Inspection on 26/04/05 for Kiln Court

This inspection was carried out on 26th April 2005.

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

The inspector 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

Kiln Court 29/06/07

Kiln Court 17/08/06

Kiln Court 08/11/05

Kiln Court 12/10/04

Kiln Court 19/05/04

Similar services:

The Shelley

Springfield House

Sutton Lodge Nursing Home

St Helier`s Residential Hotel

St Joseph`s

Ridgemount

Wingham Court

Old Hastings House

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

CARE HOMES FOR OLDER PEOPLE Kiln Court Lower Road Faversham Kent ME13 7NY Lead Inspector Graham Cummings Unannounced 26 April 2005 The Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Reader Information Document Purpose Author Audience Further copies from Copyright Inspection Report CSCI General Public 0870 240 7535 (telephone order line) This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI www.csci.org.uk Internet address This is a report of an inspection to assess whether services are meeting the needs of people who use them. The legal basis for conducting inspections is the Care Standards Act 2000 and the relevant National Minimum Standards for this establishment are those for Care Homes for Older People. They can be found at www.dh.gov.uk or obtained from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering: www.tso.co.uk/bookshop This report is a public document. Extracts may not be used or reproduced without the prior permission of the Commission for Social Care Inspection. Kiln Court H56-H05 S37750 Kiln Court V223801 260405 Stage 4.doc Version 1.30 Page 3 SERVICE INFORMATION Name of service Kiln Court Address Lower Road, Faversham, Kent, ME13 7NY Telephone number Fax number Email address Name of registered provider(s)/company (if applicable) Name of registered manager (if applicable) Type of registration No. of places registered (if applicable) 01795 532183 01795 530942 Kent County Council Mrs Jennifer Anne Jones CRH 30 Category(ies) of Care Home for Older People - 29 and Physical registration, with number Disability -1 of places Kiln Court H56-H05 S37750 Kiln Court V223801 260405 Stage 4.doc Version 1.30 Page 4 SERVICE INFORMATION Conditions of registration: PD is restricted to one (1) person 55 years and over at any one time. Date of last inspection 12 October 2004 Brief Description of the Service: Kiln Court is situated in the village of Ospringe, Faversham. Kiln Court is owned and run by the local authority, Kent County Council and supports older people over 65 years and one person between 55 and 65 years of age for long term, short term and respite care. The Home has one storey with level access throughout the building. There are 30 single bedrooms with wash hand basins and a call bell system fitted. Two bedrooms are available with en suite facilities suitable for people who may use a wheelchair. The Home has a number of lounges and dining rooms. A Registered Manager, Deputy Manager, Senior Team Leader, Team Leaders, Care Staff, Maintenance man, Administration assistants, Cook and Domestic staff, are employed at the Home. The Home provides 2 waking night staff from 9pm to 7am.The Home has pleasant grounds and garden and is within walking distance of local shops and bus stops.There is a day centre as part of the Kiln Court site. Kiln Court H56-H05 S37750 Kiln Court V223801 260405 Stage 4.doc Version 1.30 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The inspection was unannounced and carried out by Mr Graham Cummings and Mrs. Kim Rogers from 11.25 to 16.30. The Registered Manager Ms. Jennie Jones, Deputy Manager Mrs. Pam Lloyd and Trudi Cadman Team Leader assisted the Inspectors. The Inspectors spoke with the management, staff and Service Users individually and in groups, the Inspectors also made a tour of the Home, viewed documentation and records. There were 24 Service Users at the Home on the day of the inspection. Positive comments about living at Kiln Court were made by Service Users, ‘couldn’t be better’ ‘the food is brilliant ’ ‘I’ve no complaints’ were just a few of the comments Inspectors heard. Staff were complimentary about the management of the Home and said they felt supported and happy in their role. The Home had a friendly and welcoming atmosphere and was clean and tidy. One of the two rooms that is specifically suitable for Service Users who may use wheelchairs is in use and one is registered to provide personal care and support to a person of 55 years of age or over is empty. A complaint had been received by the home and was in the process of being dealt with by the Manager. Progress towards the Requirements and Recommendations made at the last inspection was assessed. The Home has shown a good commitment to meeting the National Minimum Standards. Staff vacancies have increased since the last inspection and Agency staff have had to be used. Interviews are due to take place on the 29th April and it is hoped that this difficulty will be rectified. What the service does well: Kiln Court is a warm and welcoming home. Service Users spoken to said that ‘staff were very helpful’; ‘they close the door so I keep my dignity’; and ‘the permanent staff put me very much at ease’. The Service Users rooms seen were well decorated had the Service Users personal pictures, photos and ornaments on display. Kiln Court H56-H05 S37750 Kiln Court V223801 260405 Stage 4.doc Version 1.30 Page 6 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 contacting your local CSCI office. Kiln Court H56-H05 S37750 Kiln Court V223801 260405 Stage 4.doc Version 1.30 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–6) Health and Personal Care (Standards 7-11) Daily Life and Social Activities (Standards 12-15) Complaints and Protection (Standards 16-18) Environment (Standards 19-26) Staffing (Standards 27-30) Management and Administration (Standards 31-38) Scoring of Standards Statutory Requirements Identified During the Inspection Kiln Court H56-H05 S37750 Kiln Court V223801 260405 Stage 4.doc Version 1.30 Page 8 Choice of Home The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 2,3,6 Service Users Statement of Terms and Conditions were not available on all Service User Plans. Full assessments were in place. Dedicated accommodation is available to deliver short term rehabilitation. EVIDENCE: Service User Plans were in place for all Service Users. Inspectors looked at three Service User Plans and noted that all three contained assessment of needs covering all the areas under the standards. However, only two of the three had Statement of Terms and Conditions. All Service User Plans are kept in wall containers in the Service Users bedroom, these containers have clear written notices to say that the plan belongs to the Service User and should not be taken without the consent of the Service User. Kiln Court H56-H05 S37750 Kiln Court V223801 260405 Stage 4.doc Version 1.30 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 standard(s) 7,8,9,10 Service Users Care Plans set out their personal and social care needs. Service Users are treated with respect and their dignity upheld. Service Users health care needs are met, minor improvements need to be made to fully comply. EVIDENCE: All Service Users have their own Care Plan, these were observed by Inspectors in all Service user rooms visited. The Service Users health needs are recorded with actions by staff to meet these needs. Two of the three Service user Plans sampled were reviewed on a regular basis, one plan for a Service user on respite had no review evident. One Service User who was Diabetic had no guidelines in place, although the District Nurse attended daily to administer the Insulin, Inspectors felt that some guidance should be available for staff stating actions to be taken if the Service user became ill. Another Service User who suffers from seizures had no guidelines in the Care Plan for staff to follow in the event of a seizure. The home works closely with G.P’s and District Nurses and the home responds quickly to met the needs of the Service Users. The District Nurse visits regularly and holds clinics in the treatment room. The storage of medication has improved since the last inspection, the Deputy now carries out spot checks at different times and frequencies to ensure staff are Kiln Court H56-H05 S37750 Kiln Court V223801 260405 Stage 4.doc Version 1.30 Page 10 recording correctly, on the first check 15 errors were found, on the second check approximately 3 weeks later there were only 3 errors found. Controlled drugs were in the controlled drugs cupboard that was locked and there was a register in place. A lockable fridge was also available in the treatment room. The medication trolleys were locked and chained to the wall in their respective units. At night all the trolleys were locked away in a room and individually chained to the wall. Inspectors noted that the Medication Administration Records were stored on the top of the medication trolleys and could be removed or damaged, following a discussion with the Manager it was decided that the Medication Administration Records should be locked inside the trolley on each unit. Service Users spoken to informed Inspectors that their privacy and dignity were respected, one Service User stated ‘staff are respectful and close the door’ ‘staff make me feel at ease’ and ‘if I have an accident they put their arms around me and say it’s not my fault, that makes me feel better’. Kiln Court H56-H05 S37750 Kiln Court V223801 260405 Stage 4.doc Version 1.30 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 standard(s) 12,13,14,15 Service Users know that their personal goals are reflected in their individual plans and their records are securely kept. The meals in the home are good offering both choice and variety and catering for special diets. EVIDENCE: Kiln Court runs its own Day Care centre that can be accessed by Service Users. Activities consist of board games, reading of books and newspapers, bingo and an option to use a hairdresser who attends weekly. Service Users are able to have visitors and a new quiet room has been provided for this purpose if it is required. The registered person does not impose restrictions on visitors unless requested by Service Users. Kiln Court has a central Kitchen and staff collect the individual groups trolley and take it to their group. Lunchtime was observed and was relaxed and unhurried, the dining room was pleasant and each table had condiments and fresh flowers. The Service users had a choice of main course. Inspectors noted that the Staff observed did not sit down to eat with the Service Users but ate standing in between assisting Service Users. Inspectors felt it would be better if staff sat with Service Users. Although there was a choice of meals a special diet were not always catered for, one Service User with Diabetes said ‘the food was unsuitable for me’ ‘I have a weakness for cakes that were offered’ another Service user with Diabetes said ‘I chose the food to a degree, there were alternatives but I couldn’t always choose something that was good for me’. Other Service Users spoken to about the food were very complimentary, Service Users stated ‘the food is brilliant’ ‘the Kiln Court H56-H05 S37750 Kiln Court V223801 260405 Stage 4.doc Version 1.30 Page 12 food is really good’. Inspectors were told by one Service User that they felt that it would be nice to have the option of a snack with their hot drink at night instead of a biscuit, especially if they have only had sandwiches for tea, (this was mainly at weekends), on the day of the Inspection it was noted that the menu for tea was egg and chips. Inspectors spoke to a staff member who said that there is no cook at weekends so they do have sandwiches for tea sometimes although Service Users could have a choice of things like ravioli, spaghetti or soup if they wanted it. Kiln Court H56-H05 S37750 Kiln Court V223801 260405 Stage 4.doc Version 1.30 Page 13 Complaints and Protection The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 16 The home has a satisfactory complaints system and Service Users know their complaint will be listened to and acted on. EVIDENCE: The Manager informed the Inspectors that there had been a complaint against the home made a relative of a Service User who accesses the Day Care service as well as staying at Kiln Court on a respite basis. The Inspectors discussed the complaint with the Manager and spoke to the Service User who was visiting the Day Care services. The Inspectors were happy that the complaint had been dealt with appropriately and actions taken to reduce a further occurrence. The Service User concerned was pleased that their views are listened to and acted on. One Service User said that ‘if they had a complaint they would tell the staff’. Kiln Court H56-H05 S37750 Kiln Court V223801 260405 Stage 4.doc Version 1.30 Page 14 Environment The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 19,20,21,22,23,24,25,26 The standard of the environment within the home is good providing Service Users with an attractive, safe and homely place to live. Service Users rooms are clean and tidy and free from offensive odour, bedrooms are furnished with Service Users personal belongings. EVIDENCE: The Inspectors toured the home and found it to be clean, pleasant and hygienic. The home was suitably warm and light with adequate ventilation. Windows could be opened and had restrictors on them. Radiators heated Service Users rooms with individual controls on them and some radiators were guarded. Service Users said they were happy with their rooms and that they were always cleaned, the rooms seen were furnished with personal belongings. Specialist equipment was available to maximise independence of the Service Users. Hand washing facilities were sited appropriately although foot operated bins should be available. The hot water outlet in the toilet on Ospringe unit in the corridor between the lounge and bedrooms was very hot and a warning sign needs to be put in place immediately by the sink, with action to be taken as soon as possible to put a hot water regulator in place. Kiln Court H56-H05 S37750 Kiln Court V223801 260405 Stage 4.doc Version 1.30 Page 15 Staffing The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission considers Standards 27, 29, and 30 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 27,29,30 Service Users are protected by the homes recruitment policy. Staffing shortages mean that not all Service Users receive consistent care. Staff employed have appropriate training. EVIDENCE: The Manager has a good understanding of the areas in which the home needs to improve. The main area revolves around the employment of permanent staffing and reducing the need for agency staff. Interviews are due to take place in the next few days to try and solve this problem. The home presently has four full time vacancies that are being covered by agency staff, comments from Service Users included ‘staff are 100 ’ ‘very good staff’ ‘the older girls are terrific’ and ‘agency staff are not so good’. A staff rota was seen indicating staff on duty and their role. Of the three staff files seen two were complete and in line with requirements the third file seen was for a new employee who was on her first day of an induction program whilst waiting for the Criminal Record Bureau check to come through. The Inspectors were assured that the new employee was, and would not be left on her own at any time with Service Users until the CRB was returned all clear. Training is ongoing within the home, two staff have completed NVQ 2 and two more are completing NVQ3 with more staff due to start NVQ 3’s in the near future. The Deputy is currently completing the Registered Managers Award which combines the NVQ level 4 in care and NVQ level 4 in management. Kiln Court H56-H05 S37750 Kiln Court V223801 260405 Stage 4.doc Version 1.30 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 33, 35 and 38 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 31,33,38 Service Users to benefit from a well run home. The Manager is supported well by the senior staff in providing clear leadership throughout the home. Minor shortfalls were found on health, safety and welfare of Service Users and staff. EVIDENCE: The introduction of a Deputy Manager has been of great support to the Manager who is now able to delegate some of the daily routines and allow herself time to deal with recruiting staff and to oversee some the improvements the home is looking to make such as a Sensory garden. During the tour of the home, Inspectors noted that a sluice room was cluttered and made it difficult to access the sluice, also the bin for hand towels was not easily accessible. The mops were stored in buckets and not upright so do not dry out. Kiln Court H56-H05 S37750 Kiln Court V223801 260405 Stage 4.doc Version 1.30 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 ENVIRONMENT Standard No 1 2 3 4 5 6 Score Standard No 19 20 21 22 23 24 25 26 Score x 2 3 x x 3 HEALTH AND PERSONAL CARE Standard No Score 7 2 8 2 9 3 10 3 11 x DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 2 COMPLAINTS AND PROTECTION 3 3 3 3 3 3 3 3 STAFFING Standard No Score 27 3 28 x 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score Standard No 16 17 18 Score 3 x x 3 x 3 x x x x 2 Kiln Court H56-H05 S37750 Kiln Court V223801 260405 Stage 4.doc Version 1.30 Page 18 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. 1. Standard OP2.2 Regulation 5.(1)(b) Requirement The Registered person should ensure each Service User has a contract or Terms and Conditions that includes all items as set out in standard 2.2 The Registered person shall ensure that all parts of the home to which Service Users have access are so far as reasonably practicable free from hazards to their safety. The hot water outlet in the W.C. in Ospringe be regulated to 43oC. The Registered person should ensure that a Service Users needs in respect of their health and welfare are met. Guidelines should be on Service User Plans to cover staff actions in the event of a health need e.g. diabetes or epilepsy Timescale for action 1st August 2005 2. OP38(3) 13(4)(a) 1st July 2005 3. OP7.2 15.(1) 1st July 2005 4. RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. Kiln Court Refer to Good Practice Recommendations H56-H05 S37750 Kiln Court V223801 260405 Stage 4.doc Version 1.30 Page 19 1. Standard OP9 2. 3. OP38 15.9 4. OP38(2) Inspectors felt that the MAR sheet records should be be kept in a secure environment to ensure that Service User confidentiality was protected. The Registered Manager agreed and all relevant Mar sheets were removed from the top of the medicine trolley and placed inside it. This was completed before Inspectors left the premises. The sluice room should be cleared to allow clear access to the sluice and waste bin. Regulation 13(3) The staff should sit with the Service Users at mealtimes as this would allow them to offer any assistance to an individual in a more sensitive and discreet manner. Regulation 12(1) The Registered Person should ensure that they have an understanding and practice of measures to prevent the spread of infection and communicable diseases by placing foot operated pedal bins and liquid soap in all communial bathrooms and toilets. Regulation 13(3) Kiln Court H56-H05 S37750 Kiln Court V223801 260405 Stage 4.doc Version 1.30 Page 20 Commission for Social Care Inspection 33 Greycoat Street London SW1P 2QF 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 Kiln Court H56-H05 S37750 Kiln Court V223801 260405 Stage 4.doc Version 1.30 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. 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