Inspection on 12/05/05 for Carnalea Residential Home

This inspection was carried out on 12th 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

Carnalea Residential Home 02/03/09

Carnalea Residential Home 05/03/07

Carnalea Residential Home 19/12/05

Carnalea Residential Home 12/01/05

Carnalea Residential Home 19/10/04

Similar services:

The Shelley

Springfield House

Sutton Lodge Nursing Home

St Helier`s Residential Hotel

St Joseph`s

Ridgemount

Wingham Court

Old Hastings House

Extracts from inspection reports are licensed from CQC, this page was updated on 08/07/2008.

CARE HOMES FOR OLDER PEOPLE Carnalea Residential Home 5-9 London Road Faversham Kent ME13 8TA Lead Inspector M Hemmings Announced 12 May 2005 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 Older People. 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. Carnalea Residential Home H56-H05 S23368 Carnalea V220915 120505 Stage 4.doc Version 1.30 Page 3 SERVICE INFORMATION Name of service Carnalea Address 5-9 London Road, Faversham, Kent. ME13 8TA 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) 01795 532629 Mrs B Wake Mrs K Pope CRH 43 Category(ies) of OP registration, with number of places Carnalea Residential Home H56-H05 S23368 Carnalea V220915 120505 Stage 4.doc Version 1.30 Page 4 SERVICE INFORMATION Conditions of registration: Carnalea (the Home) is registered to provide accommodation and personal care for 43 older people (service users). Date of last inspection 12 January 2005 Brief Description of the Service: The premises comprise two older properties which have been combined to form one dwelling. The accommodation for service users is provided on the ground and the first floors. There is a passenger lift and a stair lift which give step free access throughout those areas of the premises occupied by service users. There is provision for most of the service users to have their own bedroom. However when the Home is full, up to 10 people are accommodated in shared bedrooms. All of the bedrooms have private wash hand basin. There is call bell system in the premises with a call point located in each bedroom. This has been done to make it easier for service users to summon assistance when it is needed. The Home is located about one mile from the Faversham’s town centre and is set back a little from a busy main road. To the rear of the property there is a large and most attractive walled garden. Carnalea Residential Home H56-H05 S23368 Carnalea V220915 120505 Stage 4.doc Version 1.30 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The inspection was completed over the course of two days. The Inspector spent about eight hours in the Home. During this time he spoke with eight service users. Also, he spoke with the Registered Provider and with the Registered Manager. The Inspector examined various records and he spoke with care workers and with housekeeping staff. The Inspector looked at various parts of the accommodation. This included (by invitation) several of the service users’ bedrooms. Before the inspection, the Inspector received written comments from three service users and from three of the service users’ relatives. The Home continues to provide the service users in residence with the personal care they need, within a pleasant setting. Service users say that members of staff are attentive and that they remain satisfied with the quality of the provision in Carnalea. What the service does well: There is a suitable system for assessing service users needs’ for assistance and for ensuring that this is delivered. The Registered Provider and the Registered Manager are aware of the need to tactfully monitor service users’ health and to promptly contact the primary health care team should this be necessary. There is an adequate calendar of social activities. Service users are provided with a varied range of well prepared meals. Suitable arrangements are in place to ensure that service users are safeguarded from any situations and people who might compromise their well-being. The Home has an adequate system of internal quality assurance which is designed to enable service users and other stakeholders to have a direct voice in the running of the Home. Carnalea Residential Home H56-H05 S23368 Carnalea V220915 120505 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. Carnalea Residential Home H56-H05 S23368 Carnalea V220915 120505 Stage 4.doc Version 1.30 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–6) Health and Personal Care (Standards 7-11) Daily Life and Social Activities (Standards 12-15) Complaints and Protection (Standards 16-18) Environment (Standards 19-26) Staffing (Standards 27-30) Management and Administration (Standards 31-38) Scoring of Standards Statutory Requirements Identified During the Inspection Carnalea Residential Home H56-H05 S23368 Carnalea V220915 120505 Stage 4.doc Version 1.30 Page 8 Choice of Home The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 1, 2, 3, 4 and 5. Prospective service users are provided with adequate written information about what it is like to live in the Home. The Registered Manager takes suitable steps to ensure that only service users whose needs for personal care can be met, are admitted to the Home. EVIDENCE: There is a Service User’s Guide. This document answers a lot of the questions which someone considering a move into the Home might wish to ask. Also, the Registered Manager makes a point of speaking with prospective service users so that they can clarify any matters which remain outstanding. Whenever possible, prospective service users are advised to visit the Home before a decision is made about moving in. This is done so that the person concerned can get a first hand feeling of what is on offer and how this might match up with their personal preferences. The Registered Manager completes a thorough assessment of each prospective service user’s needs for assistance. She does this by consulting with the Carnalea Residential Home H56-H05 S23368 Carnalea V220915 120505 Stage 4.doc Version 1.30 Page 9 person concerned and with partner agencies such as care managers (social workers) and with members of the primary health care team (doctors and nurses). Carnalea Residential Home H56-H05 S23368 Carnalea V220915 120505 Stage 4.doc Version 1.30 Page 10 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 7, 8, 9 and 10. Suitable arrangements are in place to ensure that the service users’ needs for personal care are met in an appropriate and consistent manner. Suitable systems are used to administer service users’ medication. EVIDENCE: There is a Service User Plan for each person which identifies what personal care they need to receive. The Inspector examined a selection of these Plans and he found them to be up to date and suitably detailed. The Inspector also noted that care workers provided care for the service users, in accordance with the contents of the Plans. Service users say that they receive all the personal care they need. The Registered Manager keeps a tactful eye open so that she can refer service users promptly for medical assistance, should it be needed. The Inspector noted that this had been done on several occasions since the last inspection visit to the Home. Carnalea Residential Home H56-H05 S23368 Carnalea V220915 120505 Stage 4.doc Version 1.30 Page 11 The Inspector witnessed a number of occasions on which service users received assistance from care workers. He noted these events to be characterised by a quiet informality. This is indicative of good practice and it is consistent with the descriptions given to him by the service users when they spoke about their relationships with staff. Carnalea Residential Home H56-H05 S23368 Carnalea V220915 120505 Stage 4.doc Version 1.30 Page 12 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 12, 13, 14 and 15. There is a calendar of social events convened in the Home, which service users say is sufficient to meet their needs. Service users are able to receive guests whenever they wish to do so. Service users, as appropriate, are encouraged to exercise choice in the control of their everyday lives. There is a suitably varied menu of meals provided in the Home. EVIDENCE: The calendar of social events comprises a range of low key activities in which individual service users can choose to participate. Also, there are there are trips out in the summer and a number of people said that they particularly enjoy these occasions. None of the service users expressed any concerns to the Inspector about visiting arrangements in the Home. Also, the Inspector has not received any expressions of concern from service users’ relatives about this matter. There are few rules as such in the Home. Service users get up when they wish and retire at a time of their choice. During the day, they are free to use their bedroom if they want privacy. Carnalea Residential Home H56-H05 S23368 Carnalea V220915 120505 Stage 4.doc Version 1.30 Page 13 The meals provided in the Home are well prepared and they are presented attractively. The amount of food served is adequate. The record of food served shows that the meals are suitably varied and that individual requests for particular dishes are accommodated when possible. Carnalea Residential Home H56-H05 S23368 Carnalea V220915 120505 Stage 4.doc Version 1.30 Page 14 Complaints and Protection The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 16, 17 and 18. Service users are confident that any concerns they raise will be dealt with prudently. The Registered Provider said that there are no complaints outstanding concerning the Home. The Commission also is not in receipt of any complaints relating to the Home. Appropriate provision is in place to ensure that service users’ well being is safeguarded. EVIDENCE: There is a written complaints procedure. This describes how someone can go about making a complaint to the Registered Provider and to the Commission about any aspect of the facilities and services available in the Home. The service users who spoke to the Inspector about this matter, said that they are confident that any queries they might raise will be promptly and fairly addressed. Service users are assisted to enter their names on the electoral register. Also, they are helped to vote either by post or in person. There is a written policy and procedure which explains how someone can raise concerns should they be concerned about a service user’s well being. Members of staff are aware of how to contact Kent County Council and the Commission for Social Care Inspection, should this be required. Carnalea Residential Home H56-H05 S23368 Carnalea V220915 120505 Stage 4.doc Version 1.30 Page 15 Environment The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 19, 20, 21, 22, 23, 24, 25 and 26. The Home provides a comfortable environment in which service users can make their home. There is an adequate number of bathrooms and toilets in the Home. Suitable arrangements are in place to enable care workers to assist those service users who experience a measure of reduced mobility. Service users’ bedrooms are adequately furnished, with the exception noted below. Within a risk assessed framework, suitable provision has been made to help prevent service users being accidentally burnt or scolded. The kitchen is maintained to a satisfactory standard of cleanliness. There is an adequate central heating and hot water service. EVIDENCE: The accommodation is presented to normal domestic standard. Service users told the Inspector that they feel comfortable and relaxed in the Home. Also, they consider that they have access to all of the facilities that they need. To Carnalea Residential Home H56-H05 S23368 Carnalea V220915 120505 Stage 4.doc Version 1.30 Page 16 the rear of the property there is a particularly large and well maintained garden, to which service users have ready access. There is a suitable range of equipment in place to assist in the promotion of service users’ mobility. The Inspector witnessed several occasions on which service users were assisted to rise and to get about. He noted the help given to be appropriate. Service users said that their bedrooms are equipped to enable them to be used as bed sitting areas in the manner envisaged by the Standards. However, there is no provision for service users to lock their bedrooms when they are not in occupation. To address this the Registered Provider is going to consult with all of the existing service users to determine if anyone would like to have a suitable lock installed. The Registered Provider has fitted guards to a number of radiators which a risk assessment has shown to constitute an appreciable risk to service users who might otherwise be burnt in the event of a fall. The Inspector understands that all of the remaining radiators will be guarded by 1 January 2006. The local Department of Environmental Health has not recommended any improvements in the Home, which remain outstanding. Service users said that the accommodation is always comfortably warm during cold weather. The Registered Provider has noted that one of the dining areas can become rather warm when the sun is out. She is going to monitor this issue during the forthcoming summer months so that a decision can be made about any additional ventilation facilities which may need to be installed. Care workers said that there is an adequate supply of hot water in the Home. The temperature of the hot water service is regulated to a level which the Registered Provider has assessed to be safe, given the particular requirements of individual service users. Carnalea Residential Home H56-H05 S23368 Carnalea V220915 120505 Stage 4.doc Version 1.30 Page 17 Staffing The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission considers Standards 27, 29, and 30 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 27, 28, 29 and 30. There are enough staff on duty in the Home to enable service users’ current needs for assistance to be met. Suitable arrangements are in place to ensure that only trustworthy people are allowed to have unsupervised access to service users. EVIDENCE: There is a sufficient number of care workers and housekeeping staff on duty to ensure that service users’ needs for personal care and other resources are met reliably. The various security checks which have to be completed in relation to each person employed in the Home, have been undertaken. The Registered Manager is aware of how recent revisions to the Regulations have tightened further aspects of these provisions. The Inspector observed various instances when care workers assisted service users. He noted their practice to be of a good standard. The Registered Manager is aware of the need to ensure that all members of staff have the competencies they need to respond reliably to service users’ needs for assistance. A new and strengthened system has been introduced to determine the need for new care workers to receive introductory training, before working on their own. The Registered Manager has partly completed a review exercise which should validate the adequacy of the competencies possessed by all of Carnalea Residential Home H56-H05 S23368 Carnalea V220915 120505 Stage 4.doc Version 1.30 Page 18 the existing care workers. This is an important example of good management practice. Another example of good practice involves the arrangements which have been made for various care workers to acquire or to study for a particular National Vocational Qualification (NVQ). This Award focuses upon how to provide good quality support for service users in residential care settings. Carnalea Residential Home H56-H05 S23368 Carnalea V220915 120505 Stage 4.doc Version 1.30 Page 19 Management and Administration The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. 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 and staff are promoted and protected. The Commission considers Standards 33, 35 and 38 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 31, 32, 33, 34, 35, 36, 37 and 38. The Registered Provider appropriately supervises the operation of the Home. The Registered Provider operates an internal quality assurance system to provide an additional route for service users to comment about the Home. There is a suitable health and safety regime in place. EVIDENCE: The various systems operated by the Registered Provider and by the Registered Manager combine to ensure that the service users reliably receive the assistance which they need. The Registered Provider has informed the Inspector that the Home is a viable business concern. She anticipates that this will remain the case for the foreseeable future, given the maintenance of the occupancy levels which routinely have been achieved in the recent past. Carnalea Residential Home H56-H05 S23368 Carnalea V220915 120505 Stage 4.doc Version 1.30 Page 20 All of the care workers receive formal professional supervision. This means that they periodically meet with someone senior to review their work and to resolve any problems should there be any. There are various provisions in place to help ensure service users’ health and safety. These include the operation of a suitable fire safety regime. Also included, is a system by means of which the Registered Provider identifies and responds promptly to potential hazards around the premises. Carnalea Residential Home H56-H05 S23368 Carnalea V220915 120505 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 Older People 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 ENVIRONMENT Standard No 1 2 3 4 5 6 Score Standard No 19 20 21 22 23 24 25 26 Score 3 3 3 3 3 N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 3 10 3 11 N/A DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 3 COMPLAINTS AND PROTECTION 3 3 3 3 3 3 3 3 STAFFING Standard No Score 27 3 28 3 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score Standard No 16 17 18 Score 3 3 3 3 3 3 3 3 3 3 3 Carnalea Residential Home H56-H05 S23368 Carnalea V220915 120505 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 Regulation None 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 None Good Practice Recommendations Carnalea Residential Home H56-H05 S23368 Carnalea V220915 120505 Stage 4.doc Version 1.30 Page 23 Commission for Social Care Inspection Address 1 Address 2 Address 3 Address 4 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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