Inspection on 18/06/08 for Kentwood House Ltd

This inspection was carried out on 18th June 2008.

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

Kentwood House Ltd 31/07/07

Kentwood House Ltd 12/12/06

Kentwood House Ltd 05/12/05

Kentwood House Ltd 10/05/05

Kentwood House Ltd 14/12/04

Similar services:

Wingham Court

Old Hastings House

The Shelley

Springfield House

Sutton Lodge Nursing Home

St Helier`s Residential Hotel

St Joseph`s

Ridgemount

Extracts from inspection reports are licensed from CQC, this page was updated on 28/09/2008.

CARE HOMES FOR OLDER PEOPLE Kentwood House Ltd Darenth Road South Darenth Dartford Kent DA2 7QT Lead Inspector Mrs Susan Hall Key Unannounced Inspection 18th June 2008 08:30 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 Kentwood House Ltd DS0000043103.V365415.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. Kentwood House Ltd DS0000043103.V365415.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Kentwood House Ltd Address Darenth Road South Darenth Dartford Kent DA2 7QT 01322 279771 01322 279131 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) Kentwood House Nursing Homes Ltd Mrs Iqbal Sandhu Care Home 35 Category(ies) of Old age, not falling within any other category registration, with number (35) of places Kentwood House Ltd DS0000043103.V365415.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 31st July 2007 Brief Description of the Service: Kentwood House is a large detached building set in two acres of landscaped gardens. It is situated near to the town of Dartford, and can easily be accessed via the M2 and M20 motorways. The premises are at the end of a small lane, and this gives the feeling of being in the countryside. The nearest shops and other facilities are approximately one mile away, apart from a public house, which is within walking distance down the lane. The home is built with two storeys, and there is access to the first floor via a passenger lift. Communal areas include a large lounge and dining room, and a smaller lounge where residents can sit quietly. The home has twenty-one single rooms and seven shared rooms, and all bedrooms except one have en-suite toilet and shower facilities. The extensive gardens can be accessed via two wheelchair ramps. The home is a family run business owned by Kentwood House Nursing Homes Ltd. The providers are Mr. and Mrs. Sandhu, and Mrs. Sandhu is also the registered manager. Their son Neil Sandhu is the Finance Manager, and is taking an increasingly active role in the general running of the home. Fee levels currently range from £539.00 to £650.00 per week, depending on the assessed needs of each individual resident. Kentwood House Ltd DS0000043103.V365415.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The overall rating for the home is assessed as good, 2 stars. This was a key inspection, which includes taking into account all information received by CSCI since the last inspection. This includes phone calls, letters, any complaints, and formal notifications, which the home is required to make to CSCI. The visit was carried out by one inspector, and lasted for eight hours. During this time, we (i.e. CSCI) talked with six residents, and met several others; observed staff carrying out their duties; read documentation such as care plans, policies and procedures, and staff recruitment and training files; and also talked with three relatives and seven staff members. These included nursing and care staff, the laundry assistant, a housekeeper, and the cook. We also met an agency nurse. The registered manager was present throughout the day, and so was her son, the finance manager. He is taking an active role in all aspects of the running of the home, except for clinical decisions. As many conversations included both of them, they are referred to as “the management” in places, for ease of reading this report. The home has had no formal complaints during the past year, and there have been no referrals to the Social Services Safeguarding Adults team. Residents expressed their confidence in the care given to them by staff with comments such as “the staff are wonderful”; “ I am very happy here”, and “they look after me very well”. What the service does well: The home provides a very friendly, welcoming, and homely environment. Visitors are always made welcome, and are usually offered a hot drink. The management have an open door policy, and are a visible presence on the floor, so that residents and visitors can easily ask any questions or voice any concerns. Health care and medication are well managed. The home is fortunate to have a visiting GP who comes into the home each week. Residents said that the food is good, and that there is plenty of choice. Menus show that the home provides food which is suitably nutritious. Kentwood House Ltd DS0000043103.V365415.R01.S.doc Version 5.2 Page 6 The home has a competent and well trained staff team. 95 of care staff are trained to NVQ level 2 in health and social care. What has improved since the last inspection? What they could do better: The management have decided to fit double-glazing to all windows to ensure that residents are not sitting in draughts when the weather is cooler. There is a programme in place for fitting these. Some aspects of care planning could be more specific, such as recording which type of hoist and sling should be used; and recording bath temperatures. The management needs to ensure that each resident has individual risk assessments carried out when they come into the home for the use of their own room; so that if any equipment is not suitable it is removed or replaced. This refers specifically to toilet surrounds, which may impede the use of hoisting facilities. Kentwood House Ltd DS0000043103.V365415.R01.S.doc Version 5.2 Page 7 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. Kentwood House Ltd DS0000043103.V365415.R01.S.doc Version 5.2 Page 8 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 Kentwood House Ltd DS0000043103.V365415.R01.S.doc Version 5.2 Page 9 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): 1-5 (standard 6 does not apply in this home). Quality in this outcome area is good. The home provides good information, enabling residents to make an informed decision about coming into the home. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The statement of purpose and service users’ guide are well written and contain all the required information. These are put together in one folder for prospective residents/relatives to view, but may be easier for them to read the information if divided into two separate folders. The statement of purpose actually has more detail than needed, making it rather long. It contains data which is not required, (such as each staff member’s name and qualifications), so that it has to be constantly updated. The finance manager started to amend this during the day. Kentwood House Ltd DS0000043103.V365415.R01.S.doc Version 5.2 Page 10 The service users’ guide contains information about the day to day running of the home with items such as: all rooms have TV and telephone points; the gardens are accessible via two wheelchair ramps; meal times; arrangements for visiting; and examples of activities available. Residents have a pre-admission assessment carried out by the manager or a trained nurse. We viewed two of these and they had been well completed, and were appropriately signed and dated. They specify life history and social preferences, and have a resume of all activities of daily living (e.g. physical health, personal and nursing needs, mobility, nutrition, continence). Medication is clearly itemised, and any allergies. All residents are provided with a contract, whether funded by local authority or paying privately. These include the terms and conditions of residency, such as: there is a trial period for four weeks; a breakdown of the costs; and reasons why the contract may be terminated. Residents are invited to visit the home and to spend time in the home before making a decision to stay. If they prefer a shared room, they are invited to meet the other occupant of the room. Kentwood House Ltd DS0000043103.V365415.R01.S.doc Version 5.2 Page 11 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): 7-11 Quality in this outcome area is good. Health records are well maintained, enabling effective care to be given, and tailored to individual residents’ needs. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The management have set up a new care planning system (“Standex” system) during the last year, and this has now been implemented for all residents. We viewed three care plans, and the documentation has been well completed, and contains good details to enable care to be given effectively. Care plans are discussed with the resident, relatives and care management as appropriate, to ensure that all aspects of care are reflected accurately. The plans are reviewed on a monthly basis, and added to as necessary. Each resident has assessments carried out for items such as communication ability (speech, sight, hearing); mobility; nutrition; dependency; skin integrity; and mental capacity. The records for mental capacity are checked at six Kentwood House Ltd DS0000043103.V365415.R01.S.doc Version 5.2 Page 12 monthly intervals, and show if the resident has retained the ability to understand things about their care, and make their own decisions. This is in line with the Mental Capacity Act 2005. Care plans are formulated as necessary from the assessment information. Each resident has a “life story” recorded, and this helps staff to be aware of their previous lifestyle, and their personal preferences. The care plans include risk assessments for e.g. risk of falls, risk of developing a pressure ulcer, risk of having the door closed at night, risk of using walking stick unsupervised etc. There are clear details for giving care, so that care staff can understand what the individual needs are. Information includes notes such as: “has a hearing aid in left ear”; “use hoist and two staff for all transfers”; “likes to get up and washed and dressed before breakfast”; and “ has a poor appetite which needs monitoring”. Care plans stress the importance of maintaining privacy and dignity when care is given. Wound care is recorded with a separate plan for each wound, and the record is completed each time when a dressing is changed. Care plans for mobility would be better if they were more specific – e.g. detailing the type of hoist and sling to be used. Bath temperatures are taken before each bath but are not recorded, and these items are both recommended. Records of social activities are stored in a separate folder, and are completed by the activities co-ordinator. Daily records are completed by the nursing staff. These are good records, including aspects of care given, such as the resident’s mood, if they have eaten well, what activities they have taken part in, how their mobility has been etc. Care plans include multidisciplinary records from other health professionals such as GP, dietician, chiropodist, optician, and community nurses. The residents’ benefit from having a GP who is a visiting medical officer, and visits the home every week as a routine. Most residents prefer to register with this GP practice. Medication is stored in a clinical room which has sufficient storage cupboards, and hand washing facilities. The controlled drugs cupboard meets specifications, and the register is well maintained. Numbers of tablets are audited each time a new supply is obtained from the pharmacy. The room and drugs fridge have correct temperature ranges for safe storage. Oxygen is stored in a separate room, and this has been discussed with the Fire Officer. Medication is dispensed by a local Pharmacist, and administered via bottles/boxes. There was good evidence of stock rotation, and no overstocking. No out of date items were found. Creams are stored separately from internal medication. Medicines and eye drops are dated on opening. Medicine Administration Records (MAR charts), were viewed for all residents. These are good records, showing receipt of medication, and clear records of administration. Two nurses sign handwritten entries. Kentwood House Ltd DS0000043103.V365415.R01.S.doc Version 5.2 Page 13 Residents said that the “staff are wonderful” and “they are very good and always there for me”. Staff were observed caring for residents with gentle and caring attitudes, and ensuring that their privacy and dignity is maintained. End of life care is discussed on admission if possible, or when it seems appropriate. Some care plans show details of choices about end of life care. The management are in the process of obtaining specific “Standex” records, which will enable clearer documentation about this subject. A notice board in the ground floor corridor includes letters of thanks, and some of these are from relatives in regards to residents who have died. They expressed grateful thanks for giving “excellent” care, and for helping relatives through this difficult time. The home has a small quiet lounge, and this is very helpful for relatives who wish to sit quietly. Kentwood House Ltd DS0000043103.V365415.R01.S.doc Version 5.2 Page 14 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): 12-15 Quality in this outcome area is good. Residents enjoy a variety of activities from a flexible programme. Food is well managed in the home. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Care plans include well-written life histories, and provide information about residents’ previous lifestyle and their social preferences. Ongoing social activities are documented for individual residents, in a separate folder, by the activities co-ordinator. The regular activities co-ordinator has taken long term leave for the summer, and a care assistant has now taken on this post. She is beginning to develop this new role. She sees people individually in the mornings – in the lounge, or in their own rooms, and carries out hand/foot massage etc. whilst chatting with them. There is a weekly programme for group activities each afternoon, but this is flexible according to how residents feel. If the weather is good, many choose to go outside, as the grounds consist of over two acres of very pleasant surroundings. There is a covered pond and water feature at the front, and in good weather a gazebo is put up in the garden. Kentwood House Ltd DS0000043103.V365415.R01.S.doc Version 5.2 Page 15 Group activities include exercises to music, games and puzzles, karaoke, bingo, films and craft activities. Entertainers such as musicians or singers are arranged on a regular basis. Residents enjoy going to the local pub (just down the road) for drinks and snacks, and sometimes several will go together. Outings are arranged in good weather to places such as garden centres, shopping, and places of interest. Visitors are welcomed into the home at any time, so long as the resident concerned is happy with this. They are made very welcome by staff, and are usually offered a hot drink. Residents are encouraged to bring in their own possessions to personalise their bedrooms. They continue to manage their own finances if possible, or have an authorised representative. They are encouraged to remain independent in as many areas as possible, for as long as possible. Residents said that the food is well cooked, and there is sufficient variety. The cook has worked at the home for eight years, and knows the residents’ likes and dislikes. There is always a choice of dishes for each mealtime. The cook or kitchen assistant ask the residents in the morning what they would like for lunch, as many forget if they are asked the day before. Breakfasts are mostly served in residents’ own rooms, or in the dining room according to choice. They can have a full cooked breakfast any day. A kitchen assistant prepares the food at tea times, and this always includes a hot dish as well as soup, sandwiches, jacket potatoes etc. Cakes and pastries are all home made. Fresh fruit is always available and actively offered to residents. The kitchen was seen to be clean and well organised. There are separate dried food stores as well as the main kitchen. Food temperatures are recorded for all hot foods, and fridge and freezer temperatures are recorded. There are daily and weekly cleaning programmes. The cook and kitchen assistants work to the Food Standards Agency criteria. All kitchen and care staff keep up to date with training in Basic Food Hygiene. Kentwood House Ltd DS0000043103.V365415.R01.S.doc Version 5.2 Page 16 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. The home has good procedures in place for enabling people to voice any concerns, and to deal with complaints. Residents are protected from abuse. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The complaints procedure, and forms for making written complaints, are kept in the entrance lobby, where anyone can easily access them. There is a confidential box in which to drop these forms, so that complaints can easily remain anonymous if wished. The complaints procedure clearly sets out the pathway to follow, i.e. - to go to the nurse on duty first, then the manager and CSCI if needed. It was suggested that the procedure could include the local Social Services details, and the finance manager said he would add these in. The procedure states that an acknowledgement for any complaint will be made within 24 hours, and a response with the details of any investigation will be within 28 days. There have been no complaints in the last year. The management have a visible presence in the home on a daily basis, and the manager sees most residents individually on most days. This gives residents (and relatives) the opportunity to share any immediate concerns, so that these are dealt with quickly, and do not become formal complaints. Staff recruitment procedures are well managed. Staff are trained in the recognition and prevention of adult abuse, with regular updates in this training. Kentwood House Ltd DS0000043103.V365415.R01.S.doc Version 5.2 Page 17 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): 19-22 & 24-26 Quality in this outcome area is good. The providers ensure that the home is kept clean in all areas, and there is an ongoing programme of redecoration. The premises provide a friendly and homely environment for residents. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The general maintenance of the premises is carried out on an ongoing basis, and there is a business plan in place for making continued improvements. This includes fitting double-glazing to all windows in the next year, replacing carpets as needed, and redecoration of bedrooms and communal areas as needed. The dining room and kitchen have been recently repainted, as well as several bedrooms. These are kept in light colours, so that the rooms feel more airy and spacious. Residents are encouraged to choose the colour for the soft furnishings in their bedrooms, so that their individual choice is taken into Kentwood House Ltd DS0000043103.V365415.R01.S.doc Version 5.2 Page 18 account. The home has a lounge at the front, which leads into the dining area; and there is a smaller lounge at the back of the house, which is available for a quiet time for residents and/or relatives. The manager is adding a number of sensory items to this room (quiet music, fibre optic lights etc), so that it is a calming place to go for anyone who feels upset. The home has very spacious and pleasant grounds with large lawns surrounded by trees. A gazebo is set up during the summer months so that residents can sit comfortably outside. The management would like to add a conservatory, which would benefit residents, but have so far been denied planning permission. New armchairs have been purchased for lounges and bedrooms in the last year. A new nurse call system has been installed, and this has display panels throughout the home to quickly alert the staff as to who is calling. It also shows how long it takes until the bell is answered, so there can be no question of leaving anyone unattended for more than a few minutes. The manager has recently purchased a new carpet cleaning steam machine, and the maintenance man or housekeeping staff use this on most days. The home was clean in all areas, and there are no offensive smells. There are two domestic staff on duty each day, and they have set patterns of working to ensure no areas are missed. All bedrooms except one have en-suite toilet and shower facilities. Shared rooms have suitable screening between beds to maintain privacy. The en-suite toilets all have fixed rail surrounds, in response to a previous inspection visit. However, it has been noted in practice that some of these make it difficult to get correct hoisting facilities into the toilet/shower area. It is therefore recommended that a separate risk assessment is carried out for each individual resident each time they move into a room, to ensure that the facilities are correct for them. The rails should be removed if they impede hoisting, and alternative grab rails put in place as suitable to meet individual needs. Advice may be obtained from Occupational Therapists in this respect. The home has five bathrooms, all of which have assisted baths. All but one of these have access to both sides of the bath, so that two staff can be present to support residents who feel nervous about hoisting. The home has a suitable number of shared toilets, including ones which are close to communal areas. All bedrooms are fitted with TV and telephone points. There is a portable phone so that residents can chat in the privacy of their own rooms; and some have an individual telephone line fitted. The home is equipped with hoists on each floor, and there is suitable space for storing these without impeding anyone. Hot water outlets are fitted with thermostats to prevent scalding, and radiators have low surface temperatures. Water temperatures are checked prior to each Kentwood House Ltd DS0000043103.V365415.R01.S.doc Version 5.2 Page 19 bath, and hot water temperatures are checked monthly to ensure that thermostats are working correctly. The laundry is situated in the basement, with a keypad access to the door leading down to the basement, and other suitable health and safety measures in place, such as a risk assessment, and rails for the steep stairs leading downwards. The laundry is of a suitable size, and has a door leading outside so that it does not get too hot. There are two commercial sized washing machines, with automatic dispensing, and one dryer. These are on a plinth to save bending, showing that the employers are mindful of health and safety issues. Sometimes clothes are dried outside in good weather. There is a dedicated laundry assistant on duty each day. The laundry room was seen to be well organised. There is a red bag system for soiled items. Hand washing facilities and protective clothing are available. Kentwood House Ltd DS0000043103.V365415.R01.S.doc Version 5.2 Page 20 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): 27-30 Quality in this outcome area is good. The residents benefit from a well trained, competent and caring staff team. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The residents are fortunate to have two nurses on duty in the mornings, in addition to the manager who is in the home on most days, and gives a continuing clinical lead to other staff. There is one nurse on duty for the rest of the twenty-four hours. There are five care staff in the mornings, four in the afternoons and evenings and two at night. This ensures that there are sufficient numbers of nursing and care staff to carry out effective care in the home. They are assisted by ancillary staff each day as follows: an activities coordinator, two housekeepers, one cook, one laundry assistant, and a kitchen assistant to carry out the evening meal. There is also a handyman who comes into the home for three-four hours every day, and the whole day on Wednesdays. He also oversees the garden maintenance. The manager is committed to ensuring that care staff are well trained, and all but one of the care staff have completed NVQ 2 training. This is over 95 , which is excellent. Kentwood House Ltd DS0000043103.V365415.R01.S.doc Version 5.2 Page 21 We examined three staff recruitment files – one for a nurse, one for a care assistant, and one for a housekeeper. These include all required checks, but the application form only requested employment information for the past ten years. It was pointed out to the management that this is now incorrect, as they must request a full employment history for all applicants, from the time of leaving full time education. The finance manager altered the form during the inspection, so this is not given as a requirement. Individual staff training records, and a training matrix, confirm that staff are given all mandatory training. There is a comprehensive induction programme, which is carried out as a “Care Skills passport”. All staff are given an employee handbook, which has a précis of relevant staff policies and procedures, including health and safety data. Each employee must sign to state they have read the handbook. All staff are given contracts, and job descriptions. As well as mandatory training (moving and handling, basic food hygiene, health and safety, infection control, fire awareness and prevention of adult abuse), all staff have carried out dementia awareness training, and an understanding of dementia. The home does not take this category of residents, but it is helpful for staff to be aware if any residents are developing dementia. The management and senior staff have carried out training to understand the implications of the Mental Capacity Act 2005, and this training is being passed on to other staff. Trained nurses are enabled to keep up with their own skills and competencies. This includes venepuncture, so that nurses in the home can take blood tests. They can also carry out skills such as male catheterisation, and use of syringe driver for pain relief. Kentwood House Ltd DS0000043103.V365415.R01.S.doc Version 5.2 Page 22 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, & 35-38 Quality in this outcome area is good. This a family run home which provides good management, and effective running of the home. The residents feel they are well cared for. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The home’s registered manager is a level one nurse with over forty years of experience in nursing, and with many years of experience in caring for older people. She is familiar with the illnesses associated with older people, and leads the way very effectively in training staff in all clinical aspects of the running of the home, and giving compassionate care. Kentwood House Ltd DS0000043103.V365415.R01.S.doc Version 5.2 Page 23 She is ably assisted by her son, who is currently the Finance Manager, but who has also completed NVQ 4 in health and social care, and the Registered Managers’ Award. This has given him a greater understanding of the running of the home, the needs of older people, and the importance of building and maintaining a good staff team. He takes an active role in all aspects of the running of the home, as well as overseeing the business plan and finance management. Several staff have worked at the home for many years, and provide a stable basis for the home to run smoothly. Staff meetings are held in the home each month, and this is a forum for all staff to contribute to the running of the home. Staff also have one to one supervision every two months with the manager. Residents and relatives’ meetings are currently held once/twice per year, but there are frequent occasions when relatives are invited to join in with activities, entertainment, parties etc. in the home, and this gives them plenty of opportunity to speak with the manager or senior staff about any concerns, and to share any feedback or ideas to improve facilities for residents. A survey is conducted every three-four months, which is further opportunity for feedback. These surveys can be completed anonymously if wished. The activities organiser obtains feedback on a daily basis when chatting with individual residents. Residents’ monies are not managed by the home, but by the residents themselves, or their authorised representative. Small amounts of pocket money may be stored in the home, and these are stored individually, and all receipts are retained. Policies and procedures are kept up to date and checked yearly. Records are stored confidentially to protect residents’ rights. Some of the servicing records for the past year were viewed, such as gas, hoists and lift servicing. Fire alarm checks are carried out weekly. Accident records are well maintained and these comply with health and safety legislation, and are properly completed. Kentwood House Ltd DS0000043103.V365415.R01.S.doc Version 5.2 Page 24 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 3 3 3 3 3 N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 3 10 3 11 3 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 3 3 3 X 3 3 3 STAFFING Standard No Score 27 3 28 4 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 3 3 X 3 3 3 3 Kentwood House Ltd DS0000043103.V365415.R01.S.doc Version 5.2 Page 25 Are there any outstanding requirements from the last inspection? NO 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. 1 Refer to Standard OP8 Good Practice Recommendations To be more specific in care plans, about documenting which type of hoist and sling should be used for individual residents. And to record the hot water temperature each time a bath is given. To ensure that all equipment used is in accordance with individual risk assessments for each resident; and meets the assessed needs of residents. To ensure that all applicants are requested to provide a full employment history, from the time of leaving full time education. 2 3 OP22 OP29 Kentwood House Ltd DS0000043103.V365415.R01.S.doc Version 5.2 Page 26 Commission for Social Care Inspection Maidstone Office The Oast Hermitage Court Hermitage Lane Maidstone ME16 9NT 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 Kentwood House Ltd DS0000043103.V365415.R01.S.doc Version 5.2 Page 27 - 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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