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Archived: Walton Manor Residential and Nursing Home Good

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Inspection Summary


Overall summary & rating

Good

Updated 15 December 2016

This was an unannounced inspection carried out on the 10 November 2016.

Walton Manor is a two storey care home situated in the Walton area of Liverpool, Merseyside and is registered to provide accommodation, nursing and personal care for up to 49 people. The service is fully accessible and fitted with aids and adaptations to assist people with their mobility. A passenger lift and staircase provide access to the first floor. The service is located close to a busy shopping area with good public transport links.

There was a registered manager in post at the service. 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.

We last inspected the service in August 2014 and the registered provider met all the regulations we reviewed.

We have made a recommendation about the environment. Improvements had recently been made to parts of the environment, including the redecoration of corridors and bedrooms and the replacement of flooring. However, further improvements to the environment were required to help promote the independence of people living with dementia.

Risks people faced had been identified and plans which were in place provided staff with guidance on how to reduce the risk of harm to people. However, sufficient checks were not carried out on pressure relieving equipment to minimise risk to people. During our visit the registered manager and staff took immediate action to rectify this.

Medicines were stored appropriately, managed safely and comprehensive audits completed. However, care plans for PRN (as required) medication were not in place for staff guidance. This meant that people could be administered more medication than required. The registered manager informed us that this would be reviewed immediately.

There were sufficient numbers of staff on duty to meet people's needs. Robust recruitment processes were in place and the required recruitment checks had been completed to ensure that staff were suitable for the role they had been appointed to prior to commencing work.

Health and safety checks had been carried out on the environment and equipment used. The service was clean and tidy and the registered manager carried out regular checks on the cleanliness of the environment to ensure this was maintained. There was a fire risk assessment in place and checks of the fire safety equipment had been carried out. Staff had received training in fire prevention and safety.

Staff had a good understanding of the Mental Capacity Act 2005 (MCA) and put it into practice. Where people were being deprived of their liberty for their own safety the registered manager had made Deprivation of Liberty Safeguard (DoLS) applications to the local authority.

Staff understood their role and responsibilities. Staff received training to ensure they had the skills and knowledge to support the people living in the service. Staff were supported in their roles and received regular supervision and appraisals. New members of staff received a comprehensive induction into their roles.

People could choose when, where and what they wanted to eat. Additional drinks and snacks were

made available to people in between main meals and staff knew people's food preferences. People were provided with a varied and balanced diet and they were supported to make choices in relation to their food and drink.

People were assisted to access other healthcare professionals to maintain their health and well-being, when required.

Staff spoke kindly to people and respected their privacy and dignity. Staff knew people well and had a caring approach. Staff responded to people without delay and cared for people in an unrushed manner.

Records were comprehensive and kept up to date. Care p

Inspection areas

Safe

Good

Updated 15 December 2016

The service was safe

People told us that they felt safe. There were effective systems in place to safeguard people from the risk of abuse.

People had personalised risk assessments in place and actions were taken to reduce the risk of harm to people.

There were good levels of staff on duty at all times and safe recruitment processes were followed.

People's medicines were managed safely and stored appropriately.

Effective

Good

Updated 15 December 2016

The service was effective

Improvements to the environment were required to help promote the independence of people living with dementia.

People�s needs were met by a team of staff who knew them well.

People were provided with a varied, balanced diet. People were complimentary about the meals provided at the service.

People received care that met their health and well-being needs and they had access to a range of health and medical professionals.

Caring

Good

Updated 15 December 2016

The service was caring

People were supported by kind, friendly and caring staff who knew them well.

Staff supported people at their own pace and in an individualised way.

Staff understood people�s decisions regarding end of life care and they were respectful of them.

People�s confidentiality was protected. Records containing personal information were appropriately stored in a secure office.

Responsive

Good

Updated 15 December 2016

The service was responsive

Personalised care plans reflected people�s current needs and preferences.

People benefited from meaningful activities which reflected their interests.

People were encouraged and supported to establish and maintain community connections and relationships.

There was an effective system to manage complaints and people were encouraged to raise any concerns they had.

Well-led

Good

Updated 15 December 2016

The service was well led

The culture of the service was open, positive and friendly. The staff team cared about the quality of the care they provided.

People and staff knew who the registered manager was and felt confident in approaching him.

Systems were in place to seek the views of people who lived at the service and their feedback was used to make improvements.

Quality monitoring systems were in place and were used effectively to identify where action was needed and to drive improvements in the service.