Inspection on 09/05/05 for CARE Kibworth

This inspection was carried out on 9th May 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 16/11/05

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 Judith Roan Unannounced 9 May 2005 16:15 th 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. CARE Kibworth DC51 C08 S1639 CARE Kibworth V225706 090505 stage 4.doc Version 1.30 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 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 & Rural Enterprises Limited) Vacant Care Home 6 Category(ies) of LD Learning Disability x 6 registration, with number of places CARE Kibworth DC51 C08 S1639 CARE Kibworth V225706 090505 stage 4.doc Version 1.30 Page 4 SERVICE INFORMATION Conditions of registration: No additional conditions of registration. Date of last inspection 18.10.2004 Brief Description of the Service: Care Kibworth is part of a national company being one of three homes in Leicestershire owned by Cottage and Rural Enterprises Limited. The home is set back from the main road leading into Kibworth, close to a variety of community 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. It does not stand out from its neighbours and is in walking distance of all local amenities. The service users are accommodated in single bedrooms. Communal areas are on the ground floor consisting of a lounge, a dining room and a kitchen. The house is decorated and furnished to a high standard and the residents’ bedrooms have been highly personalised. CARE Kibworth DC51 C08 S1639 CARE Kibworth V225706 090505 stage 4.doc Version 1.30 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 primary method of inspection used was ‘case tracking’ which involved selecting 2 service users and tracking the care they receive through review of their records, discussion with them, the care staff and observation of care practices. The inspection took place during the late afternoon and evening, over a period of 4 hours and was carried out on an unannounced basis. The acting Manager who was due to go off duty stayed for part of the inspection. There were two other members of staff on duty one a newly appointed assistant manager and a bank member of staff who had previously worked at the home as the manager. Service user began to arrive home at 4.30pm from various employment, college and day activities. Service users were soon busy with their household duties which they all complete before tea. The service users informed the inspector that they enjoyed taking responsibility for the everyday jobs and benefited from a clean and tidy home. What the service does well: The service has clear and easy to read information about the service that is offered at CARE Kibworth. The information is available to service users and their families. The home provides a good standard of accommodation with recent improvements to the Kitchen, bathrooms and general decorations. Service users are fully involved within ‘lifestyle decisions’ made as a group or as an individual. Personal support needs and goals are clearly detailed in service users care plans. Support staff enable service users to meet their personal goals and assist where appropriate. Care plans are reviewed on a regular basis and record any future changes. Service users have a wide choice of activities that includes attendance at college on a course that is extending their skills or connected to an area of supported employment. On other days service users may attend the day service at CARE Shangton that has an extensive programme on offer which service user can choose from. CARE Kibworth DC51 C08 S1639 CARE Kibworth V225706 090505 stage 4.doc Version 1.30 Page 6 What has improved since the last inspection? 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. CARE Kibworth DC51 C08 S1639 CARE Kibworth V225706 090505 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 CARE Kibworth DC51 C08 S1639 CARE Kibworth V225706 090505 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) 1,2,34 Service Users are provided with clear and sufficient information to enable them to make an informed choice. The full assessment of need and opportunity for service users to visit the home establishes whether their needs can be. EVIDENCE: CARE has an excellent Statement of Purpose that is clearly written with all the details required. The Service user guide is available and assessable for service users. Information contained in the Statement of Purpose and Service User Guide is would enable a service user to make a choice about the home. The home has an assessment process called ‘Getting to Know you’. This document uses the ‘person centred approach’ in starting with the service user to find out information and then moves onto gathering more details from significant others connected with them. All staff working at CARE are trained in person centred planning and work with individuals from the initial contact in a person centred way. All service users have a full assessment prior to admission and have the opportunity to visit and stay at the home. The assessments include information from the Service User, their purchasing authority together with detailed health care needs and views from families. CARE Kibworth DC51 C08 S1639 CARE Kibworth V225706 090505 stage 4.doc Version 1.30 Page 9 Decisions to stay at the home are made after a trial period when a meeting is held with the service user/family and Care manager to discuss whether the home can meet all the identified needs. CARE Kibworth DC51 C08 S1639 CARE Kibworth V225706 090505 stage 4.doc Version 1.30 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 6,7 Care plans detail important information to ensure that service users needs are met. EVIDENCE: Two service users files were viewed and contain care plans that are detailed and sets out how needs are to be met. The plans were agreed and signed. The plans reflect that service users have been supported to make their own decisions that affect their lives. In discussion with service users and staff it was confirmed that service users have the opportunity to meet and discuss future plans both as an individual and as a group. Resident meetings are held monthly where house issues, menus and activities are discussed. Reviews were undertaken on a regular basis within the home with service users and annually with families and purchasers of service. Detailed records were evident on the individual files seen. CARE Kibworth DC51 C08 S1639 CARE Kibworth V225706 090505 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) 11,12,13,14,15,17 Social activities are well organised and provide opportunities for service users to be part of the community and follow their own interests. The care plans do not demonstrate how service users are supported to choose a healthy and well balanced diet. EVIDENCE: Service users take advantage of numerous personal development options available to extend their skills. All staff are trained in person centre planning and are able to support service user in developing personal goals as part of an individual plan. CARE has a well-developed service in this area that is appropriate to service user age and culture with excellent benefits to service users. Service user spoken to during the inspection had great enthusiasm for work and college placements that have been part of their life for several years. Service users are encouraged to be part of the community by shopping locally and using the leisure facilities in the village or nearby Market Harborough. CARE Kibworth DC51 C08 S1639 CARE Kibworth V225706 090505 stage 4.doc Version 1.30 Page 12 Day services provided at the Shangton site offers a wide range of activities including Catering, Horticulture, administration and craft. Service users can choose options that they are interested in with support. All five-service users who completed a CSCI comments form agreed that the home provided suitable activities. Contact with relatives and friends is supported and maintained to meet service user needs. Family contact is encouraged and supported by staff in accordance with the service user care plan. Families confirmed in their response on the CSCI comment care that they were kept informed of important matters and were consulted about their care where service users were not able to make decisions. Service users commented that staff respect their wishes and respect their privacy. The CSCI comments form completed all confirmed this to be the case. Service users all agreed that the food was of a high standard and that they were normally involved in the choice, shopping and preparation. During the inspection service user had a quick snack prepared by a member of staff for safety reason as several were going out to a nightclub in Leicester. Service users often eat away from the home so no details are recorded of what food is eaten. In order to promote and encourage independence the files need to indicate how service users are supported to choose a healthy and balanced diet. CARE Kibworth DC51 C08 S1639 CARE Kibworth V225706 090505 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) 20 Services users are assessed and supported appropriately with medication administration. The homes policies, procedures and practices ensure safety. EVIDENCE: A requirement made at the last inspection for a lockable cupboard to be provided in a service users own room has been installed. The service user confirmed that they were now able to administer their own medication. Risk assessments were evident on the service users file and staff reviewed these on a regular basis. Medication for other service users is administered by staff that have undertaken relevant training. Medication at the home is safely stored, administered and disposed. CARE Kibworth DC51 C08 S1639 CARE Kibworth V225706 090505 stage 4.doc Version 1.30 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 standard(s) 22,23 The complaints procedure that is easily understood and accessible ensures service users can make comments or complain and know that it has been acted upon. The homes procedures, training and practices protect service users from abuse, neglect and self-harm. EVIDENCE: The complaints procedure is clearly written for service users. A comment book is situated in the entrance hall for all service users to use. The staff and service user were aware of how the system worked. The acting manager confirmed that she has not received any complaints in the last year. Of the five CSCI comment forms received from relatives three were unaware of the procedure. The acting manager agreed that she would send a copy to all relatives immediately. All service users completing the comment forms said that they felt safe at the home. All staff undertake protection of vulnerable adults training and are fully aware of the procedures and action to take if they have a concern. CARE Kibworth DC51 C08 S1639 CARE Kibworth V225706 090505 stage 4.doc Version 1.30 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 standard(s) 24,27,28,30 The home provides a safe, clean, and hygienic environment where service users a can live in comfort. Personal privacy is respected by the availability of individual rooms and adequate bathing facilities. EVIDENCE: The home has been redecorated and provides a clean, bright and odour free environment. The two bathrooms have been refurbished and provide a clean and hygienic place for service users. The home’s living areas are well used by service users and provide a relaxed atmosphere where service user can spend time together in comfortable. Bedrooms are well equipped and meet the needs of service user that were spoken with during the inspection. CARE Kibworth DC51 C08 S1639 CARE Kibworth V225706 090505 stage 4.doc Version 1.30 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 35 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 34,35 The recruitment policy and procedure ensure protection of service users living at the home. Staff at the home have a good induction, opportunities to attend further training and are well trained to meet the needs of service users. EVIDENCE: A staff file viewed demonstrated that the homes recruitment procedure was correctly applied and contained all relevant documentation. New support workers within CARE all undertake the full induction programme that is supported by a training officer based at CARE Shangton. The induction programme meets the care sectors recommended training. Required training is completed and staff are encouraged to develop their knowledge and skills within the organisation. A comment made by one of the relatives on the CSCI comment forms received by the inspector noted that there had been high turnover of staff. This has been referred to in the summary and in recommendations for the organisation to review its recruitment policy and procedure. CARE Kibworth DC51 C08 S1639 CARE Kibworth V225706 090505 stage 4.doc Version 1.30 Page 17 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) 39,41 Service user views are used to inform the home about the present service and needs for future developments. Records at the home are up to date, give accurate information and stored in a confidential manner. EVIDENCE: Views of service users are sort using a questionnaire. The results are then published in the service user guide. Regular monitoring is undertaken by the acting manager’s line manager and recorded in a report available in the home and required by the Care Home regulations. The inspector received comment forms from 5 service users at the home who were happy to discuss their responses during the inspection. All records seen during the inspection gave up to date information and was appropriately recorded. Records were stored within the office that was locked when not in use. CARE Kibworth DC51 C08 S1639 CARE Kibworth V225706 090505 stage 4.doc Version 1.30 Page 18 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 4 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 x x x Score Standard No 24 25 26 27 28 29 30 STAFFING Score 3 x x 3 3 x 3 Standard No 11 12 13 14 15 16 17 3 3 3 3 3 x 2 Standard No 31 32 33 34 35 36 Score x x x 3 3 x CONDUCT AND MANAGEMENT OF THE HOME PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 CARE Kibworth Score x x 3 x Standard No 37 38 39 40 41 42 43 Score x x 3 x 3 x x DC51 C08 S1639 CARE Kibworth V225706 090505 stage 4.doc Version 1.30 Page 19 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 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 33 Good Practice Recommendations CARE should review its recruitment policy to consider ways of increasing staff retention and minimising the effects that high staff turnover has on service users, CARE Kibworth DC51 C08 S1639 CARE Kibworth V225706 090505 stage 4.doc Version 1.30 Page 20 Commission for Social Care Inspection First Floor Newland House Campbell Square Northampton 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. Extracts may not be used or reproduced without the express permission of CSCI CARE Kibworth DC51 C08 S1639 CARE Kibworth V225706 090505 stage 4.doc Version 1.30 Page 21 - 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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