CARE HOMES FOR OLDER PEOPLE
Kibworth Court Residential Home Smeeton Road Kibworth Beauchamp Leicestershire LE8 0LG Lead Inspector
Chris Wroe Unannounced Inspection 20th December 2005 10:45 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 Kibworth Court Residential Home DS0000001739.V272840.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. Kibworth Court Residential Home DS0000001739.V272840.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION
Name of service Kibworth Court Residential Home Address Smeeton Road Kibworth Beauchamp Leicestershire LE8 0LG 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) 0116 2792828 0116 2792828 Firstsmile Limited vacant Care Home 40 Category(ies) of Dementia - over 65 years of age (4), Mental registration, with number Disorder, excluding learning disability or of places dementia - over 65 years of age (4), Old age, not falling within any other category (40), Physical disability over 65 years of age (4) Kibworth Court Residential Home DS0000001739.V272840.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION
Conditions of registration: 1. Service user numbers. No person falling within categories MD(E) or DE(E) to be admitted to the home when 4 persons in total of these categories/combined categories are already accommodated in the home. Service user numbers. No person falling within category PD(E) to be admitted to the home when 4 persons of that category are already accommodated within the home. To be able to admit the person of category DE named in the variation number V11968 13th May 2005 2. 3. Date of last inspection Brief Description of the Service: Kibworth Court care home cares for forty older people in a purpose built property. It is set in the village of Kibworth Beauchamp, close to a variety of amenities. The premises consists of two floors, and residents have access to both floors with the use of the passenger lift or stairs. There are a variety of aids and adaptations in the home, based on individual residents assessed care needs. There are thirty-eight single bedrooms and one double bedroom, all with ensuite facilities. There are additional toilet and bathroom facilities on both floors. The home has a garden to the rear of the premises. Kibworth Court Residential Home DS0000001739.V272840.R01.S.doc Version 5.0 Page 5 SUMMARY
This is an overview of what the inspector found during the inspection. This inspection was unannounced and took place on a weekday, 20th December 2005, starting at 10.45am and lasting for five hours. Linda Robinson, manager of the home (currently going through registration process), was present during the inspection. Twelve residents were spoken with during the inspection, all of whom gave positive views about the home. Comments made include: ‘The staff are very good’. ‘I feel very comfortable here. The main method of inspection used was ‘case tracking’, which involved selecting four residents and tracking the care they receive through checking records, talking with the residents, looking round the home and observing care practices. At the last inspection, almost all of the key standards were checked. At this inspection, the inspector checked the remaining key standards, and looked briefly at other aspects to make sure good care was continuing (medication administration; accident and incident records, care plans, environment and staff rotas). What the service does well:
The information given below is based only on the aspects checked at this inspection: Residents are enabled to have ongoing contact with family and friends and to receive visitors in the home. They are also involved in the local community, and children from a local school come into the home on a weekly basis to have lunch with residents and spend time with them. The home is commended for this. Recruitment processes in the home are good, to ensure as far as possible that residents’ welfare will be safeguarded by staff who are employed. Staff receive induction training on entering the home, and ongoing training after that to enable them to do their job.
Kibworth Court Residential Home DS0000001739.V272840.R01.S.doc Version 5.0 Page 6 Residents and relatives are enabled to give feedback about how the home is run in a variety of different ways. The manager holds monies on behalf of residents where they wish it, but enables residents to be independent where they choose and are able to be. In addition, good care is continuing in medication administration. Care plans remain in place, detailing residents’ care needs. The home is clean and hygienic. What has improved since the last inspection? 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
Kibworth Court Residential Home DS0000001739.V272840.R01.S.doc Version 5.0 Page 7 contacting your local CSCI office. Kibworth Court Residential Home DS0000001739.V272840.R01.S.doc Version 5.0 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 Kibworth Court Residential Home DS0000001739.V272840.R01.S.doc Version 5.0 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): All applicable key standards under this section were checked at the last inspection. EVIDENCE: Kibworth Court Residential Home DS0000001739.V272840.R01.S.doc Version 5.0 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): All key standards under this section were checked at the last inspection. EVIDENCE: A basic sample check of medication stocks and systems was undertaken, to ensure ongoing good care. All aspects checked were found to be satisfactory. Accident and incident records showed that some residents do sometimes experience falls in the home. There are basic risk assessments regarding falls for those residents who are at risk, and the manager monitors accident records. It would be good if specific attention could be paid to falls prevention, in order to minimise falls, by identifying any particular triggers for individuals and looking at individual preventative measures, including links with local health fall prevention services where possible. Kibworth Court Residential Home DS0000001739.V272840.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): 13 Residents benefit from being enabled to maintain contact with family, friends and the community. EVIDENCE: Residents are enabled to have ongoing contact with family and friends and to receive visitors in the home. Residents may see visitors in their own bedrooms, or there are a number of private lounges in the home where they can receive them. Residents are also enabled to be involved in the local community if they wish to. Children from a local school come into the home on a weekly basis to have lunch with residents and spend time with them – one resident enjoys regular games of chess with young people from the school. The home is commended for the way in which it helps residents to stay involved in the local community. Kibworth Court Residential Home DS0000001739.V272840.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): All key standards under this section were checked at the last inspection. EVIDENCE: Kibworth Court Residential Home DS0000001739.V272840.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): All key standards under this section were checked at the last inspection. EVIDENCE: A brief tour of the home was undertaken, and all areas checked were found to continue to be clean and hygienic. Residents’ bedrooms were homely with individual possessions. Communal areas were welcoming and appropriately furnished. Kibworth Court Residential Home DS0000001739.V272840.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): 29,30 Residents benefit from good recruitment and training of staff. EVIDENCE: Recruitment processes in the home are good, to ensure as far as possible that residents’ welfare will be safeguarded by staff who are employed. Relevant information is collected about applicants. Staff receive terms and conditions, and there is a detailed handbook, which gives staff information about ways of working that will safeguard residents’ wellbeing. Staff receive induction training on entering the home, and ongoing training after that to enable them to do their job. Examples of recent training include moving and handling and dementia awareness. Staff’s commitment to training is recognised through pay and bonuses. In addition, staff rotas were checked, which show a minimum of three care staff working in the home at all times of the day (including senior care staff), with additional staff working at busier times. The manager confirmed that senior care staff work ‘on the floor’ in the care of residents. There are a minimum of two waking staff at night. Kibworth Court Residential Home DS0000001739.V272840.R01.S.doc Version 5.0 Page 15 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): 33, 35 Residents benefit from good management and administration systems in the home. EVIDENCE: Residents and relatives are enabled to give feedback about how the home is run in a variety of different ways. Residents meetings are held, at which residents are given information about important aspects, such as the complaints procedure, and are enabled to raise issues. A survey of residents, relatives and staff was held in June 2005. The manager carries out regular internal monitoring, and the owners carry out monthly audits of aspects of care in the home. Residents confirmed that they feel able to raise issues with the manager or staff. Kibworth Court Residential Home DS0000001739.V272840.R01.S.doc Version 5.0 Page 16 The home holds monies on behalf of residents where they wish it, but enables residents to be independent where they choose and are able to be. Written records are kept of transactions made on behalf of residents. There are facilities for residents to keep valuable items safely. Kibworth Court Residential Home DS0000001739.V272840.R01.S.doc Version 5.0 Page 17 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 X 8 X 9 X 10 X 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 X 13 4 14 X 15 X COMPLAINTS AND PROTECTION Standard No Score 16 X 17 X 18 X X X X X X X X X STAFFING Standard No Score 27 X 28 X 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score X X 3 X 3 X X X Kibworth Court Residential Home DS0000001739.V272840.R01.S.doc Version 5.0 Page 18 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. 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 OP8 Good Practice Recommendations It is recommended that specific attention be paid to falls prevention, in order to minimise falls, by identifying any particular triggers for individuals and looking at individual preventative measures, including links with local health fall prevention services where possible. Kibworth Court Residential Home DS0000001739.V272840.R01.S.doc Version 5.0 Page 19 Commission for Social Care Inspection Leicester Office The Pavilions, 5 Smith Way Grove Park Enderby Leicester LE19 1SX National Enquiry Line: 0845 015 0120 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk
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