Inspection on 22/06/07 for CARE Kibworth

This inspection was carried out on 22nd June 2007.

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 16/11/05

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 Helen Abel Key Unannounced Inspection 22nd June 2007 2.00 CARE Kibworth DS0000001639.V327284.R01.S.doc Version 5.2 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.V327284.R01.S.doc Version 5.2 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.V327284.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service CARE Kibworth Address 70 High Street Kibworth Leicester LE8 0LP 01162 793848 01162 793848 highstreet12@freeuk.com www.care-ltd.co.uk CARE (Cottage and Rural Enterprises Ltd) 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) Miss Joanne Darling Care Home 6 Category(ies) of Learning disability (6) registration, with number of places CARE Kibworth DS0000001639.V327284.R01.S.doc Version 5.2 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 16th November 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.V327284.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This unannounced inspection took place on a weekday between 2pm and 5.30pm. The primary method of inspection used was ‘case tracking’ which involved selecting two residents and tracking the care they received through looking at their records, and care staff, and observation of care practices. The Inspector spoke with two staff and the registered manager. Assessments and person centred plans for two residents were examined and aspects of care and support discussed in detail. Documents relating to staff training and recruitment, health and safety, medication, and quality assurance were examined and a full tour of the home made. Five resident’s surveys were returned to the Commission for Social Care Inspection and their comments included in this inspection. What the service does well: What has improved since the last inspection? No requirements or recommendations are to be met. CARE Kibworth DS0000001639.V327284.R01.S.doc Version 5.2 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. The summary of this inspection report can be made available in other formats on request. CARE Kibworth DS0000001639.V327284.R01.S.doc Version 5.2 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.V327284.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 1,2,3,4. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. 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 in the home and remains in the process of being updated, with particular reference to the Home Alone Status. This further encourages individual’s independence within a framework of risk. This document, which is displayed in the hallway, includes information to enable prospective service users and/or their families to make an informed choice about whether to live 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 and staying over weekend visits. This enables the prospective service user to get a feel of what it is like to live at the home. A full settling in period is for around six- months. CARE Kibworth DS0000001639.V327284.R01.S.doc Version 5.2 Page 9 Through out the inspection all staff were seen positively communicating with service users and chatting about daily events and homely activities. CARE Kibworth DS0000001639.V327284.R01.S.doc Version 5.2 Page 10 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. JUDGEMENT – we looked at outcomes for the following standard(s): 6,7,8,9,10 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Service users are involved in day-to-day decisions, are well supported to take reasonable risks and good care plans accurately reflect their needs EVIDENCE: Comprehensive person centred plans were in place for both service users case tracked. These were found to be thorough in content, relevant to the individual with evidence of regular reviews, and contained pictures of family members and the individual over the years. All the service users 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. One service user was observed sorting out his washing off the clothes dryer. Another service user was observed dusting and polishing the dinning room and living room as part of the monthly tasks shared CARE Kibworth DS0000001639.V327284.R01.S.doc Version 5.2 Page 11 around the home. Another service user was observed watching a film drinking lager with small group of service users. This is agreed through the individuals risk management framework. All service users are fully involved in all aspects of life at the home and were observed talking with staff on how they wanted to spend their time. CARE Kibworth DS0000001639.V327284.R01.S.doc Version 5.2 Page 12 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. JUDGEMENT – we looked at outcomes for the following standard(s): 12,13,15,16,17 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Service users living in the home continue their education and training and take part in fulfilling activities. EVIDENCE: The staff encourage the service users to attend places of work and/or day services provided. There is also a Supported Employment scheme, which is based at CARE Shangton, which supports people in various work situations in the local community. On the day of the visit many of the service users were on holiday for a week from day services and just returned from lunch at the local pub. Service users 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. CARE Kibworth DS0000001639.V327284.R01.S.doc Version 5.2 Page 13 One of the service users returned independently from college and told the Inspector how much she enjoyed it. Another service user told the Inspector, “I went to Asda this morning, very busy. It’s alright living here, staff are friendly.” Staff had prepared a pasta hot pot for dinner and other staff spoke about the wide range service users enjoy. This includes curries, Italian and Middle Eastern food. Service users take it in turns to cook at the weekends with fresh products and guidance and support from staff. A service user was away on holiday with family members, another service users case tracked has very regular contact with family and friends. Staff are greatly supportive of individual services users right to maintain their own personal relationships and have helped one service user to progress this with the support of an Advocate. CARE Kibworth DS0000001639.V327284.R01.S.doc Version 5.2 Page 14 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. JUDGEMENT – we looked at outcomes for the following standard(s): 18,19,20 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Service users receive assistance and support in the way they prefer and require. EVIDENCE: Service users case tracked, are very independent and encouraged and enabled by the staff to care for themselves. One service user enjoyed swimming, horse ridding and was able to enjoy these physical pursuits on a regular basis. Another service user case tracked enjoyed activities going out with friends, family and shopping. Through inspection of daily records it was evident that service users case tracked are assisted to access healthcare services when needed. Services contacted on the service users behalf include opticians, chiropodists and services at the local hospital. CARE Kibworth DS0000001639.V327284.R01.S.doc Version 5.2 Page 15 Service users case tracked were being prescribed some medication. Staff explained that they do not give the service users their medication they prompt the service users to take it themselves, thereby promoting independence. When the medication is taken the service user signs the medication administration record to say that the medication has been taken. CARE Kibworth DS0000001639.V327284.R01.S.doc Version 5.2 Page 16 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. JUDGEMENT – we looked at outcomes for the following standard(s): 22,23 Quality in this outcome area is good This judgement has been made using available evidence including a visit to this service. Services users are listened to resulting in the satisfactory protection of the people living in the home. EVIDENCE: The service has a robust complaints procedure outlined in the statement of purpose. To date there have been no complaints. A complaints leaflet in pictorial form is also available. The staff group closely supports service users and confirmed they would pick up quickly any issues as they arise. Commission for Social Care Inspection surveys were collected from service five users they said: “However sometimes it’s had to explain what I need or want” “ I am very happy at High St” “ I am very happy living at 70 High St. I know the area and can use the bus to visit my mother in Market Harborough.” “I like to go and help at Welland park café. I like to go shopping.” 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.V327284.R01.S.doc Version 5.2 Page 17 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. JUDGEMENT – we looked at outcomes for the following standard(s): 24, 30 Quality in this outcome area is good This judgement has been made using available evidence including a visit to this service. Service users live in a well maintained clean and hygienic home. EVIDENCE: The home was clean and comfortable with items belonging to service users dotted around. The dinning room table had a material centrepiece made by one of the service users. The rooms belonging to the two service users case tracked were seen. Both were highly personalised and suited to their needs. Both had bathroom and toilet facilities close to their rooms. All parts of the home inspected were clean and hygienic with services users taking responsibility for regular cleaning routines in their bedrooms and the communal areas. The garden area was well maintained and staff spoke of service users and staff having meals sitting together in the garden wherever possible. CARE Kibworth DS0000001639.V327284.R01.S.doc Version 5.2 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 32, 34 and 35 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 32, 34, 35 Quality in this outcome area is good This judgement has been made using available evidence including a visit to this service. Recruitment practices within the home ensure appropriate protection for service users. EVIDENCE: Staff confirmed they are offered a wide range of training Safe Handling of Medicines, Challenging Behaviour, Health & Safety, First Aid, Food Hygiene, and Dementia. Two staff have Makaton training and use this with some service users. One staff member said, “If there was any training I need, I would only have to ask and my manager would try and arrange it for me”. Another staff member said, “ My manager is good if we need something she will sort it out, and if she can’t she will tell us when she can.” A staff member confirmed receiving induction training including LDAF (Learning Disability Award Framework) training. All new staff would shadow existing staff for a minimum of four weeks before working alone at the home. CARE Kibworth DS0000001639.V327284.R01.S.doc Version 5.2 Page 19 Staff confirmed receiving regular supervision on a monthly. Evidence of this was seen whilst checking the file belonging to one of the staff members with responsibilities for service users case tracked. 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) and POVA checks are obtained. This was confirmed on checking staff files. CARE Kibworth DS0000001639.V327284.R01.S.doc Version 5.2 Page 20 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. JUDGEMENT – we looked at outcomes for the following standard(s): 37,39,42 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Good health and safety practices ensure residents’ welfare in these areas is promoted 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, and hold a National Vocational Qualification in Care. All staff spoken with were complimentary about their managers leadership and management approach to the home. One staff member said, “She is firm but fair.” The manager confirmed her commitment to the service and wanting to develop the service for better outcomes for the service users. CARE Kibworth DS0000001639.V327284.R01.S.doc Version 5.2 Page 21 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 There are policies in the home, which tell staff about how to work safely; and training to make sure they work safely. For example all staff on duty had received first aid training. National Vocational Qualification training in Care is ongoing for all staff. Staff do checks to make sure that equipment is safe. Fire equipment and systems are regularly maintained and serviced. CARE Kibworth DS0000001639.V327284.R01.S.doc Version 5.2 Page 22 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 3 2 3 3 3 4 3 5 x 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 3 25 x 26 x 27 x 28 x 29 x 30 3 STAFFING Standard No Score 31 x 32 3 33 x 34 3 35 3 36 x CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 3 3 3 3 3 LIFESTYLES Standard No Score 11 x 12 3 13 3 14 x 15 3 16 3 17 x PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 x x 3 x 3 x x 3 x CARE Kibworth DS0000001639.V327284.R01.S.doc Version 5.2 Page 23 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. 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.V327284.R01.S.doc Version 5.2 Page 24 Commission for Social Care Inspection Lincoln Area Office Unity House, The Point Weaver Road Off Whisby Road Lincoln LN6 3QN National Enquiry Line: Telephone: 0845 015 0120 or 0191 233 3323 Textphone: 0845 015 2255 or 0191 233 3588 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.V327284.R01.S.doc Version 5.2 Page 25 - 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. 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