Inspection on 30/05/07 for Kenton Hall Nursing Home

This inspection was carried out on 30th May 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 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

Kenton Hall Nursing Home 25/10/06

Kenton Hall Nursing Home 09/11/05

Kenton Hall Nursing Home 08/07/05

Kenton Hall Nursing Home 13/12/04

Kenton Hall Nursing Home 30/04/04

Similar services:

Turret Villa Retirement Home

Moor House

Mendip House

Beaconsfield Court Care Home

Little Sisters Of The Poor

Manor House

Middleton Hall Ltd

Middlesbrough Intermediate Care Centre

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

CARE HOMES FOR OLDER PEOPLE Kenton Hall Nursing Home Kenton Lane Gosforth Newcastle Upon Tyne NE3 3EE Lead Inspector Suzanne McKean Key Unannounced Inspection 30th May 2007 09:30 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 Kenton Hall Nursing Home DS0000000423.V338149.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. Kenton Hall Nursing Home DS0000000423.V338149.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Kenton Hall Nursing Home Address Kenton Lane Gosforth Newcastle Upon Tyne NE3 3EE 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) 0191 271 1313 0191 2145363 Solehawk Limited Althea Miranda Oladuni Morgan Care Home 60 Category(ies) of Old age, not falling within any other category registration, with number (60) of places Kenton Hall Nursing Home DS0000000423.V338149.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 25th October 2006 Brief Description of the Service: Kenton Hall Care Home provides nursing care for up to 60 older people. The home is purpose built and shares the site with the residential home owned by the same company. The home has two floors, which are accessible by stairs and a passenger lift. Both floors have large separate dining rooms and a range of lounges including a separate smoking room. There is a large conservatory on the ground floor, which leads into a large pleasant garden. There are specialist bathrooms, showers and toilets available on both floors. All of the bedrooms are single and have en-suite facilities. There is easy access for wheelchair users and ample car parking. The home is located within a residential area, close to all local amenities and is accessible by local transport. The home charges fees of between £383.52 and £555.62 per week depending upon the needs and requirements of the individual residents. The home provides nursing care. The free nursing care element of the funding is provided in addition to the costs charged to the resident and is dependent upon the assessed level of nursing need. The home provides information about the service through the service user guide. A copy of the last inspection report from The Commission for Social Care Inspection is available in the entrance to the home. Kenton Hall Nursing Home DS0000000423.V338149.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This unannounced inspection was carried out over a total of eight hours during two visits. Eight residents and three staff were spoken at some length and others chatted to briefly. Three relatives were spoken to directly as they were in the home. Four care plans, and records for medication were examined. Also staff files, training records and health and safety documentation was looked at. Ten resident and ten relative questionnaires were given out, to be completed, and returned using pre-paid envelopes. The responses have been included in this report. No relative or resident said they wished to speak directly to an inspector. There were five requirements made at the last inspection all of which have been fully met. No additional requirements were identified during this inspection. What the service does well: What has improved since the last inspection? The care plans have been improved significantly and now include a detailed social care assessment. All residents who had a lap strap in place have been reviewed to ensure that they are maintaining their dignity and protecting their rights as well as maintaining their safety. Kenton Hall Nursing Home DS0000000423.V338149.R01.S.doc Version 5.2 Page 6 Corridor carpets on the ground floor have been replaced. Moving and handling training updates are now up to date as well as the supervision programme. 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. Kenton Hall Nursing Home DS0000000423.V338149.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 Kenton Hall Nursing Home DS0000000423.V338149.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, 5 & 6 (the home is not registered for intermediate care) Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The residents have written contracts and terms and conditions of residency. These set out the rights, and obligations of all parties. The resident needs are identified during a good comprehensive assessment, which is carried out both before and after admission. Residents are encouraged to visit the home before making the decision to move in and they are given detailed information to help them make up their mind. EVIDENCE: Each resident has a contract which gives the terms and conditions of the stay in the home. This includes the accommodation provided, fees, care and service Kenton Hall Nursing Home DS0000000423.V338149.R01.S.doc Version 5.2 Page 9 provision, additional services, and rights and obligations for both the resident and the home. The care plans showed that residents have a full needs assessment carried out by care managers before being admitted to the home. The nurse assessor, home manager or senior nurse also carries out a full assessment of need before anyone is admitted to the home. Potential residents are encouraged to visit the home before admission. They are able to visit for part of a day and have a meal with other residents and join in any activity event in the home. All residents have a six-week trial period after which a multi disciplinary review is held with the resident and their representative. Following the review the decision to stay in the home is then made. Kenton Hall Nursing Home DS0000000423.V338149.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 7, 8, 9, and 10 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. All residents have a detailed and comprehensive care plan and the care is given as it describes in these plans. The residents are having their health care needs effectively met. They are being given their care with courtesy and in privacy ensuring their dignity is maintained. The residents receive their prescribed medication according to safe working practices. The medicines in the home are well managed. EVIDENCE: The resident documentation is well completed and includes a detailed assessment and a plan of care. The care plans are completed to a good standard. Relevant risk assessments are completed for, prevention of falls, wound care, moving and assisting, and continence promotion. There is an assessment to look at resident’s food and fluid intake. If a resident has any unplanned weight loss a plan is drawn up to address this. In one care plan this Kenton Hall Nursing Home DS0000000423.V338149.R01.S.doc Version 5.2 Page 11 included getting advice from a dietician and speech therapist and in another speaking the residents General Practitioner. Residents access NHS services and facilities as necessary. The care plans showed that specialist advisors are used for individual residents. The care plans show that the personal and health care needs of the residents are being met. Returned questionnaires from residents and relatives confirmed this. The care being given during the visits also showed this for personal and health care areas. Social assessments have been improved and are now in sufficient detail to reflect the way the resident would have their social needs met. There are a number of social opportunities available in the home and this is now being reflected in the individual care plans and the records of activities being enjoyed. The residents were dressed for the activities they were undertaking and looked smart and tidy. The residents who were able to speak to me were positive about the care being given. Comments made included “the staff are nice”. Medicines management was in line with guidance. The staff record the medicines correctly when they are ordered. The prescriptions are then checked when they are received in the home from the General Practitioners and are then sent to the Chemist for dispensing. The medicines received from the pharmacy are checked against the record of what was ordered and prescribed so that any errors can be picked up. Medicines no longer required are disposed of safely. No resident manages his or her own medication. Kenton Hall Nursing Home DS0000000423.V338149.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 14 and 15 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The residents are well supported to take part in social activities they find interesting and are able to take part in. The residents are being encouraged and supported to maintain contact with their families. The residents are given a balanced, nutritious diet given at appropriate times in a pleasant environment. EVIDENCE: There is an activity co-ordinator employed who co-ordinates the more organised activities and spends time with residents on a one to one basis. On the day of the first visit she was occupied in spending time with the residents. There was a list of planned activities advertised throughout the home including for traditional events. This has been developed since the last inspection and now identifies individual residents choices and their participation in activities. This also describes if the resident has enjoyed it. Kenton Hall Nursing Home DS0000000423.V338149.R01.S.doc Version 5.2 Page 13 The food being served on the first visit was traditional meat and vegetable meal and this was well received by the residents on the day. A second alternative is offered which residents can choose from prior to the mealtime. Alternatives were offered for both the main mean and the pudding/sweet. The residents were complementary about the food during the mealtime and appeared to enjoy it. The food was not tasted although the inspector did so during the last inspection and it was being served at the appropriate temperature from warmed plates and was tasty. The cooks have a good understanding of the dietary needs of the residents, and how to increase the calories in the food being served for those at risk of weight loss. Fresh fruit is served in a variety of ways. Milk drinks with fruit added (smoothies) are also offered as an alternative to tea and coffee on the afternoon “tea trolley”. Residents were complementary about he food being served. Breakfast was especially popular when a full-cooked breakfast, cereals, toast and egg/bacon sandwiches are available. The morning “tea trolley” offered a varied selection of drinks. There was tea, coffee, or cold drinks of either juice or milk. There were biscuits provided. During the afternoon an ice cream van visited the home, which it does twice a week, so that residents could choose to have an ice cream if they wish to. The bedrooms are nicely personalised according to the taste of the resident and where possible they choose their own decoration. Two residents said they were happy with their rooms and that they had a lot their own personal items around them. Residents have visitors at any time and are able to use their own rooms, or the lounges to see them. Three relatives said that they are welcomed into the home. Residents said they were happy with the arrangements for visitors. Kenton Hall Nursing Home DS0000000423.V338149.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 16 & 18 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home has an effective complaints policy, which is known to the relatives and residents. Complaints are dealt with effectively. The residents are protected form abuse by an effective staff training programme, good recruitment and selection procedures. EVIDENCE: The complaints procedure is available in the service users guide and a copy is displayed in the home. There has been one complaint recorded since the last inspection. The record of complaint was detailed and had been investigated fully. These were detailed and included the outcome and the action taken in response to the investigations. The records were dated and signed by the manager. Two relatives who were visiting the home were aware of the complaints procedure but had not needed to use it. Since the last inspection the home has been involved in a Vulnerable Adults investigation. This is a process led by Social Services and is used to ensure that there is involvement of professionals from outside of the home in Kenton Hall Nursing Home DS0000000423.V338149.R01.S.doc Version 5.2 Page 15 considering an event which has effected the welfare of a resident /or residents. This issue was reported by the home in response to an incident. Following appropriate consideration by other professional organisations the home was asked to undertake the investigation and the outcome of which reported back to a strategy meeting. The manager identified training, which would improve practice and has taken steps to make improvements to the documentation completed for residents. The Manager was very active in ensuring that the resident’s safety remains the priority of the home. Staff are given protection of vulnerable adults training both as part of the inhouse training package. Kenton Hall Nursing Home DS0000000423.V338149.R01.S.doc Version 5.2 Page 16 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, 21, 22, 23, 24 and 26 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home is well decorated and maintained it is pleasantly furnished to meet the needs of the residents. The bedrooms are nicely decorated and are personalised to reflect the residents taste and choice. There are sufficient numbers of toilets and bathrooms and these are well equipped and spacious. Good records are maintained of the health and safety practices and maintenance of the building and facilities. The home is clean and well organised and the staff are knowledgeable regarding the ways to prevent the risk of cross infection in the home. Kenton Hall Nursing Home DS0000000423.V338149.R01.S.doc Version 5.2 Page 17 EVIDENCE: The home is clean and was odour free. It is well decorated and maintained and there are a number of lounge areas for the resident to choose from. The main lounge on the ground floor has a large conservatory adjacent to it that opens onto a very pleasant garden area. The Manager is aware of the need to have in place a redecoration programme to deal with any wear and tear occurring. The residents’ and relatives who were asked about the bedrooms said they were happy with the decoration and that they were kept clean by the staff. There was a requirement made at the last inspection to have the corridor carpet on the ground floor either deep cleaned or replaced this was being replaced on the first day of the visit. On the second visit this work was complete and it had made a significant improvement to the main areas of the home. There are three bathrooms and one shower on each floor. The bathroom areas were becoming shabby and were being decorated during the inspection. On the second visit two had been completed and were nicely done. The laundry was clean, organised and well equipped. The laundry staff use gloves and aprons as necessary. There are three washers, which have a sluice facility and two dryers. The laundry is equipped with a roller press and domestic type iron. The sluices were tidy and clean and the disinfectors operational. Staff follow infection control policies and use appropriate equipment. Kenton Hall Nursing Home DS0000000423.V338149.R01.S.doc Version 5.2 Page 18 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): 27, 28, 29 and 30 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home has an effective recruitment and selection system, which ensures that residents are cared for by well-trained, skilled staff and are in safe hands. The staff are well training and competent in giving the care they residents require. The training programme is up to date and covers a large spectrum of both clinical and statutory areas. EVIDENCE: Staff records are completed according to the company policies and procedures, including two references and a completed application form. The requirement to have a CRB and POVA check is applied to all of the staff in the home. On both of the visits there were sufficient staff to meet the needs of the residents. The first day of the visit there was the Manager, two qualified nurses, nine carers, four domestic, the cook, two kitchen assistants, the administrator and activities co-ordinator. The training records were looked at. There is training in both statutory and clinical areas and staff are given training in line with the company policy. Kenton Hall Nursing Home DS0000000423.V338149.R01.S.doc Version 5.2 Page 19 Training provided includes Health and Safety, skills for care induction, first aid, medicine awareness training, food hygiene, infection control and customer care. Fire training and moving and handling training is up to date. Nineteen of the care staff have achieved NVQ 2 and three have a NVQ level 3 out of 30 employed. Kenton Hall Nursing Home DS0000000423.V338149.R01.S.doc Version 5.2 Page 20 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, 35, and 38 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Mrs Morgan has continued to improve the management systems in the home taking into account the needs and wishes of the residents. The home has good health and safety systems, which include staff training and risk assessments. Staff supervision is now up to date ensuring that the staff are given good support to undertake their work. Resident’s personal finances are managed appropriately. Kenton Hall Nursing Home DS0000000423.V338149.R01.S.doc Version 5.2 Page 21 EVIDENCE: Mrs Morgan has achieved the registered managers award. There is a system and records to review health and safety; it involves all of the staff. There are records of regular staff meetings and the contents suggest that there is broad spectrum of relevant issues discussed. The Manager also arranges meetings with the relatives and residents as appropriate. Health and safety risk assessment in place for a wide range of activities and areas of the home. The Manager continues to consult the residents, staff and other interested parties to review the service provided and manage the staff in a way to improve care delivered. The manager has recently conducted a resident and relative survey as part of the quality assurance process. These are being returned and once analysed the Manager will include the information in the homes development plan. Audits are carried on care planning, infection control, and medication. The manager has meetings with families 6 monthly, these are generally not well attended however it gives them a chance to meet with her formally if you wish to. The Manager operates an “open door” policy of being available to residents and relatives informally when on duty. There is a system in place for undertaking staff supervision. This is now up to date and there is a matrix in place to ensure that the Manager can monitor the progress of the supervisions being completed. The personal records kept in the home of residents who are receiving assistance to manage their finances were examined and are detailed, logical and appropriate. Receipts were in place for purchases made on behalf of residents and signatures of either two staff or one and the service user were in place. Kenton Hall Nursing Home DS0000000423.V338149.R01.S.doc Version 5.2 Page 22 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 3 N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 3 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 3 X 3 3 3 3 X 3 STAFFING Standard No Score 27 3 28 3 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X 3 X 3 X X 3 Kenton Hall Nursing Home DS0000000423.V338149.R01.S.doc Version 5.2 Page 23 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 Kenton Hall Nursing Home DS0000000423.V338149.R01.S.doc Version 5.2 Page 24 Commission for Social Care Inspection Cramlington Area Office Northumbria House Manor Walks Cramlington Northumberland NE23 6UR 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. Extracts may not be used or reproduced without the express permission of CSCI Kenton Hall Nursing Home DS0000000423.V338149.R01.S.doc Version 5.2 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. 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