Inspection on 05/07/05 for Kenward House

This inspection was carried out on 5th July 2005.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Excellent. 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 there to be outstanding requirements from the previous inspection report but made no statutory requirements on the home.

Other inspections for this house

Kenward House 08/05/07

Kenward House 20/12/05

Kenward House 28/02/05

Kenward House 15/12/04

Kenward House 04/02/04

Similar services:

Prinsted

Elizabeth House

Boons Park

Winthrop Hall

Life Works Community Ltd

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

CARE HOME ADULTS 18-65 Kenward House Kenward Road Yalding Maidstone Kent ME16 6AH Lead Inspector Gary Bartlett Unannounced 5 July 2005 13:40 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 Adults 18-65. They can be found at www.dh.gov.uk or obtained from The Stationary 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. Kenward House H56-H06 S23979 Kenward House V223221 050705 Stage 4.doc Version 1.40 Page 3 SERVICE INFORMATION Name of service Kenward House Address Kenward Road Yalding Maidstone Kent ME16 6AH 01622 814187 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) Kenward Trust Paul John Davis CRH Care Home 32 Category(ies) of Alcohol depend past/present (32) registration, with number Drug dependence past/present (32) of places Kenward House H56-H06 S23979 Kenward House V223221 050705 Stage 4.doc Version 1.40 Page 4 SERVICE INFORMATION Conditions of registration: 1. 32 People with past or present drug or alcohol dependency who may also have a mental health difficulty. Date of last inspection 28 February 2005 Brief Description of the Service: Kenward House is owned and operated by the Kenward Trust. It occupies a large detached premise, which is a Grade II listed building. The accommodation is arranged on 3 floors with 2 additional mezzanine floors. There are 24 single rooms, 17 of which are not fitted with washbasins and 7 of which fall below registration requirements in terms of space. These factors have been carried over from the previous registration. In addition to the main house there is a further residential unit, The Barn” on the same site. The Barn is a detached premise with accommodation for 8 people on 3 floors. There are 4 single and 2 shared bedrooms, not all of which are equipped with washbasins. One bedroom falls below registration requirements in terms of floor space. According to its aims and objectives, the Home provides programmes of rehabilitation from alcohol and other drug dependencies in a Christian context in a safe environment that respects the value of the individuals who share the accommodation.Kenward House is located in a rural area and access to public transport is approximately 15 minutes walk away. There are extensive grounds, part of which is used for a horticultural nursery. There is staff accommodation on the site.The Home employs staff who work a rota which includes 1 member of staff sleeping in, on call. There are further members of staff available elsewhere in an emergency. In addition to these staff there are others who deal with meal preparation, housekeeping, administration and supervision of residents in maintenance and horticultural activities. Kenward House H56-H06 S23979 Kenward House V223221 050705 Stage 4.doc Version 1.40 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The Commission was represented by Gary Bartlett and Marion Weller, Regulatory Inspectors who were in Kenward House from 1.40 p.m. until 3.45 p.m. During that time the Inspectors had the opportunity to speak with a few residents and some staff. Parts of the Home and some records were inspected. The focus of the inspection was to assess progress made to meet notified required and recommended actions in the last inspection report, gaining evidence against standards from records, observation and discussion. What the service does well: What has improved since the last inspection? What they could do better: Kenward House H56-H06 S23979 Kenward House V223221 050705 Stage 4.doc Version 1.40 Page 6 The planned refurbishment to the kitchen in The Barn would benefit residents and promote better food hygiene standards there. The environment would be greatly enhanced with the completion of the newbuild. 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. Kenward House H56-H06 S23979 Kenward House V223221 050705 Stage 4.doc Version 1.40 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 Standards Statutory Requirements Identified During the Inspection Kenward House H56-H06 S23979 Kenward House V223221 050705 Stage 4.doc Version 1.40 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 standard(s) 2, 3 and 4 Comprehensive pre-admission processes and the opportunity to visit the Home prior to admission ensured, as far as was practicable, the Home could meet residents’ needs. EVIDENCE: The Manager described how referrals to the Home came from a variety of sources and that applications went to the Director of Residential Projects who would assess which project was best suited to the applicants to ensure the relevance of the treatment programme and compatibility with the group. The rules of the programme and inherent restrictions were thoroughly explained to prospective residents and then re-iterated at the time of their admission. Staff used a detailed form in assessing how best the prospective residents’ needs could be met. A medical assessment was part of the process in view of the high risk of medical complications following withdrawal. Considerable assessment was made of the residents’ motivation and how this would be sustained. It had been established at previous inspections that specialist needs would be met with support from relevant specialists and clinical guidance. Staff were encouraged to attend training programmes that included courses in matters of specialist care. The Manager demonstrated a sound understanding of the need to cater for the preferences of specific ethnic minorities and to communicate Kenward House H56-H06 S23979 Kenward House V223221 050705 Stage 4.doc Version 1.40 Page 9 with residents in such manner that they could understand. Residents were given clear information about the purpose, duration and requirements of the programme. A prospective resident was visiting the Home at the time of inspection. The usual procedure was that they would be telephoned the following day to discuss their possible admission. Sometimes assessments were conducted offsite, for example at prisons or in their domicile. The Home did not accept emergency admissions. Kenward House H56-H06 S23979 Kenward House V223221 050705 Stage 4.doc Version 1.40 Page 10 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 standard(s) These Standards were not inspected EVIDENCE: Kenward House H56-H06 S23979 Kenward House V223221 050705 Stage 4.doc Version 1.40 Page 11 Lifestyle The intended outcomes for Standards 11 - 17 are: 11. 12. 13. 14. 15. 16. 17. Service users have opportunities for personal development. Service users are able to take part in age, peer and culturally appropriate activities. Service users are part of the local community. Service users engage in appropriate leisure activities. Service users have appropriate personal, family and sexual relationships. Service users’ rights are respected and responsibilities recognised in their daily lives. Service users are offered a healthy diet and enjoy their meals and mealtimes. The Commission considers Standards 12, 13, 15, 16 and 17 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 13, 14 and 15 The range of educational, recreational and social activities offered enriched residents’ lives. EVIDENCE: The Manager told the Inspectors residents were able to use local facilities but this had to be undertaken on a risk assessed and monitored basis. As the residents were a the home for the duration of the programme only, it was not practicable for them to be placed on the electoral role. Evidence of how residents were encouraged to pursue their appropriate interests and hobbies was seen in the art and craft therapy room. A resident spoke highly of this. The Home also had a well-equipped recreation room and there were computer terminals available for residents’ use. Contact with families and friends was enabled but this was within parameters designed to protect all residents’ interests and to try to safeguard their successful completion of their programme. Consequently there were very firm rules regarding visitors to the Home. Residents were fully aware of these rules prior to admission. Kenward House H56-H06 S23979 Kenward House V223221 050705 Stage 4.doc Version 1.40 Page 12 The Trust’s work in raising community awareness of addiction and fund raising events were used to assist residents in re-integration. Kenward House H56-H06 S23979 Kenward House V223221 050705 Stage 4.doc Version 1.40 Page 13 Personal and Healthcare Support The intended outcomes for Standards 18 - 21 are: 18. 19. 20. 21. Service users receive personal support in the way they prefer and require. Service users’ physical and emotional health needs are met. Service users retain, administer and control their own medication where appropriate, and are protected by the home’s policies and procedures for dealing with medicines. The ageing, illness and death of a service user are handled with respect and as the individual would wish. The Commission considers Standards 18, 19, and 20 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) These Standards were not inspected. EVIDENCE: Kenward House H56-H06 S23979 Kenward House V223221 050705 Stage 4.doc Version 1.40 Page 14 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 standard(s) These Standards were not inspected. EVIDENCE: Kenward House H56-H06 S23979 Kenward House V223221 050705 Stage 4.doc Version 1.40 Page 15 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 standard(s) 24, 25 and 30 Residents’ quality of life had been enhanced through improvements to the existing environment. Significant improvement would be made with the completion of the planned new build. EVIDENCE: The parts of the Home inspected were warm, clean and free from unpleasant odours. There was a planned start date for the new twenty-bed unit, with modern facilities to improve the standard of accommodation. Existing facilities were also still being improved. The new kitchen had been commissioned and was spoken of favourably by staff. One of the bathrooms in The Barn had been refurbished and it was planned to refit the second bathroom. The Manager was able to show there had been formal discussion and costings to refurbish the kitchen. This all contributed to an improvement in the residents’ comfort and infection control. Kenward House H56-H06 S23979 Kenward House V223221 050705 Stage 4.doc Version 1.40 Page 16 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 35 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) These Standards were not inspected. EVIDENCE: Kenward House H56-H06 S23979 Kenward House V223221 050705 Stage 4.doc Version 1.40 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 39, and 42 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 38 Residents benefited from the ethos and management of the Home. EVIDENCE: The Inspectors were impressed by the dedication of the Manager and senior staff spoken with to the aims and objectives of the service. The Manager was clearly committed to developing his own and other staffs expertise in order to maximise their effectiveness in developing the programme and assisting residents in their completion of it. Residents benefited from the expressed aim of establishing Kenward House as a centre of excellence. Kenward House H56-H06 S23979 Kenward House V223221 050705 Stage 4.doc Version 1.40 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 CONCERNS AND COMPLAINTS Standard No 1 2 3 4 5 Score x 4 3 3 x Standard No 22 23 ENVIRONMENT Score x x INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 LIFESTYLES Score x x x x x Score Standard No 24 25 26 27 28 29 30 STAFFING Score 2 2 x x x x 2 Standard No 11 12 13 14 15 16 17 x x 3 3 3 x x Standard No 31 32 33 34 35 36 Score x x x x x x CONDUCT AND MANAGEMENT OF THE HOME PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Kenward House Score x x x x Standard No 37 38 39 40 41 42 43 Score x 4 x x x x x H56-H06 S23979 Kenward House V223221 050705 Stage 4.doc Version 1.40 Page 19 Yes 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 30 Regulation 12(1), 13(3)(4) Requirement “The registered person shall make suitable arrangements to prevent infection, toxic conditions and the spread of infection at the care home”, in that the damaged work surfaces and the floor covering in the kitchen in The Barn must be made good This was being addressed but remained a requirement from the previous inspection Timescale for action To be completed by 31 October 2005 if not sooner 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 24 25 Good Practice Recommendations It is recommended that the refurbishment and redecoration programme be continued until such time as more modern accommodation can be provided. It is strongly recommended that the Home works towards compliance with National Minimum Standards in regard to room sizes and furnishings Kenward House H56-H06 S23979 Kenward House V223221 050705 Stage 4.doc Version 1.40 Page 20 Commission for Social Care Inspection The Oast, Hermitage Court Hermitage Lane Maidstone Kent ME16 9NT 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 Kenward House H56-H06 S23979 Kenward House V223221 050705 Stage 4.doc Version 1.40 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. The policy of www.bestcarehome.co.uk is to use all legal avenues to pursue such offenders, including recovery of costs. You have been warned!