Inspection on 28/05/08 for 2 Kingfisher Court

This is the latest available inspection report for this service, carried out on 28th May 2008.

CSCI found this care home to be providing an Good service.

The inspector made no statutory requirements on the home as a result of this inspection and there were no outstanding actions from the previous inspection report.

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Extracts from inspection reports are licensed from CQC, this page was updated on 27/09/2008.

CARE HOME ADULTS 18-65 2 Kingfisher Court Swallow Close Denvilles Havant Hampshire PO9 2RB Lead Inspector Laurie Stride Unannounced Inspection 28th May 2008 14:30 2 Kingfisher Court DS0000071140.V363354.R01.S.doc Version 5.2 Page 1 The Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Reader Information Document Purpose Author Audience Further copies from Copyright Inspection Report CSCI General Public 0870 240 7535 (telephone order line) This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI www.csci.org.uk Internet address 2 Kingfisher Court DS0000071140.V363354.R01.S.doc Version 5.2 Page 2 This is a report of an inspection to assess whether services are meeting the needs of people who use them. The legal basis for conducting inspections is the Care Standards Act 2000 and the relevant National Minimum Standards for this establishment are those for Care Homes for Adults 18-65. They can be found at www.dh.gov.uk or obtained from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering: www.tso.co.uk/bookshop This report is a public document. Extracts may not be used or reproduced without the prior permission of the Commission for Social Care Inspection. 2 Kingfisher Court DS0000071140.V363354.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service 2 Kingfisher Court Address Swallow Close Denvilles Havant Hampshire PO9 2RB 02392 470457 02392 470416 Telephone number Fax number Email address Provider Web address Name of registered provider(s)/company (if applicable) Name of registered manager (if applicable) Type of registration No. of places registered (if applicable) The Regard Partnership Ltd Care Home 2 Category(ies) of Learning disability (0), Physical disability (0) registration, with number of places 2 Kingfisher Court DS0000071140.V363354.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 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 care needs on admission to the home are within the following categories: Learning disability (LD) 2. Physical disability (PD). The maximum number of service users to be accommodated is 2. Date of last inspection Brief Description of the Service: 2 Kingfisher Court is a registered home for 2 adults with learning disability. It is situated in the quiet residential area of Denvilles, Havant, with local shops and amenities close by. The home is able to provide flexible support and care for the two people using the service. It is well integrated into the community, having links with the local authority and health care support services. The home has been registered under the ownership of The Regard Partnership since 30/11/07. The current range of fee is £357.43 - £402.48 per week. This information was obtained at the time of the inspection visit. Members of the public may wish to obtain more up-to-date information from the care home. 2 Kingfisher Court DS0000071140.V363354.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The quality rating for this service is 2 stars. This means the people who use this service experience good quality outcomes. This was the first unannounced key inspection of this service since it has changed ownership. The visit lasted approximately one and a half hours, however, some additional time was spent at another, related service, where some records were kept. The two services share the same staff team. During the visit, we (the commission), spoke with the two people who use the service, and the manager. We spoke with some of the staff during the visit to the other service. We received two surveys from members of staff. Further evidence used in this report was obtained from the home’s annual quality assurance assessment (AQAA). What the service does well: What has improved since the last inspection? Since the last inspection there has been a change of ownership of the service. The service is currently working to further improve the care planning system to make sure it is clear and accessible to all who need to use it. The organisation has made improvements to the environment including the fixtures and fittings within the home. 2 Kingfisher Court DS0000071140.V363354.R01.S.doc Version 5.2 Page 6 What they could do better: Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. The summary of this inspection report can be made available in other formats on request. 2 Kingfisher Court DS0000071140.V363354.R01.S.doc Version 5.2 Page 7 DETAILS OF INSPECTOR 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) Scoring of Outcomes Statutory Requirements Identified During the Inspection 2 Kingfisher Court DS0000071140.V363354.R01.S.doc Version 5.2 Page 8 Choice of Home The intended outcomes for Standards 1 – 5 are: 1. 2. 3. 4. 5. Prospective service users have the information they need to make an informed choice about where to live. Prospective users’ individual aspirations and needs are assessed. Prospective service users know that the home that they will choose will meet their needs and aspirations. Prospective service users have an opportunity to visit and to “test drive” the home. Each service user has an individual written contract or statement of terms and conditions with the home. The Commission consider Standard 2 the key standard to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 1 & 2 People who use the service experience good outcomes in this area. We have made this judgement using available evidence including a visit to this service. People who use the service have their needs continually assessed to ensure the home is meeting their needs. EVIDENCE: The previous inspection report confirmed that both of the people who use the service had a full assessment undertaken prior to moving in. This assessment forms the basis of individual care plans, which are continually monitored and assessed. The homes’ annual quality assurance assessment (AQAA) indicated that the home is currently in the process of updating a lot of the service paperwork, to reflect the new ownership and improve on existing documentation. During this visit the registered manager told us that the Statement of Purpose and Service User Guide are being reviewed and updated, so that people who use the service have up-to-date information it. Updated terms and conditions of residence have been put in place for people who live in the home. The registered manager said that each person has a key 2 Kingfisher Court DS0000071140.V363354.R01.S.doc Version 5.2 Page 9 worker who will assist the individual to understand the changes to the contract if necessary. 2 Kingfisher Court DS0000071140.V363354.R01.S.doc Version 5.2 Page 10 Individual Needs and Choices The intended outcomes for Standards 6 – 10 are: 6. 7. 8. 9. 10. Service users know their assessed and changing needs and personal goals are reflected in their individual Plan. Service users make decisions about their lives with assistance as needed. Service users are consulted on, and participate in, all aspects of life in the home. Service users are supported to take risks as part of an independent lifestyle. Service users know that information about them is handled appropriately, and that their confidences are kept. The Commission considers Standards 6, 7 and 9 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 6, 7 & 9 People who use the service experience good outcomes in this area. We have made this judgement using available evidence including a visit to this service. Individuals are involved in decisions about their lives and play an active role in planning the care and support they receive. EVIDENCE: During the previous inspection we saw that each person who uses the service has a file containing detailed care plans, restrictions on choice or freedom and the reasons for these, risk assessments, support guidelines, professional specialist advice, daily records, monthly reports by key workers and records of when reviews were conducted and the outcomes. Each individual has a key worker who co-ordinates reviews and acts as a point of contact. During this visit we saw that this is still the case, with work in progress updating files in accordance with the new owners’ procedures. Through looking at records and talking with the individuals it was clear that they are able to 2 Kingfisher Court DS0000071140.V363354.R01.S.doc Version 5.2 Page 11 make choices about their lives and to take responsible risks. Both are involved in planning the support they receive and have meetings with their key worker. The level of support provided by staff is kept under review and is adapted to meet any changing needs. 2 Kingfisher Court DS0000071140.V363354.R01.S.doc Version 5.2 Page 12 Lifestyle The intended outcomes for Standards 11 - 17 are: 11. 12. 13. 14. 15. 16. 17. Service users have opportunities for personal development. Service users are able to take part in age, peer and culturally appropriate activities. Service users are part of the local community. Service users engage in appropriate leisure activities. Service users have appropriate personal, family and sexual relationships. Service users’ rights are respected and responsibilities recognised in their daily lives. Service users are offered a healthy diet and enjoy their meals and mealtimes. The Commission considers Standards 12, 13, 15, 16 and 17 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 12, 13, 15, 16 & 17 People who use the service experience excellent outcomes in this area. We have made this judgement using available evidence including a visit to this service. People who use the service are able to make choices about their lifestyle and are supported to develop their life skills. Social, educational, cultural and recreational activities meet individual’s expectations. EVIDENCE: Previous inspection reports show that the people who live at Kingfisher Court do so semi-independently, with support as and when required from the staff at Cornerleigh. Both individuals are independent in making their own breakfast and lunches but go to Cornerleigh for their main meal of the day. Staff members provide advice and assistance about maintaining healthy diets and records are kept of dinner menus agreed with the individuals. Care plans contain information about peoples’ individual living skills and information on what support they need. 2 Kingfisher Court DS0000071140.V363354.R01.S.doc Version 5.2 Page 13 The homes’ annual quality assurance assessment (AQAA) stated that staff members provide support for the people who use the service to continue education or training, maintain relationships, take part in activities and to access community services and facilities as required. This was confirmed through discussion with the individuals during our visit and by reading the home’s records. Both individuals spend time at Cornerleigh and have chosen to help with some of the daily routines there, such as preparing meals. Since the last time we visited, one of the people has taken on part-time employment in a charity shop, which they told us they are enjoying. Both access the local facilities in town independently, for example going out for lunch or to visit the hairdresser. The people who live at Kingfisher Court are supported in maintaining links with family and friends through visits and telephone contact. Both had arranged their own holidays. 2 Kingfisher Court DS0000071140.V363354.R01.S.doc Version 5.2 Page 14 Personal and Healthcare Support The intended outcomes for Standards 18 - 21 are: 18. 19. 20. 21. Service users receive personal support in the way they prefer and require. Service users’ physical and emotional health needs are met. Service users retain, administer and control their own medication where appropriate, and are protected by the home’s policies and procedures for dealing with medicines. The ageing, illness and death of a service user are handled with respect and as the individual would wish. The Commission considers Standards 18, 19, and 20 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 18, 19 & 20 People who use the service experience good outcomes in this area. We have made this judgement using available evidence including a visit to this service. The health and personal care that people receive is based on their individual needs. The principles of respect, dignity and privacy are put into practice. EVIDENCE: The previous inspection report identified good outcomes in this area for people who use the service. The homes’ annual quality assurance assessment (AQAA) states that staff provide flexible support and that individuals’ healthcare needs are assessed and there are procedures in place to address these as necessary. People are supported to manage their own medication, where appropriate, within the framework of a risk assessment. We saw that the level of support required by each person is clearly recorded in individual care plans, with an emphasis on maintaining and increasing independence. Care plans also detail individuals’ morning, afternoon, evening and weekend routines. People who use the service both indicated in discussion that they are happy with the support they receive from staff members. 2 Kingfisher Court DS0000071140.V363354.R01.S.doc Version 5.2 Page 15 People see their own doctor as and when required. Staff members are kept informed of when appointments occur and keep the required medical and care records up-to-date. The service has copies of the new owners policies and procedures for the management and administration of medication and a sample of medication records that we saw was up-to-date. The registered manager told us that all staff members were booked to attend refresher training in medication the following week, with new staff receiving the full training. 2 Kingfisher Court DS0000071140.V363354.R01.S.doc Version 5.2 Page 16 Concerns, Complaints and Protection The intended outcomes for Standards 22 – 23 are: 22. 23. Service users feel their views are listened to and acted on. Service users are protected from abuse, neglect and self-harm. The Commission considers Standards 22, and 23 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 22 & 23 People who use the service experience good outcomes in this area. We have made this judgement using available evidence including a visit to this service. People who use the service are able to express their concerns and have access to an effective complaints procedure. People are protected from abuse and have their rights protected. EVIDENCE: The homes’ annual quality assurance assessment (AQAA) states that staff members ensure that people who use the service are supported to express their views and that they are listened to and acted on. We saw that the home has a complaints procedure available, which sets out who will deal with a complaint and how long the service provider will take to respond. The procedure is also provided in a user-friendly format. The registered manager confirmed that no complaints have been received by the service since the new owners took over and said a logbook is in place to record any complaints that come in and the action taken by the home. Survey questionnaires returned by two staff members indicated that they know what to do if someone has concerns about the home. During this visit we spoke with both individuals who live in the home, who confirmed that they have no concerns about the service and the support they receive. There is a safeguarding policy and procedure and there have been no safeguarding referrals or investigations. The new service providers intend for 2 Kingfisher Court DS0000071140.V363354.R01.S.doc Version 5.2 Page 17 all staff to attend safeguarding training in the future. The registered manager and deputy manager undertook training in 2006. In discussion with the registered manager and two members of staff, all demonstrated their understanding of the procedure to follow if any form of abuse was suspected. A member of staff said that some guidance in relation to abuse issues is included in the National Vocational Qualification (NVQ) training that staff members who work in the home undertake. The service operates a thorough staff recruitment process, including all the necessary checks, which also protects those who use the service. 2 Kingfisher Court DS0000071140.V363354.R01.S.doc Version 5.2 Page 18 Environment The intended outcomes for Standards 24 – 30 are: 24. 25. 26. 27. 28. 29. 30. Service users live in a homely, comfortable and safe environment. Service users’ bedrooms suit their needs and lifestyles. Service users’ bedrooms promote their independence. Service users’ toilets and bathrooms provide sufficient privacy and meet their individual needs. Shared spaces complement and supplement service users’ individual rooms. Service users have the specialist equipment they require to maximise their independence. The home is clean and hygienic. The Commission considers Standards 24, and 30 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 24 & 30 People who use the service experience good outcomes in this area. We have made this judgement using available evidence including a visit to this service. The physical design and layout of the home enables residents to live in a wellmaintained and comfortable environment, which encourages independence. EVIDENCE: Kingfisher Court is a purpose built flat situated in a quiet residential area. The flat has a lounge, kitchen, bathroom and bedroom with good quality furnishings and fittings. The accommodation had been personalised with the individuals’ belongings. Staff provide support to help with the general upkeep of the flat. Maintenance arrangements have changed as the service no longer has a handyman. The homes’ annual quality assurance assessment (AQAA) states that some new appliances have been purchased and plans are in place to make improvements to the flat. The people using the service said they are happy living in the flat. 2 Kingfisher Court DS0000071140.V363354.R01.S.doc Version 5.2 Page 19 Staffing The intended outcomes for Standards 31 – 36 are: 31. 32. 33. 34. 35. 36. Service users benefit from clarity of staff roles and responsibilities. Service users are supported by competent and qualified staff. Service users are supported by an effective staff team. Service users are supported and protected by the home’s recruitment policy and practices. Service users’ individual and joint needs are met by appropriately trained staff. Service users benefit from well supported and supervised staff. The Commission considers Standards 32, 34 and 35 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 32, 33, 34, 35 & 36 People who use the service experience good outcomes in this area. We have made this judgement using available evidence including a visit to this service. Staff in the home are trained, skilled and in sufficient numbers to support the people who use the service. The home operates a robust staff recruitment procedure to protect people who live in the home EVIDENCE: The home’s annual quality assurance assessment (AQAA) told us that ‘we have a highly qualified, committed, dedicated and caring staff team, the majority have been working at the service for ten years or more. The continuity of our staff team is a major factor in the quality, reassurance, stability and wellbeing of our service users.’ The registered manager said that the home does not use agency staff. People who use the service benefit from being supported by a consistent staff team who help out at times when there is a shortage of staff. Two staff members who completed survey questionnaires indicated that there are usually enough staff on duty in the home to meet the individual needs of all the people who use the service. 2 Kingfisher Court DS0000071140.V363354.R01.S.doc Version 5.2 Page 20 The AQAA also stated that all staff recruitment checks were carried out and we confirmed this by inspecting a sample of staff files. The two recently recruited staff members’ files contained evidence of Protection of Vulnerable Adults (POVA) and Criminal Records Bureau (CRB) checks, two written references, completed application forms with employment histories. These also included information about staff induction and supervision. The organisation has an agreement with the commission that some staff records are held in a central location, while details required for inspection are recorded on a form. We discussed with the registered manager the need for all details, such as CRB reference numbers and the date on which such checks are obtained, to be recorded on the forms. The home uses the Skills for Care common induction standards when orientating new staff to the home. Survey questionnaires returned by two staff members indicated that their induction covered everything they needed to know to do the job when they started. They also confirmed that they are given training which is relevant to their role, helps them to understand and meet the individual needs of service users, and keeps them up to date with new ways of working. We looked at training records held in the home in relation to three staff members (KS, SM, PR) who act as key workers for the people whose support records we had seen. All had undertaken up-to-date statutory training, such as fire safety, moving and handling, first aid and health and safety. The registered manager said that all staff are due training updates in food hygiene. Other training that staff members have completed included epilepsy, Makaton, dementia, non-violent crisis intervention and medication. The service employs 16 staff (to work between the 2 services), excluding the registered manager. The registered manager reported that 13 have obtained or are working towards being qualified to National Vocational Qualification (NVQ) level 2 or above. Two recently recruited staff will be put forward to do this training. One staff member who returned a questionnaire said they feel that they always have the right support, experience and knowledge to meet the different needs of people who use the service. Another staff member said they feel they usually do. Two staff members we spoke with and two who provided comment through surveys confirmed that their manager meets with them regularly/often to give 2 Kingfisher Court DS0000071140.V363354.R01.S.doc Version 5.2 Page 21 them support and discuss how they are working. We saw that dates for held and planned supervisions are recorded. 2 Kingfisher Court DS0000071140.V363354.R01.S.doc Version 5.2 Page 22 Conduct and Management of the Home The intended outcomes for Standards 37 – 43 are: 37. 38. 39. 40. 41. 42. 43. Service users benefit from a well run home. Service users benefit from the ethos, leadership and management approach of the home. Service users are confident their views underpin all self-monitoring, review and development by the home. Service users’ rights and best interests are safeguarded by the home’s policies and procedures. Service users’ rights and best interests are safeguarded by the home’s record keeping policies and procedures. The health, safety and welfare of service users are promoted and protected. Service users benefit from competent and accountable management of the service. The Commission considers Standards 37, 39, and 42 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 37, 39 & 42 People who use the service experience good outcomes in this area. We have made this judgement using available evidence including a visit to this service. The home is well run and management practices promote the wellbeing and best interests of the people who use the service. EVIDENCE: The registered manager, Mrs Carole Keens, is qualified to NVQ Level 4 and holds the Registered Managers Award. She is responsible for the day-to-day management of Cornerleigh and currently also oversees the running of 2, Kingfisher Court. We were unable to establish what Regard’s intentions are for the management of Kingfisher. Throughout the inspection we saw that the manager was open and responsive to people who use the service and staff. The home has recently formalised the quality assurance system. We noted that the comment cards for peoples’ representatives to use to say what they 2 Kingfisher Court DS0000071140.V363354.R01.S.doc Version 5.2 Page 23 think of the service had been adapted from those previously used by the commission. Questions on these were out of date and not reflective on what the organisation would need to know about the running of the service and the views of those using it. The comment cards appeared more geared towards commenting on inspection processes. While we understand that the first year of the service under new ownership will be focussed on a number of changes we discussed with the registered manager the need to obtain information to inform the development plan for the service and ensure it is meeting the wishes and needs of those using it. We also noted that a full quality audit of the service by the new service provider was scheduled for 03/06/08. We saw records of regular tests and service checks carried out on domestic appliances and equipment, including fire safety systems, electrical appliances. The key worker goes through the fire procedures with the 2 people using the service to ensure they are kept up-to-date and know what to do in the event of a fire. 2 Kingfisher Court DS0000071140.V363354.R01.S.doc Version 5.2 Page 24 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Adults 18-65 have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 3 2 3 3 X 4 X 5 X INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 3 23 3 ENVIRONMENT Standard No Score 24 3 25 X 26 X 27 X 28 X 29 X 30 3 STAFFING Standard No Score 31 X 32 3 33 3 34 3 35 3 36 3 CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 3 3 X 3 X LIFESTYLES Standard No Score 11 X 12 4 13 4 14 X 15 3 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 3 X 3 X 2 X X 3 X 2 Kingfisher Court DS0000071140.V363354.R01.S.doc Version 5.2 Page 25 N/A Are there any outstanding requirements from the last inspection? STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. Standard Regulation Requirement Timescale for action RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1. Refer to Standard YA39 Good Practice Recommendations That the registered provider develops a quality assurance system that seeks the views of people who use the service to inform service development. 2 Kingfisher Court DS0000071140.V363354.R01.S.doc Version 5.2 Page 26 Commission for Social Care Inspection Maidstone Office The Oast Hermitage Court Hermitage Lane Maidstone ME16 9NT National Enquiry Line: Telephone: 0845 015 0120 or 0191 233 3323 Textphone: 0845 015 2255 or 0191 233 3588 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk © This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI 2 Kingfisher Court DS0000071140.V363354.R01.S.doc Version 5.2 Page 27 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. 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