Inspection on 17/12/05 for Kentmere Respite Service

This inspection was carried out on 17th December 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 found no outstanding requirements from the previous inspection report, but made 1 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

Kentmere Respite Service 20/02/07

Kentmere Respite Service 01/09/05

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 Unannounced Inspection 17th December 2005 12:30 Kentmere Respite Service DS0000035974.V258008.R01.S.doc Version 5.1 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.V258008.R01.S.doc Version 5.1 Page 2 This is a report of an inspection to assess whether services are meeting the needs of people who use them. The legal basis for conducting inspections is the Care Standards Act 2000 and the relevant National Minimum Standards for this establishment are those for Care Homes for 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.V258008.R01.S.doc Version 5.1 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.V258008.R01.S.doc Version 5.1 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. 1st September 2005 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.V258008.R01.S.doc Version 5.1 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This inspection was unannounced and was conducted over three hours. There were five service users present during the inspection. The inspector spoke to one service user, and two members of staff and viewed documentation in respect of staff complement and training. A full tour of the building was conducted. Comment cards were distributed during this inspection, however none were received back at the time of this report. Key standards not assessed at this inspection will have been addressed at the previous inspection on the 1st September 2005. What the service does well: What has improved since the last inspection? What they could do better: Two of the staff team have completed NVQ level II in care. The staff remain committed to achieving the target of 50 having this award and two more members are close to completion of this award. Suitable fire equipment should remain in situ within the home. Kentmere Respite Service DS0000035974.V258008.R01.S.doc Version 5.1 Page 6 Consideration should be given to the suitability and safety of the entrance hall door. Several areas of the home require minor repair and redecoration. 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.V258008.R01.S.doc Version 5.1 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.V258008.R01.S.doc Version 5.1 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): None of the above standards were inspected at this visit. EVIDENCE: Kentmere Respite Service DS0000035974.V258008.R01.S.doc Version 5.1 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): None of the above standards were inspected at this visit. EVIDENCE: Kentmere Respite Service DS0000035974.V258008.R01.S.doc Version 5.1 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): None of the above standards were inspected at this visit. EVIDENCE: Kentmere Respite Service DS0000035974.V258008.R01.S.doc Version 5.1 Page 11 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): None of the above standards were inspected at this visit. EVIDENCE: Kentmere Respite Service DS0000035974.V258008.R01.S.doc Version 5.1 Page 12 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): None of the above standards were inspected at this visit. EVIDENCE: Kentmere Respite Service DS0000035974.V258008.R01.S.doc Version 5.1 Page 13 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): 24 and 30 The respite service provides a homely, clean and comfortable environment for people during their stay. EVIDENCE: Kentmere is a detached bungalow, situated in a residential area of St Anne’s. It is close to shops and local amenities; it is on a main bus route and close to the railway station. Service users accommodation comprises of a lounge/dining room, kitchen, three single bedrooms and one double bedroom, all situated on the ground floor. There is a garden area at the rear of the home which is accessible to service users. The furnishings and fittings of the home are domestic in style and the home is decorated generally to a good standard. However the main corridor and some of the bedrooms do require a little redecoration. During the visit it was noted that a fire extinguisher was not in place at the entrance. Staff advised that it had been removed due to a service user tampering with it. Staff were advised that this must be in place and alternative secure storage be considered. The entrance hall door had a temporary Perspex panel fitted, again due to damage being done by a service user. Staff advised that the door was possibly being replaced. The inspector felt that the glass sections in the door were not very strong and posed a risk if anyone was to fall against this. Kentmere Respite Service DS0000035974.V258008.R01.S.doc Version 5.1 Page 14 The home was found to be clean and free from any offensive odours. The staff are responsible for cleaning and maintaining the house. The laundry facilities of the home are sited in the utility room to the right of the kitchen which means laundry has to be taken through the kitchen area. The utility area does require some attention and redecoration to ensure easy clean and impermeable floors and walls. A protruding nail was removed during the inspection, which left some wood panelling requiring securing. There is a clear procedure on the control of infection and staff are made aware of this at their induction training. When spoken to staff where clear that all foul laundry should be taken to the utility area via the outside of the building and through the rear door not through the kitchen. Kentmere Respite Service DS0000035974.V258008.R01.S.doc Version 5.1 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): 32, 34 and 35 Staffing levels are sufficient to meet the needs of the service users. Recruitment procedures are thorough and ensure the safety of the service users who use the facility. Staff are committed to providing a good service to the people in their care. EVIDENCE: A t the time of the inspection there were sufficient staff on duty to see to individual needs. The staff rota was viewed and two members of staff were spoken to and this confirmed that staffing levels meet the needs of the people accommodated. Staff contracts still do not reflect the number of hours that people are actually working and these still require reviewing as it is down to the flexibility of the part time staff to ensure rotas are covered. The staffing hours are used in a way, which ensures individual activities can be developed. On the day of the inspection a Christmas party was planned for service users and carers of respite facilities in the area and service users were being supported to attend this. All necessary police checks and references are obtained prior to employment and a record of these is maintained at the home. Staff members spoken to confirmed that all new members of staff undertake LDAF (learning Disability Award Framework) induction and foundation within Kentmere Respite Service DS0000035974.V258008.R01.S.doc Version 5.1 Page 16 the first six weeks of their employment. Other training provided by Lancashire County Council includes first aid, health and Safety, fire and abuse procedures. There are two members of care staff who have completed their LDAF training and a new member of staff has recently commenced this. Two members of staff have achieved the NVQ (National Vocational Qualification) level II in care. Two more staff are currently undertaking this, which when completed will mean the home will have reached the target of 50 having this award. Kentmere Respite Service DS0000035974.V258008.R01.S.doc Version 5.1 Page 17 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): 37 The current registered manager is competent and experienced, ensuring that staff have clear direction and leadership. Suitable management arrangements must be in place following her departure. EVIDENCE: The registered manager was not present at the time of the inspection. Staff spoken to confirmed that they felt well supported and able to approach the manager at any time. She has recently completed the Registered Managers Award. The management approach is open and supportive and regular house meetings are held with staff. There is very open communication between the staff, service users and their relatives. Staff confirmed that 1-1 support sessions are a regular feature in the home and support is given in respect of training. The inspector was advised that the current manager would be leaving Kentmere in January 06 following her resignation. A new suitably qualified and experienced manager will have to be registered with the Commission for Social Care Inspection. Kentmere Respite Service DS0000035974.V258008.R01.S.doc Version 5.1 Page 18 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 Standard No Score 1 X 2 X 3 X 4 X 5 X INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 X 23 X ENVIRONMENT Standard No Score 24 2 25 X 26 X 27 X 28 X 29 X 30 3 STAFFING Standard No Score 31 X 32 3 33 X 34 3 35 3 36 X CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score X X X X X LIFESTYLES Standard No Score 11 X 12 X 13 X 14 X 15 X 16 X 17 X PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score X X X X 3 X X X X X X Kentmere Respite Service DS0000035974.V258008.R01.S.doc Version 5.1 Page 19 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 OP24 Regulation 23(4) (a) Requirement Suitable fire equipment should remain in situ. Timescale for action 31/12/06 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1 2 Refer to Standard OP24 OP24 Good Practice Recommendations Consideration should be given to the suitability and safety of the entrance hall door. Several areas of the home require minor repair and redecoration. Kentmere Respite Service DS0000035974.V258008.R01.S.doc Version 5.1 Page 20 Commission for Social Care Inspection North Lancashire Area Office 2nd Floor, Unit 1, Tustin Court Port Way Preston PR2 2YQ National Enquiry Line: 0845 015 0120 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk © This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI Kentmere Respite Service DS0000035974.V258008.R01.S.doc Version 5.1 Page 21 - 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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