Inspection on 10/01/06 for Kevlin

This inspection was carried out on 10th January 2006.

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

The inspector 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

Kevlin 09/05/07

Kevlin 15/09/05

Kevlin 14/01/05

Kevlin 02/08/04

Kevlin 19/03/04

Similar services:

Claremont House

Oak Ridge

Sun Court Nursing Home

Ashville House

Bilney Hall

Hill Barn

Mabbs Hall Nursing Home

Henrietta House

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

CARE HOMES FOR OLDER PEOPLE Kevlin 66/68 Norwich Road North Walsham Norfolk NR28 0DX Lead Inspector Mrs Geraldine Allen Announced Inspection 10th January 2006 09:30 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 Kevlin DS0000027292.V271586.R01.S.doc Version 5.0 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. Kevlin DS0000027292.V271586.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service Kevlin Address 66/68 Norwich Road North Walsham Norfolk NR28 0DX 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) 01692 402355 NO FAX # Mrs Diana Tripp Mr Derek Tripp Care Home 14 Category(ies) of Dementia - over 65 years of age (14), Old age, registration, with number not falling within any other category (14) of places Kevlin DS0000027292.V271586.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 15th September 2005 Brief Description of the Service: Kevlin is a care home providing personal care and accommodation for 14 older people. Mr Derek and Mrs Diane Tripp own the home. The home is located on the outskirts of North Walsham and is close to local shops, pubs and local amenities. The home is a three-storey building, with service user accommodation located on the ground and first floors. Communal areas are located on the ground floor and service users’ bedrooms are on the ground and first floors. A stair climber provides assisted passage to the first floor. There are twelve single bedrooms and one shared bedroom. There is easy access to the rear gardens from the main lounge and dining room. On-road parking is available outside of the home. Kevlin DS0000027292.V271586.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This inspection was announced and took place during the day of 10 January 2006. Not all of the National Minimum Standards were inspected on this occasion and, where a standard has been inspected, the complete range of sub elements, as set out in the National Minimum Standards, may not have been assessed. On the day of inspection, 13 residents were living at the care home. The home provided a pre-inspection questionnaire containing information about the dayto-day running of the home. Information was also received from other visiting professionals, including environmental health and health professionals. On the day of inspection, Mr & Mrs Tripp provided information. Three care staff were spoken to in private. Lunch was eaten with residents in the main dining room and the opportunity was taken to speak with 3 residents in depth. A brief tour of the building took place and records were looked at. Overall, this home provides very good care in a domestic environment. The staff are very well trained to meet the needs of the residents. What the service does well: What has improved since the last inspection? There is continuing improvement to the building. Since the last inspection, the outside of the house has been repainted and the chimneystack has been replaced. The records kept about the care given to residents have improved since the last inspection. The home has been introducing new documents that help Kevlin DS0000027292.V271586.R01.S.doc Version 5.0 Page 6 them identify what care a resident needs and how staff should give it. The records now in use are very good. 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. Kevlin DS0000027292.V271586.R01.S.doc Version 5.0 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 Kevlin DS0000027292.V271586.R01.S.doc Version 5.0 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): These standards were not inspected on this occasion. EVIDENCE: Kevlin DS0000027292.V271586.R01.S.doc Version 5.0 Page 9 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 Each resident has a care plan that sets out their needs and how they should be met. Residents health care needs are met appropriately and in a timely way. Residents are protected by the home’s medicines policy and staff were working in accordance with the home’s practice. Residents are treated with respect and in a dignified way. EVIDENCE: The care for 2 residents was followed in detail. The care plans continue to be developed and the new formats that are now in place are comprehensive and holistic in approach. Very good examples of assessment were seen and all care plans are being developed around a risk reduction framework. Manual handling risk assessments were seen. There were particularly good assessments around behaviour and causes on each file. The care plans provided staff with clear information about the daily living routines preferred by each resident and how staff should work to ensure the residents’ specific needs and preferences were met. The home is commended. Kevlin DS0000027292.V271586.R01.S.doc Version 5.0 Page 10 The visiting GP completed and returned a Commission comment card. This showed that residents are in safe hands and medical interventions are requested appropriately and in a timely manner. Staff work in accordance with instructions given by health professionals. The medication arrangements were not looked at in detail as part of this inspection. It was however noted that staff are complying with a recommendation made at the inspection dated 15 September 2005. Medication was handed to residents in pots rather than placing tablets on the table. Residents stated that they felt well cared for and that staff always treated them very well. The interaction between staff and residents was observed throughout the inspection and was found to be appropriate and respectful. Those staff spoken to were very knowledgeable about residents’ rights and how they need to be protected and supported. Kevlin DS0000027292.V271586.R01.S.doc Version 5.0 Page 11 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): 15 Residents receive a nutritious and varied diet that reflects individual choice and preference. EVIDENCE: Lunch was eaten with residents in the main dining room. Residents are able to eat their meals where they wish, including their own rooms. The main dining room is located in the recently constructed conservatory and offers a pleasant and bright environment, where residents can watch birds and other wildlife in the garden. The room is well laid out and spacious for the numbers wishing to eat in there. Each table had a clearly written menu. The meal was based on choice and preference of each resident and the home caters for various diets including diabetic, vegetarian and low fat. Care plans included details each resident’s dietary needs and preferences. The senior member of staff on duty prepared the meal on the day of inspection. She confirmed that all food is prepared using fresh ingredients, purchased as needed. The member of staff confirmed she has completed food hygiene training. Kevlin DS0000027292.V271586.R01.S.doc Version 5.0 Page 12 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): 18 Residents are protected by staff who are well trained and have good knowledge about adult abuse awareness. EVIDENCE: Staff training records were seen and these demonstrated that staff receive good training about adult abuse awareness. Three members of staff were spoken to and all spoke about their understanding the adult abuse and protection issues. All were aware of the home’s whistle blowing policy and the circumstances in which they would use the policy. Previous inspection reports have noted the high standard of training and staff understanding about adult protection. The home is commended. Kevlin DS0000027292.V271586.R01.S.doc Version 5.0 Page 13 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 & 26 The environment is well-maintained and safe for residents. On the day of inspection, the home was clean and tidy and there were no unpleasant odours. EVIDENCE: A tour of the communal areas of the home was undertaken. All areas were safe and corridors free from obstruction. Mr & Mrs Tripp spoke about their plans for the replacement of the stair climber and the programme of continuous replacement, renewal and redecoration of the home. Externally, the walls have been rendered and painted and the chimneystacks replaced. All areas of the home seen were clean and tidy. No unpleasant odours were detected. Kevlin DS0000027292.V271586.R01.S.doc Version 5.0 Page 14 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 Staff are employed in sufficient numbers to meet the needs of the residents. Residents are cared for by staff who receive training relevant to meet their needs. The home’s policies and procedures for recruitment of staff are in line with good practice. Staff are well trained and competent. EVIDENCE: The home has recently introduced a 2-week staff rota, a copy of which was provided at the time of this inspection. This shows that staff are employed in sufficient numbers to ensure the needs of the residents are met. Staff confirmed that they felt they had time to talk with residents. Residents stated that staff assisted them as they needed and were “always about”. The rota shows that a senior member of staff is on duty at all times. The significant hours worked by Mr & Mrs Tripp are not included in the staff rota. A requirement was made at the inspection dated 15 September 2005 regarding recruitment practice. This was discussed with Mr & Mrs Tripp and the recording and value of verbal references was considered. The need to obtain at least 2 written references was agreed. Staff training records were seen as part of this inspection. There was evidence that this home has a commitment to staff training and development. All new Kevlin DS0000027292.V271586.R01.S.doc Version 5.0 Page 15 staff complete recorded induction and foundation training. The most recently appointed staff training record was seen and this was up to date and fully recorded. All staff are given a copy of the General Care Council Code of Conduct. Staff are also encouraged to do NVQ at levels 2, 3 and 4. In addition, staff receive training that is relevant to their role. This includes dementia management, aggression management, stress in the work place, health & safety, food hygiene, infection control, management of drugs and care of vulnerable adults. The home is commended. Kevlin DS0000027292.V271586.R01.S.doc Version 5.0 Page 16 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 & 35 The home is owned and managed by well qualified, experienced and competent service providers. Residents are protected from financial abuse by good practice regarding their personal allowances, although recommendations to recording practice have been made. EVIDENCE: Both Mr & Mrs Tripp are very experienced service providers and have agreed areas of responsibility between them. Mrs Tripp is responsible for care practice and has significant experience caring for this client group. Mr & Mrs Tripp are clear about the standard of care they intend to provide at Kevlin and ensure staff are trained and supported to meet their standards. Amongst the responsibilities assumed by Mr Tripp is the control of personal allowances on behalf of residents. The home has very good practice in place that protects residents from financial abuse. However, suggestions have been Kevlin DS0000027292.V271586.R01.S.doc Version 5.0 Page 17 made that will improve the recording of transactions. It is recommended that 2 signatures are used for all transactions undertaken by staff. See recommendations. Kevlin DS0000027292.V271586.R01.S.doc Version 5.0 Page 18 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 X X X X 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 X 13 X 14 X 15 4 COMPLAINTS AND PROTECTION Standard No Score 16 X 17 X 18 4 3 X X X X X X 3 STAFFING Standard No Score 27 3 28 3 29 3 30 4 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 4 X X X 3 X X X Kevlin DS0000027292.V271586.R01.S.doc Version 5.0 Page 19 No 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 OP35 Good Practice Recommendations It is recommended that 2 signatures are obtained for all financial transactions carried out on behalf of residents. Kevlin DS0000027292.V271586.R01.S.doc Version 5.0 Page 20 Commission for Social Care Inspection Norfolk Area Office 3rd Floor Cavell House St. Crispins Road Norwich NR3 1YF 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 Kevlin DS0000027292.V271586.R01.S.doc Version 5.0 Page 21 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. 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