Inspection on 30/01/07 for Kent House

This inspection was carried out on 30th January 2007.

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 found there to be outstanding requirements from the previous inspection report but made no statutory requirements on the home.

Other inspections for this house

Kent House 10/10/07

Kent House 08/08/06

Kent House 04/10/05

Kent House 10/05/05

Kent House 17/02/05

Kent House 28/09/04

Similar services:

The Shelley

Springfield House

Sutton Lodge Nursing Home

St Helier`s Residential Hotel

St Joseph`s

Ridgemount

Wingham Court

Old Hastings House

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

CARE HOMES FOR OLDER PEOPLE Kent House Fairfield Manor Fairfield Road Broadstairs Kent CT10 2JY Lead Inspector Brenda Pears Unannounced Inspection 30th January 2007 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 Kent House DS0000023456.V325072.R01.S.doc Version 5.2 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. Kent House DS0000023456.V325072.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Kent House Address Fairfield Manor Fairfield Road Broadstairs Kent CT10 2JY 01843 602720 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) Choicecare 2000 Limited Mrs Cathleen Langley Care Home 25 Category(ies) of Old age, not falling within any other category registration, with number (25) of places Kent House DS0000023456.V325072.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 8th August 2006 Brief Description of the Service: Kent House is a detached Home with accommodation for residents provided on three floors. The Home is situated on the outskirts of the town in a residential area close to schools, local supermarkets and is also on a local bus route. The home is registered for 25 older persons, there is a shaft lift and two small lounge areas, plus a dining room and a large conservatory to the front of the building providing an additional light and bright lounge area. The fees for support from the home are set during the assessment period and are very individual to the needs of the service user, depending on the level of support required and the staffing numbers provided. The current fee levels on average range from £303.00 to £448.00. Kent House DS0000023456.V325072.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was the second unannounced inspection to be undertaken at Kent House. The home was being managed by the deputy manager at the time of this inspection. The area manager and another regional manager also assisted with this inspection. The focus of this inspection was on the previous requirements and also on the core minimum standards. Records were seen, discussions were undertaken and observations, a tour of the building and previous findings all inform the outcomes in this report. What the service does well: What has improved since the last inspection? One bathroom has been redecorated since the last inspection and service user rooms continue to be improved through refurbishment and redecoration. The ongoing redevelopment programme continues to improve areas throughout the home and a completely new kitchen is to be installed. In house procedures are being developed to fully support staff and to ensure the safety and well being of service users. Kent House DS0000023456.V325072.R01.S.doc Version 5.2 Page 6 Service user files are being reviewed and a more suitable format is currently being developed. 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. The summary of this inspection report can be made available in other formats on request. Kent House DS0000023456.V325072.R01.S.doc Version 5.2 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 Kent House DS0000023456.V325072.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 3,6 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Pre admission assessments and visits are undertaken prior to admission. The home does not specifically undertake intermediate care, but all appropriate support is given to enable full independence. EVIDENCE: A copy of the Service User Guide is available in all service user rooms. A previous review of records showed that contracts, terms and conditions and full pre admission assessments are carried out. Appropriate healthcare professionals support Service users and assessed equipment is obtained prior to admission. Kent House DS0000023456.V325072.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 7,8,9,10 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. Individual care plans are in place and currently being reviewed. Staff ensure healthcare needs are met and treat individuals with respect. Medication procedures are appropriate and a new policy is in place. EVIDENCE: Previous discussions with service users and visitors have confirmed that staff undertake care appropriately and with consideration for each person. They stated they have confidence in the acting manager and they are comfortable to approach her, or staff, with any problems or requests. Healthcare appointments are now recorded in a diary that ensures all appointments are kept. Individual care plans and pre admission assessments are in place but files were previously found to be muddled and information was not easily accessed. Kent House DS0000023456.V325072.R01.S.doc Version 5.2 Page 10 However, care plans are currently being reviewed and presented in a new, more orderly format. The continued review and development of care plans will greatly improve the recording of information. This will ensure information is easily found to support appropriate care being given. Staff will also be able to find appropriate sections when recording on files. The medication area has been improved with more appropriate lighting to support the dispensing of medication. The lighting now provides a brighter area for dealing with medication. A new procedure for the dispensing of medication has now been developed. This accurately reflects the routines and practices undertaken in the home, fully supporting staff and ensuring the safety of service users. Kent House DS0000023456.V325072.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 12,13,14,15 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Choice and autonomy are supported and encouraged, ensuring individuals have control over their own routines and life. All aspects of service user needs are met by the home and family, friends/ advocates are encouraged to maintain contact. EVIDENCE: Comments from service users and statements on questionnaires have all confirmed that the needs of service users are, in the main, being met. Visitors are welcomed into the home and service users have confirmed they are always welcomed into the home. The chef is aware of individual tastes and also cooks food to the liking of the service user. This confirms that staff are meeting individual needs and recognising individual preferences. Food intake is recorded to identify any problems with eating and this also ensures the good health of the individual. Kent House DS0000023456.V325072.R01.S.doc Version 5.2 Page 12 A full roast dinner was available on the day of the inspection with alternative choices for vegetarians. Dial-a-Ride is used for outings to the shops and for trips out. A mobile library scheme is to be brought into the home to enable a good choice of reading for service users. There is a beauty salon in the home where service users can enjoy hairdresser, beautician and holistic massage Kent House DS0000023456.V325072.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 16,18 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. Service users feel comfortable to discuss any problems with staff. Procedures are currently being developed in the home for staff dealing with complaints or suspected abuse. EVIDENCE: Previous conversations with family members and service users have confirmed their confidence that staff will listen and act on any problems that arise. Discussions were undertaken at this inspection about the complaints procedure and the need to ensure full and complete information is available for service users. The area manager explained that a new complaints procedure is being developed along with other procedures and policies. The new complaints information will be given to each service user and is on display in the main hallway. A formal complaints book has now been developed and full procedures for dealing with complaints and any suspected abuse are currently being developed in the home. Kent House DS0000023456.V325072.R01.S.doc Version 5.2 Page 14 Kent House DS0000023456.V325072.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 19,25,26 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. Ongoing redecoration and refurbishment continues to enhance the home EVIDENCE: All areas of the home were found to be clean and odour free at this time. All rooms seen at this time were found to be clean and orderly and no items were found to be stored on top of wardrobes. This ensures the full safety and well being of service users in their own rooms. Previous inspections have identified the need for action to be taken to address the shabby and dismal areas throughout the home. A refurbishment and Kent House DS0000023456.V325072.R01.S.doc Version 5.2 Page 16 redecoration programme is in place and this continues to improve the internal environment of the home. Plans are in place for a full refit of the kitchen area. The first floor lounge and carpet are to be replaced on the refurbishment programme. Many rooms have been redecorated with colours being chosen by the service user. Carpets are also being replaced following an assessment of priorities. The first floor bathroom has been brightly decorated and new lighting is also to be installed. Approximately six radiators have been covered since the last inspection and an ongoing programme is in place to ensure all radiators are covered. Radiators are being covered following risk assessments to identify those that are a priority. While the deputy manager stated that all risk assessments have been completed these were not available at the time of this interview. One service user’s room contained a large fridge that was being used for the storage of medication. There were no temperature checks being undertaken and the fridge did not look suitable for purpose. The deputy manager was not aware of this and she confirmed that this would be reviewed. Kent House DS0000023456.V325072.R01.S.doc Version 5.2 Page 17 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. JUDGEMENT – we looked at outcomes for the following standard(s): 28,30 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. A training matrix has been developed and training is ongoing, ensuring staff skills support service users, however, training on abuse is to be identified. Staff are caring and consider the dignity of service users, creating a relaxed and calm environment. EVIDENCE: Staffing at the time of this inspection consisted of the acting manager, one senior carer, three care assistants, one cook, one domestic and a maintenance person. The area manager and a regional manager from another area were also present at this inspection. Service users were seen to be comfortable and confident while laughing and talking with staff. Staff demonstrated a good awareness of their roles and responsibilities, plus the needs of service users. Previous discussions with family members confirmed they are kept informed of any changes with regard to care. Service users have also stated that they can speak to staff about any matters and feel comfortable doing this. Kent House DS0000023456.V325072.R01.S.doc Version 5.2 Page 18 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. JUDGEMENT – we looked at outcomes for the following standard(s): 31,33,38 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. The current acting manager is a suitable person and service users have confirmed they feel the home is well managed. While there are areas of the home that require attention and action, the acting manager and staff group do, in the main, consider the health and welfare of service users. EVIDENCE: Kent House DS0000023456.V325072.R01.S.doc Version 5.2 Page 19 In the absence of the registered manager, the home is currently being managed by the deputy manager. The area manager is providing support and was also in the home and assisted with this inspection. There is a new quality assurance review folder that has been put in place to incorporate information. These will contain information such as monthly reviews of the service, health and safety audit and a quality review undertaken by the manager. A regular review of care is to be undertaken to assess and evidence how the home is meeting the national minimum standards. There are clear signs for emergency and fire exits, fire extinguishers are also clearly signed. There were no COSHH items in evidence and cupboards posing a risk were appropriately locked at this time. Kent House DS0000023456.V325072.R01.S.doc Version 5.2 Page 20 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 3 HEALTH AND PERSONAL CARE Standard No Score 7 2 8 3 9 3 10 3 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 2 2 X X X X X 2 2 STAFFING Standard No Score 27 x 28 3 29 X 30 2 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X 3 X X X X 2 Kent House DS0000023456.V325072.R01.S.doc Version 5.2 Page 21 Are there any outstanding requirements from the last inspection? Yes 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 OP7 Regulation 14 Requirement Care plans are to be in a format that support staff and ensure the full needs of service users are met and regularly reviewed. (Currently being addressed) Brought forward from previous inspections 2. OP18 12, 13,17 The abuse policy must contain up to date, clear and full information that supports staff and protects service users. (Currently being addressed) Brought forward from previous inspections 3. OP19 16 & 23 Continued environmental improvements are required to provide suitable and comfortable surroundings for service users. Particularly in toilet and bathroom areas. (Currently being addressed) Brought forward from previous inspections Kent House DS0000023456.V325072.R01.S.doc Version 5.2 Page 22 Timescale for action 31/03/07 30/04/07 31/10/07 4. OP18 12 & 17 Local procedures are to be developed to support staff in their duties, to support the induction process and to protect/support service users. (Currently being addressed) Brought forward from previous inspections. 30/06/07 5. OP18 12, 13,17 That a complaints procedure is developed in an accessible and appropriate format for each service user. (Currently being addressed) Brought forward from previous inspections. 30/04/07 6. OP25 OP38 12,13,23 Radiators must be covered for the safety and well being of service users. (Currently being addressed) Risk assessments to be undertaken in all areas where radiators are uncovered. Copy of all risk assessments to CSCI by date stated. 31/03/07 7. OP25 OP38 12,13,23 A health and safety audit of the building to be undertaken to ensure all areas and rooms meet with regulations. 31/03/07 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 Kent House DS0000023456.V325072.R01.S.doc Version 5.2 Page 23 Kent House DS0000023456.V325072.R01.S.doc Version 5.2 Page 24 1 Commission for Social Care Inspection Maidstone Local Office The Oast Hermitage Court Hermitage Lane Maidstone ME16 9NT National Enquiry Line: Telephone: 0845 015 0120 or 0191 233 3323 Textphone: 0845 015 2255 or 0191 233 3588 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. 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