Inspection on 05/01/06 for Kenmore Home - Leonard Cheshire Disability

This inspection was carried out on 5th January 2006.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Poor. 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. These are things the inspector asked to be changed, but found they had not done. The inspector also made 7 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

Kenmore Home - Leonard Cheshire... 10/06/09

Kenmore Home - Leonard Cheshire... 18/06/07

Kenmore Home - Leonard Cheshire... 18/01/07

Kenmore Home - Leonard Cheshire... 23/09/05

Kenmore Home - Leonard Cheshire... 17/03/05

Kenmore Home - Leonard Cheshire... 07/09/04

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

CARE HOME ADULTS 18-65 Kenmore Cheshire Home 100 Whitcliffe Road Cleckheaton West Yorkshire BD19 3DR Lead Inspector Bronwynn Bennett Unannounced Inspection 5 January 2006 09:30 Kenmore Cheshire Home DS0000001087.V253790.R01.S.doc Version 5.1 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 Kenmore Cheshire Home DS0000001087.V253790.R01.S.doc Version 5.1 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 Adults 18-65. 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. Kenmore Cheshire Home DS0000001087.V253790.R01.S.doc Version 5.1 Page 3 SERVICE INFORMATION Name of service Kenmore Cheshire Home Address 100 Whitcliffe Road Cleckheaton West Yorkshire BD19 3DR 01274 872904 01274 851996 kenmor@lc-uk.org 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) Leonard Cheshire Mr John Hrynczyszyn Care Home 29 Category(ies) of Physical disability (29) registration, with number of places Kenmore Cheshire Home DS0000001087.V253790.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION Conditions of registration: 1. Day care - 5 Date of last inspection 23rd September 2005 Brief Description of the Service: Kenmore offers nursing care for up to twenty-nine people, aged 18 to 65 years with physical disabilities. The home is a detached Victorian house set in its own grounds and has been extended to provide single room accommodation on the ground and first floor. The first floor is accessed by a passenger lift. It is situated in a residential area of Cleckheaton close to local amenities and easy access to the motorways. Kenmore is one of nineteen services run by Leonard Cheshire Services, a charity that provides services for people with a disability. Kenmore Cheshire Home DS0000001087.V253790.R01.S.doc Version 5.1 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. Two inspectors carried out this unannounced inspection during a four-hour period. The inspectors made a tour of the building and looked at a sample of records kept by the home. The inspectors also spoke to some of the service users and staff. The inspection was conducted with the help of the manager of the home. What the service does well: What has improved since the last inspection? What they could do better: Greater care needs to be taken to ensure that the healthcare needs of the service users are met. Action must be taken to ensure that excess medications are not stored in the home and are suitably disposed of. The organisation should develop a staff training and development programme to ensure that all the staff are suitably trained to meet the needs of the service users. Kenmore Cheshire Home DS0000001087.V253790.R01.S.doc Version 5.1 Page 6 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. Kenmore Cheshire Home DS0000001087.V253790.R01.S.doc Version 5.1 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 Outcomes Statutory Requirements Identified During the Inspection Kenmore Cheshire Home DS0000001087.V253790.R01.S.doc Version 5.1 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 the following standard(s): 2 The service users needs are assessed prior to admission but the home does not give written confirmation that they are able to meet the individual’s needs. EVIDENCE: The inspector was given evidence of the individual service users pre-admission assessment. There was no evidence in the care records kept that the registered person had confirmed in writing that having regard to the assessment the home is suitable to meet the needs of the service user. Kenmore Cheshire Home DS0000001087.V253790.R01.S.doc Version 5.1 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 the following standard(s): EVIDENCE: These standards were not assessed during this inspection however in some of the records looked at there was evidence that the service users are involved in the development and review of their care plan. Kenmore Cheshire Home DS0000001087.V253790.R01.S.doc Version 5.1 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 the following standard(s): 12,16,17. The service users are supported to take part in appropriate activities. The service users rights are recognised and respected. The service users are offered a varied diet and enjoy their meals. EVIDENCE: The manager discussed the activities available to the service users. There are no service users with jobs or undertaking educational training however service users are able to take part in appropriate activities and be part of the local community. The service users spoken with said that staff provide the support they require in a way that suits the service user. And the service users are able to choose when to be alone or in company. Where service users have chosen to be responsible for domestic tasks this is recorded in their plan of care. The service users spoken with said that they enjoyed the food served in the home. On the day of this inspection the food was well presented and looked Kenmore Cheshire Home DS0000001087.V253790.R01.S.doc Version 5.1 Page 11 appetising. The home has a four weekly menu that offers a variety of foods with individual dietary needs being catered for. Kenmore Cheshire Home DS0000001087.V253790.R01.S.doc Version 5.1 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 the following standard(s): 19,20. Some of the service users are at risk of not having their healthcare needs fully met. The storing of medication for disposal poses a potential health and safety risk. EVIDENCE: The service users spoken with said that they are satisfied with the level of care and support they receive from the staff. The care records for four service users were looked at. The identified health care needs of the service must be clearly identified in the plan of care. Specific details must be recorded in the care records kept by the home. The size of any wounds or sores and the current management and treatment of wounds and sores must be clear in the care records kept. The advice, if any given by a specialist should be recorded in the plan of care. The daily records or dressing charts should be clearly monitoring the progress of any wounds or sores, and should include accurate descriptions and measurements of the affected area. Kenmore Cheshire Home DS0000001087.V253790.R01.S.doc Version 5.1 Page 13 When evaluating the plan of care the staff should take care to evaluate the effectiveness of the care provided in meeting the outcomes of the care plan. The home continues to have stock medication for disposal. The organisation must address this and make suitable arrangements for its safe disposal. A requirement is carried forward from the last inspection. Kenmore Cheshire Home DS0000001087.V253790.R01.S.doc Version 5.1 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 the following standard(s): EVIDENCE: These standards were not assessed during this inspection however the inspectors noted that the complaints procedure did include the details of how to contact the Commission for Social Care Inspection. Kenmore Cheshire Home DS0000001087.V253790.R01.S.doc Version 5.1 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 the following standard(s): 24. Generally the home is clean and odour free. Hazardous substances must be stored securely to avoid the potential risk to the service users. EVIDENCE: The home was clean and free from odour on the day of this inspection. Some areas of the home are in need of redecoration and the manager advised that there is to be further redecoration. The lower level flat is currently used for rehabilitation and is in need of reorganisation. The items currently stored in this area should be removed to the appropriate storage area. The general storage in the home is poor and there are items located around the home that require removal, for example radiator covers. There was hazard tablets stored in an unlocked sluice area, this is not acceptable and needs to be addressed. Kenmore Cheshire Home DS0000001087.V253790.R01.S.doc Version 5.1 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 32, 34 and 35 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 32,34,35. Generally, a competent staff team supports the residents. The homes recruitment practice protects the service users. All staff must receive the appropriate training in order to meet the needs of the service users. EVIDENCE: There are twenty staff working in the care home with an NVQ level 2 or 3 qualification. The home has the added support of a resident physiotherapist and the involvement of other professionals. The recruitment records for three staff were audited. All the records looked at held the required information. The inspector looked at the training and development records for the staff. The training records kept showed that not all staff had completed induction training. Some staff require training in the protection of vulnerable adults and records kept showed that many of the staff had not received fire safety training. Kenmore Cheshire Home DS0000001087.V253790.R01.S.doc Version 5.1 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 37, 39, and 42 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 37,42. The manager is competent and of good character. The arrangements for movement and handling do not fully protect service users and action is required on a health and safety matter to protect both service users and staff. EVIDENCE: The manager of the home is John Hrynczyszyn who has worked at the home for the last ten years. He is awaiting verification for the) NVQ level 4 qualification. The service users spoke highly of the manager and the inspectors noted that the manager had a good professional relationship with the service users and the staff. The fire risk assessment was available on the day of this inspection. The inspector saw the records for the recording of hot water temperatures. Kenmore Cheshire Home DS0000001087.V253790.R01.S.doc Version 5.1 Page 18 Some staff had no record of movement and handling training and some of this training had been completed over two years ago, the manager should address this. The recommendation for staff to receive annual updates in movement and handling training is carried forward. Kenmore Cheshire Home DS0000001087.V253790.R01.S.doc Version 5.1 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 Standard No Score 1 X 2 1 3 X 4 X 5 X INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 X 23 X ENVIRONMENT Standard No Score 24 1 25 X 26 X 27 X 28 X 29 X 30 X STAFFING Standard No Score 31 X 32 3 33 X 34 3 35 1 36 X CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score X X X X X LIFESTYLES Standard No Score 11 X 12 3 13 X 14 X 15 X 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score X 1 1 X 3 X X X X 2 x Kenmore Cheshire Home DS0000001087.V253790.R01.S.doc Version 5.1 Page 20 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 YA2 Regulation 14.1 (b) Requirement The registered person must confirm in writing to the service users, that having regard to the assessment the care home is suitable for the purpose of meeting the (residents’) service user’s needs in respect of their health and welfare. The registered person shall promote and make proper provision for the health and welfare of the residents. Timescale for action 05/02/06 2. YA19 12.1(a) 05/02/06 3. YA20 13.2 4. YA24 13.4(a) The registered person shall make 05/02/06 arrangements for the recording, handling, safekeeping, safe administration and disposal of medicines received into the care home. Previous timescale 7/10/05 not met. The registered person shall 05/02/06 ensure that all parts of the home to which service users have access are so far as is reasonably practicable free from hazards to their safety. The registered person shall after consultation with the fire DS0000001087.V253790.R01.S.doc 5. YA35 23.4 (d) 05/02/06 Kenmore Cheshire Home Version 5.1 Page 21 6. YA35 13.6 7. YA35 12 (1) (a) 18 (1) (a) authority; must make arrangements for persons working in the care home to receive suitable training in fire prevention. The registered person shall make 05/03/05 arrangements, by training staff or by other measures, to prevent the service users being harmed or suffering abuse or being placed at risk of harm or abuse. (Regs - 12 (1) (a) 05/03/06 18 (1) (a) (c) (i) (ii) CSA 2000 (Miscel-laneous Amendments) Regs 2004) The registered person shall ensure that the care home is conducted so as to promote and make proper provision for the health and safety of the residents. The registered person shall ensure that at all times suitably qualified, competent and experienced staff are working at the home in such numbers as are appropriate for the health and welfare of the residents. The registered person must ensure that the staff who work in the care home receive, training appropriate to the work they are to perform; and suitable assistance, including structured induction training and time off, for the purpose of obtaining further qualifications appropriate to such work. Kenmore Cheshire Home DS0000001087.V253790.R01.S.doc Version 5.1 Page 22 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 YA42 Good Practice Recommendations The care staff should receive annual movement and handling training. Kenmore Cheshire Home DS0000001087.V253790.R01.S.doc Version 5.1 Page 23 Commission for Social Care Inspection Brighouse Area Office Park View House Woodvale Office Park Woodvale Road Brighouse HD6 4AB 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 Kenmore Cheshire Home DS0000001087.V253790.R01.S.doc Version 5.1 Page 24 - 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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