Inspection on 04/10/05 for Kent House

This inspection was carried out on 4th 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

Kent House 10/10/07

Kent House 30/01/07

Kent House 08/08/06

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 Announced 04/10/2005 at 09:30hrs 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 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 H56-H05 S23456 Kent House V246421 041005 Stage 4.doc Version 1.40 Page 3 SERVICE INFORMATION Name of service Kent House Address Fairfield Manor, Fairfield Rd, Broadstairs, Kent CT10 2JY Telephone number Fax number Email address Name of registered provider(s)/company (if applicable) Name of registered manager (if applicable) Type of registration No. of places registered (if applicable) 01843 602720 Choicecare 2000 Ltd Mrs Catherine Langley Registered Care Home 25 Category(ies) of Older Persons registration, with number of places Kent House H56-H05 S23456 Kent House V246421 041005 Stage 4.doc Version 1.40 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 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 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. Kent House H56-H05 S23456 Kent House V246421 041005 Stage 4.doc Version 1.40 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was an announced inspection and the inspection process consisted of speaking with the registered manager, staff members and service users. The methods of inspecting the home included checking records, tracking service user care plans, examining staff files, observations and a tour of the building. Service users spoke to the inspector in groups and also individually during this inspection. The inspection focused on the requirements from the last inspection and also on the core standards that must be covered in the inspection year. As part of the pre-inspection process, residents and relatives were consulted for their views of the home. The service users returned their comment cards, providing valuable feedback about the home, which helped in the planning of this inspection. Service users were happy to speak about the care that is provided by the home and stated that staff are supportive. 6 service users stated they are well cared for and that staff meet their needs. What the service does well: What has improved since the last inspection? The Statement of Purpose and Service User Guide now meet current requirements. These documents now provide sufficient information for Kent House H56-H05 S23456 Kent House V246421 041005 Stage 4.doc Version 1.40 Page 6 prospective service users to be sure the home is appropriate and can meet their needs. Some refurbishment has been undertaken and service user rooms are in the process of being redecorated and upgraded. 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. Kent House H56-H05 S23456 Kent House V246421 041005 Stage 4.doc Version 1.40 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 Standards Statutory Requirements Identified During the Inspection Kent House H56-H05 S23456 Kent House V246421 041005 Stage 4.doc Version 1.40 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 standard(s) 1 & 6 The Statement of Purpose and the Service User Guide support service users when making a decision about moving into the home. However, the policy on abuse and complaints contained in these documents do not currently support service users or staff in the home. The home does not specifically undertake intermediate care. EVIDENCE: The manager and deputy manager have worked to produce the Statement of Purpose and Service User Guide that includes the correct information. These documents are now in line with the National Minimum Standards, however, the organisation has developed policies regarding abuse and complaints but these are not useful or informative in their current format. Policies are in need of being reviewed and updated. They need to also be developed in the appropriate font and size for the client group and be printed in a clear and well set out format to support those reading these documents. Kent House H56-H05 S23456 Kent House V246421 041005 Stage 4.doc Version 1.40 Page 9 While the home does not advertise intermediate care provision, if a person is in the home for respite or a short stay visit, the home will support their needs and encourage independence. Kent House H56-H05 S23456 Kent House V246421 041005 Stage 4.doc Version 1.40 Page 10 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 7, 8 & 9 The home meets the health, personal and social care needs of service users and individual care needs are met within the home. The current format of care plans does not give easy access to information. When needing to find specific information, the order of paperwork does not allow for quick access or give a full picture of the needs of service user. This does not support the staff group in their work or ensure appropriate care is given. Medication and controlled drugs are secured and appropriately stored. There is a medication procedure kept with the medication, meeting required regulations in line with the Royal Pharmaceutical Society guidelines. EVIDENCE: A sampling of care plans shows full recording of all health needs, appointments and tracking of information was found to be complete but care plans are difficult to follow in the current format. There are no copies of a complete care plan in one place on care plans. While a sampling of records evidenced access Kent House H56-H05 S23456 Kent House V246421 041005 Stage 4.doc Version 1.40 Page 11 to health care professionals and stated the health needs of the individual, files are not set out in a way that supports recording or ease of use. Service users spoken to at this time stated they are well cared for and staff have time for them. This was also confirmed on questionnaires received prior to this inspection. The manager stated that GPs and district nurses provide good support to service users in the home. Medication records were clearly completed and up to date. The medication trolley is to be relocated to a corner of the dining room that will place medication out of the main area, be in a well lit area and be at hand at meal times. A small medication fridge is also in use for eye drops, but the temperature recorded was a little high for appropriate storage requirements. The manager stated that the fridge would be serviced to ensure full compliance regarding appropriate temperatures. Kent House H56-H05 S23456 Kent House V246421 041005 Stage 4.doc Version 1.40 Page 12 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 standard(s) 12 & 14 All aspects of service user needs are met by the home and visitors are welcomed and encouraged to maintain contact. Choices are supported and encouraged in the home, promoting independence and autonomy. EVIDENCE: All religious needs are supported, there is a Roman Catholic communion undertaken regularly in the home and those wising to attend church are supported to do so. Visitors were observed to be welcomed into the home and service users stated that family and friends are always welcomed and encouraged to visit. Choices are supported and a variety of meals are also provided. Meals are occasionally taken outside the home and those wishing to visit the local pub for drinks and a meal are supported by staff to do so. Some staff support these outings in their own time to ensure staffing is appropriate. Kent House H56-H05 S23456 Kent House V246421 041005 Stage 4.doc Version 1.40 Page 13 Kent House H56-H05 S23456 Kent House V246421 041005 Stage 4.doc Version 1.40 Page 14 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 standard(s) 16 & 18 Complaints are dealt with appropriately and service users are protected from abuse. The current policies covering abuse and complaints, are not clearly written and do not contain sufficient or appropriate information, this does not inform or support staff or protect service users. EVIDENCE: Service users spoken to at this time stated they feel safe and that they are listened to and supported by staff. However, the policies developed by the organisation, are not clearly set out, do not contain up to date information and do not support staff in their role. Policies need to be extended and must contain appropriate information to ensure the correct actions are undertaken by staff, particularly with regard to any case of abuse. Kent House H56-H05 S23456 Kent House V246421 041005 Stage 4.doc Version 1.40 Page 15 Environment The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 19 & 26 The home is continuing with the decoration and refurbishment programme to provide a safe and well-maintained environment, the environment is not currently fully maintained or appropriate. There is no maintenance man allocated to the home and all maintenance work has to be prioritised by the main maintenance team. This can cause problems when minor work, such as new light bulbs or small shelving is required in service user rooms. The sink area in the laundry room must contain pump soap and paper towels to ensure the control of infection. EVIDENCE: The home was found to be clean and odour free at this time. Corridor areas have been re-carpeted and are to be redecorated. The laundry floor is to be renewed and this area must also contain pump soap and paper towels to Kent House H56-H05 S23456 Kent House V246421 041005 Stage 4.doc Version 1.40 Page 16 ensure the control of infection and to support good practice in the home. Radiators are in the process of being covered in service user rooms, all communal areas have covered radiators. Rooms are clean, comfortable and contain personal items and adequate furnishings. Due to the high temperatures of the hot water in some areas, thermostats are to be fitted in each room for the safety of service users. Environmental improvements are being undertaken but these have to be carried out in rotation with other homes in the group. This means that work is prioritised and a team of maintenance men deal with matters in all homes in the Kent area. This means that there is no maintenance man on site to undertake the small jobs that occur on a daily basis and the home will therefore have to wait until the maintenance team are in the building for these minor jobs to be completed. Carpets are cleaned on a rolling programme as the home has an appropriate carpet cleaner. This helps to maintain a clean and odour free environment. Kent House H56-H05 S23456 Kent House V246421 041005 Stage 4.doc Version 1.40 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 considers Standards 27, 29, and 30 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 27, 29 & 30 Training is undertaken to support service user needs but some areas are currently out of date, resulting in some areas of knowledge not being out of date and putting service users at risk. Recruitment is undertaken in line with equal opportunities and appropriate paperwork was found on a sampling of files reviewed at this time, ensuring and supporting the safety of service users. EVIDENCE: At the time of this inspection staffing consisted of 2 care staff, 1 senior carer, 1 deputy, 1 cook, 1 laundry person, the manager and 2 maintenance men decorating one service user room. Recruitment is undertaken in line with equal opportunities, scoring of applicants at interview is retained on staff files and appropriate POVA and CRB checks are undertaken. Staff commence work after the receipt of a POVA check and staff are supervised until a CRB check is received. The core training areas are outlined on a training matrix in the home, but some areas of training are out of date and need to be updated. The organisation that owns Kent House controls the updating of training and the manager stated that all out of date training is to be updated. All training requirements are reviewed at the monthly Regulation 26 visits undertaken by the organisation. Health and Safety training was due to be updated during the week following this inspection. Food Hygiene was last undertaken in July 2004 and needs to be refreshed along with Infection Control and First Aid training Kent House H56-H05 S23456 Kent House V246421 041005 Stage 4.doc Version 1.40 Page 18 that are also currently out of date. The Safe Handling of Medication and Fire Safety training have been carried out during September 2005. There are currently 6 members of staff with NVQ level 2, 2 members of staff are undertaking NVQ level 3 and one member of staff currently on maternity leave is also on level 3. All other staff are working towards NVQ level 2. Kent House H56-H05 S23456 Kent House V246421 041005 Stage 4.doc Version 1.40 Page 19 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 33, 35 and 38 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 33 & 35 The home considers the best interests of service users and their financial interests are safeguarded. EVIDENCE: Service users spoken to at this time, both individually and in groups, confirmed they feel they are supported, can discuss matters with staff and that staff will always listen. No member of staff signs for any savings or bank matters for service users. Families provide money for day-to-day spending where necessary and 2 people sign for any money being issued at all times. Money is securely kept in the main office or in a secure drawer in individual rooms. All balances of money is checked on a monthly basis by the area manager. Staff undertake shopping for service users or service users are taken to the shops if they prefer to do their own shopping. Kent House H56-H05 S23456 Kent House V246421 041005 Stage 4.doc Version 1.40 Page 20 Kent House H56-H05 S23456 Kent House V246421 041005 Stage 4.doc Version 1.40 Page 21 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 ENVIRONMENT Standard No 1 2 3 4 5 6 Score Standard No 19 20 21 22 23 24 25 26 Score 2 x x x x N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 3 10 x 11 x DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 x 14 3 15 x COMPLAINTS AND PROTECTION 2 x x x x x x 2 STAFFING Standard No Score 27 3 28 x 29 3 30 2 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score Standard No 16 17 18 Score 3 x 2 x x 3 x 3 x x x Kent House H56-H05 S23456 Kent House V246421 041005 Stage 4.doc Version 1.40 Page 22 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. 1. Standard 1 Regulation 4&5 Requirement The Statement of Purpose & Service User Guide must contain current information and be in an appropriate format for service users. Care plans are to be in a format that support staff and ensure the full needs of service users are met. The abuse policy must contain up to date, clear and full information the supports staff and protects service users. Environmental improvements are required to continue to provide suitable and comfortable surroundings for service users. Staff training must be kept up to date at all times and all staff are to undertake development & refresher training. Local procedures are to be developed to support staff in their duties, to support the induction process and to protect/support service users. Pump soap & paper towels must be available in the laundry room. Timescale for action 30/11/05 2. 7 14 30/11/05 3. 18 12 & 13 30/11/05 4. 19 & 26 16 & 23 ongoing 5. 30 19 6. 18 12 & 17 Plan of action to be with CSCI by 30/11/05 31/01/06 7. 26 16 & 23 30/11/05 Kent House H56-H05 S23456 Kent House V246421 041005 Stage 4.doc Version 1.40 Page 23 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 Good Practice Recommendations Kent House H56-H05 S23456 Kent House V246421 041005 Stage 4.doc Version 1.40 Page 24 Commission for Social Care Inspection 11th Floor, International House Dover Place Ashford Kent TN23 1HU 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 Kent House H56-H05 S23456 Kent House V246421 041005 Stage 4.doc Version 1.40 Page 25 - 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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