Inspection on 26/04/07 for Kepplegate House

This inspection was carried out on 26th April 2007.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Good. The way we rate inspection reports is consistent for all houses, though please be aware that this may be different from an official CSCI judgement.

The inspector made no statutory requirements on the home as a result of this inspection and there were no outstanding actions from the previous inspection report.

Other inspections for this house

Kepplegate House 16/11/09

Kepplegate House 19/12/05

Kepplegate House 29/06/05

Kepplegate House 25/10/04

Similar services:

Chirnside House

Keer Sands Residential Home

Ruskin Lodge

Bushell House

Langrigg House

Parkside

Dystlegh Grange

Thornton Lodge

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

CARE HOMES FOR OLDER PEOPLE Kepplegate House Sandy Lane Preesall Poulton-le-fylde Lancashire FY6 0EJ Lead Inspector Mr Ajam Auckburally Unannounced Inspection 09:45 26th April 2007 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 Kepplegate House DS0000055105.V330657.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. Kepplegate House DS0000055105.V330657.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Kepplegate House Address Sandy Lane Preesall Poulton-le-fylde Lancashire FY6 0EJ 01253 811957 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) Kepplegate Ltd Mrs Karen Louise Shaw Care Home 15 Category(ies) of Old age, not falling within any other category registration, with number (15) of places Kepplegate House DS0000055105.V330657.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 19th December 2005 Brief Description of the Service: Kepplegate House is a purpose built two-storey home, located in the village of Preesall, just a short drive from the sea front at Knott End. The home is within close proximity to shops and local amenities. Residents are encouraged to retain their links within the community and every effort is made to ensure that relationships, hobbies and interests are pursued. Kepplegate is registered with the Commission for Social Care Inspection to provide personal care for a maximum of 15 older people of both sexes. There are attractive garden areas at the front and rear of the home which residents can use weather permitting. Car parking is available either at the side of the home, or in the road alongside the home. The home provides personal care for older people, and is equipped to suit the needs of its residents. For example, there is a stair lift to the upper floor, grab rails, raised toilet seats and ramps for easy access. All of the rooms are single rooms, and toilets and bathrooms are conveniently situated. There is sufficient communal space, with a large lounge/dining room and conservatories at the front and rear of the home. Relatives, friends and visitors are made welcome at the home at any time. Activities are organised within the home and outings are arranged for residents who wish to participate. There were 11 residents living at the home at the time of the inspection. There was a good compliment of staff on duty. Current weekly fees are between £360 and £380 dependent upon assessment of needs. Additional extras like hairdressing and newspapers are paid for by the residents. Kepplegate House DS0000055105.V330657.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. Under IBL (Inspecting for Better Lives) Kepplegate House was assessed as requiring a statutory key visit (inspection) between April 2007 and June 2007. An unannounced key site visit was carried out on 26th April 2007. The inspection lasted for 4.5 hours. The inspection was carried out against the National Minimum Standards for Older People. The inspection despite being an unannounced one was carried out in a friendly atmosphere and with the full cooperation of the owner, the staff and the residents. During the inspection, some records were looked at and several residents and staff were spoken to. The residents were very positive about the care they receive and the way the staff treat them. Evidence about the inspection was gathered firstly by sending out a questionnaire for the manager of the home to complete and return. The completed questionnaire gave information about several areas such as staffing, checks that the home has made about the safety and maintenance of the building, information about residents and other useful information. Questionnaires were also sent to residents, the families and other professionals such as district nurses and doctors. Completed ones were received from all the residents. The staff have helped them to complete the questionnaires. When they were analysed, they showed that everybody was happy with the quality of care provided and the facilities at the home. There were 11 residents living at the home at the time of the inspection and there was an adequate number of care staff on duty. The owner and a cook were also on duty. The number of staff on duty was well within the minimum level recommended. The staff were observed to be polite and attentive when talking and dealing with the residents. What the service does well: Kepplegate House DS0000055105.V330657.R01.S.doc Version 5.2 Page 6 The inspection was conducted in a very friendly and cooperative manner and all the residents were very happy to tell the inspector about their home. Those spoken to said how happy they were living at Kepplegate. The atmosphere was very relaxed and staff and residents got on well together. During the visit, the inspector spoke to and observed a number of residents who all appeared to be very comfortable and relaxed in their surroundings. The residents who responded to the written survey and those consulted during the inspection were very complimentary about the quality and variety of meals provided at the home. The owner and the staff have a good awareness of equality and diversity and said that they treat everyone as equals and respect people’s different ways and habits. The staff benefit from a good standard of training. It was also pleasing to note that the home continue to meet the national target in NVQ training, with 61 of carers holding the qualification at level 2 or above. The staff were observed to be polite and respectful when talking and caring for the residents. What has improved since the last inspection? What they could do better: The manager is aware that there is always room for improvement, and is continually looking at ways forward to further improve the quality of life for the residents. Most of the window frames around the home are looking worn and should be replaced as soon as possible. Kepplegate House DS0000055105.V330657.R01.S.doc Version 5.2 Page 7 Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. The summary of this inspection report can be made available in other formats on request. Kepplegate House DS0000055105.V330657.R01.S.doc Version 5.2 Page 8 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–6) Health and Personal Care (Standards 7-11) Daily Life and Social Activities (Standards 12-15) Complaints and Protection (Standards 16-18) Environment (Standards 19-26) Staffing (Standards 27-30) Management and Administration (Standards 31-38) Scoring of Outcomes Statutory Requirements Identified During the Inspection Kepplegate House DS0000055105.V330657.R01.S.doc Version 5.2 Page 9 Choice of Home The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 3 Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. There are good practices to assess the needs of people coming to stay at the home. Residents benefit from having all their needs met. EVIDENCE: The records of admission of the last resident admitted to the home were examined and they showed that a full assessment was carried out prior to admission. A member of the management team always visits prospective residents who are unable to visit the home, either in their own home or in hospital before admission. The owner said this helps with introduction as well giving and gaining information. Kepplegate House DS0000055105.V330657.R01.S.doc Version 5.2 Page 10 The brochure contains information about the care provided, the facilities, the staffing, the complaint procedure and other useful information. A copy of the last inspection report is given to all new residents. Prospective residents or their families are encouraged to visit the home and spend as much time as they need before making a decision. A written pre admission assessment is done at this stage to ensure that the staff of the home can meet the assessed needs. The staff said that they are given as much information about the new residents as possible so that they can provide tailor-made care. Several residents spoken to said that their families have chosen well for them and that they liked living at Kepplegate. They said that they can do what they want and that the staff provide assistance and help when required. The residents said that the staff are very good and that nothing is too much trouble for them. The home does not provide intermediate care. Kepplegate House DS0000055105.V330657.R01.S.doc Version 5.2 Page 11 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 7,8,9 & 10 Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. The practices to meet the health and personal care needs of the residents are excellent. Residents benefit from having their needs assessed and met by a team of dedicated staff. EVIDENCE: Two residents, one of whom being the last one admitted to the home were case tracked. This means that two residents were selected by the inspector and the care they receive examined closely. Their assessments and care plans were examined and they were spoken to. The records show that detailed written information about the residents has been recorded. These include an assessment to identify the needs of the residents and also a care plan which shows how the needs were being met. Kepplegate House DS0000055105.V330657.R01.S.doc Version 5.2 Page 12 The physical assessment covers; personal hygiene, mobility, hearing, vision and other areas. The care plans give details of how the assessed needs are met. For example, if someone needed help with personal hygiene, the record will show that this person needs staff to wash and dress her. The care plans are reviewed monthly or as required to meet their changing needs. The residents and their families can be involved in this exercise. The residents said that they are very well looked after by a team of very good staff. They were very positive about the staff and the management of the home. They described the home as being very good. Survey cards were received back from all the residents and they were all positive about the staff and the care they receive. The inspector observed a very relaxed and friendly atmosphere in the home. There were good interactions between the staff and the residents. To meet the needs of residents who need support when walking along the corridors, handrails have been fitted on the walls. All of the toilets have been fitted with grab rails to help those residents with poor balance and mobility. A stair lift is available to access the first floor. A bath hoist is available to assist residents with getting in and out of the bath. All the residents are white British, but the owner said if a resident from a minority group was to be admitted to the home, she will obtain as much information as possible by researching this group to meet care, cultural and dietary needs. Resident’s health care needs are met by involving health care professionals. GP’s, district nurses and chiropodist visit when required. The home is sensitive to the needs of all the residents and does everything to help them remain as independent as possible. The staff said that their job is to work with the residents and meet all their needs. They said that they have very good relationships with all the residents. They were observed talking and helping the residents with respect and dignity. Kepplegate House DS0000055105.V330657.R01.S.doc Version 5.2 Page 13 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 12,13,14 & 15 Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. The efforts made to help stimulate and keep the residents active are excellent. Residents are encouraged to participate in activities and are helped to remain independent and active. EVIDENCE: The owner said that residents are encouraged to remain as independent as they want and able to. The residents said that they can do what they want and join in organised activities that they liked. Residents were observed doing their own things. Some were in the lounges and others were in their rooms. They said that they are able to remain as independent as they want or able to. They said that staff are helpful and will provide assistance when required. Activities include bingo, dominoes, and entertainers. Some residents were having a manicure during the afternoon of the inspection. Kepplegate House DS0000055105.V330657.R01.S.doc Version 5.2 Page 14 A weekly session of physiotherapy is also available. Families and friends of residents are encouraged to visit when they want. No relatives were present during the inspection. Some of the residents said that their relatives take them out regularly. The staff said that they try and meet residents’ individual needs. They said that if residents wanted to go for a walk or do something, they would try to oblige. The residents said that they do what they want and that the staff are very helpful and would assist them when required. The residents said that the food is very good and that they get plenty to eat and drink. On the day of the inspection, Braised steak was offered for lunch. If anyone did like the main choice, then suitable alternatives are provided. The cook said that residents can within reason have what they want. Flasks with tea and coffee are available in the lounge for the residents and relatives to help themselves. Cold drinks are also available. Residents are encouraged to eat with others in the dining rooms, but may eat in their rooms if they prefer. There is a good choice of food to choose from at breakfast and teatime including a hot meal. Records of meals served examined show that a good variety of meals are offered to the residents. The cook said that she is able to cook food to suit ethnic needs and if she did not know how, she will try and find out. Special diets such as diabetic, gastric and other foods can be catered for. Kepplegate House DS0000055105.V330657.R01.S.doc Version 5.2 Page 15 Complaints and Protection The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be. JUDGEMENT – we looked at outcomes for the following standard(s): 16 & 18 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. There are stringent policies and procedures to safeguard and keep residents safe. Residents live in a home where they are not afraid to speak up. EVIDENCE: The home has a robust procedure for dealing with complaints. Written information about how and who to complain to is given to residents or their families. The residents said that if they had any complaints, they would speak to the owner and have every confidence that their concerns would be dealt with. The owner said that she is always available to speak to the residents or their families. She said that she speaks to residents and staff on a daily basis. The owner said that this allows for problems and concerns to be sorted out as they appear. There are systems in place for staff to report any incident of abuse either by staff themselves or by families. Kepplegate House DS0000055105.V330657.R01.S.doc Version 5.2 Page 16 All the residents appeared to be safe, free from harm, neglect and abuse. Staff were observed treating the residents with respect and dignity. Several staff have attended a course on abuse awareness. Kepplegate House DS0000055105.V330657.R01.S.doc Version 5.2 Page 17 Environment The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 19 & 26 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home is kept to a good hygienic standard and is well maintained. Residents live in a clean and well kept home. EVIDENCE: A tour of the building was carried out and all the rooms and communal areas were found to be clean and tidy. The bedrooms vary in shape and size and all were personalised with residents’ own furniture and ornaments. Residents are encouraged to bring in as much of their own things as they want. The owner said that there is a rolling a programme of maintenance and carpets are changed when necessary. Kepplegate House DS0000055105.V330657.R01.S.doc Version 5.2 Page 18 Most of the window frames around the home are looking worn and should be replaced as soon as possible. The residents said that they feel safe living at the home and that their rooms are well maintained. There are policies and procedures regarding the handling of cleaning materials and infection control. Some staff have attended courses on the control of infections. The residents’ general comments were that the home is nice, clean and homely. Handrails have been fitted alongside the corridors to help residents with mobility. There are grab rails fitted to some of the toilets to help residents who are disabled. A stair lift is available to access the first floor and residents can use it independently if they wish. The home was found to be free from hazards and the residents said that they can get around the home safely. Kepplegate House DS0000055105.V330657.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 27,28,29 & 30 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. There is a robust recruiting and training procedures to ensure that staff employed are fit to care for the residents. Residents are cared for by a team of well-motivated staff. EVIDENCE: The number of staff on duty has been maintained to a good level to meet the needs of the residents. At the time of the inspection, there were 2 care staff, the owner, a cook and a domestic staff on duty. Staff rotas examined show that the staffing level is well within the recommended level for the number of residents at the home. The owner demonstrated a good understanding of the procedures to be followed when selecting and recruiting staff. The staff files examined show that appropriate checks have been carried out before offers of employment were made. Such checks included CRB (Criminal Records Bureau) checks and a POVA (Protection Of Vulnerable Adults) check. Once a new member of staff starts work at the home, she undertakes an induction training programme involving orientation of the home, meeting Kepplegate House DS0000055105.V330657.R01.S.doc Version 5.2 Page 20 residents and staff. Training also includes Fire Procedures, Moving and Handling and many other relevant courses. There were two care staff from China working at the home. They were able to communicate adequately. The owner was reminded to ensure that any foreign staff employed is able to speak and understand the English language. There is a clear commitment to the training and development of all staff at the home and they are all expected to go on the NVQ training programme once they have completed their induction training. Training records show that the staff at the home have attended several courses. These include: Abuse, Moving and Handling, First Aid, Dementia, Medications, etc. CSCI (Commission for Social Care Inspection) recommends that at least 50 of care staff achieved NVQ (National Vocational Qualification) level 2. The percentage of care staff at Kepplegate with this qualification is 61 and is commendable. The staff spoken to said that they enjoy working at the home very much. They said that the management is very supportive and listens to what they have to say. The residents said that the staff are marvellous and will do anything for them. There were good interactions between the residents and the staff. They all appeared to be happy and content Kepplegate House DS0000055105.V330657.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 31,33,35 & 38 Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. The home has an efficient management team. The residents and staff benefit from living and working in a well managed home EVIDENCE: Kepplegate is owned and managed by the owner Mrs Karen Shaw. She is a qualified nurse. The owner said that the home has an open door policy and that residents and staff are always welcome to come and have a chat. Residents and or their families are encouraged to deal with their own finances. Kepplegate House DS0000055105.V330657.R01.S.doc Version 5.2 Page 22 The inspector had the full cooperation of the owner, the staff and the residents during the inspection. The owner said that she has daily contact with the residents and will deal with any concerns they may have straight away. The inspection was carried out in a friendly environment and residents and staff said that Kepplegate is a very good home. There are systems in place to regularly audit and monitor standards, and to get feedback from residents and their families on their level of satisfaction with the service. The home is small, with a small staff group, and therefore visitors are regularly seen by the owner, and good relationships and communication develop. The owner has regular formal supervision sessions with the staff, followed by annual appraisals of their work. These provide the owner with information on the standard of the care provided in the home. Records and staff confirmed the fire training for staff, with a visit from the fire officer who confirmed safety standards in the home were correct. All maintenance and servicing checks of equipment were correct. Kepplegate House DS0000055105.V330657.R01.S.doc Version 5.2 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 X X 4 X X N/A HEALTH AND PERSONAL CARE Standard No Score 7 4 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 3 17 X 18 3 3 X X X X X X 2 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 4 X 3 X 3 X X 3 Kepplegate House DS0000055105.V330657.R01.S.doc Version 5.2 Page 24 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. Standard Regulation Requirement Timescale for action RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1 Refer to Standard OP26 Good Practice Recommendations Most of the window frames around the home are looking worn and should be replaced as soon as possible. Kepplegate House DS0000055105.V330657.R01.S.doc Version 5.2 Page 25 Commission for Social Care Inspection Lancashire Area Office Unit 1 Tustin Court Portway Preston PR2 2YQ National Enquiry Line: Telephone: 0845 015 0120 or 0191 233 3323 Textphone: 0845 015 2255 or 0191 233 3588 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk © This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI Kepplegate House DS0000055105.V330657.R01.S.doc Version 5.2 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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