Inspection on 20/06/05 for Kingsmead Lodge

This inspection was carried out on 20th June 2005.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Good. 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

Kingsmead Lodge 22/03/07

Kingsmead Lodge 17/10/05

Kingsmead Lodge 08/12/04

Kingsmead Lodge 29/07/04

Extracts from inspection reports are licensed from CQC, this page was updated on 09/07/2008.

CARE HOME ADULTS 18-65 Kingsmead Lodge Crawley Road Roffey Horsham, West Sussex RH12 4RX Lead Inspector Annette Turner Unannounced 20 June 2005 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 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 Stationary 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. Kingsmead Lodge H60-H11 S24164 Kingsmead Lodge V225585 200605 Stage 4.doc Version 1.30 Page 3 SERVICE INFORMATION Name of service Kingsmead Lodge Address Crawley Road, Roffey, Horsham, West Sussex, RH12 4RX Telephone number Fax number Email address Name of registered provider(s)/company (if applicable) Name of registered manager (if applicable) Type of registration No. of places registered (if applicable) 01403 211790 Dr Shafik Hussien Sachedina Miss Eunice Mundopa CRH N - Care home with nursing 20 Category(ies) of PD Physical disability - 20 registration, with number of places Kingsmead Lodge H60-H11 S24164 Kingsmead Lodge V225585 200605 Stage 4.doc Version 1.30 Page 4 SERVICE INFORMATION Conditions of registration: Only service users with a physical disability may be admitted, some of whom may also have a learning disability. Date of last inspection 08 December 2004 Brief Description of the Service: Kingsmead Lodge is a care home with nursing that is registered to provide a service to twenty service users who are between the ages of eighteen and sixty-five years and who have a physical disability (PD). Kingsmead Lodge is a purpose built, single storey establishment located on the outskirts of Horsham in West Sussex. There are twenty single rooms with ensuite facilities that include a toilet and wash hand basin. There is a large activities room, two dining rooms, a small quiet lounge, a sun lounge and a spa pool. There is an enclosed sensory garden and an indoor sensory room. Sussex Health Care own Kingsmead Lodge. The owners and responsible individuals are Dr S Sachedina and Mr S Boghani. The registered manager is Miss Eunice Mundopa who is responsible for the day-to-day running of the home. Kingsmead Lodge is on the same site as two other care homes owned by the Sussex Health Care Group. Kingsmead Lodge H60-H11 S24164 Kingsmead Lodge V225585 200605 Stage 4.doc Version 1.30 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The unannounced inspection took place during a morning and early afternoon. There were twenty people living at Kingsmead Lodge. Three people were out attending college courses and two were at day centres. All the other service users were seen and two were spoken with; care staff assisted with communication. Three staff were spoken with and time was spent with the manager. A tour of the building and grounds took place. There were gentle activities going on at the time and efforts were being made to keep people cool as the weather was very warm. A planned fire drill for staff took place. What the service does well: What has improved since the last inspection? Four service users have chosen the colours for their newly decorated rooms. A water feature has been fitted in the sensory garden and two people were enjoying the sound of the water. The company that provides the specialist wheelchairs will be running a regular clinic in the home so that people will not have a long journey when their wheelchair needs attention. A full time laundry assistant has been employed and service users now have a better laundry service. The home has a staff representative who attends meetings with other care staff employed on the site so that they can discuss any issues before raising them with the management team or providers. Kingsmead Lodge H60-H11 S24164 Kingsmead Lodge V225585 200605 Stage 4.doc Version 1.30 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. Kingsmead Lodge H60-H11 S24164 Kingsmead Lodge V225585 200605 Stage 4.doc Version 1.30 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 Standards Statutory Requirements Identified During the Inspection Kingsmead Lodge H60-H11 S24164 Kingsmead Lodge V225585 200605 Stage 4.doc Version 1.30 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 standard(s) 2, 3 and 4 There is a thorough pre-assessment process to ensure that people know that staff understand their aspirations and needs. Service users have a planned introduction with the opportunity to spend time at Kingsmead Lodge before they move in. EVIDENCE: A sample of case records were seen and it was clear that people’s needs had been thoroughly assessed prior to them moving in. Information had been obtained from health and social care professionals as well as relatives. The manager and the physiotherapist carry out assessments to ensure that people’s needs and goals are documented. The manager explained the process of pre-assessment and introduction and it was clear that people have the opportunity for a series of visits to the home before a final decision is made about a move. The training programme for staff ensures that they have the skills and knowledge to meet the needs of service users. Kingsmead Lodge H60-H11 S24164 Kingsmead Lodge V225585 200605 Stage 4.doc Version 1.30 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 standard(s) 6, 7, 8 and 9 The service user is at the centre of the care planning and reviewing process. People are supported to express their changing goals and aspirations. People are supported to develop their independence within a risk assessment framework. EVIDENCE: People living at Kingsmead Lodge depend on others for all their personal care, communication and social needs. A sample of case records were seen and showed that people’s needs and goals had been identified. There was clear guidance to staff about the way that people choose or need their care to be provided; there is also information available in bedrooms especially where a risk has been identified. A person centred care planning approach is being introduced. Reviews are held regularly and any changes in need are noted. Risks to service users are identified and where their freedom is restricted this is discussed with them and documented. Every service user has a communication passport with them at all times to ensure that staff understand their needs and can communicate effectively with them. Kingsmead Lodge H60-H11 S24164 Kingsmead Lodge V225585 200605 Stage 4.doc Version 1.30 Page 10 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 standard(s) 11, 12, 13, 14, 15 and 17 Service users are provided with opportunities for personal development to maximise their potential. There is a lively programme of leisure activities within the home and in the community that people are encouraged to take part in. Service users are supported to attend college courses and day centres. People are encouraged to maintain their links with family and friends. People are provided with a healthy diet and mealtimes are relaxed. EVIDENCE: Specialist advice and support is available to those who require it; a physiotherapist provides assessment and treatment programmes to help people maintain and develop their mobility. Six people attend college courses and four people attend day services locally. The manager confirmed that all service users have the opportunity to go out and take part in activities of their choice. A special programme of summer activities is being planned during the college vacation. Service users all have the opportunity for short holiday breaks. There is a lively programme of activities arranged in the home also trips to the theatre and concerts. Many of the service users enjoy music and regular music sessions are held in the home. Mealtimes are relaxed and Kingsmead Lodge H60-H11 S24164 Kingsmead Lodge V225585 200605 Stage 4.doc Version 1.30 Page 11 people are provided with a nutritious diet. A speech and language therapist provides regular support and advice to ensure those who are able to swallow are provided with food of the correct consistency. The kitchen staff have information about special dietary requirements. Kingsmead Lodge H60-H11 S24164 Kingsmead Lodge V225585 200605 Stage 4.doc Version 1.30 Page 12 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 standard(s) 18 and 19 Service users receive personal care in the way they prefer and require. People have access to the healthcare services that they need. EVIDENCE: There are policies and training for staff regarding the way that personal care should be provided. Individual needs and preferences were noted on the care plans that were seen. Information is also provided in service users’ rooms especially where a risk had been identified. The case records showed that people have access to the specialist healthcare that they need. A local GP visits the home each week to ensure that ongoing health and medication needs are addressed. There is a focus on ensuring that service users’ emotional needs are addressed and the person centred care planning provides an opportunity to identify individual hopes and dreams. The manager said that this had given service users a chance to communicate their wishes and hopes. Kingsmead Lodge H60-H11 S24164 Kingsmead Lodge V225585 200605 Stage 4.doc Version 1.30 Page 13 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 standard(s) 22 and 23 There are policies and systems in place to ensure that service users feel listened to and that they are protected from abuse, neglect or self-harm. EVIDENCE: The complaints policy is clear and is produced in symbol format to assist service users to understand their rights. Complaints are recorded and investigated appropriately and service users spoken with indicated that they feel safe at Kingsmead Lodge. Key workers spend time with service users to provide an opportunity for them to express any concerns. There are regular resident’s meetings. There are adult protection and whistle blowing policies. Training is provided to ensure that staff understand adult protection procedures and are able to protect service users from harm. Service users indicated that they feel safe at Kingsmead Lodge. Kingsmead Lodge H60-H11 S24164 Kingsmead Lodge V225585 200605 Stage 4.doc Version 1.30 Page 14 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 standard(s) 24, 25, 26, 27, 28, 29 and 30 Service users are provided with a safe and comfortable environment. Rooms and corridors have been designed for easier access for people who use wheelchairs. Service users have the specialist equipment that they need. EVIDENCE: Kingsmead Lodge was purpose built and designed to meet the needs of people who have physical disabilities. The building meets the requirements of the environmental health and fire officer. Service users have rooms that meet their needs and are decorated to their taste. The communal areas provide opportunities for lively activities or a quiet space. The sensory garden and patio area are used by service users in good weather. The toilets and bathrooms are especially adapted. The floor in one shower room was in need of cleaning to protect the health of service users. A permanent member of staff has been appointed for laundry duties to make sure that people have an efficient laundry service. The physiotherapist provides assessments and reviews to ensure that people have the equipment that they need. The wheelchair providers are going to be running a clinic in the home so that people do not have to travel a great distance for the service. Kingsmead Lodge H60-H11 S24164 Kingsmead Lodge V225585 200605 Stage 4.doc Version 1.30 Page 15 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 35 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 33 and 35 Service users are supported by a skilled staff team who are provided with the skills and knowledge they require to meet the needs of service users. EVIDENCE: The staffing rota showed that there are sufficient numbers of staff on duty to provide the required care. There are five registered nurses in the team and three adaptation students on a six-week placement. An adaptation student said that she had been given the learning opportunities and support she needed to provide nursing care to service users. The physiotherapist and speech and language therapist provide addition support for service users and some training and advice for care staff. Sussex Health Care provide an induction and training programme and staff said they are supported to attend training sessions. Kingsmead Lodge H60-H11 S24164 Kingsmead Lodge V225585 200605 Stage 4.doc Version 1.30 Page 16 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 39, and 42 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 37 and 38 The registered manager is qualified and experienced to ensure that people benefit from a well run home. There is an open and inclusive management approach to ensure that service users and staff can contribute to the development of the service. EVIDENCE: The manager is a registered nurse and is committed to her ongoing learning and development. Miss Mundopa is planning to take a degree course in epilepsy in the autumn. There are meetings and systems in place to ensure that service users and staff can raise issues and contribute to the further development of the service. There are clear lines of support and accountability in the home. Kingsmead Lodge H60-H11 S24164 Kingsmead Lodge V225585 200605 Stage 4.doc Version 1.30 Page 17 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 CONCERNS AND COMPLAINTS Standard No 1 2 3 4 5 Score x 3 3 3 x Standard No 22 23 ENVIRONMENT Score 3 3 INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 LIFESTYLES Score 3 3 3 3 x Score Standard No 24 25 26 27 28 29 30 STAFFING Score 3 3 3 3 3 3 3 Standard No 11 12 13 14 15 16 17 4 3 3 4 3 x 3 Standard No 31 32 33 34 35 36 Score x x 3 x 3 x CONDUCT AND MANAGEMENT OF THE HOME PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Kingsmead Lodge Score 3 3 x x Standard No 37 38 39 40 41 42 43 Score 3 3 x x x x x H60-H11 S24164 Kingsmead Lodge V225585 200605 Stage 4.doc Version 1.30 Page 18 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. 1. 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 Good Practice Recommendations Kingsmead Lodge H60-H11 S24164 Kingsmead Lodge V225585 200605 Stage 4.doc Version 1.30 Page 19 Commission for Social Care Inspection 2nd Floor, Ridgeworth House Liverpool Gardens Worthing, West Sussex, BN11 1RY 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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