follow. If people take medicine, they manage it themselves if they can. If they cannot manage their medicine, the care home supports them with it in a safe way. If people are approaching the end of their life, the care home will respect their choices and help them to feel comfortable and secure. They, and people close to them, are reassured that their death will be handled with sensitivity, dignity and respect, and take account of their spiritual and cultural wishes. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People who use the service are supported to maintain their health and receive personal care in a way that meets their individual needs and preferences.They are protected by the homes policies and procedures for storing, recording and administering medication Evidence: Times for getting up and going to bed are flexible. There are guidelines in place for staff to follow for how to safely support people with their personal care. People are supported to dress in the clothes of their choice and to express themselves through their appearance as they choose. Records confirmed that people are supported to access health care professionals and that records are kept of appointments, consultations and other guidance is provided for staff to follow. The homes policy in relation to the ordering, storage and administration of medication is safe. Staff receive medication training prior to being able to administer medication. Care Homes for Adults (18-65 years) Page 16 of 26 Concerns, complaints and protection These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: If people have concerns with their care, they or people close to them, know how to complain. Their concern is looked into and action taken to put things right. The care home safeguards people from abuse, neglect and self-harm and takes action to follow up any allegations. There are no additional outcomes. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The people who live here are protected by the homes complaints and safeguarding policies and procedures. Evidence: The homes policies and procedures in relation to raising complaints are robust and are given to the people who live there in their service users guide which is available in picture format. The homes policies and procedures in relation to safeguarding are in line with the local protocol. There is a training programme in place to make sure that all new staff will receive safeguarding training which covers what constitutes abuse. The staff induction programme also covers the issue of abuse. Care Homes for Adults (18-65 years) Page 17 of 26 Environment These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People stay in a safe and well-maintained home that is homely, clean, comfortable, pleasant and hygienic. People stay in a home that has enough space and facilities for them to lead the life they choose and to meet their needs. The home makes sure they have the right specialist equipment that encourages and promotes their independence. Their room feels like their own, it is comfortable and they feel safe when they use it. People have enough privacy when using toilets and bathrooms. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The home is bright, clean and hygienic and decorated and furnished to a high standard in a modern style. Evidence: This home has been redeveloped and refurbished to a high standard. The accommodation is arranged over three floors and consists of an entrance hall, a lounge, conservatory, visitors lounge, kitchen, dining room, office, one bedroom, WC and further WC on the second floor. On the first floor there are 6 more bedrooms and the utility room and the second floor has two further bedrooms. All floors are reached by staircase and there is a passenger lift for those who would like to use it. All bedrooms are finished to the same standard and are furnished with solid wood wardrobe, chest of drawers, bedside cabinets (lockable), dressing table/desk armchair and a divan bed. The rooms are decorated in neutral tones with good quality carpet laid to the floor and coordinating soft furnishings that are compliant with current fire safety regulations. All bedrooms have en-suite facilities consisting of a shower, WC and sink on the ground and first floor and standard bath on the second floor. Each are finished to a good standard with non-slip floor cover, tiled walls, grab rails, over sink lights with Care Homes for Adults (18-65 years) Page 18 of 26 Evidence: shaver points and extractor fans. Communal areas of the home are finished to a high standard with a large flat screen TV, good quality carpets and solid wood furniture in place in the lounge and conservatory and visitors room and solid wood flooring and dining furniture in the dining room. The kitchen is fitted with a range of high quality appliances and units. The utility on the second floor is fitted with a commercial washing machine and tumble dryer and has a lockable storage cupboard, double sink and non-slip floor cover fitted. There is no communal bathroom at this home however at the pont of registration it was stated that should this become an issue then the downstairs WC would be converted to a bathroom & WC. The homes AQAA told us that specialist equipment will be provided on an individual basis to encourage independence where possible. Care Homes for Adults (18-65 years) Page 19 of 26 Staffing These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have safe and appropriate support as there are enough competent, qualified staff on duty at all times. They have confidence in the staff at the home because checks have been done to make sure that they are suitable. People’s needs are met and they are supported because staff get the right training, supervision and support they need from their managers. People are supported by an effective staff team who understand and do what is expected of them. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People who live here are supported by trained and competent staff that have been safely recruited. Evidence: We were told that the staff in the home are still undergoing their induction program. The manager told us that new staff work under the supervision whilst they are completing the homes own induction and that for the first few days of employment new staff are given time to familiarise themselves with the homes policies, procedures and care records. A member of staff we spoke with confirmed this. We were told that unqualified new staff are given 6 months to complete the induction which covers all the mandatory training and the common induction standards for care. The members of staff spoken to during the inspection were confident and competent. They said they enjoyed their work. Staff were seen interacting with the people who live here in a respectful and relaxed manner. Staff said there are always enough people on duty to meet the needs of residents, this includes the opportunity for each person to go out every day. Rotas showed at least 2 staff are on duty each morning and evening shift plus the manager during the day. The manager told us that this increased according to what is taking place that day. Care Homes for Adults (18-65 years) Page 20 of 26 Evidence: The recruitment files of four staff were looked at. All four were seen to contain all the required documentation, including, an application form, two written references and a Criminal Record Bureau (CRB) check and Protection of Vulnerable Adult (POVA first) check. They had also signed a health declaration and had been given a staff handbook. Care Homes for Adults (18-65 years) Page 21 of 26 Conduct and management of the home These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have confidence in the care home because it is run and managed appropriately. People’s opinions are central to how the home develops and reviews their practice, as the home has appropriate ways of making sure they continue to get things right. The environment is safe for people and staff because health and safety practices are carried out. People get the right support from the care home because the manager runs it appropriately, with an open approach that makes them feel valued and respected. They are safeguarded because the home follows clear financial and accounting procedures, keeps records appropriately and makes sure staff understand the way things should be done. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The home is well run by a qualified and experienced manager. There are effective systems in place to ensure the health and safety of people who use the service Evidence: The newly appointed manger is in the process of applying to become the registered manager of the home. The manager is a learning disability nurse who has experience of managing a care home and has been previously registered with the commission. As this home has only just opened they have not as yet completed any quality assurance however it was explained that there are systems in place to ensure that peoples views would be sought and that the results of any survey would be fed back to people formally. All the policies and procedures that a are home are required ton have are in place. This home was completely redecorated and refurbished before it opened. All gas and electrical goods were fitted by people registered to do so. Fire fighting equipment is installed and risk assessmens are in place for the control of Substabnces Hazarsous to Care Homes for Adults (18-65 years) Page 22 of 26 Evidence: Health (COSHH). The home has undergone a full fire safety risk assessment undertaken by a specialist contractor and has a fire alarm system. Emergency lighting and appropriate fire fighting equipment in place. An inspection of the kitchen has been undertaken by the environmental health agency and it has been assessed as satisfactory. All rooms have a smoke detector fitted. Radiators are covered and can be individually controlled. Windows throughout the home are double-glazed and fitted with opening restrictors and security locks. Doors are compliant with current fire safety regulations. Thermostatic temperature safety control valves are fitted to all hot water outlets. Care Homes for Adults (18-65 years) Page 23 of 26 Are there any outstanding requirements from the last inspection? Yes £ No R Outstanding statutory requirements These are requirements that were set at the previous inspection, but have still not been met. They say what the registered person had to do to meet the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. No. Standard Regulation Requirement Timescale for action Care Homes for Adults (18-65 years) Page 24 of 26 Requirements and recommendations from this inspection: Immediate requirements: These are immediate requirements that were set on the day we visited this care home. The registered person had to meet these within 48 hours. No. Standard Regulation Requirement Timescale for action Statutory requirements These requirements set out what the registered person must do to meet the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The registered person(s) must do this within the timescales we have set. No. Standard Regulation Requirement Timescale for action Recommendations These recommendations are taken from the best practice described in the National Minimum Standards and the registered person(s) should consider them as a way of improving their service. No Refer to Standard Good Practice Recommendations Care Homes for Adults (18-65 years) Page 25 of 26 Helpline: Telephone: 03000 616161 Email: enquiries@cqc.org.uk Web: www.cqc.org.uk We want people to be able to access this information. If you would like a summary in a different format or language please contact our helpline or go to our website. Copyright © (2009) Care Quality Commission (CQC). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CQC copyright, with the title and date of publication of the document specified. Care Homes for Adults (18-65 years) Page 26 of 26 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. 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