Inspection on 04/04/05 for Kenwood

This inspection was carried out on 4th April 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 found there to be outstanding requirements from the previous inspection report but made no statutory requirements on the home.

Other inspections for this house

Kenwood 06/08/08

Kenwood 22/05/07

Kenwood 07/11/06

Kenwood 23/05/06

Kenwood 25/10/05

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 NURSING HOME 30-32 Alexandra Grove Finchley London N12 8HG Lead Inspector Daniel Lim Announced 4 April 2005 @ 09.15 am 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. KENWOOD NURSING HOME Version 1.10 Page 3 SERVICE INFORMATION Name of service Kenwood Nursing Home Address 30-32 Alexandra Grove, Finchley, London N12 8HG 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) 020 8445 5112 020 8343 7992 kenwood@new-meronden.co.uk Paul Warren for New Century Care Ltd Mrs Judy Ramnath (in process of registration) CRH (N) Care Home with Nursing 32 Category(ies) of OP registration, with number of places KENWOOD NURSING HOME Version 1.10 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. 2. 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. 3. The home must advise the regulating authority at such times as the specified service user vacates the home. Date of last inspection 28 September 2004 Brief Description of the Service: Kenwood Nursing Home is owned and managed by New Century Care (Finchley) Limited. The home has a mission statement, which says that it aims to “provide good quality accommodation, nursing and personal care for vulnerable elderly people, who as a result of loneliness, physical disability or illness are seeking an understanding and caring environment”. The home is a three storey detached house. There are two lifts between the ground and first floor, which are areas occupied by service users. The third floor has a staff room and store room. There is a communal dining room on the ground floor and a lounge on each floor. A small activity room is located on the first floors. There are 22 single bedrooms and 5 shared bedrooms. All the bedrooms have en-suite facilities. There is a small parking area at the front of the building and a large garden at the rear with wheelchair access. The home is situated in a residential area and close to a variety of shops, restaurants and transport facilities located along Ballards Lane, Finchley. KENWOOD NURSING HOME Version 1.10 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This inspection was carried out on 4 April 2005 and took six and a half hours to complete. The inspector found that most of the National Minimum Standards had been met and the overall quality of care provided was satisfactory. During this inspection, the inspector was accompanied by the manager of the home (Mrs Judy Ramnath). The inspector was able to interview four residents and a relative. The feedback received from them was positive and indicated that the care needs of most of the residents had been met. This was also confirmed in the sample of six case records examined. What the service does well: What has improved since the last inspection? KENWOOD NURSING HOME Version 1.10 Page 6 Monitoring of the healthcare needs of service users, including pressure area care had improved. Staff had been provided with training required. This included adult protection and health and safety. Staff had been closely supervised and supervision notes were available for inspection. Customer satisfaction had improved too. One relative and all four service users interviewed expressed satisfaction at the care provided. What they could do better: Please contact the provider for advice of actions taken in response to this inspection. The full report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. KENWOOD NURSING HOME Version 1.10 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 KENWOOD NURSING HOME Version 1.10 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) 2-5 Residents and one relative who were interviewed were generally happy with the care and services provided. The inspector was however, uncertain if the care needs of some residents with dementia were met at the home. EVIDENCE: The feedback from four residents and a relative indicated that residents were generally well cared for. The case records were well maintained and contained the required assessments and plans of care. KENWOOD NURSING HOME Version 1.10 Page 9 Some residents did not have the opportunity to view the home prior to admission, there is therefore a need for an updated admission procedure which encourages this. The inspector observed the physical condition of residents. Residents were noted to be clean and appropriately dressed. The inspector however, noted that three of the residents had dementia and he was unable to determine if their care needs had been fully met. This is because no recent social services or healthcare reviews of care were available for inspection and the home is not registered for service users with dementia. The manager must therefore review their care and apply for a variation to the conditions of registration if they are to remain in the home. KENWOOD NURSING HOME Version 1.10 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 standard(s) 7 - 10 The personal and healthcare needs of residents had on the whole been met at the home. Residents indicated that they had been treated with respect and dignity. The sample of plans of care for residents which were examined were not sufficiently comprehensive and improvements are needed to ensure that they are holistic. EVIDENCE: Feedback from service users and a relative indicated that residents had been treated with respect and dignity. The sample of six case records examined were up to date and plans of care had been reviewed monthly. Records of medical and healthcare treatment were available. The plans of care examined did not always address the mental, social and spiritual needs of residents. This is needed to ensure that the hoilstic needs of residents are attended to. Staff interviewed were knowledgeable regarding the care to be provided to residents. KENWOOD NURSING HOME Version 1.10 Page 11 Residents were observed to be clean and appropriately dressed on the day of inspection The medication administration charts examined had been appropriately signed. The temperature of the treatment room and medication fridge had been monitored daily and found to be satisfactory. All service users stated that they had been given their medication. KENWOOD NURSING HOME Version 1.10 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 standard(s) 12-15 The daily life and routines of residents were on the whole, well organised. However, further improvements are needed in the provision of social activities. Residents interviewed were satisfied with the meals served and the arrangements for the provision of meals was found to be satisfactory. EVIDENCE: The inspector met the home’s activities organiser and saw the home’s programme of weekly social and therapeutic activities. The inspector observed that no social activities had been organised for residents on the morning of inspection and residents appeared bored. The kitchen and arrangements for the provision of meals were examined and found to be satisfactory. Residents who were interviewed stated that they were satisfied with the meals provided. Residents said they had been visited by their families. KENWOOD NURSING HOME Version 1.10 Page 13 There was documented evidence of consultation meetings with residents and the manager was able to provide examples of how residents could exercise choice and control in their lives (such choice of meals, daily routine and items to have in bedrooms). KENWOOD NURSING HOME Version 1.10 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 standard(s) 16 - 18 There was evidence that the rights of residents had been protected and complaints had been taken seriously. The home had a record of complaints made and there was evidence that these had been promptly dealt with. Staff had been provided with training on adult protection and knew how to respond to allegations made. EVIDENCE: The complaints record was examined. Complaints recorded had been promptly responded to. Staff were interviewed and found to be knowledgeable regarding adult protection. The staff records examined indicated that staff had been provided with training in adult protection. One relative and four residents who were interviewed stated that residents had been well treated and no allegation of abuse were made. KENWOOD NURSING HOME Version 1.10 Page 15 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) 19-21. 23-26 The home was clean and well maintained. The washing and toilet facilities were adequate. Residents interviewed stated that they were happy with the accommodation provided. EVIDENCE: The premises were inspected and found to be clean. The maintainence records were examined. The hot water was tested and found to be within the required safe temperature range. The required maintenance and safety certificates were seen by the inspector. These included safety inspection certificates for the portable appliances and gas installations. KENWOOD NURSING HOME Version 1.10 Page 16 Residents’ bedrooms were inspected and found to be well furnished. Service users interviewed stated that they were happy with the accommodation provided. The inspector was however, unable to determine if the specialist equipment and facilities were adequate as an occupational therapist report was not available. A requirement has been made for the home to be assessed by an occupational therapist or suitably qualified professional. KENWOOD NURSING HOME Version 1.10 Page 17 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) 27 - 30 Staff were recuited with care and the required recruitment procedures had been followed. Residents and one relative interviewed indicated that they were well treated by staff. The home had adequate staff on duty. Staff had been provided with essential training and were knowledgeable regarding their role and responsibilities. The inspector however, identified a need for staff to be provided with training in the care of residents with dementia. EVIDENCE: The staff rota was examined. This confirmed that the agreed staffing levels had been maintained. The sample of three staff records examined indicated that references had been obtained and the required CRB checks had been carried out. The records examined also contained other required information such as references, contracts, nurses UKCC Pin numbers. Staff who were interviewed were knowledgeable regarding their roles and responsibilities. Training records examined indicated that most of the required training had been provided. KENWOOD NURSING HOME Version 1.10 Page 18 KENWOOD NURSING HOME Version 1.10 Page 19 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) 31-38 The manager was competent and knowledgeable regarding the management of the home. The home was well run. Staff had been closely supervised. The rights and interests of residents had been safeguarded. Health and safety arrangements were in place and to ensure the welfare of residents and staff. There was evidence that residents and their representatives had been consulted regarding the care to be provided and the management of the home. EVIDENCE: Maintenance records and safety inspection certificates were examined. These were satisfactory. Fire records examined contained details of fire drills and weekly fire alarm checks carried out. Staff records examined contained details of supervision sessions provided. KENWOOD NURSING HOME Version 1.10 Page 20 The certificate of insurance was seen. This indicated that the home was appropriately insured. Two residents interviewed were able to confirm that consultation meetings had been held and suggestions made by them had been listened to. Quality monitoring audit reports of the home and the care provided were examined. These were positive. KENWOOD NURSING HOME Version 1.10 Page 21 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. Where there is no score against a standard it has not been looked at during this inspection. 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 x x 3 2 2 N/A HEALTH AND PERSONAL CARE Standard No Score 7 2 8 3 9 2 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 x 3 3 3 3 STAFFING Standard No Score 27 3 28 3 29 3 30 2 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score Standard No 16 17 18 Score 3 3 3 3 3 3 3 3 3 3 3 KENWOOD NURSING HOME Version 1.10 Page 22 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 4 Regulation 10(1), 12(1) Requirement The registered person must apply for a variation to the conditions of registration to permit the home to accommodate service users who have dementia. The registered person must arrange for the placement and care of service users with dementia to be reviewed to ensure that service users are appropriately placed and their care needs are met at the home. The registered person must update the admission procedure to ensure that prospective service users have the opportunity to visit the home on a trial basis. The registered person must provide comprehensive service users plans which address the holistic needs of service users. (This requirement is restated. The original timescale was 13/11/04) The registered person must ensure that service users are provided with daily social activities appropriate for them The registered person must Version 1.10 Timescale for action 20/6/05 2. 4 23(2)(b) 4/7/05 3. 5 12(1)(2) 30/6/05 4. 17 13(1) 15(1) 4/7/05 5. 12 16(2)(m) 4/6/05 6. 30 18(1)(i) 4/7/05 Page 23 KENWOOD NURSING HOME 7. 4 14 ensure that staff are provided with training on the care of service users with Dementia The registered person must ensure that service users are not admitted to the home unless their care needs are assessed as compatible with the registration and care that the home can provide. . 13/5/05 8. 9. 10. 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 Good Practice Recommendations KENWOOD NURSING HOME Version 1.10 Page 24 Commission for Social Care Inspection 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 NURSING HOME Version 1.10 Page 25 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. 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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