Inspection on 19/05/06 for Kenmure Lodge

This inspection was carried out on 19th May 2006.

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

Kenmure Lodge 28/09/07

Kenmure Lodge 15/11/05

Kenmure Lodge 28/04/05

Kenmure Lodge 06/01/05

Kenmure Lodge 04/05/04

Similar services:

Chirnside House

Keer Sands Residential Home

Ruskin Lodge

Bushell House

Langrigg House

Parkside

Dystlegh Grange

Thornton Lodge

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

CARE HOMES FOR OLDER PEOPLE Kenmure Lodge Kenmure Lodge Kenmure Place Off Garstang Road Preston Lancashire PR1 6DD Lead Inspector Felicity Lacey Unannounced Inspection 19th May 2006 10:00 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 Kenmure Lodge DS0000009833.V288412.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 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. Kenmure Lodge DS0000009833.V288412.R01.S.doc Version 5.1 Page 3 SERVICE INFORMATION Name of service Kenmure Lodge Address Kenmure Lodge Kenmure Place Off Garstang Road Preston Lancashire PR1 6DD 01772 250513 01772 563861 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) Rowedast Developments Limited Mr Arthur Naylor Care Home 24 Category(ies) of Old age, not falling within any other category registration, with number (24) of places Kenmure Lodge DS0000009833.V288412.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION Conditions of registration: 1. The home is registered for a maximum of 24 service users to include up to 24 service users in the category of OP (older people over 65 years of age). 15th November 2005 Date of last inspection Brief Description of the Service: Kenmure Lodge provides residential care for up to 24 older people. The home is situated in a residential area, near to the city centre and is close to a range of local amenities. Accommodation is arranged over two floors with a lift providing access to the first floor. Communal areas are domestic and homely in character. The grounds are small, with limited provision for sitting outside but a ramp is provided for easy access. Strong links have been forged with the local community; relatives and visitors call into the home at all times and people living at the home are able to take advantage of the many amenities available in the local area. Kenmure Lodge DS0000009833.V288412.R01.S.doc Version 5.1 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This site visit took place unannounced. The inspector spoke with residents and their representatives, staff, the owner and the manager. 12 comment cards were received from residents, 6 from relatives, 2 from GPs and 7 from visiting professionals. The manager submitted information prior to the visit about the care provided at the home, staff recruitment and training, and health and safety information. What the service does well: What has improved since the last inspection? Kenmure Lodge DS0000009833.V288412.R01.S.doc Version 5.1 Page 6 Staff training has improved since the last inspection. A number of staff are currently undertaking a recognised qualification in care. Health and safety training is provided. All staff have the opportunity to attend training. Recent training has covered infection control and risk assessment. The manager continues to work towards achieving the recommended qualification in care and management. 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. Kenmure Lodge DS0000009833.V288412.R01.S.doc Version 5.1 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 Kenmure Lodge DS0000009833.V288412.R01.S.doc Version 5.1 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 Quality in this outcome group is good. Prior to moving to the home a full assessment of residents needs takes place to ensure that identified needs can be met. EVIDENCE: Residents spoken with during the inspection and those which completed comment cards indicated that they had received useful information prior to moving to the home, which helped them make a decision about moving to Kenmure Lodge. Assessments are obtained from social services and health professionals were appropriate. These assessments form the basis of the care plan. A personal profile is also completed by the staff of the home, which records relevant information for example, likes and dislikes, religious needs and whether the resident wishes to continue attending the church of their choice. The residents spoken with felt their preferences and choices where respected by the staff of the home. Kenmure Lodge DS0000009833.V288412.R01.S.doc Version 5.1 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 the following standard(s): 7, 8, 9, 10 Quality in this outcome group is good. The care planning system is easy to understand, meaning that staff have clear information regarding how residents are to be supported. Resident’s health needs are safeguarded by Medication procedures, which are consistently followed at the home. Residents spoken with feel that staff members treated them with respect. EVIDENCE: All residents have a summary of care needs and a full care plan. The summaries were signed by the residents or their representative. Comment cards completed by residents indicated that in the main the care plan was always followed. With regard to medical and health needs, the GPs and District Nurses who provided comments were all positive about the practice they observed at the home. GPs confirmed that they always saw their patients in private and that staff followed the advice given. The procedures for administering medication are understood and followed at the home. Those residents who wish to self medicate are able to do so following completion of a risk assessment. Kenmure Lodge DS0000009833.V288412.R01.S.doc Version 5.1 Page 10 The manager has effective links with the local hospitals and has established good relationships with visiting health professionals. Several residents receive regular additional support from health professionals and this helps them to maintain their independence and continue to be part of the local community, for example one resident has a weekly trip out with her support worker to maintain her confidence in going out into the community. Residents spoken with felt that staff were aware of their health needs and were confident that any concerns they had about their health would be acted upon by the manager and staff. Comments received from health professionals include: ‘My client has been well cared for-his health and general well being has improved greatly since living at Kenmure Lodge’ ‘Lovely home, caring staff, happy residents’ ‘Staff always friendly and welcoming clients happy’ Kenmure Lodge DS0000009833.V288412.R01.S.doc Version 5.1 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 Quality in the outcome group is good. Social activities are provided within the home, which some residents enjoy. The food at the home is good and there is a choice menu available. EVIDENCE: Residents spoken with and who filled in comment cards indicated that activities where organised in the home which some people enjoyed. The need to add more activities is appreciated by the manager, who had raised this with residents at their meeting. Some ideas had been suggested and subsequently a reminiscence session had been held which some people really enjoyed. The manager plans to continue with this discussion group encouraging residents to discuss topics such as ‘My first job’ and ‘School days’. There are no organised trips outside the home, and residents are reliant on friends and family for regular outings. The home is well located for access to local shops and several residents are able to go out independently. It was recommended that the manager considers ways of ensuring that all residents have access to the opportunity to go out in the local community. Given that some residents have not been out for a considerable period of time it would be advisable to start with an organised trip out to a local park or garden centre, to help residents build up confidence to go out, before planning a trip further a field. Kenmure Lodge DS0000009833.V288412.R01.S.doc Version 5.1 Page 12 Visitors and relatives spoken with and who completed questionnaires, indicated that they were always made to feel welcome. Friends and family also keep in contact by telephone. The food at the home was considered to be good by residents. The menu offers choice and staff are aware of individual likes and dislikes. Staff are able to support residents when needed. Residents have their meals where they choose, either in the dining room, their own room or in the lounge. Smoking is permitted in the dining room following mealtimes. Kenmure Lodge DS0000009833.V288412.R01.S.doc Version 5.1 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 Quality in this outcome group is good. Arrangements are in place for dealing with complaints, residents and relatives are aware of this procedure. Staff training and the policies of the home regarding Adult Protection safeguard the health and welfare of residents. EVIDENCE: Residents and relatives who were spoken with and who filled in comment cards indicated that they knew how to make a complaint, but also said that they had not had cause to complain. At the time of the site visit the complaints record was not available for inspection, it is important that a record of concerns and complaints is maintained, which demonstrates what the manager and staff have done to resolve any issue raised. Staff spoken with were aware of the complaints procedure and residents confirmed that they were confident that if they had any concerns the staff would try to sort it out. Staff have received training in Adult Protection and understand the homes policy. Kenmure Lodge DS0000009833.V288412.R01.S.doc Version 5.1 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 the following standard(s): 19,24,26 Quality in this outcome group is good. The home is warm and clean, efforts have been made to make the communal rooms homely in appearance. There is a need to refresh the decoration to parts of the home, to provide an attractive place to live. EVIDENCE: Kenmure Lodge was formerly a school, and retains some original features. There have been attempts to reduce the ‘institutional’ appearance of the communal rooms, by providing separate areas. Some rooms are compact and are in need of redecoration, the manager together with the owners plan the maintenance of the building. The downstairs shower room should be redecorated to provide a more attractive environment. Some bedrooms have locks on, and residents are asked if they would like a lock fitting on admission. All areas of the home were clean. Residents said that their own rooms were kept clean and tidy. Residents are able to bring their own furniture to the home within the limitations of their individual bedrooms. Kenmure Lodge DS0000009833.V288412.R01.S.doc Version 5.1 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 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): 27,28,29,30 Quality in this outcome group is good. The home is staffed in accordance with the needs of the residents. Recruitment procedure has been amended to ensure that residents are protected. Staff receive access to regular training opportunities. EVIDENCE: All people spoken with and who commented said that there were always or usually enough staff on duty. GP comment cards indicated that there were always senior staff on duty, and that staff demonstrated a good understanding of individual health needs. The manager has worked hard to improve the training opportunities on offer to staff at the home. The manager has encouraged the uptake of National Vocational Qualifications (NVQ) and progress is being made towards achieving nationally recommended targets, currently 20 of staff hold a NVQ at level 2 or above. Staff spoken with said that training was made available and that this was paid for by the owners. Recent training has included health and safety topics. The induction programme for new staff has been improved and is now reflective of nationally recommended induction standards. Recruitment practices at the home should be improved, it is important that a full employment history is obtained when an application form is completed. The current form was amended at the time of this visit. This must now be put into use. References obtained should clearly identify who gave the reference and in what capacity, again this was rectified during this visit by ensuring that Kenmure Lodge DS0000009833.V288412.R01.S.doc Version 5.1 Page 16 reference request letters where matched with references received and placed on file. Kenmure Lodge DS0000009833.V288412.R01.S.doc Version 5.1 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): 31, 33, 35, 38 Quality in this outcome group is good. Resident’s views are sought and taken account of. The manager encourages an open and positive atmosphere. The health and safety of residents and staff are promoted through the policies and practices of the home. EVIDENCE: The residents spoken with felt that the atmosphere of the home was friendly and inclusive. Their views were sought regularly through residents meetings, daily contact and a regular survey. The home has achieved Investors in People Award. The manager is progressing towards achieving a National Vocational Qualification level 4 in Care and Management. Staff and residents view the manager as approachable and supportive. The accident book was viewed and it is important that this clearly identifies the resident involved by use of their full name, it is also advisable that the Kenmure Lodge DS0000009833.V288412.R01.S.doc Version 5.1 Page 18 manager monitors the entries into the accident record to pick up any trends. The accident book should also comply with the requirements of the Data Protection Act 1998. Kenmure Lodge DS0000009833.V288412.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 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 N/A 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 2 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 3 X X X X X X 3 STAFFING Standard No Score 27 3 28 2 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 2 X 3 X 3 X X 3 Kenmure Lodge DS0000009833.V288412.R01.S.doc Version 5.1 Page 20 Are there any outstanding requirements from the last inspection? NO 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. 2. 3. 4. Refer to Standard OP28 OP31 OP16 OP12 Good Practice Recommendations 50 of care staff should achieve NVQ level 2 The manager should achieve NVQ level 4. A complaints record should be available for inspection. Opportunities for residents to have trips outside the home should be provided. Kenmure Lodge DS0000009833.V288412.R01.S.doc Version 5.1 Page 21 Commission for Social Care Inspection North Lancashire Area Office 2nd Floor, Unit 1, Tustin Court Port Way Preston PR2 2YQ 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 Kenmure Lodge DS0000009833.V288412.R01.S.doc Version 5.1 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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