Inspection on 05/10/05 for Kensington House (North East) Limited

This inspection was carried out on 5th October 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

Kensington House (North East)... 24/05/07

Kensington House (North East)... 21/04/05

Kensington House (North East)... 02/11/04

Kensington House (North East)... 26/05/04

Kensington House (North East)... 20/11/03

Kensington House (North East)... 31/07/02

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

CARE HOME ADULTS 18-65 Kensington House (North East) Limited 32 Denmark Street Gateshead Tyne & Wear NE8 INQ Lead Inspector Mr Lee Bennett Announced Inspection 5th October 2005 13:00 Kensington House (North East) Limited DS0000007395.V251558.R01.S.doc Version 5.0 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 Kensington House (North East) Limited DS0000007395.V251558.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 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. Kensington House (North East) Limited DS0000007395.V251558.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service Kensington House (North East) Limited Address 32 Denmark Street Gateshead Tyne & Wear NE8 INQ 0191 477 5843 NO FAX 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) Mrs Donna McDowell Mr Michael McDowell Care Home 5 Category(ies) of Learning disability (5), Learning disability over registration, with number 65 years of age (1) of places Kensington House (North East) Limited DS0000007395.V251558.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 21st April 2005. Brief Description of the Service: Kensington House is care home, providing personal care for up to 5 people with a learning disability. Nursing care is not provided, but District Nursing services can be arranged where necessary. It is an adapted, terraced care home with accommodation provided over three floors. The first and second floors are accessed by flights of stairs, so the home would not be suitable for a person with a physical disability. There is a small paved garden to the front, and an enclosed yard to the rear of the home. The home is situated within walking distance of central Gateshead, and is near to local public transport links and a wide range of local facilities, including a health centre, a library, shops, pubs and places of worship. Kensington House (North East) Limited DS0000007395.V251558.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This inspection took place over 5 hours during the late afternoon / evening and was a scheduled announced inspection. A service user guided the inspector on a tour of the building, and a sample of service users’, quality assurance and business records was inspected. The inspector was able to chat with all of the service users living at the home and shared in the evening meal. The Commission for Social Care Inspection considers that a number of ‘core’ standards must be inspected once during the inspection year (April 2005 to March 2006). Therefore, to gain a full picture of how this care home is performing, this report should be read in conjunction with the report of the inspection conducted in April 2005. The judgements made are based on the evidence available to the inspector on the day of the inspection, from the pre inspection questionnaire completed by the home’s owner / manager, and the comment cards received from service users and their relatives. What the service does well: The home has a pleasant, homely atmosphere, and it is well maintained. Service users are involved in the day-to-day running of the home and appear to be comfortable and relaxed. Service users’ comments included: • • • “Donna (the home’s owner / manager) has been very good.” “I go to see my mother every weekend.” “I go to snooker and beat Michael last week.” Service users also commented about the jobs they have, college and leisure activities. They are supported to maintain an active lifestyle and to access a broad range of community facilities. They take regular holidays at home and abroad. Relatives’ comments included: “I am very happy with the care and attention my (relative) receives at Kensington House. The owners are extremely welcoming and caring and because of this my (relative) is extremely happy. Since moving to the home his quality of life has improved enormously, which gives me great peace of mind.” Kensington House (North East) Limited DS0000007395.V251558.R01.S.doc Version 5.0 Page 6 The home is well managed. 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. Kensington House (North East) Limited DS0000007395.V251558.R01.S.doc Version 5.0 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 Kensington House (North East) Limited DS0000007395.V251558.R01.S.doc Version 5.0 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): Standards 2 and 3. Each service user’s care needs are assessed prior to their move to the home, and periodically thereafter. This will help ensure that each service user’s needs are met at the home and inappropriate admissions avoided. Service users’ personal and social needs are met at the home. EVIDENCE: Each service user has a care managers’ (social workers’) assessment undertaken prior to their admission to the home. This details each service users’ abilities and needs. Periodic re-assessments, which outline each service users’ personal care, health care, social and psychological needs, are also undertaken by the home’s owner / manager. From these assessments, plans of care are then developed to guide care practice, which are then translated into the way in which care is delivered. The information outlined within service users’ care plans and their progress notes, along with observed practice, demonstrates how the service is able to meet their needs. The home’s owners, who staff the home, have undertaken training relevant to learning disabilities and general care topics. Additional advice and guidance can also be sought from visiting professionals, such as the District Nurse, for health care needs, as well as other health care professionals from the Community Learning Disability team. Kensington House (North East) Limited DS0000007395.V251558.R01.S.doc Version 5.0 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): Standard 9. Service users are supported to take risks within a risk management framework. This helps to ensure they remain safe and that their independence is promoted. EVIDENCE: Areas of risk (such as road safety and cycling skills) are documented within each service users’ care file. A model that focuses on the benefits gained by the activity is used, and each risk area is identified, who or what may be harmed is noted, current and additional control measures are documented, and this is dated and then reviewed. One of the home’s owners was able to explain how areas of risk are assessed, and how service users are supported to gain independence as part of a risk management approach. One example included independent travel on the local bus network. The home’s owner explained how they would initially accompany the service user concerned, and then observe the activity more discreetly, before the service user undertook the activity independently (once assessed as being able to manage this safely). Additional safety measures would also be put in place involving the other people involved in his care. Kensington House (North East) Limited DS0000007395.V251558.R01.S.doc Version 5.0 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): Standards 15, 16 and 17. Service users are supported to maintain their personal relationships and friendships, which helps them to keep in touch, and be involved in family life. Service users rights are respected, and routines in the home are flexible. This can help to promote a flexible service that encourages and promotes service users’ choices and preferences. Service users are offered and receive a varied, wholesome, nutritious and wellpresented menu. This can contribute to their general health and wellbeing. EVIDENCE: Relatives indicated that they are made welcome in the home, and are able to visit their relative in private. Although contact with relatives varies, due to individual circumstances, service users are assisted to ‘keep in touch’ by sending cards, making phone calls and being supported to visit their relatives and friends. Service users also attend a range of activities, such as a snooker club, the ‘sound room’, voluntary employment, and a social group, that allows them to interact with people outside of their immediate home environment. Kensington House (North East) Limited DS0000007395.V251558.R01.S.doc Version 5.0 Page 11 All of the service users are registered to vote, and there are no restrictions imposed to their personal rights or freedoms. All service users are able to freely express their views and opinions, which they did so to the inspector. The service user’s living at Kensington House do not have any specific health related dietary needs. The main meal of the day is during the evening, and service users are able to help themselves to drinks and light snacks as they please. Service users are involved in the preparation and clearing away of meals, which is normally a communal activity. Service users are offered a choice of what they would like to eat and the home’s owners are aware of their personal preferences. Kensington House (North East) Limited DS0000007395.V251558.R01.S.doc Version 5.0 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): Standard 19. Service users health care needs are identified and arrangements are made to help ensure they are promoted and met. This can contribute to their overall wellbeing. EVIDENCE: Service users are supported in receiving regular access to primary and secondary health care services, such as those from the GP and dentist. Where the home’s owners have had concerns regarding the health and wellbeing of service users, appropriate interventions have been sought, and these are documented within each service users care file. Regular screening takes place, including weight checks in the home, and those undertaken by regular GP, dental, optician and out patient appointments. A record of medical appointments and their outcome is retained on each service users personal care file. Kensington House (North East) Limited DS0000007395.V251558.R01.S.doc Version 5.0 Page 13 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): Standard 22. Service users’ views are listened to and acted upon. This can help contribute to a service user centred service. Service users are protected from abuse, neglect and self-harm. EVIDENCE: A clear complaints procedure exists within the home. There have been no complaints reported within the past twelve months. As noted above, service users are able to directly express their views and opinions on the service they receive. Those relatives, from whom comments were received, all stated that they were satisfied with the overall care provided, are aware of the home’s complaints procedure, but to date felt they have not needed to complain. Service users are clear about who they would speak to if they had any concerns or complaint. The home’s owners have received training from the local Adult Protection Coordinator, which will help to explain the role of adult protection, and to offer guidance to staff. The registered owner / manager has also developed policy guidance material for use within the home. Both the home’s own and the local authorities adult protection procedures are available in the home, should guidance be needed in this area. Kensington House (North East) Limited DS0000007395.V251558.R01.S.doc Version 5.0 Page 14 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): Standards 24, 25, 27 and 30. Service users benefit from well maintained, homely, safe and clean accommodation. This can help promote a positive image for service users, and ensure they remain comfortable and safe. Service users bedrooms are furnished to a good standard. This can contribute to their comfort during their stay at the home. EVIDENCE: Communal space is provided on the ground floor and includes a lounge, a dining room and conservatory. Service users’ bedrooms are situated on the first and second floors, and contain modern furniture and are decorated to suite service users’ personal preferences. Service users have access to all areas of the home and are well informed about future plans for refurbishment and minor alterations. Tiled and laminated floors in communal areas contribute to the ease of cleaning and maintenance, and the home’s owners continue to invest in the property to maintain a high standard of accommodation, such as alterations for improving the first floor bathroom. Kensington House (North East) Limited DS0000007395.V251558.R01.S.doc Version 5.0 Page 15 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): Standard 35 Service users are supported by the home’s two owners, who are competent and who have received training relevant to their roles and the purpose of the home. This can ensure that service users are supported in a safe manner, by people who have an understanding of their needs. EVIDENCE: The home’s owners have received a range of training, relevant to the needs of service users, health and safety, and to care in general. The manager keeps clear records of the training received, which can assist in planning. Training has included safe medication management and work related to NVQ qualifications. Future training planned includes basic food hygiene and fire safety. Kensington House (North East) Limited DS0000007395.V251558.R01.S.doc Version 5.0 Page 16 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): Standards 39 and 42. Service users’ views are incorporated into the home’s quality assurance arrangements that provide a systematic basis for self-improvement. The home is safe and free from hazards to service users. EVIDENCE: The registered owner / manager has developed a quality assurance system as part of her NVQ work, which has now been implemented within the home and includes a training analysis, premises audit, swot analysis and plans for service users’ holidays. Regular (4 to 6 weekly) meetings with service users are held, at which their views are sought. There were no observed practices or hazards to the health, safety or welfare of service users. Kensington House (North East) Limited DS0000007395.V251558.R01.S.doc Version 5.0 Page 17 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 CONCERNS AND COMPLAINTS Standard No 1 2 3 4 5 Score x 3 3 X X X Standard No 22 23 Score 3 3 ENVIRONMENT INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score X X X 3 X Standard No 24 25 26 27 28 29 30 STAFFING Score 4 4 X 3 X X 3 LIFESTYLES Standard No Score 11 X 12 X 13 X 14 X 15 3 16 3 17 Standard No 31 32 33 34 35 36 Score X X X X 3 X CONDUCT AND MANAGEMENT OF THE HOME 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score X 3 X X Standard No 37 38 39 40 41 42 43 Score X X 3 X X 3 X Kensington House (North East) Limited DS0000007395.V251558.R01.S.doc Version 5.0 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. 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. Refer to Standard Good Practice Recommendations Kensington House (North East) Limited DS0000007395.V251558.R01.S.doc Version 5.0 Page 19 Commission for Social Care Inspection South of Tyne Area Office Baltic House Port of Tyne Tyne Dock South Shields NE34 9PT 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 Kensington House (North East) Limited DS0000007395.V251558.R01.S.doc Version 5.0 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. 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. The policy of www.bestcarehome.co.uk is to use all legal avenues to pursue such offenders, including recovery of costs. You have been warned!