Inspection on 23/05/06 for Kenwood

This inspection was carried out on 23rd May 2006.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is (sorry - unknown). 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

Kenwood 06/08/08

Kenwood 22/05/07

Kenwood 07/11/06

Kenwood 25/10/05

Kenwood 04/04/05

Kenwood 28/09/04

Kenwood 28/04/04

Similar services:

Henry Nihill House

Birchwood

The Infirmary

Orchard House Nursing Home

St Josephs Rest Home

Red Court Nursing Home

Spinney (The)

Queen Elizabeth House

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

CARE HOMES FOR OLDER PEOPLE Kenwood 30-32 Alexandra Grove Finchley London N12 8HG Lead Inspector Daniel Lim Key Unannounced Inspection 23rd May 2006 09:00 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 Kenwood DS0000010457.V290027.R01.S.doc Version 5.1 Page 2 This is a report of an inspection to assess whether services are meeting the needs of people who use them. The legal basis for conducting inspections is the Care Standards Act 2000 and the relevant National Minimum Standards for this establishment are those for Care Homes for 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. Kenwood DS0000010457.V290027.R01.S.doc Version 5.1 Page 3 SERVICE INFORMATION Name of service Kenwood Address 30-32 Alexandra Grove Finchley London N12 8HG 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) 020 8445 5112 020 8343 7992 New Century Care (Finchley) Limited Mrs Judy Camilla Ramnath Care Home 32 Category(ies) of Old age, not falling within any other category registration, with number (32) of places Kenwood DS0000010457.V290027.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2 Specific service users who are under 65 years of age, one of whom also has a learning disability, may continue to be accommodated in the home. This condition must be reviewed at such times as either of the service users attains 65 years of age or vacates the home. One specified service user who is over 65 years of age and who has a learning disability and dementia may remain accommodated in the home. The home must advise the regulating authority at such times as the specified service user vacates the home. 25th October 2005 2. 3. Date of last inspection Brief Description of the Service: SUMMARY Kenwood DS0000010457.V290027.R01.S.doc Version 5.1 Page 5 This is an overview of what the inspector found during the inspection. This inspection was carried out on 24 May 2006 and took a total of four hours to complete. The inspector found that the overall quality of care provided was satisfactory. During this inspection, the inspector was accompanied by a director of the company (Ms Jenny French) and the deputy manager (Ms Mavis Ngwenya). The inspector was able to interview four residents. The feedback received from them indicated that they were satisfied with the care provided. Statutory records were examined. These included three residents’ case records, the maintenance records, accident records, complaints’ record and fire records of the home. The premises including bedrooms, bathrooms, treatment room, laundry, kitchen, gardens and communal areas were inspected. Three staff on duty were interviewed on a range of topics associated with their work. Staff records, including supervision records, CRB disclosures, references and training records were examined. What the service does well: What has improved since the last inspection? The home’s service user guide had been updated. Service users admitted into the home have been fully assessed. The registered person had ensured that staff put on protective clothing when entering the kitchen. Kenwood DS0000010457.V290027.R01.S.doc Version 5.1 Page 6 Improvements had been made in pressure area care. Nursing staff had been provided with up to date training on pressure area care. CSCI had been provided with an action plan to improve pressure area care in accordance with recommendations made by the tissue viability nuirse in her report of 28 February 2006. The tissue viability nurse confirmed that improvements had been made in this area. The inspector was informed by staff interviewed that they were happy with changes made in the home and there was a good team spirit. 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. Kenwood DS0000010457.V290027.R01.S.doc Version 5.1 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 Kenwood DS0000010457.V290027.R01.S.doc Version 5.1 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 the following standard(s): 3, 6 The quality in this outcome area is good. This judgement has been made from evidence gathered both during and before the visit to this service. Satisfactory arrangements were in place to ensure that residents admitted there are appropriate. This ensured that the home can meet the needs of residents accommodated there. The inspector was informed by the manager that the home does not provide intermediate care EVIDENCE: Four residents who were interviewed stated that they were satisfied with the care provided at the home. Kenwood DS0000010457.V290027.R01.S.doc Version 5.1 Page 9 Comments made by them included, “respectful staff”, “well treated by staff”, and “well cared for”. A sample of three residents’ case records which was examined contained comprehensive plans of care and details of how residents needs had been met. The inspector observed that residents in the home were clean, appropriately dressed and appeared well cared for. Kenwood DS0000010457.V290027.R01.S.doc Version 5.1 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 7, 8, 9 10 The quality in this outcome area is good. This judgement has been made from evidence gathered both during and before the visit to this service. Residents had been well treated and arrangements were in place to ensure that the healthcare and personal needs of residents are attended to. EVIDENCE: The four residents interviewed, indicated that their healthcare needs had been met. Comments made included, “yes, have seen the doctor” and “my medication has been given to me”. The sample of three case records examined were up to date and plans of care had been reviewed monthly. Records of medical and healthcare treatment were documented. A record of GP visits and medication reviewed had been maintained. Jugs of water had been provided in bedrooms inspected. Weight monitoring forms, fluid and feeding charts were used in the home. Residents were able to confirm that they had been given their medication. Kenwood DS0000010457.V290027.R01.S.doc Version 5.1 Page 11 Improvements had been made in pressure area care. Nursing staff had been provided with up to date training on pressure area care. CSCI had been provided with an action plan by the home to improve pressure area care (in accordance with recommendations made by the tissue viability nuirse in her report of 28 February 2006). The tissue viability nurse who was contacted by the inspector confirmed that improvements had been made in this area. Kenwood DS0000010457.V290027.R01.S.doc Version 5.1 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 14, 15 The quality in this outcome area is good. This judgement has been made from evidence gathered both during and before the visit to this service. The daily life and routines of residents were well organised. This ensured that the dietary, cultural and social preferences of residents are met. EVIDENCE: The home had a programme of social activities which included exercise and music sessions, crafts and games. Residents interviewed were on the whole, satisfied with the activities provided. The bedrooms inspected had been personalised by residents with their personal items such as photos and souvenirs. The kitchen in the home was inspected and found to be clean and adequately equipped. The menu examined indicated that the meals provided were varied Kenwood DS0000010457.V290027.R01.S.doc Version 5.1 Page 13 and there was a choice of main dish. Residents stated that they were satisfied with the meals provided. Residents interviewed were also able to confirm that they had been visited by their relatives. Kenwood DS0000010457.V290027.R01.S.doc Version 5.1 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 inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 16, 18 The quality in this outcome area is adequate. This judgement has been made from evidence gathered both during and before the visit to this service. Arrangements in place for responding to complaints and allegations of abuse. Further improvements are however, required to ensure that all complaints are promptly responded to. EVIDENCE: Residents who were interviewed stated that they had been well treated. Staff interviewed were knowledgeable regarding the adult protection procedures. The home had a record of complaints made. There was documented evidence that most of the complaints made had been promptly responded to. The inspector noted that a recent complaint made had not been promptly responded to by the manager. This was later brought to the attention of the area manager and an appropriate response was made. A requirement is made for the registered provider to ensure that all complaints are closely monitored and responded to. Kenwood DS0000010457.V290027.R01.S.doc Version 5.1 Page 15 Kenwood DS0000010457.V290027.R01.S.doc Version 5.1 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 19, 20, 21, 22, 23, 24, 25, 26 The quality in this outcome area is good. This judgement has been made from evidence gathered both during and before the visit to this service. The home was clean and maintained to a high standard, therefore providing a pleasant environment to live in. EVIDENCE: Kenwood DS0000010457.V290027.R01.S.doc Version 5.1 Page 17 The premises were clean and well maintained. The communal areas were well decorated and adequately furnished. The required maintenance and safety certificates were seen by the inspector. These included safety inspection certificates for the, lifts, hoists, portable appliances, electrical installations and gas equipment. The laundry was inspected and staff interviewed were aware of the need to wash soiled and infected laundry in a special sluice / medical cycle. Linen and clothes which had been washed were examined. These were found to be clean and neatly folded. Kenwood DS0000010457.V290027.R01.S.doc Version 5.1 Page 18 Kenwood DS0000010457.V290027.R01.S.doc Version 5.1 Page 19 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 27, 28, 29, 30 The quality in this outcome area is good. This judgement has been made from evidence gathered both during and before the visit to this service. The staffing arrangements were satisfactory. This ensures that residents are supported by a competent and effective staff team. EVIDENCE: Staff who were on duty were interviewed and noted to be knowledgeable regarding their roles and responsibilities. The four residents who were interviewed indicated that staff were pleasant and respectful towards them. The training records examined, indicated that staff had been provided with essential training. This included training in adult protection, care of resident with dementia, pressure area care, lifting and handling and fire safety. The staff rota was examined and staffing arrangements examined in detail. This indicated that in addition to the manager, there was normally a minimum of two nurses and four carers during the day shift and one nurse and two carers during the night shift. There were 30 residents living in the home during the inspection. Kenwood DS0000010457.V290027.R01.S.doc Version 5.1 Page 20 The sample of staff records examined indicated that the required recruitment procedures had been followed. Two references, contracts, evidence of induction and CRB disclosures were available in the records of two new staff recruited. Kenwood DS0000010457.V290027.R01.S.doc Version 5.1 Page 21 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 31, 33, 35, 38 The quality in this outcome area is adequate. This judgement has been made from evidence gathered both during and before the visit to this service. Systems were in place to ensure the welfare of residents and staff. However, some deficiencies were noted in the management of the home prior to this inspection. EVIDENCE: When interviewed, the deputy manager and director were found to be knowledgeable and residents were of the opinion that the home was generally well managed. There was evidence that staff and residents were consulted regarding the management of the home. Quality monitoring systems were in place and these included consumer surveys and internal audits. Kenwood DS0000010457.V290027.R01.S.doc Version 5.1 Page 22 Weekly fire alarm checks, fire drills and fire training had been documented. The emergency lighting had been checked regularly. A fire risk assessment had been prepared by contracted fire prevention officers and this was updated in the past month by one of the company’s managers. This will need agreement with the contracted fire prevention officers. The home had a record of accidents. These were well documented. The inspector noted that the case records of a resident who was at risk of falls contained an appropriate risk assessment. The financial records were examined. These were well maintained. A staff member interviewed indicated that there had been management difficulties at the home. However, the situation had improved. A number of complaints regarding the management and care at the home had been received by CSCI since the unannounced inspection of the home done on 15 October 2005. In view of the complaints made, the registered provider is reviewing the management arrangements at the home. Kenwood DS0000010457.V290027.R01.S.doc Version 5.1 Page 23 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 X 3 X X 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 2 17 X 18 3 3 3 3 3 3 3 3 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 2 X 3 X 3 X X 2 Kenwood DS0000010457.V290027.R01.S.doc Version 5.1 Page 24 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. 1 Standard OP16 Regulation 22(3)(4) (8) Requirement The registered provider must ensure that all complaints received are promptly responded to. The registered person must continue to review the management arrangements at the home and inform CSCI of the outcome of this review. The registered person must ensure the fire risk assessment is agreed by the contracted fire prevention officers and confirmation of this sent to the CSCI. Timescale for action 13/07/06 2 OP31 9(1)(2) 25/07/06 3 OP38 23(4) 20/08/06 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. Refer to Standard Good Practice Recommendations Kenwood DS0000010457.V290027.R01.S.doc Version 5.1 Page 25 Commission for Social Care Inspection Southgate Area Office Solar House, 1st Floor 282 Chase Road Southgate London N14 6HA 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 Kenwood DS0000010457.V290027.R01.S.doc Version 5.1 Page 26 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. 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