Walton Heath Manor provides personal care and support for a maximum of 46 older people, most of whom are independent. Accommodation is set over three floors all of which have access via stairs or a lift. On the day of our inspection 44 people were living in the home.
This was an unannounced inspection that took place on 13 September 2016.
The home had a registered manager. 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 and associated Regulations about how the service is run. The registered manager assisted us with our inspection on the day.
There was a kind, caring and relaxed atmosphere in the home where people and staff interacted together well. People and relatives were extremely happy with the care provided and they were made to feel welcome when they visited. People had a choice in the activities they wished to do. Staff supported people to take part in various activities and staff were attentive to people to help ensure that activities were individualised and meaningful to people.
People had care responsive to their needs and staff knew people extremely well. People were provided with a choice of meals each day and those who had dietary requirements received appropriate foods. Staff followed the guidance of healthcare professionals where appropriate and involved healthcare professionals to help ensure people remained healthy.
Staff provided care in line with the Mental Capacity Act (2005). Records demonstrated that people’s rights were protected as staff acted in accordance with the MCA when being supported to make specific decisions. The registered manager was aware of when people may be restricted and it was appropriate to submit applications to the supervisory body in relation to this.
Staff followed correct and appropriate procedures in administering medicines and medicines were stored safely. Care was provided to people by staff who were trained and received relevant support from their manager. This included regular supervisions and appraisals. Staff told us they felt valued by the registered manager and really enjoyed working in the home.
Staff understood their role in safeguarding people. They had received training and demonstrated a good understanding of how they would protect people from abuse of potential harm. Staff routinely carried out risk assessments and created plans to minimise known hazards whilst encouraging people’s independence.
In the event of an emergency where the home would have to close, there was a contingency plan in place to help ensure people’s care would continue uninterrupted.
There were sufficient staff in the home to help ensure people received the care and support they required when they required it. Robust recruitment processes were in place to ensure that those staff who were providing the care were suitable to be working in such a setting.
Care plans contained detailed information to guide staff on how someone wished to be cared for. Information included detail around people’s mobility, food and personal care needs. Staff had a good understanding of people’s needs and backgrounds as detailed in their care plans.
Quality assurance checks were carried out to help ensure the environment was a safe place for people to live and they received a good quality of care. Staff were involved in the running of the home as regular staff meetings were held and they were encouraged to give their feedback. People and relatives were given the opportunity to provide feedback on the care they received through residents meetings and surveys.
People knew how to make a complaint if they felt the need to. They told us any concerns they raised were dealt with immediately by the registered manager. Suggestions raised by people were responded to by management.
There was an open positive culture within the home and it was evident the registered manager had good management oversight and was respected by staff. The registered manager was keen to improve the quality of care provided and continually looking for different ways to improve staff knowledge and best practice.