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Inspection Summary

Overall summary & rating


Updated 31 May 2017

Care service description.

Walnut Close provides support and personal care to up to 35 people in total, with needs arising from old age. Up to eleven people living with dementia are supported in a separate specialist unit. The service does not provide nursing care.

Rating at last inspection.

At the last inspection in November 2014, the service was rated Good.

Rating at this inspection.

At this inspection we found the service remained Good.

Why the service is rated Good.

The service had continued to develop and improve, particularly in terms of the developments in the dementia unit, which had been prioritised recently. The improvements made and planned there had significantly enhanced the experience of those living with dementia, and a range of further developments were in process.

People felt safe and well cared for and said staff were kind and attentive to their needs. Feedback from the local authority was positive and the service had worked with them to improve some records and systems. A local authority representative commented, “The staff are very person centred and from my experience during my visits are very supportive and kind to the residents.” Regarding the management of the service they said, “Management are very proactive and transparent.”

People were kept as safe as possible by the systems, policies, procedures and the training provided to staff. Health and safety and other risks were well managed.

People’s safety and wellbeing were enhanced by the changes in staffing, including additional staff at key times, piloting qualified shift leaders on night shifts and increasing management cover at weekends. The appointment of ‘champions’ in key areas also helped to drive further developments in the service.

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.

Induction improvements and an effective ongoing training programme helped ensure staff had the up to date knowledge and skills to deliver person centred care. The registered manager had taken steps to improve the frequency of ongoing staff support through supervision and had ensured staff development was encouraged through annual appraisals.

People continued to receive effective healthcare support and the service worked well with external healthcare providers. Where issues had been identified with the quality of food provided, the registered manager had taken steps to address these with the external caterers and had achieved improvements.

Staff delivered support calmly and in a timely way. They respected people’s dignity, individuality and cultural or personal needs. There was a positive rapport between people and staff. The service continued to respond promptly to people’s changing needs, feedback and complaints. Ongoing improvements had been made in the variety and individualisation of activities.

The service was well led by a competent registered manager who sought to involve people and staff in plans for future developments. The view of people, staff and external professionals had been sought and identified issues acted upon.

Inspection areas



Updated 31 May 2017

The service remains safe.



Updated 31 May 2017

The service remains effective.



Updated 31 May 2017

The service remains caring.



Updated 31 May 2017

The service remains responsive.



Updated 31 May 2017

The service remains well led.