Inspection on 11/07/05 for Kempsfield

This inspection was carried out on 11th 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 found there to be outstanding requirements from the previous inspection report but made no statutory requirements on the home.

Other inspections for this house

Kempsfield 10/07/07

Kempsfield 03/10/06

Kempsfield 31/10/05

Kempsfield 31/08/04

Kempsfield 22/04/04

Similar services:

Polesworth Group Friary Road

Polesworth Group Pooley Heights

Polesworth Group 32 Station Road

Polesworth Group 70 Long Street

Breme

Polesworth Group 64 Long Street

Polesworth Group 68 Long Street

10 Whitfield Avenue

Extracts from inspection reports are licensed from CQC, this page was updated on 09/07/2008.

CARE HOME ADULTS 18-65 KEMPSFIELD PRIMROSE DRIVE SUTTON PARK SHREWSBURY SY3 7TP Lead Inspector Mike Moloney Unannounced 11 July 2005 10.00 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. KEMPSFIELD E56 S32578 Kempsfield UAI V217034 230605 Stage 4.doc Version 1.30 Page 3 SERVICE INFORMATION Name of service KEMPSFIELD Address PRIMROSE DRIVE SUTTON PARK SHREWSBURY SY3 7TP 01743 246033 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) SHROPSHIRE COUNTY COUNCIL DEBORAH MOWL CARE HOME 19 Category(ies) of 17 LEARNING DISABILITY registration, with number 2 LEARNING DISABILITY - OVER 65 of places KEMPSFIELD E56 S32578 Kempsfield UAI V217034 230605 Stage 4.doc Version 1.30 Page 4 SERVICE INFORMATION Conditions of registration: 1. The home may accommodate service users with a learning disability who are aged under or over 65 years in any proportions. 2. That the manager attends training in local adult protection procedures and be aware of her role within that process within six months. The manager confirmed that this condition has been met. Date of last inspection 31st August 2004 Brief Description of the Service: Situated on an estate in southern Shrewsbury the home was purpose built some time ago and the way that it functions has changed over the years. Part of the upper floor of the building has now been segregated from the rest of the building in such a way as to form a separate flat with its own entrance, keys and address.Overall the home has 19 beds all of which are for long term placements for people with a learning disability.The home is owned by Shropshire County Council and a registered manager is currently being recruited. KEMPSFIELD E56 S32578 Kempsfield UAI V217034 230605 Stage 4.doc Version 1.30 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. Inspection work undertaken by CSCI is proportionate in relation to how a home has performed in the past. As Kempsfield has a consistent history of providing a good service for people this inspection was brief and focused only on a small number of “key” areas of work including some minor shortfalls noted at the last inspection. The inspection was carried out during the morning. A number of the service users were at home at the time receiving day care from day service staff within the home. A number of the service users were spoken to during the inspection as were the staff; both home and day service. The visit lasted for three hours and also involved the study of a range of records and a look around the building. The registered manager was not on duty at the time of the inspection but came in when she was told that the inspection was happening but until she arrived one of the assistant managers was in charge of the home and provided any of the information requested as part of the inspection process. What the service does well: What has improved since the last inspection? More activities are now available to those who remain within the home during the day with. Various issues around the equipment available for bathing have now been resolved and a ‘snack’ kitchen has now been installed in the Kingfisher flat. KEMPSFIELD E56 S32578 Kempsfield UAI V217034 230605 Stage 4.doc Version 1.30 Page 6 What they could do better: Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. KEMPSFIELD E56 S32578 Kempsfield UAI V217034 230605 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 KEMPSFIELD E56 S32578 Kempsfield UAI V217034 230605 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) 2 The home has an effective assessment procedure. EVIDENCE: Admissions to Kempsfield do not happen very often with only one taking place since the last inspection and that one was some time ago. Talking to the staff and looking at her records showed that this had taken place in a well considered manner ensuring that the process caused as little disturbance to the individual concerned as possible. KEMPSFIELD E56 S32578 Kempsfield UAI V217034 230605 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 and 9 The service user plans are comprehensive and updated at appropriate intervals ensuring that the individuals’ needs are met. Where possible service users are consulted and do make decisions about their lives. EVIDENCE: The care plans and the assessments of activities contained the information that would enable staff to work towards the service users’ goals. Given the range of needs and the dependency levels of the service users some of these had, of necessity, involved very little direct input from some of the individuals concerned. However, other service users made it clear that they could express their views and the staff confirmed that they were given the opportunity to do so in their reviews. In talking to and watching the service users it was obvious that they were encouraged to make as many decisions for themselves as possible and their records showed when they should not for safety reasons. Various elements identified within the Individual Plans had also been risk assessed and these documents were regularly reviewed protecting the safety of the individual concerned. KEMPSFIELD E56 S32578 Kempsfield UAI V217034 230605 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) 17 Service users are offered a healthy diet and enjoy their meals. EVIDENCE: Few of the standards in this section were fully assessed on this occasion but conversation relating to other standards such as those around risk assessments clearly indicated that the home was maintaining the levels of social activities that they had in the past. This view was supported by the presence of the day service staff who were obviously providing a variety of activities and opportunities to the service users present. Talking to the cook and looking at her records showed that the service users were provided with a good, well balanced diet and talking to some of the service user it was clear that this was also their assessment. KEMPSFIELD E56 S32578 Kempsfield UAI V217034 230605 Stage 4.doc Version 1.30 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 standard(s) 18 and 19 The healthcare needs of the service users are met. EVIDENCE: The service users care plans showed how each individual should be approached and how different types of help should be given. When personal support was needed the individual concerned was discreetly taken to a bathroom or their room making certain that their personal care needs are met whilst their dignity is maintained. Numerous entries in the individuals records that were confirmed by either the staff or the service users showed that the help of various healthcare professionals was obtained when necessary and a district nurse visited during the inspection. KEMPSFIELD E56 S32578 Kempsfield UAI V217034 230605 Stage 4.doc Version 1.30 Page 12 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 and 23 The service users are protected from abuse and the staff enable their views to be taken into account despite the nature of their disabilities. EVIDENCE: The home has received one complaint since the last inspection and this was dealt with through the procedures designed for the protection of vulnerable adults. The home had a copy of the local policies and procedures for the protection of vulnerable adults as well as a copy of their own complaints procedure both being part of the systems that ensures that the service users are listened to and protected from abuse, neglect and self-harm. Although the level of the disabilities of some of the service users means that they are unlikely to be able to access these formal policies, observation of the staff interacting with them and communicating between themselves indicated that they, the staff, would be aware of any dissatisfaction expressed by a service user and it was seen that a whistle blowing policy is available to be used. KEMPSFIELD E56 S32578 Kempsfield UAI V217034 230605 Stage 4.doc Version 1.30 Page 13 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 and 30 The standard of the environment is good providing service users with an attractive and homely place to live. EVIDENCE: Kempsfield is situated in the southern part of Shrewsbury and was purpose built as a hostel some years ago. Since then it has evolved to meet the needs of those now living there with a variety of adaptations having been made to the structure of the buildings. Talking to the manager and assistant manager showed that progress is being made towards making the grounds more secure with a lot of consideration being given to the safety aspects of this. One of the flats has recently had its own kitchenette installed to enable more flexible use of that lounge by the day service staff with appropriate consideration being given to increased needs for access by wheelchair users. The home has a number of bathrooms that offer a choice of showers or baths with a variety of aids being available in each. The home seemed clean and tidy and peoples’ clothes also appeared to be well looked after. KEMPSFIELD E56 S32578 Kempsfield UAI V217034 230605 Stage 4.doc Version 1.30 Page 14 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 and 36 The home ensures that enough staff are available to carry out the service user plans. Those staff receive the necessary training but they do not receive recorded supervision frequently enough. EVIDENCE: The home staff have been able to benefit from NVQ training and a high proportion of them have achieved NVQ level 2 or above in care. Equally, the day service staff who work with the service users within the home also have had similar levels of training. The rota showed that the staff were working at times and in sufficient numbers to meet the needs of the service users. A third but full time assistant manager has recently been employed at the home and it is expected that when she has completed the appropriate training professional supervision will be available to the staff at the frequency required by the National Minimum Standards and highlighted at the last inspection. This will enable them to keep up to date with such matters as care practices, changes in procedures and more specifically about matters around the care for individual service users. KEMPSFIELD E56 S32578 Kempsfield UAI V217034 230605 Stage 4.doc Version 1.30 Page 15 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) 42 The home is well run providing a safe and stable environment for the service users. EVIDENCE: There were records kept in the home that showed safety issues such as hot water temperature controls and fire procedures are monitored regularly. The home also has a full risk assessment process, the results of which could be found in appropriate places such as the individuals’ files and for the more general issues, centrally in the office. Since the last inspection the manager of the home has been successful in her application to be registered with the Commission for Social Care Inspection. As mentioned elsewhere in this report the management team is now up to strength enabling the full range of management duties to be carried out with KEMPSFIELD E56 S32578 Kempsfield UAI V217034 230605 Stage 4.doc Version 1.30 Page 16 the effect that this will be a more organised home for the people living there. However, the rest of Standard 37 was not fully inspected on this occasion. KEMPSFIELD E56 S32578 Kempsfield UAI V217034 230605 Stage 4.doc Version 1.30 Page 17 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 x 3 x x 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 3 x Score Standard No 24 25 26 27 28 29 30 STAFFING Score 3 x x 3 x x 3 Standard No 11 12 13 14 15 16 17 x x x x x x 4 Standard No 31 32 33 34 35 36 Score x 4 3 x x 1 CONDUCT AND MANAGEMENT OF THE HOME PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 KEMPSFIELD Score 3 3 x x Standard No 37 38 39 40 41 42 43 Score x x x x x 3 x E56 S32578 Kempsfield UAI V217034 230605 Stage 4.doc Version 1.30 Page 18 yes 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 36 Regulation 18(2) Requirement Care staff must receive formal supervision at least six times a year. Timescale for action Immediate 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 Good Practice Recommendations KEMPSFIELD E56 S32578 Kempsfield UAI V217034 230605 Stage 4.doc Version 1.30 Page 19 Commission for Social Care Inspection 1st Floor, Chapter House South Abbey Lawn SHREWSBURY SY2 5DE 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 KEMPSFIELD E56 S32578 Kempsfield UAI V217034 230605 Stage 4.doc Version 1.30 Page 20 - 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. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. 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