Inspection on 20/12/05 for Kenilworth Manor

This inspection was carried out on 20th December 2005.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Excellent. 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 15/08/05

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 CV8 2AF Lead Inspector Jackie Howe Unannounced Inspection 20th December 2005 10:45 X10015.doc Version 1.40 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 Kenilworth Manor DS0000004397.V273272.R01.S.doc Version 5.0 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 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 DS0000004397.V273272.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service Kenilworth Manor Address Thickthorn Orchards Kenilworth Warwickshire CV8 2AF 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) 01926 858030 01926 851443 Kenilworth Manor Limited Melanie Ruth Clarkson Care Home 34 Category(ies) of Old age, not falling within any other category registration, with number (34), Terminally ill (34) of places Kenilworth Manor DS0000004397.V273272.R01.S.doc Version 5.0 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 Mangement 15th August 2005 Date of last inspection 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 home’s 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 DS0000004397.V273272.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The inspection took place over four hours and was the second visit of the inspection year 2005/06. The inspection included a tour of the home, discussions with the deputy matron, talking with residents, staff and visitors to the home, examining records and reading care plans. What the service does well: Kenilworth Manor is an impressive building in a residential area of Kenilworth. The home is extremely well maintained with furniture and fixtures of a high standard. The gardens are accessible to all with patio areas to be used in the summer and ramps to assist with mobility. Windows in the home allow for a good view of the gardens both from bedrooms and communal areas. Personal bedrooms are spacious with en suite facilities and personalised. Residents spoke very highly of the standard of care they received and of the attitude of the staff. The food is of a good quality with plenty of choice available, and served in a very pleasant environment, with a high standard of crockery and tableware. Relatives and visitors are welcome to join residents for meals. Activities and opportunities for entertainment are given a high priority and this was spoken of very highly. Staff were seen to treat residents with respect and courtesy with a regard to providing a personal service to individuals. The home pays particular attention to caring for people who are receiving palliative care. Kenilworth Manor DS0000004397.V273272.R01.S.doc Version 5.0 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. Kenilworth Manor DS0000004397.V273272.R01.S.doc Version 5.0 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 Outcomes Statutory Requirements Identified During the Inspection Kenilworth Manor DS0000004397.V273272.R01.S.doc Version 5.0 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 the following standard(s): 3. 6 There is a clear, consistent needs assessment and care planning system in place that adequately provides staff with the information they need to satisfactorily meet service user needs. EVIDENCE: Two pre admission assessments were read during the inspection. The matron or her deputy always undertakes the assessment. The home has very few admissions from social services referral, but when this is the case, a management assessment is obtained, and one such assessment was available at the inspection. The needs assessment contains all the information required in the standards and enables the staff to put together a full care plan based on the needs of each individual. Kenilworth Manor DS0000004397.V273272.R01.S.doc Version 5.0 Page 9 The nurses on every admission to the home take base line observations, and this allows for all residents to be carefully monitored and reviewed. One gentleman arrived for admission on the day of the inspection, for a short respite stay in the home. His wife was with him and welcomed for lunch. They both confirmed an assessment had been completed, and his wife had been able to make a visit to the home prior to him coming. They had been recommended the home by a neighbour, and confirmed that they felt reassured by the recommendation and that they had been made to feel very welcome. The home does not provide intermediate care, but does have an arrangement with a local consultant orthopaedic surgeon to provide a postoperative stay in the home. Kenilworth Manor DS0000004397.V273272.R01.S.doc Version 5.0 Page 10 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 the following standard(s): These standards were not assessed at this inspection. EVIDENCE: Whilst these standards were not assessed at this inspection, some care plans were read, and were seen to be of a high standard. Kenilworth Manor DS0000004397.V273272.R01.S.doc Version 5.0 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 the following standard(s): 12, 13, 14, 15 The activities provided within the home meet service users’ expectations, interests and needs. Work undertaken by staff to achieve this outcome must be recognised as a strength in the home’s performance. Service users are enabled to make choices about visitors and daily living routines. Varied and nutritious choices of foods are offered by the home in consultation with service users. EVIDENCE: Staffing levels in the home allow staff to be able to offer a very personal service to residents, which includes encouraging and supporting them to lead a full life and develop new recreational interests. A monthly newsletter is produced and given to each resident which gives details of the month’s regular programme of activities, with other information displayed for any changes or additional events which may take place. Kenilworth Manor DS0000004397.V273272.R01.S.doc Version 5.0 Page 12 Residents have calendars supplied in their rooms for staff to record for those who may not be quite so active around the home, what is going on, on a dayto-day basis. Residents are supported in continuing the lifestyle they enjoyed prior to admission to the home, and residents maintain a high level of local community contact. A detailed record is kept of all recreational activities that are attended. On the day of the inspection a pastoral service of Christmas carols and readings was taking place, whilst other residents had visitors and another was going into the town to have her hair done. Lunch was seen to be a very pleasant experience with two sittings available. The first sitting primarily is for residents who need a little more time or assistance from care staff to eat their meal, the second sitting being the most popular was buzzing with communication, guests joined their relatives for lunch, and the meal was served in a respectful and calm manner. Choice was seen to be offered, the meal was served hot, and was nutritious and tasty. Residents spoke highly of the food and of the staff serving and working in the kitchen. ‘It’s like a 5 star hotel’. A special treat of champagne and canapés is on offer for special occasions such as birthdays and Christmas day, and residents spoke about the Christmas party they had attended. Kenilworth Manor DS0000004397.V273272.R01.S.doc Version 5.0 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 the following standard(s): 16, 18 The home has a clear and easily accessible complaints procedure, which indicates an open and positive approach to dealing with concerns. Training for staff concerning the protection of vulnerable people is inadequate, and this has the potential to put residents at risk. EVIDENCE: The home has a complaints procedure, which meets the standards. A copy of the procedure is displayed within the Service Users guide, and each resident is given a copy. Very few complaints have been received in the last year although there have been concerns raised, and these have been dealt with promptly. Residents said they were aware of the complaints procedure, but had no reason to use it. ‘I don’t need to complain, everything’s wonderful’ ‘I have no complaints, but I know what to do if I have to do so.’ A policy is in place to safeguard residents from abuse. Staff are only employed after checks have been made. Kenilworth Manor DS0000004397.V273272.R01.S.doc Version 5.0 Page 14 Policies on restraint, safe storage of money and valuables, and whistle blowing, are in place to give guidance to staff. Records show that a number of staff have not received specific training this year on recognising the signs of different types of abuse and for reporting and responding to suspicions of abuse or neglect. Staff interviewed confirmed that this was the case but knew where to go for guidance either from policies, information within the home or from senior staff. Training in this area, is identified as a need for the coming year within the home’s training plan, and courses for all staff has been organised for February 2006. The home does not currently have a copy of the multi agency policy for Warwickshire on adult protection, or the DoH ‘No Secrets’ document. Kenilworth Manor DS0000004397.V273272.R01.S.doc Version 5.0 Page 15 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 the following standard(s): These standards were not assessed at this inspection. EVIDENCE: Whilst these standards were not assessed at this inspection, a tour of the home showed that it continues to be very well maintained to a high standard. It has a very homely feel, with a beautiful entrance hall decorated festively for Christmas, housing a grand piano. Personal bedrooms are mostly large and spacious, and a number of people have chosen to use them as bed/sitting rooms. They were seen to be full of personal belongings and items of furniture. Kenilworth Manor DS0000004397.V273272.R01.S.doc Version 5.0 Page 16 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 consider all the above are key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): These standards were not assessed at this inspection. EVIDENCE: Whilst these standards were not inspected, staff numbers were noted to be sufficient despite sickness within the home to meet the needs of service users. Staff appeared calm and unrushed, bells were answered promptly and there were a high number of staff in the kitchen to assist with serving and seating residents, enabling care staff to see to care needs. The home also takes regular placements of student nurses who are supplementary to the staff rota, who are mentored by the assistant matron. Kenilworth Manor DS0000004397.V273272.R01.S.doc Version 5.0 Page 17 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 31, 33, 35 and 38 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 35 Systems for the management of residents’ finances ensure that their interests are safeguarded. EVIDENCE: The home has a comprehensive policy in regard to money and valuables in the home, which meets all the required standards. All residents who choose to keep their own money and valuables are supplied with a lockable cash box in their room, and also a digital safe. The number for accessing this safe is known only to the resident and /or their representative, and can be changed as occupants of the room changes. Kenilworth Manor DS0000004397.V273272.R01.S.doc Version 5.0 Page 18 Additionally there is a safe within the staff office for those who choose to use this. Records of all money received and expenditure made is kept in a bound book, and money is held in separate envelopes and not pooled. Checks were made on random accounts at the inspection and were found to be correct. Kenilworth Manor DS0000004397.V273272.R01.S.doc Version 5.0 Page 19 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 Standard No Score 1 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 x x 3 x x x HEALTH AND PERSONAL CARE Standard No Score 7 x 8 x 9 x 10 x 11 x DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 4 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 x 18 3 x x x x x x x x STAFFING Standard No Score 27 x 28 x 29 x 30 x MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score x x x x 4 x x x Kenilworth Manor DS0000004397.V273272.R01.S.doc Version 5.0 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. 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 OP18 Good Practice Recommendations It is recommended that the home keep a copy of the Warwickshire multi agency policy on adult protection, and a copy of the ‘No Secrets document’ within its guidance literature. Kenilworth Manor DS0000004397.V273272.R01.S.doc Version 5.0 Page 21 Commission for Social Care Inspection Leamington Spa Office Imperial Court Holly Walk Leamington Spa 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 DS0000004397.V273272.R01.S.doc Version 5.0 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. 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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