Inspection on 06/07/05 for Ernest Kleinwort Court

This inspection was carried out on 6th July 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

Ernest Kleinwort Court 16/04/07

Ernest Kleinwort Court 11/01/06

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 Mrs J Hough Announced 6 July 2005 V227480 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. Ernest Kleinwort Court H60-H11 S14501 Ernest Kleinwort V227480 060705 Stage 4.doc Version 1.30 Page 3 SERVICE INFORMATION Name of service Ernest Kleinwort Court Address Oakenfield, Burgess Hill, West Sussex, RH15 8SJ 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) 01444 247892 The Disabilities Trust Mrs Marilyn Muriel Freeman Care Home 35 Category(ies) of Physical disability over 65 years of age (PD(E)) registration, with number 35 Both, Physical disability (PD) - 35 Both of places Ernest Kleinwort Court H60-H11 S14501 Ernest Kleinwort V227480 060705 Stage 4.doc Version 1.30 Page 4 SERVICE INFORMATION Conditions of registration: None Date of last inspection 24/11/05 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 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 amentities. 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 H60-H11 S14501 Ernest Kleinwort V227480 060705 Stage 4.doc Version 1.30 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The announced inspection took place over 8 hours and Marilyn Freeman the registered manager was present at the inspection. A tour of the premises and garden took place and twelve residents, one relative and six members of staff spoke with the inspector. The records were examined for maintenance of systems and equipment, resident’s assessments and care plans, medication, staff files with regard to recruitment and training, and the complaints and accident log. Information was taken from the pre-inspection questionnaire completed by the registered manager. The comment cards from the Commission had not been completed or returned. What the service does well: What has improved since the last inspection? Ernest Kleinwort Court H60-H11 S14501 Ernest Kleinwort V227480 060705 Stage 4.doc Version 1.30 Page 6 The home has developed a new format for recording complaints, giving a more detailed account of the timescales for response, the actions taken and the outcomes of all complaints received. 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 H60-H11 S14501 Ernest Kleinwort V227480 060705 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 Ernest Kleinwort Court H60-H11 S14501 Ernest Kleinwort V227480 060705 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) 1,2,3 & 4 Admissions to the home are well planned. All the information about the home is contained in the Service User Guide. EVIDENCE: The Service User Guide for the home requires updating with regard to the current staff. When the home receives information of a possible new resident an invitation is given for the resident and their relatives where appropriate to visit the home to view the room available, meet the staff and other residents. The resident who then wishes to pursue their application will have a full assessment completed by the registered manager to find out the level of care they require and to ensure the home is able to meet their needs. The assessment also covers the resident’s interests and hobbies, education and work needs. All residents are admitted to the home for a three month trial period followed by a review meeting, before the final decision is made on whether the resident will move into the home on a permanent or short-term basis. Ernest Kleinwort Court H60-H11 S14501 Ernest Kleinwort V227480 060705 Stage 4.doc Version 1.30 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 standard(s) 6,7,8,&9 Each resident has a care plan which is drawn up and agreed with them. EVIDENCE: Six care plans were examined and found to be thorough in identifying the needs of each resident. The plan is generated from a full assessment carried out prior to admission and drawn up with the resident or their relatives where appropriate. The home does not have a key worker system but tries to provide some continuity with staff and residents where possible. Residents spoken with said they were able to make decisions on how they were cared for and staff respected their wishes in regard to their daily life styles. Any risks were identified, and an appropriate risk assessment completed. The home has a policy that encourages the residents to handle their own money but help and advice is provided from the Unit Administrator if needed. Formal monthly residents meetings are held for those who wish to attend. Smaller group meetings also take place every two weeks for those residents who prefer to discuss more personal issues. Residents said they felt the meetings were useful and they felt listened to when they had something to discuss. Ernest Kleinwort Court H60-H11 S14501 Ernest Kleinwort V227480 060705 Stage 4.doc Version 1.30 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 standard(s) 11,12,13,14,15,16 & 17 The residents play an active role in how the home is run and how they wish to spend their time. Menu’s show a well balanced and varied diet is offered. EVIDENCE: The home has an activity centre and employs two activity co-ordinators who arrange activities and events in line with the resident’s wishes and requests. Monthly functions include disco, barbeques, racing nights, visits to pubs and restaurants, cinema, and theatres. Leisure activities such as swimming, bowling cooking and computers and any other interests are arranged as needed. Some residents spoken with said they did local charity work and three residents work as classroom assistants in local schools. Residents are encouraged and supported to participate in work or attend further education courses as wished. Links with family and friends are well supported and one relative who visits the home regularly confirmed there were no visiting restrictions and visitors were also made very welcome. Ernest Kleinwort Court H60-H11 S14501 Ernest Kleinwort V227480 060705 Stage 4.doc Version 1.30 Page 11 Resident’s privacy in their own rooms is fully respected and each resident has a key to their own accommodation, and staff only enter the resident’s rooms with permission. Residents choose what they want to do with regard to any household tasks. Some of the residents prepare and cook some of their meals and some do their own washing. Menus showed a good choice of well balanced and nutritious meals were offered. Menus are completed on a four weekly rota taking into account residents likes and dislikes. Residents spoke highly of the food and said there was plenty to eat. The kitchen was clean and hygienic and food stored appropriately. Ernest Kleinwort Court H60-H11 S14501 Ernest Kleinwort V227480 060705 Stage 4.doc Version 1.30 Page 12 Personal and Healthcare Support The intended outcomes for Standards 18 - 21 are: 18. 19. 20. 21. Service users receive personal support in the way they prefer and require. Service users’ physical and emotional health needs are met. Service users retain, administer and control their own medication where appropriate, and are protected by the home’s policies and procedures for dealing with medicines. The ageing, illness and death of a service user are handled with respect and as the individual would wish. The Commission considers Standards 18, 19, and 20 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 18,19, & 20 Residents are supported to manage their own healthcare and medication where appropriate. EVIDENCE: Residents choose their own GP and generally arrange their own health appointments or when needed the staff will make the arrangements for them. A physiotherapist and chiropodist visit the home on a regular basis. All equipment required is provided and some residents have ceiling hoists in their private accommodation. All medication records examined were well maintained and accurate. Controlled Drugs administered were recorded in a separate book and signed by two members of staff when given. Most of the residents handle and take their own medication and have a locked facility in their rooms for the safe storage of their medicines. All senior staff who administer medicines have had training in medicines at the local college. The system used by staff when administering resident’s medicines is not ideal. Medicines should be dispensed from the original containers directly to the resident on an individual basis. The system for dispensing medicines is under review as the home is considering the different options available from local pharmacists that will best suit the homes requirements. Ernest Kleinwort Court H60-H11 S14501 Ernest Kleinwort V227480 060705 Stage 4.doc Version 1.30 Page 13 Ernest Kleinwort Court H60-H11 S14501 Ernest Kleinwort V227480 060705 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 home encourages and supports residents to express their views or concerns about any matters within the home. Staff have a good understanding of their responsibilities in the event of any suspicion or allegation of abuse. EVIDENCE: The home has a clear complaints procedure and all complaints are recorded and acted upon within the given timescales. The complaints log was examined and contained one complaint received in the last year which had been satisfactorily resolved. Residents spoken with said they would not hesitate to make their views known to the registered manager should they have any concerns. The home has a policy and procedure on Vulnerable Adults and all staff have attended training on abuse. Ernest Kleinwort Court H60-H11 S14501 Ernest Kleinwort V227480 060705 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) 24,25,26,27,28,29 & 30 The purpose built home and gardens are suitable for the needs of the residents. EVIDENCE: The premises are safe and comfortable with a homely atmosphere. All areas of the home and garden are easily accessible for wheelchairs. All resident’s private accommodation provides en-suite facilities and some provide kitchenettes. All areas of the home are generally well maintained and furnishings and fittings are in good order. Communal space consists of a large lounge and dining area, activities room, treatment room, and two kitchen areas one with a washing machine. The laundry facilities for the home consist of two industrial washing machines and driers. All infection control procedures are carried out satisfactorily with regard to handling of soiled linen. The spacious garden is well kept with pathways for easy access. There is a fishpond and bird aviary with numerous flower beds and hanging baskets. Ernest Kleinwort Court H60-H11 S14501 Ernest Kleinwort V227480 060705 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) 32,33,34,35,,& 36 The permanent staff are qualified and experienced to care for the needs of the residents. EVIDENCE: Staff rota’s show that the staffing numbers have been increased to nine care staff on duty in the morning and six care staff in the afternoon. At night there are three full time care staff plus an extra member of care staff working a twilight shift. At present the home has four care staff vacancies and uses agency staff to compliment the staffing numbers. Some of the residents were not so pleased when new agency staff provided their care due to them having to explain their needs, and how they like things done. All new staff are employed following two written references and a satisfactory Criminal Records Bureau check. On commencing work a full induction programme is completed which includes two weeks orientation and working under the supervision of a senior member of staff. Training records showed that all permanent staff receive mandatory training at the required intervals and specialised training in line with their role and responsibilities. Eight of the care staff are qualified to NVQ Level 3 in care. All staff have formal staff supervision, but some are overdue. Ernest Kleinwort Court H60-H11 S14501 Ernest Kleinwort V227480 060705 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) 37,38,42 & 43 The home is managed and run well. The residents and staff as far as practicable are safeguarded from harm. EVIDENCE: The registered manager Marilyn Freeman has worked in the home for 20 years and as the registered manager since August 2004. Marilyn has had many different roles within the home with many years experience working with the client group. Staff and residents said that she was very approachable and they would have no hesitation in talking to her about any matters. From observations and discussions it is apparent that any decisions taken in the home are shared with the staff and residents. Maintenance records show that all systems and equipment are serviced and maintained at the required intervals. All staff receive the necessary training to ensure safe working practices within the home. All accidents, injuries are recorded and reported to the appropriate authorities. The home complies with the requirements from the local fire authority, and staff and residents receive Ernest Kleinwort Court H60-H11 S14501 Ernest Kleinwort V227480 060705 Stage 4.doc Version 1.30 Page 18 regular fire safety drills. An insurance certificate was in place with the appropriate cover for the loss or damage to the building and the contents. Ernest Kleinwort Court H60-H11 S14501 Ernest Kleinwort V227480 060705 Stage 4.doc Version 1.30 Page 19 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Adults 18-65 have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME CONCERNS AND COMPLAINTS Standard No 1 2 3 4 5 Score 3 3 3 3 N/A Standard No 22 23 ENVIRONMENT Score 3 3 INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 LIFESTYLES Score 3 3 3 3 N/A Score Standard No 24 25 26 27 28 29 30 STAFFING Score 3 3 4 3 3 3 3 Standard No 11 12 13 14 15 16 17 3 3 3 4 3 3 3 Standard No 31 32 33 34 35 36 Score N/A 3 3 3 3 3 CONDUCT AND MANAGEMENT OF THE HOME PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Ernest Kleinwort Court Score 3 3 2 N/A Standard No 37 38 39 40 41 42 43 Score 3 3 N/A N/A N/A 3 3 H60-H11 S14501 Ernest Kleinwort V227480 060705 Stage 4.doc Version 1.30 Page 20 Are there any outstanding requirements from the last inspection? STATUTORY REQUIREMENTS This section sets out the actions which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 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 20 Good Practice Recommendations An urgent review of the method used by staff when administering the residents medication Ernest Kleinwort Court H60-H11 S14501 Ernest Kleinwort V227480 060705 Stage 4.doc Version 1.30 Page 21 Commission for Social Care Inspection 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. Extracts may not be used or reproduced without the express permission of CSCI Ernest Kleinwort Court H60-H11 S14501 Ernest Kleinwort V227480 060705 Stage 4.doc Version 1.30 Page 22 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. 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