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Inspection on 18/06/09 for Kilncroft Care Home

Also see our care home review for Kilncroft Care Home for more information

This is the latest available inspection report for this service, carried out on 18th June 2009.

it is an annual review prepared by CQC after examining previous reports and information from the provider. At the time of this report, CQC judged the service to be Good.

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.

What follows are excerpts from this inspection report. For more information read the full report on the next tab.

Annual service review Name of Service: Kilncroft Care Home The quality rating for this care home is: The rating was made on: two star good service A quality rating is our assessment of how well a care home, agency or scheme is meeting the needs of the people who use it. We give a quality rating following a full review of the service. We call this review a ‘key’ inspection We do an annual service review when there has been no key inspection of the service in the last 12 months. It does not involve a visit to the service but is a summary of new information given to us, or collected by us, since the last key inspection or annual service review.   Has this annual service review changed our opinion of the service?   No You should read the last key inspection report for this service to get a full picture of how well outcomes for the people using the service are being met. The date by which we will do a key inspection: Name of inspector: Michele Etherton Date of this annual service review: 0 3 0 7 2 0 0 9 Annual Service Review Page 1 of 8 Information about the service Address of service: 25-29 Ashburnham Road Hastings East Sussex TN35 5JN 01424434921 01424435893 Kilncroft@Craegmoor.co.uk www.craegmoor.co.uk Parkcare Homes (2) Ltd Telephone number: Fax number: Email address: Provider web address:   Name of registered provider(s): Conditions of registration: Category(ies) : dementia Conditions of registration: Number of places (if applicable): Under 65 Over 65 15 0 The maximum number of service users who can be accommodated is: 15 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: Dementia - DE Have there been any changes in the ownership, management or the No service’s registration details in the last 12 months? If yes, what have they been: Date of last key inspection: Date of last annual service review (if applicable): Brief description of the service Kilncroft is registered to accommodate fifteen older people with a dementia type illness. The property is detached and is set in a residential area of Hastings. The property is on four floors. The first two floors are registered as Kilncroft. The top two floors are separately registered to cater for younger adults with a pre-senile dementia type illness. Both homes operate independently of each other, however the registered manager is responsible for both establishments. Annual Service Review Page 2 of 8 The whole building is owned by Parkcare Homes Ltd, which in turn is owned by Craegmoor Healthcare Limited. Local shops and amenities are close by and the home is approximately one mile from the centre of Hastings. The Registered Manager said that the current range of fees is from 363.89 pounds to 450.00 pounds per week. Annual Service Review Page 3 of 8 Service update since the last key inspection or annual service review: What did we do for this annual service review? We looked at all the information that we have received, or asked for, since the last key inspection or annual service review. This included: The annual quality assurance assessment (AQAA) that was sent by us to the service for completion. The AQAA is a self assessment that focuses on how well outcomes are being met for people using the service. It also provides us with some numerical information about the service. Information we may have about how the service has managed any complaints. What the service has told us about things that have happened in the service, these are called notifications and are a legal requirement. The previous key inspection. Relevant information from other organizations. What other people have told us about the service. We have also surveyed people who live at the home, staff and other health and social care professionals, for their views about the home, to date responses have been limited but we have taken account of this feedback in our overall assessment of the service. Survey responses have been received from some people who live at the home, and also staff in addition to some feedback from health professionals. Their feedback has helped to inform this review and any comments have been Incorporated into this report. We have also asked interested relatives to contact us if they have a view of the service they wish to share, unfortunately only a minimal response has been received to this request to aid our assessment of this service. What has this told us about the service? The home last received a key unannounced inspection in July 2008, at which time the service was awarded a two star good rating. To assess whether the service has maintained or improved upon the quality of service experienced by the people who live there we have asked the service to complete an Annual Quality assurance assessment (AQAA), this was returned to us when we asked for it. We found it had been completed only to a reasonable standard, telling us only some of the information we need to know. But did reflect on improvements in one area of practice where a requirement had been issued at the last inspection. Annual Service Review Page 4 of 8 AQAA information would benefit from improved detail and content to illustrate how the service operates on a day to day basis with current and future plans identified for service development. We have discussed these shortfalls with the Registered manager who now has an improved understanding of the level of detail future AQAA information should contain. The AQAA informs us that the home promotes choice, respect, dignity and equality of people living at the home, consequently in the last twelve months the manager and staff have implemented a more person centered approach to all aspects of care taking account of individual observed or expressed preferences of people living in the home. Less structured routines have been implemented, introducing a more homely and relaxed atmosphere to the culture of the home particularly around mealtimes, and times that people in the home choose to go to bed. The Home reports that they have received positive feedback from health professionals who visit the home as is that from families. One health professional who visits regularly comments in a survey response to us that: As far as I am aware service users are well catered for at all times I see a warm friendly approach to service users The AQAA tells us that the home staff have tried to ensure that families and visitors are made to feel more welcome when they come into the home. Communication between staff and with others has improved, staff value the better team working approach. The registered manager and staff recognize the need to provide more stimulation for the people living in the home, but this has been hampered by trying to find an appropriate range of activities suited to the needs of the increasing levels of dementia and frailty of the people living in the home. In recognition of this specialist training has been provided to staff by an outside trainer, introducing them to the idea of the butterfly approach to activities with elderly residents. This enables each person to expereince more short quality interactions rather than attempts to maintain their attention on activities for long periods, which most are unable to manage. In survey responses staff spoke positively about their experiences of working at the home, and the training and support they receive, an example of comments received are: Good care, respectful and mindful of residents dignity, good support for staff I like working at Kilncroft as I like the staff and enjoy my job, I also like when I can make the clients smile care for clients, all staff get on together and work well Staff receive relevant training so we can care for residents to the best possible standards The AQAA acknowledges that the environment of the home will benefit from a planned programme of upgrading, and this is currently underway and has taken account of Annual Service Review Page 5 of 8 relatives comments received through quality assurance surveys. The planned upgrade will also provide improved access to and from the home for those with mobility issues. In addition to these improvements signage to bathrooms and toilets has been introduced to enable people in the home to find their way around easier. A more structured cleaning programme has been implemented to minimize unpleasant odours. Staff and relatives are supportive of the refurbishment of the home, seeing this as primarily the only area for improvement, they comment that: One the refurbishment is carried out, the home will be much brighter and will be easier access for anyone in a wheelchair In process of having refurbishment, residents will have a more comfortable life and there will be easier access for wheelchair users The AQAA informs us that 70 of the staff team have achieved NVQ2 or above, and that residents benefit from good continuity and staff retention. Recruitment procedures within the organization have been strengthened meaning that all prospective staff must complete a literacy test at interview, interview records are maintained, and the service will be taking a more direct line with those staff who fail to comply with training requirements. Staff recruitment files have been updated and reorganized. The AQAA informs us that the home is planning to provide family days and involve the people who live at the home more in the organization and planning of these, encouraging their participation. The home is also now taking more account of expressed likes and dislikes of people in the home and acting upon minor niggles and concerns they may have but need to ensure recording in these areas is routinely happening. The Home manager records in AQAA information that all health and safety checks are current and in place. That policies and procedures have been reviewed by the organization during the 2007 to 2008 period to date. The home informs us that they have received and dealt with one complaint, and no new adult safeguarding alerts have been raised. The home continues to let us know about things that have happened since our last key inspection, and they have shown us that they have generally managed issues well; seeking appropriate interventions from other agencies or professionals where needed. The home works well with us and have shown that their service continues to provide good outcomes for the people who use it. What are we going to do as a result of this annual service review? Annual Service Review Page 6 of 8 We are not going to change our inspection plan, and will do a key inspection by 14th July 2010. However we can inspect the service at any time if we have concerns about the quality of the service or the safety of the people using the service. Annual Service Review Page 7 of 8 Reader Information Document Purpose: Author: Audience: Further copies from: Annual service review CQC General Public 0870 240 7535 (national contact centre) Our duty to regulate social care services is set out in the Care Standards Act 2000. The content of which can be found on our website. Helpline: Telephone: 03000 616161 Email: enquiries@cqc.org.uk Web: www.cqc.org.uk We want people to be able to access this information. If you would like a copy of the findings in a different format or language please contact our helpline or go to our website. Copyright © (2009) Care Quality Commission (CQC). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. 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