This inspection was carried out on 10th May 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.
CARE HOMES FOR OLDER PEOPLE
Kentwood Nursing Homes Limited Darenth Road South Darenth Dartford Kent DA2 7QT Lead Inspector
Alison Spreadbridge Unannounced 10 May 2005 09:30 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. Kentwood Nursing Homes Limited H56-H06 S43103 Kentwood NH V223938 100505 Stage 4.doc Version 1.30 Page 3 SERVICE INFORMATION
Name of service Kentwood Nursing Homes Limited Address Darenth Road South Darenth Dartford Kent DA2 7QT 01322 279771 01322 279131 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) Kentwood House Nursing Homes Limited Mrs Iqbal Sandhu Care Home with Nursing 35 Category(ies) of Old Age - 35 registration, with number of places Kentwood Nursing Homes Limited H56-H06 S43103 Kentwood NH V223938 100505 Stage 4.doc Version 1.30 Page 4 SERVICE INFORMATION
Conditions of registration: Date of last inspection 14 December 2004 Brief Description of the Service: Kentwood Nursing Homes Limited H56-H06 S43103 Kentwood NH V223938 100505 Stage 4.doc Version 1.30 Page 5 SUMMARY
This is an overview of what the inspector found during the inspection. The unannounced inspection took place over 5 hours on the 10 May 2005. A tour of the home took place, and some records were inspected. Two visitors and seven service users were spoken to. At the time of the inspection there were 32 service users living in the home and a new service users was due to move into the home next day. The home has been owned and run by Mrs Sandhu for the last 15 years What the service does well: What has improved since the last inspection? What they could do better:
The home needs to build on the weekly activities already being offered to service users. Kentwood Nursing Homes Limited H56-H06 S43103 Kentwood NH V223938 100505 Stage 4.doc Version 1.30 Page 6 The home must ensure that all staff and especially those nurses from abroad understanding the fire regulations and emergency procedures 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. Kentwood Nursing Homes Limited H56-H06 S43103 Kentwood NH V223938 100505 Stage 4.doc Version 1.30 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 Kentwood Nursing Homes Limited H56-H06 S43103 Kentwood NH V223938 100505 Stage 4.doc Version 1.30 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) 1,2,3,4,5, Service users and their representatives are provided with the information they require before making a decision to move into the home. EVIDENCE: Service users are provided with the information they require before moving into the home. Service users are being provided with a written contract and a statement of the homes terms and conditions Service users are having their needs assessed prior to moving into the home. Care plans are being completed within a reasonable timescale. Intermediate care is not being offered at this time. Kentwood Nursing Homes Limited H56-H06 S43103 Kentwood NH V223938 100505 Stage 4.doc Version 1.30 Page 9 Health and Personal Care
The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 7,8,9,10, Service users health needs are being supported in the home through their assessed care plans. EVIDENCE: Service users are registered with the local G.P. practice unless they wish to retain their own doctor. Service users are supported to take their medication at regular times and it is recorded are stored securely. Service users care plans are maintained to ensure all assessed care is given. Service users and visitors spoken to said they are pleased with the care their relative receives. The service users are treated respectfully by the staff. Kentwood Nursing Homes Limited H56-H06 S43103 Kentwood NH V223938 100505 Stage 4.doc Version 1.30 Page 10 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) 12,13,14,15, Service users are encouraged to make choices over their daily activities and choice of menu. EVIDENCE: There was a very relaxed atmosphere in the home on the day of the inspection. Service users said they were very happy with the home and the care they received. They enjoyed the gardens and the countryside views. During the inspection service users were seen to be assisted to use the ramp to access the garden. Arrangements were in progress for the summer outings, visits to gardens, the seaside and picnics were already planned. Service users spoken to were happy with the care they received. They looked forward to the hairdressers visit each week Service users were provided with two choices to the main meal of the day. Special diets are provided for diabetics, and the liquidised diets were seen to be well presented. Evening snakes are available to service users and are prepared by the staff. Kentwood Nursing Homes Limited H56-H06 S43103 Kentwood NH V223938 100505 Stage 4.doc Version 1.30 Page 11 The home has some activities such as yoga and sing alongs, bingo and jigsaws however, they would benefit from a more varied weekly activities programme. As the Yoga and keep fit activities only take place once a week Kentwood Nursing Homes Limited H56-H06 S43103 Kentwood NH V223938 100505 Stage 4.doc Version 1.30 Page 12 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) Not inspected EVIDENCE: Kentwood Nursing Homes Limited H56-H06 S43103 Kentwood NH V223938 100505 Stage 4.doc Version 1.30 Page 13 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) Service users live in a very nice environment and their needs are being met EVIDENCE: The home is well decorated and free from odours, and has a very relaxed atmosphere. Service users were cheerful and interested in what was going on around them All of the laundry is undertaken in house. Service users clothes looked well pressed and they were dressed suitably for the time of year. Service users are encouraged to bring some of their own possessions in with them to make their own rooms more homely. Kentwood Nursing Homes Limited H56-H06 S43103 Kentwood NH V223938 100505 Stage 4.doc Version 1.30 Page 14 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) Not inspected EVIDENCE: Kentwood Nursing Homes Limited H56-H06 S43103 Kentwood NH V223938 100505 Stage 4.doc Version 1.30 Page 15 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) Not inspected EVIDENCE: Kentwood Nursing Homes Limited H56-H06 S43103 Kentwood NH V223938 100505 Stage 4.doc Version 1.30 Page 16 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 3 3 3 3 3 x 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 2 13 3 14 3 15 3
COMPLAINTS AND PROTECTION 3 3 3 3 3 3 3 3 STAFFING Standard No Score 27 x 28 x 29 x 30 x MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score Standard No 16 17 18 Score x x x x x x x x x x x Kentwood Nursing Homes Limited H56-H06 S43103 Kentwood NH V223938 100505 Stage 4.doc Version 1.30 Page 17 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 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. 1. Refer to Standard 12 Good Practice Recommendations The service users would benefit from a more varied and extended activites programme Kentwood Nursing Homes Limited H56-H06 S43103 Kentwood NH V223938 100505 Stage 4.doc Version 1.30 Page 18 Commission for Social Care Inspection The Oast Hermitage Court Hermitage Lane Maidstone ME16 9NT National Enquiry Line: 0845 015 0120 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk
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