Inspection on 07/11/06 for Kenwood

This inspection was carried out on 7th November 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 23/05/06

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 7th November 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.V313398.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. Kenwood DS0000010457.V313398.R01.S.doc Version 5.2 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 Care Home 32 Category(ies) of Old age, not falling within any other category registration, with number (32) of places Kenwood DS0000010457.V313398.R01.S.doc Version 5.2 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. Three specified service users who have dementia may remain accommodated in the home. The home must advise the registering authority at such times as any of the specified service users vacates the home. 23rd May 2006 2. Date of last inspection 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, North Finchley. The fees charged by the home range from £550 - £800. The provider must make information about the service available (including reports) to service users and other stakeholders. Kenwood DS0000010457.V313398.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This inspection was carried out on 7 & 13 November 2006. The inspection took a total of five hours to complete. The inspector found that the overall quality of care provided was good. During this inspection, the inspector was assisted by the newly recruited home manager (Mr Najmuddin Mudhoo) and the area manager (Ms Helen Bennet). The inspector was able to interview three residents, two relatives and the visiting speech therapist. The feedback received from them indicated that they were satisfied with the care provided. Statutory records were examined. These included four residents’ case records, the maintenance records, accident records, complaints’ record and fire records of the home. The premises including residents’ bedrooms, treatment room, communal rooms, laundry, kitchen and gardens were inspected. Three staff on duty were interviewed on a range of topics associated with their work. Staff records, including supervision records, evidence of CRB disclosures, references and training records were examined. In addition, the minutes of staff and residents’ meetings were examined. What the service does well: What has improved since the last inspection? The registered person had responded promptly to the only complaint received since the last inspection of the home. Kenwood DS0000010457.V313398.R01.S.doc Version 5.2 Page 6 Fluid and feeding monitoring charts examined were filled in accurately. The care plans of the resident identified in the last inspection report had been amended and accurately reflected the care to be provided / provided. Staff records examined indicated that staff had been provided with supervision and instruction. 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.V313398.R01.S.doc Version 5.2 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.V313398.R01.S.doc Version 5.2 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 ensures that the home can meet the needs of residents accommodated there. EVIDENCE: The two residents who were interviewed indicated that their care needs had been met at the home and they were happy with the care provided. Comments made included, “well cared for” and “staff are helpful”. Kenwood DS0000010457.V313398.R01.S.doc Version 5.2 Page 9 A sample of four residents’ case records which were examined, contained comprehensive assessments. Risk assessments together with strategies for minimising risks had been prepared. The inspector was informed by the manager that the home does not provide intermediate care Kenwood DS0000010457.V313398.R01.S.doc Version 5.2 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 two residents interviewed, indicated that their healthcare needs had been met. 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.V313398.R01.S.doc Version 5.2 Page 11 Improvements had been made in pressure area care. Nursing staff had been provided with up to date training on pressure area care. The charts of a resident with pressure sores were examined. These were well maintained and up to date. One of the nurses on duty was interviewed regarding pressure area care and found to be knowledgeable. The inspector was informed that the tissue viability nurse continues to visit the home to advise on care. The tissue viability nurse was able to confirm that improvements had been made and pressure area care in the home was satisfactory. The home’s visiting speech therapist was interviewed. She stated that staff maintained close liaison with her and the outcome for her clients had been satisfactory. The fluid charts examined were found to be accurate. The inspector noted from the charts that a resident was not taking adequate amounts of fluid and the care plans did not contain specific instructions on ensuring that she is offered drinks at regular intervals. This was discussed with the manager and the required care plan was promptly provided. Kenwood DS0000010457.V313398.R01.S.doc Version 5.2 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 on the whole, 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. The activities programme was on display in the reception area. The two residents interviewed were on the whole, satisfied with the activities provided. A relative who was interviewed indicated that there was a lack of social interaction. She indicated that more should be done to ensure that residents are stimulated. No activities were noted to have been organised on the first day of inspection. Kenwood DS0000010457.V313398.R01.S.doc Version 5.2 Page 13 The inspector noted that the social activities organiser did not work weekends and there was a lack of organised activities at weekends. In addition, the activities programme examined was not sufficiently varied. These deficiencies were discussed with the social activities organiser, home manager and area manager. A requirement is made for the provision of social activities to be reviewed to ensure that residents are provided with adequate social interaction and stimulation. The kitchen in the home was inspected and found to be clean and adequately equipped. The menu (displayed in the reception area) was examined and noted to be varied. There was a choice of main dish. Residents stated that they were satisfied with the meals provided. Residents interviewed indicated that they had been visited by their relatives. The inspector noted that improvements had been made in the care of a resident who had previously experience some mental health problems. The manager was able to outline to strategy adopted. Kenwood DS0000010457.V313398.R01.S.doc Version 5.2 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 good. This judgement has been made from evidence gathered both during and before the visit to this service. The arrangements for responding to complaints and for adult protection were satisfactory. This ensures that residents are well treated and protected from abuse. EVIDENCE: The complaints record was examined. One complaint recorded since the last inspection had been promptly responded to. There was evidence that staff had been provided with instruction and training on adult protection. All residents who were interviewed stated that they had been well treated and no complaints were received by the inspector. Kenwood DS0000010457.V313398.R01.S.doc Version 5.2 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 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 well maintained, therefore providing a pleasant environment to live in. EVIDENCE: The premises were clean and well maintained. No offensive odours were detected. The communal areas were well decorated and adequately furnished. The required safety inspections had been carried out on the the lifts, hoists, portable appliances, electrical installations and gas equipment. Kenwood DS0000010457.V313398.R01.S.doc Version 5.2 Page 16 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 found to be clean. Kenwood DS0000010457.V313398.R01.S.doc Version 5.2 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 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: Residents who were interviewed indicated that staff had treated them with respect and dignity. The duty rota was examined. 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. No concerns regarding staffing were brought to the attention of the inspector by those interviewed. Staff who were on duty were interviewed on a range of topics associated with their work (such as pressure area care, health and safety, adult protection, fire procedures and the healthcare of residents). They were noted to be knowledgeable regarding their roles and responsibilities. Kenwood DS0000010457.V313398.R01.S.doc Version 5.2 Page 18 There was evidence that staff had been provided with essential training and instruction. This included food hygiene, adult protection, pressure area care, moving and handling, care of residents with dementia and health and safety. The staff records examined indicated that the required recruitment standards and procedures (including obtaining satisfactory CRB disclosures, evidence of identity and references) had been followed. Staff further stated that they worked as a team and had been supported by their managers. Following a requirement made in the last inspection report, a review of staffing had been carried out. Those consulted included staff and residents’ representatives. The report of the review which was available for inspection, indicated that the staffing levels were adequate. Kenwood DS0000010457.V313398.R01.S.doc Version 5.2 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 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 good. This judgement has been made from evidence gathered both during and before the visit to this service. The home was run in the best interest of residents and arrangements were in place to ensure the safety and welfare of residents in the home. EVIDENCE: When interviewed, the manager was found to be knowledgeable regarding his responsibilities. There was evidence that staff and residents were consulted regarding the management of the home. Residents’ meetings had been held. The home had a record of maintenance checks. Weekly fire alarm checks, fire door checks, fire drills and fire training had been documented. Kenwood DS0000010457.V313398.R01.S.doc Version 5.2 Page 20 The fire risk assessment had been updated. Windows inspected had been fitted with window restrictors. These were engaged. The home had a current certificate of insurance. The business accounts were available for inspection. No concerns were noted. Kenwood DS0000010457.V313398.R01.S.doc Version 5.2 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. 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 X 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 2 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 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 3 X 3 X 3 X X 3 Kenwood DS0000010457.V313398.R01.S.doc Version 5.2 Page 22 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 OP12 Regulation 16(2)(m) Requirement The registered person must review the provision activities and ensure that residents are provided with sufficient social and therapeutic activities during the week and at weekends. Timescale for action 31/12/06 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.V313398.R01.S.doc Version 5.2 Page 23 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.V313398.R01.S.doc Version 5.2 Page 24 - 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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