Inspection on 14/10/05 for Kimberley Court

This inspection was carried out on 14th October 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

Kimberley Court 16/07/07

Kimberley Court 08/06/06

Kimberley Court 23/03/06

Kimberley Court 01/02/05

Kimberley Court 06/04/04

Similar services:

Fairfields Country Rest Home

Poldhu

Queensmount

Trevaylor Manor

Didsbury Court Rest Home

Belma

Hunters Care Centre

Manor Lodge

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

CARE HOMES FOR OLDER PEOPLE Kimberley Court Anchor Trust Crantock Street Newquay TR7 1JG Lead Inspector Mike Stokes Unannounced 14 October 2005 10:00 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. Kimberley Court D52-D04 S28266 Kimberley Court V236158 061005 Stage 4.doc Version 1.40 Page 3 SERVICE INFORMATION Name of service Kimberley Court Address Anchor Trust Crantock Stret Newquay TR7 1JG 01637 850316 01637 877297 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) Anchor Trust CRH 36 Category(ies) of Dementia - over 65 yrs of age (13), Mental registration, with number Disorder, excluding learining disability or of places dementia - over 65 yrs of age (13), Old age, not falling with any other category (36) Kimberley Court D52-D04 S28266 Kimberley Court V236158 061005 Stage 4.doc Version 1.40 Page 4 SERVICE INFORMATION Conditions of registration: Total number of service users not to exceed a maximum of 36 Date of last inspection 1 February 2005 Brief Description of the Service: Kimberley Court is a thirty-six bedded home on two floors which is registered in the categories of Dementia over sixty five (DE (E)) 13 beds, Mental Disorder over sixty five (MD (E)) 13 beds and Old Age (OP). Six of these are used for respite admissions. This care home is part of the Anchor Trust organisation, which is a ‘not for profit’ organisation. The home is situated in a cul de sac in Newquay, within walking distance of the main street and harbour. It is a purpose built building offering individual flatlet style accommodation and level access throughout the building. There are well cared for gardens at the front and rear of the building. There are 2 passenger lifts. There is a car park at the front of the building. Kimberley Court D52-D04 S28266 Kimberley Court V236158 061005 Stage 4.doc Version 1.40 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. Kimberley Court is registered to provide personal care and accommodation for older persons. This was an unannounced inspection to look at standards of care provided in the home. I arrived at 10.00 am and the inspection continued until 3.00pm. During this time the deputy manager and staff assisted me in reviewing records and discussing developments at the home. What the service does well: 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. Kimberley Court D52-D04 S28266 Kimberley Court V236158 061005 Stage 4.doc Version 1.40 Page 6 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 Kimberley Court D52-D04 S28266 Kimberley Court V236158 061005 Stage 4.doc Version 1.40 Page 7 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 and 5. The registered provider will assess all prospective service users prior to admission to ensure that the home can meet their care needs. The home is providing appropriate information to assist service users and advocates in making an informed choice about where to live. EVIDENCE: There were currently 30 older persons in accommodation, of which 25 are assessed as requiring support with mental health needs. Pre admission assessments are completed by the homes designated staff and appropriate consultation occurs with other professionals and agencies. Visits to the home are arranged to assist in the admission process and a month’s trial occurs before service users are provided with terms and conditions. These form a contract that includes the required information and states the room to be occupied. Service users are provided with a welcome pack that includes local service information, advocacy contact details and information about the Anchor Trust. Kimberley Court D52-D04 S28266 Kimberley Court V236158 061005 Stage 4.doc Version 1.40 Page 8 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 and 8. Individual plans are maintained for each service user. The health needs of service users are met with evidence of multi disciplinary work occurring to provide for service users welfare. EVIDENCE: The comprehensive needs assessment provides the basis for planning the service user’s care. A care plan is generated from the assessment of personal, social and health assessment, which forms a Daily Living Plan. The Independent Lifestyle Agreement includes a personal biography and the service user’s likes and dislikes. Staff training regarding nutrition has occurred and service users are assessed and weighed. Records show the involvement of various other risk assessment procedures and professional involvement to meet service users needs. Each service user is registered with a general practitioner and community nursing and mental health support staff visit the home to support service users. A requirement to involve service users in these processes has been met. A key worker will complete a monthly review of the care plan with the service user involved and an advocate, where appropriate. The deputy manager stated that the care planning process will continue to be a developmental issue at the home and staff training has been provided. Kimberley Court D52-D04 S28266 Kimberley Court V236158 061005 Stage 4.doc Version 1.40 Page 9 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 and 13. Service users maintain contact with visiting relatives and friends at the home. Service users are predominantly dependent on these contacts to access community facilities and the registered provider will organise occasional outings, visiting entertainers and group activities at the home. EVIDENCE: The home provides transport and service users are consulted regarding the organisation of occasional trips to places of local interest. A range of in house activities and visiting entertainers are provided. Service users were met in communal areas or their own rooms. Service users can bring items of furniture and possessions to personalise their bedrooms. A service user expressed approval that visits are received from relatives. The opportunity to meet visiting relatives did not occur but records of visits are maintained. Kimberley Court D52-D04 S28266 Kimberley Court V236158 061005 Stage 4.doc Version 1.40 Page 10 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 and 18. The management have an appropriate awareness of their responsibilities and use the policy and procedures at the home to assist in the protection of service users. EVIDENCE: The homes adult protection policy and procedure includes references to supporting staff in reporting concerns (whistle Blowing) and reporting allegations or incidents immediately to the Social Services (No Secrets) and the Commission in compliance with regulation 37. Senior carers will be attending Adult Protection training provided by the local social services. The deputy manager stated that staff training and induction is provided in recognising and reporting concerns. Service users are supported in maintaining their personal finances and affairs through relatives and Power of Attorney processes. The management of the home have recently used the complaint process and staff disciplinary procedures to maintain appropriate standards at the home. A requirement to provide staff training and maintain appropriate records regarding complaints processes, action taken and outcomes is being met. A recent event has been reported appropriately to ensure the ‘Protection of Vulnerable Adults’ procedure is instigated. Kimberley Court D52-D04 S28266 Kimberley Court V236158 061005 Stage 4.doc Version 1.40 Page 11 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, 21, 23, 24 and 26. The standard of the environment at the home is generally good, providing service users with comfortable bedroom areas. The quality of the communal lounge carpet and odour control procedures must be improved. EVIDENCE: I was assisted in a partial tour of the home, viewing the communal areas and some bedrooms. Bedroom accommodation is provided through 14 rooms on the ground floor and 22 rooms on the first floor level. The bedrooms are for single occupancy and 33 rooms have en suite toilet and shower facilities. There are 3 bathrooms and the majority of service users require assisted bathing due to dependency levels. The rooms inspected were clean, individually decorated and met the relevant standards. Service users can bring items of furniture and possessions to personalise their bedrooms. A requirement is made regarding the communal lounge on the ground floor. The carpet in this area was stained and an odour was clearly evident. The deputy manager stated that an industrial cleaner had recently been used in an attempt to rectify the issue. The registered person must supply details of their proposals to improve the environment of this area. Kimberley Court D52-D04 S28266 Kimberley Court V236158 061005 Stage 4.doc Version 1.40 Page 12 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, 28, 29 and 30. Since the last inspection the registered provider and acting manager have organised a number of training opportunities to ensure that staff have the skills to undertake their role and responsibilities. EVIDENCE: The staff provided at the time of this inspection included a deputy manager, respite coordinator, senior carer, 4 care staff, kitchen, laundry, domestic and maintenance man. 2 waking night carers are provided for service users that require attention and an on call support system is provided. A discussion occurred with staff regarding the early morning duties that are regarded as the peak time of activity at the home and the number of staff required to assist a maximum of 36 service users with mental health needs. During my tour of the home it was also observed that the lounge area and numerous service users were left unattended when staff were taking their break. A recommendation is made for the registered provider to review the staffing levels provided to ensure service users needs are met at all times. This recommendation is also made in the context of the number of reported falls that have occurred at the home. Staff personal development files identify training needs and training completed. The management at the home have complied with a requirement to provide a staff-training programme. The staff team are involved in appropriate NVQ training at various levels and other associated training relevant to the care of older persons. Staff recruitment procedures are appropriate and records are maintained at the home. Kimberley Court D52-D04 S28266 Kimberley Court V236158 061005 Stage 4.doc Version 1.40 Page 13 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, 36 and 38. The registered person is providing clear and effective leadership and management to maintain a safe and comfortable home for service users. EVIDENCE: Since the last inspection the previous registered manager has resigned and an acting manager has been in post. The staff spoken to expressed approval of the leadership and developments at the home with the acting manager. Comments were received that communication systems, supervision and training is good. The registered provider is taking appropriate action to recruit another manger and this is agreed as a priority to provide stability and leadership of the staff group at the home. The requirements to provide quality assurance procedures, supervision, reporting serious events and supply copies of regulation 26 reports has been complied with. Service user meetings, staff meetings, quality assurance processes, monthly inspections from external management and monthly reviews of care plans are managed to review services and the welfare of service users and staff at the home. Kimberley Court D52-D04 S28266 Kimberley Court V236158 061005 Stage 4.doc Version 1.40 Page 14 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 3 3 x 3 x HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 x 10 x 11 x DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 x 15 x COMPLAINTS AND PROTECTION 3 x 3 x 3 3 x 2 STAFFING Standard No Score 27 2 28 3 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 3 3 x 3 x x 3 x 3 Kimberley Court D52-D04 S28266 Kimberley Court V236158 061005 Stage 4.doc Version 1.40 Page 15 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 26 Regulation 23 Requirement The registered provider must supply details of their proposals to improve the environment of the ground floor lounge area. Timescale for action 30/11/05 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 27 Good Practice Recommendations The registered provider should review the staffing levels provided to ensure service users needs are met at all times. Kimberley Court D52-D04 S28266 Kimberley Court V236158 061005 Stage 4.doc Version 1.40 Page 16 Commission for Social Care Inspection John Keay House Tregonissey Road St Austell PL25 4AD 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 Kimberley Court D52-D04 S28266 Kimberley Court V236158 061005 Stage 4.doc Version 1.40 Page 17 - 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. The policy of www.bestcarehome.co.uk is to use all legal avenues to pursue such offenders, including recovery of costs. You have been warned!