Background to this inspection
Updated
12 March 2019
The inspection: We carried out this inspection under Section 60 of the Health and Social Care Act 2008 as part of our regulatory functions. This inspection checked whether the provider is meeting the legal requirements and regulations associated with the Health and Social Care Act 2008, to look at the overall quality of the service, and to provide a rating for the service under the Care Act 2014.
Inspection team: The inspection was carried out by one inspector.
Service and service type: Walton House is a care home. People in care homes receive accommodation and nursing or personal care. CQC regulates both the premises and the care provided, and both were looked at during this inspection.
The service had a registered manager in post at the time of our inspection. A registered manager is a person who has registered with the Care Quality Commission to manage the service. Like registered providers, they are 'registered persons'. Registered persons have legal responsibility for meeting the requirements in the Health and Social Care Act 2008 and associated Regulations about how the service is run.
Notice of inspection: The inspection was unannounced.
What we did: We reviewed information we had received about the service since the last inspection. This included details about incidents the provider must notify us about, such as serious injury. We sought feedback from the local authority and professionals who worked with the service. We assessed the information we require providers to send us annually that gives us key information about the service, what the service does well and improvements they plan to make. We used all this information to plan our inspection.
During the inspection visit, we reviewed two people’s care records to ensure they were reflective of their needs, and other documents such as medicines records. We reviewed records relating to the management of the service such as quality audits, people’s feedback, and meeting minutes. We met two people who lived at Walton House to gather their feedback. We also spoke with two care workers, a communication officer for British Sign Language (BSL) and the registered manager. Following the inspection visit two more staff members provided us with feedback about their role.
Updated
12 March 2019
About the service: Walton House is a care home that provides personal care for up to Four people. At the time of the inspection Four people lived at the home. The accommodation was established over two floors. On the ground floor there were bedrooms, a shared communal lounge, a dining room, storage areas and laundry areas. On the second floor there were bedrooms and bathrooms.
People's experience of using this service: The property was clean, comfortable with plenty of room for people to live.
People's safety had been considered and risks were managed to maintain people's safety. Staff had received training in relation to safeguarding and knew how to protect people from harm. Medicine was managed safely. The risk to any infection was reduced by the maintenance of high standards of hygiene.
The provider was focussed on delivering person-centred care. People needs were assessed in detail to ensure the service could be tailored to meet their individual social, care and health needs. People’s care was delivered effectively, from well-trained staff. People’s outcomes and long-term goals were considered, to ensure people met their goals. Staff were recruited on their values, and in accordance with best practice. People were supported to have maximum choice and control of their lives, and staff supported them in the least restrictive way possible; the policies and systems in the service supported this practice. Health care had a focus to ensure people's ongoing wellbeing and concentrated on improving people’s health.
People enjoyed living at the home and told us staff were kind and respectful of their choices. People were treated kindly and compassionately by staff. People and their relatives were supported to express their views and make decisions about the care and treatment they received. Staff respected people's privacy and dignity.
People were supported to lead fulfilled lives through activities of their choice. Information was provided in a range of formats to support understanding. People could access spiritual support to meet their religious beliefs. The provider had a complaints policy and process in place; people and their relatives told us they would feel comfortable raising complaints. When people were at the end of their life, the provider had policies in place to meet their wishes and preferences.
People benefitted from a service which was well led. The provider had robust quality monitoring arrangements through which they continually reviewed evaluated and improved people's care. People, stakeholders and staff had an opportunity to shape the service. The provider invested in staff development to ensure people received care from experienced and caring leaders. The provider had strong values which shaped their service. This ultimately led to people receiving personalised care.
Rating at last inspection: Good. The last report for Walton House was published in September 2016.
About the service: Walton House is a residential care home that provides personal care for up to four people with learning disabilities. At the time of the inspection four people lived at the home.
The care service has been developed and designed in line with the values that underpin the Registering the Right Support and other best practice guidance. These values include choice, promotion of independence and inclusion. People with learning disabilities and autism using the service can live as ordinary a life as any citizen.
Why we inspected: This was a planned comprehensive inspection that was scheduled to take place in line with Care Quality Commission scheduling guidelines for adult social care services. At this inspection we found the service continued to be Good.
Follow up: We will continue to monitor the service to ensure it meets its regulatory requirements. More information is in the 'Detailed Findings' below.