Inspection on 20/06/05 for 27-29 Kingsley Road

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 Poor. 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

27-29 Kingsley Road 12/02/09

27-29 Kingsley Road 06/02/07

27-29 Kingsley Road 14/10/05

27-29 Kingsley Road 17/11/04

27-29 Kingsley Road 10/05/04

Similar services:

Hillside

Applegarth

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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 Kingsley Road Roseneath 27/29 Kingsley Road Northampton NN2 7BN Lead Inspector Kathy Jones Unannounced 20 June 2005 @ 08:00 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. Kingsley Road C51 C08 S12833 Kingsley Road V223601 200605 Stage 4.doc Version 1.30 Page 3 SERVICE INFORMATION Name of service Kingsley Road Address Roseneath 27/29 Kingsley Road Northampton Northants NN2 7BN 01604 459432 01604 459432 H3M022cooke@mencap.org.uk Royal Mencap Society 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) Vacant Care Home Only 10 Category(ies) of Learning Disability (LD) 10 registration, with number Physical Disability (PD) 3 of places Kingsley Road C51 C08 S12833 Kingsley Road V223601 200605 Stage 4.doc Version 1.30 Page 4 SERVICE INFORMATION Conditions of registration: 1. To include 3 people with an assoicated Physical Disability (PD). Date of last inspection 17/11/04 Brief Description of the Service: 27/29 Kingsley Road is a Residential Care Home providing long-term care for 10 Adults with a learning disability. The home is run by the Royal Mencap Society and is situated on a busy main road within easy reach of local shops and amenities and has good access to public transport. Northampton town centre is only a short distance away. Residents rooms are located on all three floors of the home with a stair lift which can be used to assist with access to the first floor. There are eight single bedrooms and one double. Three of the bedrooms have en-suites and there are two shared bathrooms in the home. There is one shared lounge and a separate dining room and a large garden to the rear of the home. Kingsley Road C51 C08 S12833 Kingsley Road V223601 200605 Stage 4.doc Version 1.30 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This unannounced inspection was carried out over the morning of a weekday. The inspection involved talking to Residents about their life in the home and reviewing a sample of records to see how their care is planned and supported. The Inspector met with Staff and also the new Manager to discuss the care provided and the training provided for Staff. Observations of Staff interactions with Residents and daily routines were made during the inspection. Pre-inspection information was provided by the home and some of this has been included within the report. Recommendations made at the last inspection were also reviewed. Comment cards sent out to the home had been distributed to Residents and relatives/visitors. A total of ten comment cards were received from Residents and eight from relatives/visitors. What the service does well: What has improved since the last inspection? Staff advised that the temporary Acting Manager has worked hard in addressing previous shortfalls. While there are a number of areas where improvements are still required discussion with Staff confirmed that some progress has been made in areas such as care planning and Staff training. A new permanent Manager has been appointed and interviews were due to take place for a Deputy Manager. Kingsley Road C51 C08 S12833 Kingsley Road V223601 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. Kingsley Road C51 C08 S12833 Kingsley Road V223601 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 Kingsley Road C51 C08 S12833 Kingsley Road V223601 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) This section of the standards was not reviewed during this inspection. This section of the standards was not reviewed during this inspection. EVIDENCE: This section of the standards was not reviewed during this inspection. No new Residents have been admitted to the home since the last inspection. Kingsley Road C51 C08 S12833 Kingsley Road V223601 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 and 9 Care planning processes do not fully support individual choices and aspirations. EVIDENCE: Some improvements have been made in the records, which are in place to plan Residents care, and it was confirmed through discussion with a Resident that they are aware of and involved with the care planning process. Observations, discussion with Residents, Staff and review of the records identified that further development of the care planning and risk assessment processes is required. Currently plans do not include all aspects of health and care needs or identification and planning to achieve personal goals. A Resident told the Inspector that they wished to move out of the home and have more independence and had wanted this for some time however there was no evidence of any goals to increase levels of independence in the home prior to review of needs. The new Acting Manager confirmed that a review would be arranged and an advocate sought to enable the Resident to have some independent advice and support with decision making about the future. Kingsley Road C51 C08 S12833 Kingsley Road V223601 200605 Stage 4.doc Version 1.30 Page 10 Conversations with Residents and Staff confirmed that Residents are able to make choices and are involved in discussions about everyday matters such as meals however comment cards received from Residents identified that eight would like to be more involved with decision making in the home. Kingsley Road C51 C08 S12833 Kingsley Road V223601 200605 Stage 4.doc Version 1.30 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 standard(s) 11, 12, 13, 14 and 15 Residents are supported in maintaining family links and leading a lifestyle, which includes various leisure and community activities however would benefit from more opportunities for personal development. EVIDENCE: On arrival at the home one Resident had left for day placements and others were about to leave. Residents spoken to said they were happy with how they spend their days. Some Residents are at home during the day and their routines for getting up in the morning were seen to be flexible with two Residents choosing to have a lie in until the others had left for the day. Staff talked about activities such as visits to the pub, swimming, shopping and one Resident who is doing a computer course. Residents have stated in the returned comment cards that the home provides appropriate activities and this was supported by conversation with two Residents. It was however difficult to ascertain the level of choice and opportunity that had been provided to Residents and as discussed in the previous section more work is required in developing individual goals and aspirations. Kingsley Road C51 C08 S12833 Kingsley Road V223601 200605 Stage 4.doc Version 1.30 Page 12 Staff have identified the need for additional staffing to provide more activities for those Residents who choose to be at home during the day and a request for additional funding has been made. The new Acting Manager is aware of the need to review the provision of activities on an individual basis to ensure that they are linked to the personal goals and interests of the individual. Residents were very keen to talk about their forthcoming holiday with some choosing to go to Blackpool and others to Hemsby. Residents who were at home were discussing arrangements for shopping and packing for the holiday. A large party had been held the previous weekend for a Resident celebrating a ‘milestone’ birthday. Staff confirmed that the guest list had been drawn up with the Resident and included family, friends and others who have been significant in his life. Relatives have confirmed that they are welcomed into the home and that they are consulted and kept informed of important matters. Kingsley Road C51 C08 S12833 Kingsley Road V223601 200605 Stage 4.doc Version 1.30 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 standard(s) 18 and 19 The overall standard of care and personal support is good however more information is required relating to health to confirm that health care needs are fully met. EVIDENCE: Comments from Residents confirmed that they feel well cared for and safe in the home. This was supported by comments from relatives who were all happy with the overall care provided with two particularly commenting on the happiness of the Resident. Residents are supported in establishing personal care routines, which are appropriate to them and are encouraged to shop for their own clothes with staff support. The majority of Residents stated that their privacy is respected with one stating it is sometimes. Staff were observed to respect Residents privacy throughout the inspection. Discussion with Staff confirmed that they are mindful of the need to monitor and act on any changes to Residents health. However review of one Residents records identified that records relating to health care needs were not up to Kingsley Road C51 C08 S12833 Kingsley Road V223601 200605 Stage 4.doc Version 1.30 Page 14 date and relevant information had not been included in care plans and risk assessments. Kingsley Road C51 C08 S12833 Kingsley Road V223601 200605 Stage 4.doc Version 1.30 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 standard(s) 22 The home has a procedure for dealing with complaints which everyone is aware of. EVIDENCE: The complaints procedure was not reviewed however comment cards received from relatives/visitors confirmed that they were aware of the homes complaints procedure and Residents all knew who to talk to if they were unhappy with the care that they received. Kingsley Road C51 C08 S12833 Kingsley Road V223601 200605 Stage 4.doc Version 1.30 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 standard(s) 24, 25, 26 and 28 The home was warm and comfortable but would benefit from additional shared seating space. EVIDENCE: A full tour of the premises was not carried out during this inspection. The Manager confirmed that all Residents are accommodated in single bedrooms with the exception of a married couple who share a double room. Observations were made during conversations with Residents and Staff of the communal areas of the home. These areas were seen to be clean and tidy. There is only one lounge area in the home at the present time, which was comfortably furnished and contained a television. It was not possible to assess the impact of the limited lounge space on Residents due to the timing of the visit, however the Acting Manager has Kingsley Road C51 C08 S12833 Kingsley Road V223601 200605 Stage 4.doc Version 1.30 Page 17 advised that quotes are being obtained for some work to be done to make some alterations to provide an additional sitting area. There is a shared dining room with space for all Residents to eat together however at least one Resident prefers to have meals at a dining table in their room. The large garden at the rear of the home contained a marquee at the time of the inspection, which had been used for a birthday party at the weekend. One bedroom was seen with permission from the Resident. The room was of a good size and very personalised with items of importance to the Resident. Kingsley Road C51 C08 S12833 Kingsley Road V223601 200605 Stage 4.doc Version 1.30 Page 18 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) 35 Additional support and planning is required to ensure that Staff are appropriately qualified and trained to meet Residents needs. EVIDENCE: Records relating to Staff training were not up to date making it difficult to confirm Staff training needs. Discussion with Staff confirmed that some recent training had taken place, which did not seem to have been added to the training records. The Acting Manager has advised the Inspector that since the inspection she has re-organised all the records. Information submitted prior to the inspection identifies that only three out of the twelve Staff employed have completed a National Vocational Qualification in care. The National Minimum Standards recommend that at least 50 of Staff complete this qualification at level 2 or an equivalent course by 2005. Discussion with Staff indicated that some had requested training and were keen to work towards a National Vocational Qualification however to date a course has not been booked for them. Kingsley Road C51 C08 S12833 Kingsley Road V223601 200605 Stage 4.doc Version 1.30 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 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) 42 Failure to ensure that Staff are appropriately trained in movement and handling puts Staff and Residents at risk. EVIDENCE: At the time of the inspection a new Manager had just been appointed and was going through her induction period. An Acting Manager has been managing the home through a difficult period while a new Manager was recruited and is currently inducting the new Manager. A relative said that the Acting Manager has done a good job and turned problems around in hours. Relevant safety checks are carried out which include checks on fire safety equipment, electrical equipment and visits by the Environmental Health Officer. Recent training for a member of Staff included fire awareness and first aid however she hadn’t received up to date movement and handling training. Given that some Residents need assistance with movement and handling the Kingsley Road C51 C08 S12833 Kingsley Road V223601 200605 Stage 4.doc Version 1.30 Page 20 Manager was going to review Staff training records to ensure that all those carrying out movement and handling have received the correct training. Kingsley Road C51 C08 S12833 Kingsley Road V223601 200605 Stage 4.doc Version 1.30 Page 21 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 x x x x Standard No 22 23 ENVIRONMENT Score 3 x INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 LIFESTYLES Score 2 2 x 2 x Score Standard No 24 25 26 27 28 29 30 STAFFING Score 3 3 3 x 2 x x Standard No 11 12 13 14 15 16 17 2 3 3 3 3 x x Standard No 31 32 33 34 35 36 Score x x x x 2 x CONDUCT AND MANAGEMENT OF THE HOME PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Kingsley Road Score 3 2 x x Standard No 37 38 39 40 41 42 43 Score x x x x x 1 x C51 C08 S12833 Kingsley Road V223601 200605 Stage 4.doc Version 1.30 Page 22 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. 1. Standard 6, 19 Regulation 12 (1) (a ), 13 (4) (c ) 12 (1) (a), 12 (2), 12 (3) 13 (5) 18 (1) (a),18 )1) (c ) (i) Requirement Timescale for action 30.08.05 2. 7,9,11 3. 35,42 Care plans and risk assessments must be must be in place which include health care needs and risks and have details of the required actions of the carer. Care plans must include personal 30.09.05 goals and demonstrate opportunities for personal development. A review of Staff training must 30.08.05 be carried out and training provided to meet identified shortfalls. This must include movement and handling training. 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. 2. Refer to Standard 28 35 Good Practice Recommendations Consideration should be given to implementing plans to provide more shared lounge/sitting space. Staff should be supported in obtaining a National Vovactional Qualification or equivalent in Learning Disabilities Kingsley Road C51 C08 S12833 Kingsley Road V223601 200605 Stage 4.doc Version 1.30 Page 23 Commission for Social Care Inspection Northamptonshire Area Office Newland House, First Floor Campbell Square Northants, NN1 3EB 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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