Inspection on 11/01/06 for Ernest Kleinwort Court

This inspection was carried out on 11th January 2006.

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

Ernest Kleinwort Court 16/04/07

Ernest Kleinwort Court 06/07/05

Ernest Kleinwort Court 24/11/04

Ernest Kleinwort Court 30/06/04

Similar services:

Thorndene

Sutton Lodge Nursing Home

Wingham Court

Bethany Lodge

17 John Street

Red Oaks

Clare House Nursing Home

Broad Oak Manor Nursing Home

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

CARE HOME ADULTS 18-65 Ernest Kleinwort Court Oakenfield Burgess Hill West Sussex RH15 8SJ Lead Inspector Unannounced Inspection 11th January 2006 14.00 Ernest Kleinwort Court DS0000014501.V274948.R01.S.doc Version 5.1 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 Ernest Kleinwort Court DS0000014501.V274948.R01.S.doc Version 5.1 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. Ernest Kleinwort Court DS0000014501.V274948.R01.S.doc Version 5.1 Page 3 SERVICE INFORMATION Name of service Ernest Kleinwort Court Address Oakenfield Burgess Hill West Sussex RH15 8SJ 01444 247892 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) The Disabilities Trust Mrs Marilyn Muriel Freeman Care Home 35 Category(ies) of Physical disability (35), Physical disability over registration, with number 65 years of age (35) of places Ernest Kleinwort Court DS0000014501.V274948.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 6th July 2005 Brief Description of the Service: Ernest Kleinwort Court is a care establishment registered to provide accommodation and personal care for a maximum of thirty-five people who are physically disabled between the ages of eighteen and sixty-five years. The registration also makes provision for those who are over the age of sixty-five years to enable residents to remain in the establishment until the end of their lives if they wish, and if it is appropriate for them to do so. The registered provider is The Disablilities Trust which is a voluntary organisation. The responsible person for the organisation is Mr P Pilbeam. The registered manager is Mrs Marilyn Freeman who is responsible for the day-to-day running of the home. The purpose built single storey building is located on the outskirts of Burgess Hill town with it shops and local amenities. It provides spacious personal living accommodation with en-suite facilities and a range of communal rooms all of which are specifically designed to accommodate and facilitate residents with physical disabilities. There is a small unit of independent single flats situated in the level garden to the rear of the main building and two adjacent bungalows, which form part of the registered accommodation. Ernest Kleinwort Court DS0000014501.V274948.R01.S.doc Version 5.1 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The unannounced inspection took place over 3 hours and the Registered Manager Marilyn Freeman was present at the inspection and provided the information required. Records were examined in relation to the resident’s care plans and assessments, medication, resident’s contracts, complaints, accidents and maintenance checks. Twelve residents were spoken with and one visitor who visits the home on a regular basis. Not all the standards were assessed on this inspection and those not assessed were fully met at the last inspection carried out in July 2005. What the service does well: The home has a Statement of Purpose and Service User Guide both giving detailed information about the home, so that prospective residents are able to make a decision as to whether the home is right for them. All residents have an individual care plan identifying their personal, health, and social care needs that is completed with them and reviewed at regular intervals. The home is well adapted for the resident’s needs being spacious and bright, and provides any specialist equipment that is needed. The permanent staff have the training necessary for their work and are supported by having regular supervision with the senior members of staff. On speaking with the residents it was evident that they are given every opportunity to participate in any activities and work of their choice giving consideration to their safety and capabilities. The residents are fully involved in any decision making for the home through regular resident’s meetings and day- to -day contact with the management. Ernest Kleinwort Court DS0000014501.V274948.R01.S.doc Version 5.1 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. Ernest Kleinwort Court DS0000014501.V274948.R01.S.doc Version 5.1 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 Ernest Kleinwort Court DS0000014501.V274948.R01.S.doc Version 5.1 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): 1,5 The residents are provided with all the information about the home prior to any decision being made to move in on a permanent basis. EVIDENCE: The information about the home is contained in the Statement of Purpose and Service User Guide so that the residents can make a choice as to whether the home is right for them. Each resident has a contract that includes details of the accommodation, terms and conditions of occupancy and period of notice, additional services, fees, personal support and facilities, and rights and responsibilities for both parties. This contract is agreed and signed by the resident on admission to the home. Ernest Kleinwort Court DS0000014501.V274948.R01.S.doc Version 5.1 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): 6,10 The residents are fully involved in the completion and reviewing of their care plans. EVIDENCE: Three of the resident’s care plans and assessments were examined and contained detailed information about their needs and the level of assistance required. The individual care plans identified the daily needs including the personal, health and social care needs of each resident. An independent skills plan is completed that includes any education and employment issues, activities and interests of the resident. The residents are supported to maintain their independence within a risk assessment framework. The resident’s are not routinely weighed unless there are concerns with regard to their weight or diet. The plans seen were reviewed on a regular basis and the residents had a copy of their care plan. The home has a policy on confidentiality and the resident’s individual records are kept secure in locked filing cabinets. Ernest Kleinwort Court DS0000014501.V274948.R01.S.doc Version 5.1 Page 10 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 The residents choose what they wish to do with regard to activities and work. EVIDENCE: The home has two activity organisers who continue to provide a varied programme of activities and events taking into account the wishes of the residents. The residents spoken with were all pleased with the various activities that went on and said that if they expressed a wish to do any specific activity or work it was always given serious consideration. Ernest Kleinwort Court DS0000014501.V274948.R01.S.doc Version 5.1 Page 11 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): 19,20,21 The home provides the residents with any support needed to ensure all their health needs are met. The medication procedures in the home had improved since the last inspection. EVIDENCE: Where able the residents arrange their own appointments with doctors, dentists etc. and register with a GP of their choice. The residents who wish to continue to manage their own medicines are supported to do so following a risk assessment. Accurate records are kept of all medication administered, received and disposed of. All medication is stored securely in a locked cupboard. All Controlled drugs were recorded in a separate register. The members of staff who administer the resident’s medication had completed the appropriate training in the safe handling of medicines. Following the last inspection the home had reviewed the system used for storing and administering the resident’s medicines and had changed to the blister pack system that had improved the safety and efficiency of the home’s medication procedures. A locked medicine trolley for transporting the Ernest Kleinwort Court DS0000014501.V274948.R01.S.doc Version 5.1 Page 12 medicines around the home has been purchased, to replace the open trolley used at the present time. The home has a policy on care of the dying resident that states that the home would continue to care for the dying resident unless there were strong medical reasons to prevent this or the resident expressed a wish to die elsewhere. The home would include other specialist health professionals for support and advice when needed. Ernest Kleinwort Court DS0000014501.V274948.R01.S.doc Version 5.1 Page 13 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 The staff welcome and support the residents to express their views on any aspects of the home. EVIDENCE: The home has a clear complaints procedure and all residents are provided with a copy. On examining the complaints log no complaints had been recorded since the last inspection in July 2005. The residents spoken with said they would not hesitate to speak with the manager should they have any concerns or worries. Ernest Kleinwort Court DS0000014501.V274948.R01.S.doc Version 5.1 Page 14 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): 30 The home is kept clean and fresh with good laundry facilities. EVIDENCE: The areas of the home seen were clean and fresh. The resident’s accommodation was not seen on this inspection, but the residents had no complaints with regard to the cleanliness of the home. The laundry facilities for the home consist of two industrial washing machines and driers. There is also a washing machine available for those residents who wish to do their own personal laundry. All infection control procedures are adhered to, with regard to the handling of soiled linen. Ernest Kleinwort Court DS0000014501.V274948.R01.S.doc Version 5.1 Page 15 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): 32,36 The staffing numbers appear sufficient to meet the resident’s needs. The staff receive the training and support they need for them to do their job. EVIDENCE: The staffing numbers are maintained with nine care staff on duty in the morning and six care staff in the afternoon. During the night there are three full time care staff plus an extra member of care staff working a twilight shift from 9pm to 1am. The home at present has some care staff vacancies and uses agency staff to compliment the staffing numbers. On speaking with the residents it was clear that some of them were not keen on having the agency staff look after them, due to having to explain how they like things done. However, following a recent recruitment campaign that received a good response, interviews are being planned for the near future. The home continues to provide NVQ training for the care staff. The staff have recorded supervision meetings at least six times per year. Ernest Kleinwort Court DS0000014501.V274948.R01.S.doc Version 5.1 Page 16 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): 39,40,41,42 The residents and staff are protected from harm as far as practicable. The home takes the views of the residents seriously. EVIDENCE: The home constantly monitors the views of the residents with regular residents meetings and an open door policy of management. The residents spoken with said that they were given every opportunity to express their views on any matters as part of these meetings and day- to- day contact with staff. The Disabilities Trust last completed a survey in August 2005 to find the views of the residents, and the last survey the home completed was in March 2004. The policies and procedures for the home were developed and reviewed by the Disabilities Trust and are accessible to staff for reference when needed. The home provides the staff with the appropriate training for their job that is updated at the required intervals, to ensure safe working practices. Maintenance records were examined and showed that the systems and equipment in the home were regularly serviced and maintained. The home Ernest Kleinwort Court DS0000014501.V274948.R01.S.doc Version 5.1 Page 17 complies with all the requirements of the local fire service following a recent assessment. All accidents, incidents, and injuries were recorded and reported to the appropriate authorities. Ernest Kleinwort Court DS0000014501.V274948.R01.S.doc Version 5.1 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 Standard No Score 1 3 2 X 3 X 4 X 5 3 INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 3 23 X ENVIRONMENT Standard No Score 24 X 25 X 26 X 27 X 28 X 29 X 30 3 STAFFING Standard No Score 31 X 32 3 33 X 34 X 35 X 36 3 CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 3 X X X 3 LIFESTYLES Standard No Score 11 X 12 3 13 X 14 X 15 X 16 X 17 X PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score X 3 3 3 X X 3 3 3 3 X Ernest Kleinwort Court DS0000014501.V274948.R01.S.doc Version 5.1 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. 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. Refer to Standard Good Practice Recommendations Ernest Kleinwort Court DS0000014501.V274948.R01.S.doc Version 5.1 Page 20 Commission for Social Care Inspection Worthing LO 2nd Floor, Ridgeworth House Liverpool Gardens Worthing West Sussex BN11 1RY 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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