Inspection on 04/07/05 for Kendal House

This inspection was carried out on 4th 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

Kendal House 08/11/06

Kendal House 17/01/06

Kendal House 11/01/05

Kendal House 13/07/04

Kendal House 07/01/04

Similar services:

Middlesbrough Intermediate Care Centre

Turret Villa Retirement Home

Moor House

Mendip House

Beaconsfield Court Care Home

Little Sisters Of The Poor

Manor House

Middleton Hall Ltd

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

CARE HOMES FOR OLDER PEOPLE Kendal House 29 Park Avenue Whitley Bay Tyne & Wear NE26 1DP Lead Inspector Jackie Burke Unannounced 4 July 2005 10:30 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. Kendal House v231760 b53-b03 s307 kendal homes v231760 040705 stage 4.doc Version 1.30 Page 3 SERVICE INFORMATION Name of service Kendal House Address 29 Park Avenue Whitley Bay Tyne & Wear NE26 1DP 0191 297 0093 0191 280 1050 tj.dunn@btconnect.com Kendal Homes Limited 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) Mrs Angela Oliver CRH 24 Category(ies) of DE Dementia (4) registration, with number OP Old Age (20) of places Kendal House v231760 b53-b03 s307 kendal homes v231760 040705 stage 4.doc Version 1.30 Page 4 SERVICE INFORMATION Conditions of registration: None. Date of last inspection 11 January 2005 Brief Description of the Service: Kendal House is a privately owned residential care home which offers residential care services for up to 24 people over 65 years, some of whom may have dementia. Accomodation is provided over two floors within four converted Victorian terraced houses located near the town centre of Whitley Bay.There is a pleasant garden to the front of the building and to the rear a paved patio area with a seating area for residents and planted tubs. This is accessed via the conservatory. Parking is restricted in the area, however there is metered parking available on the opposite side of the road. There are 22 rooms available in Kendal House 12 of which offer ensuite facilities. Communal toilets are situated throughout the building and there are two bathrooms both with hoist equipment and an adapted shower room. First floor accomodation is accessed via a passenger lift. Kendal House does not provide nursing care. Kendal House v231760 b53-b03 s307 kendal homes v231760 040705 stage 4.doc Version 1.30 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This is a report of an unannounced inspection, which took place on Monday 4 July 2005. The inspection took four hours and during this time twelve service users were spoken to, two staff, the manager and the registered provider. Kendal House has undergone some staff changes since the last inspection and this has been managed appropriately to ensure minimum disruption to service users. What the service does well: What has improved since the last inspection? What they could do better: Kendal House v231760 b53-b03 s307 kendal homes v231760 040705 stage 4.doc Version 1.30 Page 6 NVQ training levels have reduced since the last inspection and work needs to continue to ensure that 50 of staff achieve NVQ qualifications. The manager demonstrates continued commitment toward achieving this standard. Residents meetings are overdue and the manager intends to organise a rolling programme of consultation with service users. Planning for staff supervision needs to be reorganised and a rolling programme of supervision reinstated. 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. Kendal House v231760 b53-b03 s307 kendal homes v231760 040705 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 Kendal House v231760 b53-b03 s307 kendal homes v231760 040705 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) 3 Service users needs are assessed before moving into Kendal House and identified needs are met by the service. EVIDENCE: Three case files were examined during the inspection and assessment information is clearly organised and recorded. In addition to care managers assessment information the manager Mrs Oliver assesses each individual and develops a care plan for each person to ensure that needs are met in full. Potential residents are given the opportunity to visit Kendal House and to share a meal with residents to see if they like the home and to give the opportunity to meet people who currently live there. Kendal House v231760 b53-b03 s307 kendal homes v231760 040705 stage 4.doc Version 1.30 Page 9 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) 7-10 Service users needs are set out in a plan of care. Health care needs are met in full. Kendal House has a satisfactory policy for dealing with medication. Residents are treated with respect and privacy is safeguarded. EVIDENCE: Three case files were examined during the inspection and the contents were well organised and recorded with information relating to assessment, health, personal and social care needs, and the care plans clearly identify how those needs will be met. Files contain risk assessments and action plans to deal with identified risks. Sensitive information is dealt with confidentially and daily records reflect an awareness of service users needs. Advice on the specific needs of individuals is sought from health care professionals and action is taken. The needs of individuals are monitored and reviewed and care plans altered accordingly. Designated staff administer medication where necessary. Records reflect the awareness of staff regarding the privacy and choice of service users in their daily routines regarding bathing preferences and sleep routines. Kendal House v231760 b53-b03 s307 kendal homes v231760 040705 stage 4.doc Version 1.30 Page 10 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) 12-15 Needs are identified during assessment and activities and routines are developed accordingly. Kendal House provides a good standard and variety of activities. Links with families, friends and the community are encouraged. People are enabled to exercise choice in their lives. People are provided with a balanced diet and meal routines are provided flexibly wherever possible. EVIDENCE: People are encouraged to maintain links with families, friends and the community, and a number of residents go out independently and with family and friends. One person told me that he goes to visit his sister most days and that he likes to look around the shops. One lady spoke of her family visiting and another likes to go shopping with her daughter when she visits. Kendal House has links with a number of churches in the area and services are held at the home on a rota basis. One person said that if there were more staff they could take people out to the shops as those with no visitors are not able to go out without help. Residents are encouraged to attend activities and outings and contribute their ideas via residents meetings. The most recent outing was to North Shields quayside for a meal and many people commented positively on how much they had enjoyed the trip. Kendal House v231760 b53-b03 s307 kendal homes v231760 040705 stage 4.doc Version 1.30 Page 11 Entertainers come to the home to provide music, and outings are planned to attend the Playhouse. Activities including games and quizzes are provided in Kendal House for residents who may choose to take part. Photographs and displays of events are mounted in communal areas as reminders and to prompt conversation. Kendal House provides a four week menu which varies between summer and winter. Residents are encouraged to put forward ideas which can be incorporated into the menu as all meals are prepared fresh on the premises. Residents said that the food is very good and that the cook will provide an alternative if needed. Kendal House v231760 b53-b03 s307 kendal homes v231760 040705 stage 4.doc Version 1.30 Page 12 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 & 18 There is a complaints policy in place and service users complaints will be dealt with appropriately. Service users are protected from abuse. EVIDENCE: Kendal House has not received a complaint for some time, however residents spoken to said that they would speak to the manager or the provider if they had any complaints, which they did not. One person said that she was very happy but if that changed she would make a noise and tell the manager. Kendal House have recently demonstrated their commitment to the protection of service users by putting into practice their adult protection policy following concerns regarding the manner in which service users were treated by a member of staff. Investigations were undertaken and appropriate action taken and the rights of service users upheld. The manager has reviewed the Adult Protection Policy and robust measures are in place to ensure that resident’s interests are safeguarded and that they are protected. The whistle blowing policy has been reviewed and valuable lessons learned. Kendal House v231760 b53-b03 s307 kendal homes v231760 040705 stage 4.doc Version 1.30 Page 13 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 & 26 Service users live in a safe well maintained environment. The home is clean, pleasant and hygienic. EVIDENCE: Kendal House is maintained by the owner Mr Dunn, who ensures that décor and maintenance tasks are undertaken regularly. Maintenance contracts were provided during the inspection and contractors attend regularly to service equipment and to deal with any operational difficulties. Kendal House provides a pleasant welcome to visitors with a well- maintained garden and attractive hanging baskets at the front door. The home is clean and odour free and staff ensure that the home is clean and hygienic. Kendal House v231760 b53-b03 s307 kendal homes v231760 040705 stage 4.doc Version 1.30 Page 14 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) 27,29 & 30 Service user’s needs are met by numbers and skills of staff Service users are supported and protected by recruitment policies and practices. Staff are trained and competent to do their jobs. EVIDENCE: There are fifteen care staff at Kendal House and three ancillary staff. Three care staff are on duty during the day between 8am and 8pm in addition to the management team. In the evening between 8pm and 8am there are two care staff on duty with on call support. Senior staff work to a three week rota for weekend work. Adult Protection Policies and the whistle blowing policy have recently been reviewed. Recruitment policies and practices are in place to safeguard the interests of service users and records examined confirm that appropriate checks are made and references sought before an appointment is made. Supervision takes place on a regular basis, however the manager recognises that supervision has been less well organised due to staffing changes and she intends to improve supervision planning. Five staff have achieved NVQ level 2 or above and a further two staff are due to complete NVQ portfolios in August. Staff changes have meant that the numbers of staff qualified to NVQ level 2 has reduced since the last inspection. However, there is an ongoing commitment to achieve this standard once again. Mandatory training is up to date and new staff receive induction training. In addition specialised training and advice is sought regarding specific issues and appropriate action taken. Kendal House v231760 b53-b03 s307 kendal homes v231760 040705 stage 4.doc Version 1.30 Page 15 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) 33,35 &38 The home is run in the best interests of service users. Service users financial interests are safeguarded. The health, safety and welfare of service users and staff are promoted and protected. EVIDENCE: In discussion with the manager and the owner of Kendal House it is clear that the interests of service users are a high priority within the home. Residents are consulted on a range of issues and their needs are being met by staff. This is documented and stored in care plans. Activities and events are organised by staff and service users and families can contribute ideas and support fundraising projects. Residents spoke positively during the inspection of entertainment and outings and of the care they receive from staff. There are photographs and displays in communal areas, which support this. Individual residents have their own bank accounts, some of which are managed by family members and individuals have access to personal money. Kendal House v231760 b53-b03 s307 kendal homes v231760 040705 stage 4.doc Version 1.30 Page 16 One man has refused a bank account and has support to manage his finances within the home. Receipts and records are kept to safeguard the financial interests of service users. Policies and procedures relating to health and safety are satisfactory and records examined are accurately maintained and stored to ensure the wellbeing of staff and service users. Information was available relating to the fire log and yearly inspections. Kendal House v231760 b53-b03 s307 kendal homes v231760 040705 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 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 x x 3 x x x HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 3 10 3 11 x DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 3 COMPLAINTS AND PROTECTION 3 x x x x x x 3 STAFFING Standard No Score 27 3 28 x 29 3 30 2 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score Standard No 16 17 18 Score 3 x 3 x x 3 x 3 x x 3 Kendal House v231760 b53-b03 s307 kendal homes v231760 040705 stage 4.doc Version 1.30 Page 18 No Are there any outstanding requirements from the last inspection? STATUTORY REQUIREMENTS This section sets out the actions which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1. Standard Regulation Requirement Timescale for action RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1. Refer to Standard OP30 Good Practice Recommendations 50 of staff should be qualified to NVQ level 2 by 2005 Kendal House v231760 b53-b03 s307 kendal homes v231760 040705 stage 4.doc Version 1.30 Page 19 Commission for Social Care Inspection Northumbria House Manor Walks, Cramlington Northumberland NE23 6UR 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 Kendal House v231760 b53-b03 s307 kendal homes v231760 040705 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. 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