Inspection on 25/01/06 for 2 and 8 Kingsthorpe Grove

This inspection was carried out on 25th January 2006.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Adequate. The way we rate inspection reports is consistent for all houses, though please be aware that this may be different from an official CSCI judgement.

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.

Other inspections for this house

2 and 8 Kingsthorpe Grove 22/01/07

2 and 8 Kingsthorpe Grove 22/11/04

2 and 8 Kingsthorpe Grove 14/06/04

Similar services:

Hillside

Applegarth

122 Scorer Street

Jubilee Villa Care Home

Thornham Grove

Beech Lodge

8 Thorndale Road (Homefield College)

Hunter`s Lodge

Extracts from inspection reports are licensed from CQC, this page was updated on 08/07/2008.

CARE HOME ADULTS 18-65 Kingsthorpe Grove, 8 8 Kingsthorpe Grove Kingsthorpe Northampton NN2 6PA Lead Inspector Linda Clarke Unannounced Inspection 25th January 2006 11:30 Kingsthorpe Grove, 8 DS0000031599.V279807.R01.S.doc Version 5.1 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 Kingsthorpe Grove, 8 DS0000031599.V279807.R01.S.doc Version 5.1 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. Kingsthorpe Grove, 8 DS0000031599.V279807.R01.S.doc Version 5.1 Page 3 SERVICE INFORMATION Name of service Kingsthorpe Grove, 8 Address 8 Kingsthorpe Grove Kingsthorpe Northampton NN2 6PA 01604 791266 01604 716177 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 Richardson Partnership for Care Mr Brian Richardson, Mrs Jacqueline Richardson, Miss Laura Richardson, Mr Greg Cheater Ms Jane Catherine Payne Care Home 6 Category(ies) of Learning disability (6) registration, with number of places Kingsthorpe Grove, 8 DS0000031599.V279807.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. No person falling within the category LD can be admitted where there are already 6 persons of category LD already in the Home. All Service Users must be fully ambulant due to the width and access of the stairway to the third floor. 26th July 2005 Date of last inspection Brief Description of the Service: 8 Kingsthorpe Grove is a six bedded home, three stories high and is situated on a main road, in close proximity to the Kingsthorpe Shopping centre. Northampton town centre is approximately a mile and a half away and there is a convenient bus service to either Northampton or Market Harborough. The home has a pleasant garden area that is well used by service users.The home is registered for people with learning disabilities and provides long term placements. Kingsthorpe Grove, 8 DS0000031599.V279807.R01.S.doc Version 5.1 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was an unannounced Inspection that took place between 11.30am and 3.15pm. When undertaking Inspections, the Commission for Social Care Inspection focuses on the outcomes of individuals staying in the home. To support this, two service users were ‘case tracked’. This means that the care records and care plans of these service users were checked. The Inspector spoke with service users and care staff, and reviewed records in relation to health and safety. What the service does well: What has improved since the last inspection? What they could do better: The administration and recording process with regards to the administration of medication could be improved. Kingsthorpe Grove, 8 DS0000031599.V279807.R01.S.doc Version 5.1 Page 6 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. Kingsthorpe Grove, 8 DS0000031599.V279807.R01.S.doc Version 5.1 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 Kingsthorpe Grove, 8 DS0000031599.V279807.R01.S.doc Version 5.1 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 5 Service users have a contract which outlines the terms and conditions of occupancy. EVIDENCE: The Registered Manager advised the Regulation Inspector, that following a requirement made at the previous inspection the Statement of Purpose and Service User Guide has been reviewed, and has been submitted to the Commission for Social Care Inspection. The revised Statement of Purpose was not viewed as part of the Inspection process. The care plans and records of two service users were viewed, both included a contract outlining the terms and conditions of occupancy including the room to be occupied. Kingsthorpe Grove, 8 DS0000031599.V279807.R01.S.doc Version 5.1 Page 9 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 6, 7, 8 and 9. Individual plans of care are in place ensuring that service users receive the care they need, supported by risk assessments, which are reviewed with the involvement of the service user. EVIDENCE: The care plan and records of two service user were viewed; the care plan provides information as to the individuals wishes in relation to the provision of care including how this is to be implemented, supported by factors important to the individual which promotes their care and quality of life. Elements of care, which have a degree of risk, which includes the management of behaviour are assessed, detailing as to how the risk is to be managed consistent with the promotion of independence, welfare and safety. The Inspector spoke with several service users, who stated that they were involved in the reviewing of their care plans, including risk assessments, one service user was able to identify why risk assessments are necessary and gave examples of the risk assessments involved with his care. Kingsthorpe Grove, 8 DS0000031599.V279807.R01.S.doc Version 5.1 Page 10 Service users are supported in various ways, through family, friends and advocates. Records reflect decisions made by service users, which were further supported by service user meetings. Service users have individual bank accounts, which they access supported by care staff as appropriate. One service user spoke to the Inspector, and was able to discuss how his finances are managed. As part of the Inspection process the Commission for Social Care Inspection sends to care homes, comment cards for service users and relatives/visitors, which are forwarded to the appropriate person by the care home staff. Two comment cards returned to the Commission for Social Care Inspection incorporated additional comments. “My relative has always had very good care and attention at the home. Whenever I go, now always pre-warned there is always a warm and happy atmosphere and I am more than content with her care.” “The staff and management are very contactable and caring they have supported the whole family since my relative has moved into the house.” Kingsthorpe Grove, 8 DS0000031599.V279807.R01.S.doc Version 5.1 Page 11 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 14, 15, 16 and 17. Social activities, leisure activities and the daily routine within the home are managed well and provide opportunities for service users to maintain appropriate and fulfilling lifestyles. EVIDENCE: Upon arrival the Inspector noted that a group of service users were involved in an arts sessions, facilitated by an external provider. The care plans and records of two service users recorded the wide range of activities, and education pursuits accessed. Service users have a weekly programme, which is tailored to meet their individual needs. Activities include trampoline and gym sessions, cinema and bowling, gardening and aromatherapy and visits to the local public houses and shopping for groceries, whilst some service users access College courses, both during the day and in the evening. Kingsthorpe Grove, 8 DS0000031599.V279807.R01.S.doc Version 5.1 Page 12 Planned group activities have included Hunstanton on the East Coast, Woburn Abbey, Wickstead Park and Cadbury’s World. Holiday destinations for last year included Euro Disney, Hemsby, Western Super Mare and Centre Parcs. One service user spoke of her trip to Portugal to visit a relative, and spoke of a future planned trip to the Isle of Wight in June, with her friends. Two service users spoke of their recent trips to visit relatives, where they stayed overnight. Service users spoken with said that they had keys to their bedrooms, safety issues have been considered and are reflected within a risk assessment. One service user had a doorbell for people to ring, to request entry to her room. Service users participate in household chores, which include tidying their room and the laundry. The Inspector did not view menus, however service users confirmed that they undertook the weekly shopping at local supermarkets, and are encouraged to prepare and cook meals. One service user has a fridge in her bedroom, which she uses to store additional groceries, which she has personally purchased for her consumption. Kingsthorpe Grove, 8 DS0000031599.V279807.R01.S.doc Version 5.1 Page 13 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 18, 19 and 20. Service users are looked after well in respect of their health and personal care needs. Medication procedures are not in all circumstances being managed appropriately. EVIDENCE: Service users currently residing at Kingsthorpe Grove do not require support or specialist equipment to enable them to access facilities for the promotion of their personal hygiene and appearance. Staff encourage service users to maintain their personal hygiene and welfare. Service users are allocated a member of staff referred to as a Keyworker, who supports them in maintaining their quality of life, liaises with health care professionals and family and is responsible for the reviewing of care plans. Service users on the day of the Inspection spoke of their keyworkers and were observed speaking with them on the telephone. Records evidence service user access to a variety of health care professionals, which includes Opticians, General Practitioners, Physiotherapist and Dentists, on the day of the Inspection one service user returned have accessed dental treatment. Kingsthorpe Grove, 8 DS0000031599.V279807.R01.S.doc Version 5.1 Page 14 The Inspector viewed the medication and medication records of service users, it was noted their was an anomaly for one service user, in that medication had not been administered as prescribed, nor were medication records being completed correctly. An Immediate Requirement was issued, which the Registered Person has responded to and has outlined to the Commission for Social Care Inspection the action, which will be undertaken to address the issues of concerns, which include the revision of policies and procedures. Kingsthorpe Grove, 8 DS0000031599.V279807.R01.S.doc Version 5.1 Page 15 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 22 and 23. Management systems provide opportunities for concerns to be raised, and promotes the safeguarding of service users from abuse, neglect and self-harm. EVIDENCE: Staff receive training in the promotion of service users welfare which are further supported by policies and procedures. There was evidence of positive relationships between service users and staff, affording service users to have confidence in discussing issues of concern with staff. Service users also have the support of family and friends, and for one service user an advocate who can act on the behalf of the service user should they feel this is warranted. Service users also participate in meetings, which provides another forum for service users to express concerns. Kingsthorpe Grove, 8 DS0000031599.V279807.R01.S.doc Version 5.1 Page 16 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 26 and 30. A comfortable and safe standard of accommodation is provided for service users. EVIDENCE: The Inspector was invited by two service users to view their bedrooms, both were decorated to a good standard and were decorated to reflect the individual style and tastes of the occupant. All bedrooms have en-suite facilities, which include a toilet, wash hand basin and shower. Service users rooms were furnished, one room having a double bed. Wardrobe and draw space is provided. Service users currently in residence are not assessed as requiring specialist moving and handling equipment, such as hoists. The home was clean and tidy, laundry facilities are accessed by service users, clinical waste is not produced. Kingsthorpe Grove, 8 DS0000031599.V279807.R01.S.doc Version 5.1 Page 17 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 32, 33, 34, 35 and 36. Staff are trained and supported, and employed in sufficient numbers to meet the needs of service users. EVIDENCE: Kingsthorpe Grove employs eight members of care staff; of which 60 have completed a National Vocational Qualification two at level 2 and three at level 3. This exceeds the National Minimum Standard of 50 , which was to be achieved by 2005. Newly recruited staff undertake induction training, which is supported by a range of training courses. Training includes Non-Violent Physical Crisis Prevention and Intervention, makaton, health and safety, first aid, infection control, epilepsy, moving and handling, Learning Disability and Acquired Brain Injury along with team building, care plan writing and risk assessment. There are two members of staff on during the day, with a member of staff on duty during the night supported by a member of staff sleeping on the premises. A staff member spoken with stated that she receives a formal supervision alternate months, which are recorded, evidence of these records were located within staff records. Kingsthorpe Grove, 8 DS0000031599.V279807.R01.S.doc Version 5.1 Page 18 The records of one member of staff were viewed who had been recruited since the previous inspection; records contained the appropriate information which included an application form, verification of identity and references, contract detailing terms and conditions and a Criminal Record Bureau check. Kingsthorpe Grove, 8 DS0000031599.V279807.R01.S.doc Version 5.1 Page 19 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): Health, safety and welfare of service users are the responsibility of all staff, which is supported by documentation. EVIDENCE: The Pre Inspection Questionnaire submitted to the Commission for Social Care Inspection along with documents held by the home evidenced that the home is managed with respect of health and safety. Health and safety records were viewed by the Inspector, which evidence regular fire drills, the regular review of the fire risk assessment along with checks to gas and electrical systems. Supported by training relevant to the promotion of service users health and welfare. Kingsthorpe Grove, 8 DS0000031599.V279807.R01.S.doc Version 5.1 Page 20 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 X 2 X 3 X 4 X 5 3 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 X 25 X 26 3 27 X 28 X 29 X 30 3 STAFFING Standard No Score 31 X 32 4 33 3 34 3 35 3 36 3 CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 4 4 3 3 X LIFESTYLES Standard No Score 11 3 12 3 13 3 14 3 15 3 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 1 X X X X X X 3 X Kingsthorpe Grove, 8 DS0000031599.V279807.R01.S.doc Version 5.1 Page 21 No 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. Refer to Standard Good Practice Recommendations Kingsthorpe Grove, 8 DS0000031599.V279807.R01.S.doc Version 5.1 Page 22 Commission for Social Care Inspection Leicester Office The Pavilions, 5 Smith Way Grove Park Enderby Leicester LE19 1SX National Enquiry Line: 0845 015 0120 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. 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