Inspection on 01/09/05 for Kentmere Respite Service

This inspection was carried out on 1st September 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

Kentmere Respite Service 20/02/07

Kentmere Respite Service 17/12/05

Kentmere Respite Service 25/01/05

Kentmere Respite Service 31/08/04

Kentmere Respite Service 10/03/04

Similar services:

Clover House

Parkside

Park Lodge

Mere Hall View

St Bonaventures

Hudson Road

Whitewalls

Home Farm

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

CARE HOME ADULTS 18-65 Kentmere Respite Service 72 St Annes Road East Lytham St Annes Lancashire FY8 1UX Lead Inspector Mrs Lynne Lynch Announced Inspection 1st September 2005 09:30 Kentmere Respite Service DS0000035974.V249764.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 Kentmere Respite Service DS0000035974.V249764.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. Kentmere Respite Service DS0000035974.V249764.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service Kentmere Respite Service Address 72 St Annes Road East Lytham St Annes Lancashire FY8 1UX 01253 727212 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) Lancashire County Council Miss Tracey Elizabeth Poole Care Home 5 Category(ies) of Learning disability (5) registration, with number of places Kentmere Respite Service DS0000035974.V249764.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. 3. 4. 5. 6. 7. The service should at all times, employ a suitably qualified and experienced manager who is registered with the NCSC. The home must be staffed in accordance with the Residential Staffing Forum guidance by 1st April 2004. Radiators should be fitted with thermostatic controls in service user bedrooms by 31 December 2003. Radiators should be guarded by 31 December 2003. Bedroom one should be redecorated by 31 December 2003. A lock should be fitted to the utility room door by 31 December 2003. A satisfactory periodic inspection report for the electrical installation at Kentmere must be provided to the National Care Standards Commission by 1st December 2003. 25/01/05 Date of last inspection Brief Description of the Service: Kentmere is owned by Lancashire County Council and is operated by Lancashire County Social Services. It is registered with the Commission for Social Care Inspection to provide respite care for five people who have a learning disability and provides a service purchased by funding authorities. The home aims to ensure continuity for the service users during their respite stay. Kentmere is situated in a residential area of St Anne’s with easy access to local shops, amenities and public transport. The property is a dormer bungalow with full wheelchair access on the ground floor. All service users accommodation is provided on the ground floor. Kentmere is committed to implementing the government’s strategy for the development of services for people with a learning disability “Valuing People”. Kentmere is represented on the Local Learning Disability Partnership Board and has a well-established relationship with the Fylde and Wyre Parents/Carers Forum, which is pro-active in the continued development of the services offered. Kentmere Respite Service DS0000035974.V249764.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This inspection was announced and was conducted over six hours. There were five service users present during the inspection. The inspector spoke to four service users, the manager, and a member of staff, six parents/carers and viewed documentation. The parents/carers attended the buffet lunch and voiced their opinions about the home some of their comments have been included in this report. Comment cards were distributed prior to this inspection, however none were received back at the time of this report. What the service does well: What has improved since the last inspection? What they could do better: Kentmere Respite Service DS0000035974.V249764.R01.S.doc Version 5.0 Page 6 The home remains fully committed to ensuring that staff obtain an NVQ qualification and continue to make progress towards their target of 50 of the staff team being qualified. Due to restructuring within the local council there is some uncertainty in respect of staff posts. Staff contracts still do not reflect the number of hours that people are actually working and these still require reviewing as it is only down to the flexibility of the part time staff that rotas are covered. 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. Kentmere Respite Service DS0000035974.V249764.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 Kentmere Respite Service DS0000035974.V249764.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): 2 Prior to moving into the home, a full thorough assessment takes place, to ensure that needs are well met. EVIDENCE: Social care assessments were on file. The home also carries out their own detailed assessment. The assessments were generally well completed and have been done so with service user and relative input. Relatives spoken to at the inspection confirmed a member of staff from Kentmere had visited them to discuss all aspects of care required. One relative said “before she came in here they came to our home and asked lots of questions, so they knew everything she needed, so I was confident she would be ok”. All service users and relatives spoken to at the inspection confirmed that the staff at the home had carried out a thorough assessment prior to the service users admission. Kentmere Respite Service DS0000035974.V249764.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): 6,7 and 9 The individual care plans give good direction to staff to enable care needs to be met. Service users are involved in developing risk assessments and are supported to make decisions. EVIDENCE: Service user files are currently being restructured to follow a new uniform layout, which has been developed across services to ensure good access to information. Generally files within the home are well completed with only a few omissions. Care plans viewed were seen to contain the relevant information and addressed needs as identified in the initial assessment. They had been developed with involvement from family and other relevant agencies, as well as the individual service-users. One lady spoke about her health needs and the support she required in respect of this. These needs were clearly reflected in her care plan. Service users and relatives spoken to confirmed that these plans are reviewed with them on a six monthly basis either by staff visiting their home or via a telephone call. Staff were observed during the inspector to communicate well with service users and assist them to make decisions as to how they would like to spend their day. One relative said “The staff know her well they know her routines and accept that is the way she likes things doing”. Kentmere Respite Service DS0000035974.V249764.R01.S.doc Version 5.0 Page 10 Risk assessments were evidenced on individual care plans, these addressed a variety of areas such as manual handling, bathing and environmental risks. The home has a missing person procedure, which provides information and guidance for staff. It was clear that staff had a clear understanding of risk and ensured that service users were as aware as possible. One service user explained that she understood that some areas in the kitchen were dangerous because staff had told her. Kentmere Respite Service DS0000035974.V249764.R01.S.doc Version 5.0 Page 11 Lifestyle The intended outcomes for Standards 11 - 17 are: 11. 12. 13. 14. 15. 16. 17. Service users have opportunities for personal development. Service users are able to take part in age, peer and culturally appropriate activities. Service users are part of the local community. Service users engage in appropriate leisure activities. Service users have appropriate personal, family and sexual relationships. Service users’ rights are respected and responsibilities recognised in their daily lives. Service users are offered a healthy diet and enjoy their meals and mealtimes. The Commission considers Standards 12, 13, 15, 16 and 17 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 12,13,15,16 and 17 The home provides an environment where service users are able to personally develop and social integration is promoted via access to community facilities. The arrangements for meals promote choice and the development of skills. EVIDENCE: The majority of service users attending Kentmere have day occupations and these are recorded on their care plans. The home liaises well with the different day services and staff attend reviews held there. Some service users may choose not to attend their day occupation whilst at respite and this choice can be accommodated. On the day of the inspection staff were supporting service users to go out to a local café. There are also outreach hours provided around activities. Staff support service users to participate in local community activities. Staff have a good knowledge of local facilities and services. The service users regularly use local facilities such as shops, local cafes and pubs. One lady said she enjoyed completing jigsaws and drawing and staff helped her to do this. One relative said her son had recently had a hip replacement and staff had encouraged him to go out regularly for a walk to aid his recovery. Kentmere has a community notice board, which gives lots of Kentmere Respite Service DS0000035974.V249764.R01.S.doc Version 5.0 Page 12 information about what is going on in the local community. Activities are only curtailed by staff availability. Generally service users come to Kentmere for short respite stay. Service users and relatives both confirmed that they could speak on the telephone at any time. Relatives confirmed that they are always made welcome to visit and meetings are held for service users and relatives to discuss the service. Restrictions are only placed upon service users as a result of a risk being identified. Routines are kept to a minimum service users/relatives confirmed that staff were flexible around peoples needs. Service users confirmed that they were offered a choice of food. Meals are provided in an informal manner, as the home does not have menus. Meals are discussed with individuals with choices always available. The home keeps a record of meals that have been provided. Individual likes, dislikes and dietary needs are recorded on their profiles. The inspector enjoyed a buffet meal with service-users, relatives and staff. One service user follows a low potassium/low phosphate diet this was clearly documented in her care plan and information/guidance available for staff. Kentmere Respite Service DS0000035974.V249764.R01.S.doc Version 5.0 Page 13 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): 18,19 and 20 Clear guidance is contained in the client profiles to ensure that all personal and healthcare needs are met. The systems for the administration of medication are good with clear and comprehensive arrangements in place to ensure service users medication needs are met. EVIDENCE: All files viewed had good information in respect of personal and health care needs giving good guidance for staff. One lady said, “I go for dialysis 3 days a week, the staff help me”. One visitor said, “The staff are very good they pick up on health and medication issues, I made a mistake with his medication and they rang me to check this”. Another lady spoke about her personal care needs saying, “They look after me, help me to have a bath and stuff, you know”. The service users spoken to all felt that they were well cared for and felt that staff respected their privacy. One service user had a Health Action Plan on her file, which had been completed by a community nurse in conjunction with staff and the service user. A new Short Break Service Medication Policy has been developed via a working party comprising of key staff from Short Break services including Kentmere this is a comprehensive document. Staff have had training regarding general health monitoring whilst giving personal care and encouraging service users in Kentmere Respite Service DS0000035974.V249764.R01.S.doc Version 5.0 Page 14 self examination. Kentmere had several requirements and recommendations imposed by the Commission for Social Care Pharmacy Inspector during the last inspection these have now all be met. The storage, recording and administration of medication was satisfactory. Kentmere Respite Service DS0000035974.V249764.R01.S.doc Version 5.0 Page 15 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): 22 and 23 Good practices and policies are in place to enable concerns to be raised and responded to and to protect residents from abuse. EVIDENCE: The home has a comprehensive complaints procedure and records showed that the one complaint received had been addressed appropriately. Service users and visitors said that they knew how to complain and would feel happy to express concerns with the manager. One lady said, “everything is good here, there is nothing bad, no complaints”. The home has a robust policy in respect of vulnerable adults and staff records showed that new members of staff receive LDAF (Learning Disability Award Framework), which addresses issues such as signs of abuse, types of abuse and responding to suspicions of abuse. Service users spoken with all said they felt safe at the home. One visitor said, “ Staff are very good, I have no fears leaving him here”. Kentmere Respite Service DS0000035974.V249764.R01.S.doc Version 5.0 Page 16 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): None of the above standards were inspected at this visit. EVIDENCE: Kentmere Respite Service DS0000035974.V249764.R01.S.doc Version 5.0 Page 17 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): None of the above standards were inspected at this visit. EVIDENCE: Kentmere Respite Service DS0000035974.V249764.R01.S.doc Version 5.0 Page 18 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): 39 and 42 The management and staff at the home are competent and the health, safety and welfare of residents are strongly promoted. Overall the quality monitoring systems are effective and lead to service improvement. EVIDENCE: The management approach is open and supportive. This was evident on the day of the Inspection. A buffet lunch was provided and several parents/carers attended this. Conversation was relaxed and open and there was obviously good communication between staff and visitors. One parent said “they let me know what is happening and always ask me about her care”. Kentmere canvasses the opinion of stakeholders in many ways including questionnaires, meetings, and relative’s forums. At the end of each persons stay a form is sent home with them and they are actively encouraged to complete and return this with views of their stay. One parent spoke about attending the parent/carers forum she felt these meetings were useful and said “it is good I can discuss any issues there”. Following a requirement made after the last inspection a permanent ramp to the front door is now in place. A staff member said this was a good help and Kentmere Respite Service DS0000035974.V249764.R01.S.doc Version 5.0 Page 19 had reduced risks to staff and service users. One service user said, “I like Kentmere and it is easier to get in now, the new ramp is good”. Health and Safety is covered in the homes staff induction and all staff receive health and safety information. Health and Safety is something that the home takes seriously and good mandatory training is in place. Information provided in the questionnaire completed by the registered manager stated that all safety equipment is regularly serviced. Inspection of records indicated that regular fire drills take place and that fire equipment is regularly serviced, however the fire system still requires linking directly to the fire station. The last full evacuation was carried out on the 07/05/05. A record of all accidents is maintained. Kentmere Respite Service DS0000035974.V249764.R01.S.doc Version 5.0 Page 20 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 X X X Standard No 22 23 Score 3 3 ENVIRONMENT INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score 3 3 X 3 X Standard No 24 25 26 27 28 29 30 STAFFING Score X X X X X X X LIFESTYLES Standard No Score 11 X 12 3 13 3 14 X 15 3 16 3 17 Standard No 31 32 33 34 35 36 Score X X X X X X CONDUCT AND MANAGEMENT OF THE HOME 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Kentmere Respite Service Score 3 3 3 X Standard No 37 38 39 40 41 42 43 Score X X 3 X X 3 X DS0000035974.V249764.R01.S.doc Version 5.0 Page 21 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 Kentmere Respite Service DS0000035974.V249764.R01.S.doc Version 5.0 Page 22 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. 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