Inspection on 16/11/05 for CARE Kibworth

This inspection was carried out on 16th November 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

CARE Kibworth 22/06/07

CARE Kibworth 09/05/05

CARE Kibworth 18/10/04

CARE Kibworth 17/06/04

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 CARE Kibworth 70 High Street Kibworth Leicester LE8 0LP Lead Inspector Mrs Diane Butler Unannounced Inspection 16th November 2005 3.30 CARE Kibworth DS0000001639.V265762.R01.S.doc Version 5.0 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 CARE Kibworth DS0000001639.V265762.R01.S.doc Version 5.0 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. CARE Kibworth DS0000001639.V265762.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service CARE Kibworth Address 70 High Street Kibworth Leicester LE8 0LP 0116 2793848 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) CARE (Cottage and Rural Enterprises Ltd) Miss Joanne Darling Care Home 6 Category(ies) of Learning disability (6) registration, with number of places CARE Kibworth DS0000001639.V265762.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. 3. The home limits its services to the following service user categories No person falling within the category Learning Disability (LD) can be admitted where there are already 6 persons of category LD already in the home. Total number of service users in the home must not exceed 6 Date of last inspection 9th May 2005 Brief Description of the Service: Care Kibworth is situated in the village of Kibworth, Leicestershire. It is owned by the charitable organisation Cottage and Rural Enterprises Limited (CARE). The home is set back from the main road leading into Kibworth and is close to a variety of local amenities. The home provides care and support to six adults who have a learning disability. Service users access day service provision, either via a college, supported employment or the day service at another site owned by the same company. The home has bright and comfortable communal areas, with 2 fully equipped bathrooms and an attractive garden. The service users are accommodated in single bedrooms. The house is decorated and furnished to a high standard and the residents bedrooms are highly personalised. CARE Kibworth DS0000001639.V265762.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The focus of inspections undertaken by the Commission of Social Care Inspection is upon the outcomes for Service Users and their views of the service provided. The main method of inspection used was ‘case tracking’ which involved selecting two service users and tracking the care they receive through the checking of their records, discussion with them, the care staff and observation of care practices. This inspection took place during the late afternoon and evening of the 16th November 2005. The Registered Manager was most helpful during the inspection process. What the service does well: What has improved since the last inspection? What they could do better: Ensure that the information included in the Statement of Purpose document is up to date and accurate. CARE Kibworth DS0000001639.V265762.R01.S.doc Version 5.0 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. CARE Kibworth DS0000001639.V265762.R01.S.doc Version 5.0 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 CARE Kibworth DS0000001639.V265762.R01.S.doc Version 5.0 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): 1,2,3,4 Prospective residents are given the opportunity to visit the home before moving in and are given all the relevant information about the services offered to enable them to make an informed decision about admission to the home. EVIDENCE: • A statement of purpose document is available. This document, which is displayed in the resident’s hallway, includes all the necessary information to enable prospective service users and/or their families to make an informed choice about whether to live at the home. It was noted that the Statement of Purpose document had yet to be amended to show the details of the current Registered Manager and that the assistant manager detailed in the document no longer worked at the home. The Registered manager stated that all prospective residents are invited to look around the home and have a meal with the residents already accommodated there. This enables the prospective resident to get a feel of what it is like to live at the home. Through out the inspection staff were seen communicating effectively with the residents in their care. • • • CARE Kibworth DS0000001639.V265762.R01.S.doc Version 5.0 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): 6,7,8,9 The relaxed homely life style within the home enables service users to make choices on a daily basis. EVIDENCE: • Person Centred Planning files and care plans were in place for both service users case tracked. These were found to be thorough in content, relevant to the individual resident and reviews had taken place. Evidence was seen to confirm that the residents had had a large input into the development of the person centred planning files. All the residents living at the home are able to make decisions on a daily basis including where to eat, what to wear, and what activity they wish to complete in their free time. Evidence was seen of the residents making decisions throughout the inspection. This included one resident deciding to go to the local shop for some flowers and then deciding whether to join the other residents on a visit to the local pub. • CARE Kibworth DS0000001639.V265762.R01.S.doc Version 5.0 Page 10 • Issues that arise are discussed on a daily basis and all residents are fully involved in life at the home. The residents are encouraged to carry out certain domestic tasks that are allocated to them on a monthly basis. This provides more opportunities for them to be involved in the day to day running of the home. The staff working at the home enable the residents to take responsible risks on a daily basis. Through conversation with one resident the inspector was informed that the Registered manager had recently purchased a fluorescent jacket for him so that he could continue to walk to his friends house now that the darker nights had arrived. • CARE Kibworth DS0000001639.V265762.R01.S.doc Version 5.0 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 Staff enable the residents living in the home to maintain jobs, continue their education and training and take part in fulfilling activities. EVIDENCE: • The staff working at the home encourage and enable the residents to attend places of work and/or day services provided at CARE Shangton. A wide range of activities is offered including Catering, Horticulture, administration and craft. Residents are encouraged to be part of the community. They have regular trips to the local pub, shop at the local stores and use the leisure facilities in the village or in the nearby town of Market Harborough. The daily routines of the home promote independence and choice. All residents have keys to their rooms and during the inspection staff were seen knocking before entering the residents rooms. • • CARE Kibworth DS0000001639.V265762.R01.S.doc Version 5.0 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 the following standard(s): 18,19,20 Service users receive assistance and support in the way they prefer and require. EVIDENCE: • All the residents living at the home are extremely independent and are encouraged and enabled by the staff to care for themselves. Residents spoken with explained that they are able to get up, shower, dress and make their own breakfast on a daily basis. The inspector was also informed that they could go to bed when they wished. One resident explained, “If I need any help I only have to ask”. Through inspection of daily records it was evident that residents are assisted to access healthcare services when needed. Services contacted on the residents behalf included opticians, chiropodists and the speech and language team at the local hospital. At the time of the inspection three of the residents were being prescribed medication. The Registered Manager explained that staff do not give the residents their medication they prompt the residents to take it themselves, thereby promoting the residents independence. When the medication is DS0000001639.V265762.R01.S.doc Version 5.0 Page 13 • • CARE Kibworth taken the residents sign the medication administration record to say that the medication has been taken. • All the medication had been signed into the home and the medication administration records were signed appropriately. CARE Kibworth DS0000001639.V265762.R01.S.doc Version 5.0 Page 14 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): 22,23 Arrangements for the receiving and responding to complaints are sound resulting in the satisfactory protection of the residents living in the home. EVIDENCE: • The Registered Manager stated that no complaints had been received since the last inspection. The complaints procedure was seen and was found to include all the necessary information. A copy of this procedure is displayed in the homes entrance hall and residents spoken with were aware of whom to speak to if they had any concerns. One resident stated, “I would speak to the boss!! [The registered manager]. A second resident explained that she felt sure that if she had any worries, the staff would sort them out. All staff undertake training in the protection of vulnerable adults and all are fully aware of the procedures and actions to take should they have a concern. • CARE Kibworth DS0000001639.V265762.R01.S.doc Version 5.0 Page 15 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): 24,25,26,27,28,29,30 The standard of the accommodation within this home is good, providing residents with an attractive and homely place to live. EVIDENCE: • The home is well maintained both internally and externally. Accommodation is on two levels and is easily accessible. The decoration and furnishings throughout the home are of a good standard and are presented in a comfortable and homely way. The communal areas within the home provide space in which the residents can spend time together in comfort. The rooms belonging to the two residents case tracked were seen. Both were highly personalised and suited to their needs. Both had bathroom and toilet facilities close to their rooms. All areas of the home seen on this occasion were clean, fresh and well cared for. • • • CARE Kibworth DS0000001639.V265762.R01.S.doc Version 5.0 Page 16 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): 31,32,33,34,35,36 Sufficient numbers of staff are currently employed to meet the needs of the service users. Recruitment practices within the home ensure appropriate protection for residents. EVIDENCE: • • Job descriptions are in place and all staff understand their own and others’ roles and responsibilities within the home. All the staff employed at the home have received induction training including LDAF (Learning Disability Award Framework) training. The Registered Manager stated that all new staff would shadow existing staff for a minimum of four weeks before working alone at the home. The Registered Manager stated that all staff receive supervision on a monthly basis. Evidence of this was seen whilst checking the file belonging to one of the staff members on duty at the time of the inspection. Appropriate recruitment practices are in place. The Registered manager explained that face to face interviews are carried out, two references are collected and a CRB (Criminal Records Bureau) disclosure is obtained. This was confirmed on checking the file belonging to the newest member of staff. DS0000001639.V265762.R01.S.doc Version 5.0 Page 17 • • CARE Kibworth 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): 37,38,39,40,41,42 Resident’s benefit from the ethos, leadership and management approach of the home. EVIDENCE: • The Registered Manager has over ten years experience working in the care sector and is currently in the process of completing her Registered Managers award. Quality assurance questionaires are completed by the residents and their families to enable the staff to gain feedback about the service they are providing and one to one meetings are held with the residents on a monthly basis to ensure that they continue to receive the appropriate level of support that they require. • CARE Kibworth DS0000001639.V265762.R01.S.doc Version 5.0 Page 18 • • • • The fire records were seen and were found to be in order. The relevant polices and procedures are in place and all staff working at the home are required to sign to say that they have read and understood them. The records seen during the inspection were up to date and securely stored. Throughout the inspection the home was found to have a relaxed and friendly atmosphere and the interactions between staff and residents were positive, informal and inclusive. CARE Kibworth DS0000001639.V265762.R01.S.doc Version 5.0 Page 19 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 3 3 3 3 X Standard No 22 23 Score 3 3 ENVIRONMENT INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score 3 3 3 3 X Standard No 24 25 26 27 28 29 30 STAFFING Score 3 3 3 3 3 3 3 LIFESTYLES Standard No Score 11 3 12 3 13 3 14 3 15 3 16 3 17 Standard No 31 32 33 34 35 36 Score 3 3 3 3 3 3 CONDUCT AND MANAGEMENT OF THE HOME X PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 CARE Kibworth Score 3 3 3 X Standard No 37 38 39 40 41 42 43 Score 3 3 3 3 3 3 X DS0000001639.V265762.R01.S.doc Version 5.0 Page 20 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. X Standard X Regulation X NONE Requirement Timescale for action 16/11/05 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 YA1 Good Practice Recommendations The Registered Provider should ensure that all information included in the Statement of Purpose document is up to date and accurate. CARE Kibworth DS0000001639.V265762.R01.S.doc Version 5.0 Page 21 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. Extracts may not be used or reproduced without the express permission of CSCI CARE Kibworth DS0000001639.V265762.R01.S.doc Version 5.0 Page 22 - 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. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. The policy of www.bestcarehome.co.uk is to use all legal avenues to pursue such offenders, including recovery of costs. You have been warned!