Inspection on 15/08/05 for Kenilworth Manor

This inspection was carried out on 15th August 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

Kenilworth Manor 02/07/07

Kenilworth Manor 20/12/05

Kenilworth Manor 22/02/05

Kenilworth Manor 09/07/04

Similar services:

Maple Lodge

Heathlands

Aston Court Nursing Home

Breme

Ravenhurst

Bank House

Inspirations

Westmead

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

CARE HOMES FOR OLDER PEOPLE Kenilworth Manor Thickthorn Orchards Kenilworth Warwickshire PCv8 2AF Lead Inspector Louise Thompson Unannounced 15 August 2005 9.30 am 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. Kenilworth Manor E53 S4397 Kenilworth Manor V244645 150805 stage 4.doc Version 1.40 Page 3 SERVICE INFORMATION Name of service Kenilworth Manor Address Thickthorn Orchards Kenilworth Warwickshire CV8 2AF 01926 858030 01926 851443 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) Kenilworth Manor Ltd Ms M R Clarkson Care Home with Nursing 34 Category(ies) of Older People registration, with number Terminally Ill of places (34) Kenilworth Manor E53 S4397 Kenilworth Manor V244645 150805 stage 4.doc Version 1.40 Page 4 SERVICE INFORMATION Conditions of registration: 1. Included in this total the home may provide care to two people aged 55-64 in the following categories: 1. Post operative respite care 2 Chronic disease management Date of last inspection 22 Feb 2005 Brief Description of the Service: Kenilworth Manor is a converted manor house, which has been extended to provide accommodation for 34 service users. The home is located in a quiet residential area of Kenilworth and is close to the town and its amenities. The home is registered to provide accommodation and care to service users over the age of 65 who may require nursing care. The home has specialist registration for the provision of terminal care. The current owners are Kenilworth Manor Ltd. The accommodation is provided on a number of floors with access to these via a passenger lift or stairs. The homes décor, furniture and furnishings are homely and of a very high standard. The gardens are mature and well maintained being accessible to all of the current service users Kenilworth Manor E53 S4397 Kenilworth Manor V244645 150805 stage 4.doc Version 1.40 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This inspection was unannounced and took place over one day. This was the first visit for this inspection year. Staff co operated fully with the inspection. The registered manager was present throughout the inspection. The inspection process involved a tour of the home, talking with the manager, examining records and care plans, observation of care practices along with discussions with residents, staff and two General Practitioners visiting on the day of the inspection. What the service does well: What has improved since the last inspection? Since the last inspection the home have commenced the implementation of the Gold Standards Framework for Palliative Care, which are national best practice standards. This includes specialist training for staff members. The manager and staff have continued to improve procedures for the management of wound care in line with best practice guidelines. Kenilworth Manor E53 S4397 Kenilworth Manor V244645 150805 stage 4.doc Version 1.40 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. Kenilworth Manor E53 S4397 Kenilworth Manor V244645 150805 stage 4.doc Version 1.40 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 Kenilworth Manor E53 S4397 Kenilworth Manor V244645 150805 stage 4.doc Version 1.40 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) These standards were not assessed at this inspection. EVIDENCE: Kenilworth Manor E53 S4397 Kenilworth Manor V244645 150805 stage 4.doc Version 1.40 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, 8, 9, 10 and 11 There is a suitable care planning system in place, which provides the staff with the necessary information to meet individual residents needs. Health needs of residents are met with evidence of liaison with health and social care professionals on a regular basis. Procedures for the management of medications ensure the safety of residents. Personal support is offered in such a way as to maintain residents’ privacy and dignity. EVIDENCE: Individual care plans are available. Inspection of the records of three of the residents showed that the health, personal and social care needs are identified and planned. Care plans and risk assessments are reviewed on a regular basis. Evidence of resident and relative involvement in care reviews was seen on those files examined. One resident spoke of some concerns with regards to her specific plan of care the manager was dealing with this at the time of the inspection. Kenilworth Manor E53 S4397 Kenilworth Manor V244645 150805 stage 4.doc Version 1.40 Page 10 Access is available to health professionals outside of the home, which includes the Chiropodist, GP, District nurses and the Dentist. Care files viewed showed involvement of members of the multidisciplinary team in assessing and meeting residents’ care needs. Two GP’s visiting during the inspection highly commended the care provided at the home. Systems for the management and administration of medications were observed and were satisfactory. Staff were observed treating the residents with dignity and respect during the inspection. Without exception residents said that the staff were very kind and caring and that they enjoyed living in the home. One resident said “that nothing was too much trouble for the manager and staff. It was like home from home.” The home is a pilot site for the implementation of the National Gold Standards Framework for Palliative Care. Evidence was observed of staff training in palliative care issues and liaison with Medical staff and Macmillan Nursing services. Kenilworth Manor E53 S4397 Kenilworth Manor V244645 150805 stage 4.doc Version 1.40 Page 11 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) 13, 14 and 15 People living in this home are supported to maintain family links and friendships and continue to be part of the local community in which they live. Lifestyle in the home promotes and respects residents’ rights and responsibilities. Dietary needs of residents are extremely well catered for with a balanced and varied selection of food available that meets residents’ tastes and choices. EVIDENCE: There are no restrictions placed on visiting unless requested by residents. Four of the residents said that visitors are welcome at any time and that family and friends can arrange to take meals with them when visiting should they wish. Several of the current residents continue to access the local town and its facilities. One resident said that she regularly attends town and had been out for a meal the previous evening with family. Local churches visit the home and provide regular services and communion for those residents who may be unable to visit the church. The inspector ate lunch with the residents. The home continues to maintain very high standards with regards to the provision of meals and the surroundings in which they are served. The presentation and quality of the food was excellent. Residents commented enthusiastically about the quality of Kenilworth Manor E53 S4397 Kenilworth Manor V244645 150805 stage 4.doc Version 1.40 Page 12 the meals and the choices available. Menus seen were nutritionally balanced and varied with good choices available. The home has achieved a good hygiene award. Kenilworth Manor E53 S4397 Kenilworth Manor V244645 150805 stage 4.doc Version 1.40 Page 13 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) These standards were not assessed as part of this inspection. EVIDENCE: Kenilworth Manor E53 S4397 Kenilworth Manor V244645 150805 stage 4.doc Version 1.40 Page 14 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 and 26 The standard of décor and furnishings is high with evidence of ongoing planned improvement and maintenance. The home presents as very comfortable and homely for residents. EVIDENCE: Kenilworth Manor is a converted manor house, which has been extended to provide accommodation for 34 residents. The accommodation is provided on a number of floors with access to these via a passenger lift or stairs. The décor, furniture and furnishings are homely and of a very high standard. The gardens are mature and well maintained and easily accessible to residents. Residents said that they enjoyed the gardens and took the opportunity regularly to walk/sit in the garden areas. The home was observed to be clean and tidy and free from odours at the time of the inspection. Kenilworth Manor E53 S4397 Kenilworth Manor V244645 150805 stage 4.doc Version 1.40 Page 15 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 and 30 There is a complement of staff that have worked at the home for many years and staffing levels offer a good consistency of care within the home. The procedures for the recruitment of staff are satisfactory and protect the residents. Training is well planned and good opportunities are available for all staff. EVIDENCE: Duty rotas seen for the period of a month demonstrate that staffing is maintained within previously agreed levels. Staff do additional shifts to cover for sickness and annual leave. Staff and residents told the inspector that the staffing levels were suitable to meet current care needs of residents. The home is a placement for student nurses with three students commencing placement following the inspection. Letters from previous students were complimentary about the quality of care provided at the home and the quality of the learning environment. The inspector examined the records of three staff members, which included those who had recently been appointed. Each file contained evidence of suitable CRB checks, references and all other information as required by the standard. Training records were observed and demonstrated that good opportunities are available for staff training. The home has a good NVQ training programme with several of the care staff are currently undertaking NVQ ‘s. Kenilworth Manor E53 S4397 Kenilworth Manor V244645 150805 stage 4.doc Version 1.40 Page 16 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 and 38 The quality management systems in place ensure that the home is run in the best interests of the residents. The health and safety of residents and staff are promoted and protected. EVIDENCE: The manager has implemented a number of formal quality audits with evidence of these seen during the inspection. Residents said that staff consult them about their personal circumstances and day-to-day things in the home. There are regular meetings where residents are consulted on day-to-day activities, food and outings etc. Questionnaires are sent out to relatives and residents on an annual basis. The results of the most recent survey were observed. Responses were very positive and complimentary about the home. Kenilworth Manor E53 S4397 Kenilworth Manor V244645 150805 stage 4.doc Version 1.40 Page 17 Certificates for the service and maintenance for major systems were available the manager said that these were done by appropriately qualified personnel. Reports of visits by the Fire Officer, Environmental Health Officer and Health and Safety Officer were observed during the inspection. Kenilworth Manor E53 S4397 Kenilworth Manor V244645 150805 stage 4.doc Version 1.40 Page 18 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 x x x x HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 3 10 3 11 3 DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 x 13 3 14 3 15 4 COMPLAINTS AND PROTECTION 4 x x x x x x 3 STAFFING Standard No Score 27 x 28 x 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score Standard No 16 17 18 Score x x x x x 3 x x x x 3 Kenilworth Manor E53 S4397 Kenilworth Manor V244645 150805 stage 4.doc Version 1.40 Page 19 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 OP 30 Good Practice Recommendations The inspector recommends that the manager checks the homes current induction package against the recently revised National induction standards and makes any changes as necessary. Kenilworth Manor E53 S4397 Kenilworth Manor V244645 150805 stage 4.doc Version 1.40 Page 20 Commission for Social Care Inspection Imperial Court Holly Walk Leamington Spa Warks CV32 4YB 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 Kenilworth Manor E53 S4397 Kenilworth Manor V244645 150805 stage 4.doc Version 1.40 Page 21 - 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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