Inspection on 18/10/05 for Kimberley Residential Home

This inspection was carried out on 18th 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 Residential Home 08/09/09

Kimberley Residential Home 09/09/08

Kimberley Residential Home 18/09/06

Kimberley Residential Home 05/05/05

Kimberley Residential Home 09/12/04

Kimberley Residential Home 10/05/04

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

CARE HOMES FOR OLDER PEOPLE Kimberley Residential Home 40 Mickleburgh Hill Herne Bay Kent CT6 6DT Lead Inspector Christine Lawrence Announced 18 & 19 October 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. Kimberley Residential Home H56-H05 S23458 Kimberley RH V245501 181005 Stage 2.doc Version 1.40 Page 3 SERVICE INFORMATION Name of service Kimberley Residential Home Address 40 Mickleburgh Hill, Herne Bay, Kent, CT6 6DT 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) Category(ies) of registration, with number of places 01227 374568 01227 370828 admin@kimberley-care.com C & P Limited Mrs Amanda Jane May Registered Care Home 31 DE(E),30; DE, 30; LD,1 Kimberley Residential Home H56-H05 S23458 Kimberley RH V245501 181005 Stage 2.doc Version 1.40 Page 4 SERVICE INFORMATION Conditions of registration: 1) Residents must be 60 years of age and above 2) LD is restricted to one (1) person whose date of birth is 17.04.1942. Date of last inspection 05/05/05 Brief Description of the Service: Kimberley Residential Home is a care home providing personal care and accommodation for 30 older people with dementia and one older person with a learning disability. It is owned by C & P Limited. The Managing Director, Kevin Post, also owns another home in the area. The home is located in a residential part of Herne Bay, with local shops and facilities and close to the town centre with all of its amenities. Herne Bay is served by frequent buses and there is a railway station. The home was opened in 1970 and consists of terraced houses joined together with an extension to the rear/side. There is a shaft lift although this does not give access to all areas. There are 21 single rooms and 5 shared rooms. There is an enclosed garden to the rear and planting areas at the front and side by the entranceway. Kimberley Residential Home H56-H05 S23458 Kimberley RH V245501 181005 Stage 2.doc Version 1.40 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was an announced inspection which was carried out over two days. Eleven relatives completed comment cards as part of this inspection and eleven representatives completed comment cards on behalf of residents. The inspector examined various records and had discussions with the manager, Mrs May and with the owner Kevin Post. The inspector observed interactions between residents and staff and also spoke to some members of staff individually. 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 Residential Home H56-H05 S23458 Kimberley RH V245501 181005 Stage 2.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 Residential Home H56-H05 S23458 Kimberley RH V245501 181005 Stage 2.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) None These standards were not assessed at this time. Please refer to the report of the unannounced inspection of 5 May 2005 for more information about this home. EVIDENCE: Kimberley Residential Home H56-H05 S23458 Kimberley RH V245501 181005 Stage 2.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, 8 and 9 Residents’ personal, social and health care needs are clearly set out in an individual plan to ensure that they will be met. Residents are protected by the home’s policies and procedures regarding medication. EVIDENCE: Three care plans were viewed during this inspection. Improvements have been made to the care plan format. They are very clearly set out and some information is recorded as though the resident is speaking. For instance …My name is… I would like to be called…Personal Details that you need to know about me…The things I would like you to help me with…The things that I am able to do etc. The plans are based on pre-admission assessments. Each one contained a photograph of the resident and other information as specified in Schedule 3 of the Care Homes Regulations 2001. Assessment information cross references with risk assessments. The format for risk assessments contains topics common to all residents, with spaces for additional individual areas. These are reviewed each month by the Manager, Amanda May, who uses a checklist to ensure that everything is up to date. Information about pressure areas is recorded and evidence was noted regarding the involvement of community nurses and the provision of specialist equipment. Staff spoken to confirmed that their role involves personal care, including oral health and that they try to encourage residents to do as much as possible for themselves. Kimberley Residential Home H56-H05 S23458 Kimberley RH V245501 181005 Stage 2.doc Version 1.40 Page 9 This was reflected in the care plans seen. Information relating to continence needs is noted within the care plan and Mrs May confirmed that specialist advice would be sought if required. There are opportunities for gentle exercise such as games of indoor golf, football and handball. The inspector also noted that those residents who choose to walk around eg back and forth to own room were permitted to do so. Information about needs relating to eating and using cutlery is included within the care plan and a nutritional risk assessment is in place. Residents are registered with general practitioners and there are records kept of the involvement of other health care professionals such as chiropodists, opticians and dentists. The medication administration records were examined and were appropriately maintained. The inspector was informed that nine members of staff have completed a ‘Safe Administration of Medication Course’. A lockable trolley is used to store medication which is in a monitored dosage system. There are policies and procedures in place and the home has a copy of the Royal Pharmaceutical Society of Great Britain’s guidelines. Mrs May is aware that she must keep medications for a period of seven days after a death in case there is a coroner’s inquest. All eleven of the relatives who completed a comment card stated that they were satisfied with the overall care provided. One person added the comment “My………is now looked after to a very high standard, physically and emotionally…”. Three members of staff who were interviewed were positive about the care they provided. They valued the information in the care plans and felt that the shift handovers were useful. Kimberley Residential Home H56-H05 S23458 Kimberley RH V245501 181005 Stage 2.doc Version 1.40 Page 10 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 and 15 Social activities and stimulation are offered. Residents are enabled to maintain their contact with friends and family. Wherever possible, within the limitations of an individual’s dementia, residents are given opportunities to make choices, therefore allowing for some level of control over their lives. The meals in this home offer both choice and variety and catering for special needs. EVIDENCE: Information about previous hobbies, interests and skills is noted on assessments when known. Various activities take place, usually in the mornings and a record is kept of who did what. An Activities Co-ordinator was employed but has recently left. Staff have been endeavouring to maintain regular activities but Mrs May said that a new person was being sought. The records reflect that residents have different times for getting up or going to bed. It is also clear from the records seen that some residents manage better with a routine and others make choices about what they wish to do eg where they would like to have their meals. Residents who chose to walk about the house were encouraged to do so as long as their safety was not compromised. The eleven relatives who completed a comment cards and other visitors spoken to on the day, all said that they are made welcome when they visit and they can visit their relative in private if they wish. Comments included “…Kimberley is a very welcoming home…” “…I have visited at many different Kimberley Residential Home H56-H05 S23458 Kimberley RH V245501 181005 Stage 2.doc Version 1.40 Page 11 times of the day and evening and have been made welcome…”. There are no restrictions on visiting times. The menu is planned in advance and residents’ likes and dislikes are known by care staff as well as the cooks. Special needs are also noted such as diabetes, vegetarianism and the need for food to be soft, cut up or mashed. The inspector observed a mealtime and noted that residents who need help to eat were helped appropriately and that aids such us plate guards were in place for some people. The food looked and smelt appetising. The main cook has, in the past, attended an awareness session relating to Food for Thought (Alzheimer’s Society). The meal was not hurried and staff were aware of people who were restless and needed encouragement. The dining area is a bright, airy room and although residents are encouraged to come to the dining room to eat it is clear that choice is respected. Of the eleven people who completed comment cards on behalf of their relatives, nine were positive about the food (two did not answer this question). Kimberley Residential Home H56-H05 S23458 Kimberley RH V245501 181005 Stage 2.doc Version 1.40 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 standard(s) None These standards were not assessed at this time. Please see the report of the unannounced inspection of 5 May 2005 for more information about this home. EVIDENCE: Kimberley Residential Home H56-H05 S23458 Kimberley RH V245501 181005 Stage 2.doc Version 1.40 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 standard(s) 19 and 26 Residents live in a safe, well-maintained, clean and hygienic environment. EVIDENCE: The home is located in a residential part of Herne Bay, close to some local shops. Herne Bay town centre, with all of its amenities, is not too far away. The building is well maintained and there is a continuing programme of redecoration. A part time handyman is employed and the inspector was informed that staff note any work required and inform him. The rear garden is maintained for residents to use to allow access to sunlight. A copy of the home’s fire risk assessment has been sent to the fire safety officer and Mrs May said that it is regularly reviewed. Some doors in communal areas have been fitted with sound activated closures to allow for improved accessibility. The home was clean and free from offensive odours at the time of the inspection. Four domestic staff members are employed at the home (2 full time and 2 part time). Policies and procedures are in place regarding control of infection and disposal of clinical waste. Twelve staff members (although Kimberley Residential Home H56-H05 S23458 Kimberley RH V245501 181005 Stage 2.doc Version 1.40 Page 14 only one of the domestics) have also completed an infection control training course. Mid Kent Water have confirmed to the home that the services and facilities conform to Water Supply (Water Fittings) Regulations 1999. The laundry space and equipment are satisfactory. Kimberley Residential Home H56-H05 S23458 Kimberley RH V245501 181005 Stage 2.doc Version 1.40 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 and 30 Residents’ needs are met by the numbers and mix of staff who are provided with appropriate training. Residents are supported and protected by the home’s recruitment practices. EVIDENCE: The rota seen indicates that sufficient members of staff are on duty day and night. Mrs May said that she monitors this to ensure that any changes of residents’ needs are met by extra staff members being on duty. Mrs May has examined the Department of Health Guidelines and is confident that the current ratios are satisfactory. Domestic staff members are employed as is a cook and a maintenance man. Agency staff will be used if required and Mrs May tries to ensure that there is some consistency about this. Two members of staff have NVQ Level 1, three have NVQ Level 2 and one person has started this course, and one person has NVQ Level 3. The staff files examined for this inspection showed that references are sought and an application form is completed and the inspector was informed that all prospective staff are interviewed. The home has an equal opportunities policy. All members of staff are given a copy of the General Social Care Council’s code. All staff receive statements of the terms and conditions of their employment, which are kept up to date. Induction training is provided and the matrix maintained by Mrs May, as well as discussions with staff and staff records all combine to provide evidence that training staff is an important part of the care at Kimberley. Courses are accessed from various training providers and Mrs May or designated senior staff provide the induction training. Kimberley Residential Home H56-H05 S23458 Kimberley RH V245501 181005 Stage 2.doc Version 1.40 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 and 38 Residents benefit from having a manager who is competent and qualified. The health and safety of staff and residents is promoted and protected. EVIDENCE: Amanda May has recently completed her Registered Managers Award (encompassing NVQ Care and Management Level 4). She has many years experience and can demonstrate knowledge about a range of subjects relating to old age and dementia. The records show that she undertakes training opportunities. There are clear lines of accountability both within the home and in relation to the owner of Kimberley. Information was provided to the Inspector indicating that maintenance and servicing contracts are appropriate and up to date. A spot check on several records confirmed this. Policies and procedures are in place regarding aspects of health and safety and staff members have received training on first aid (14), manual handling (15), food hygiene (11), infection control (12), fire safety (10), Control of Substances Hazardous to Health – COSHH - (10) and safety Kimberley Residential Home H56-H05 S23458 Kimberley RH V245501 181005 Stage 2.doc Version 1.40 Page 17 compliance (11). Fire safety checks are carried out for fire warning systems and fire fighting equipment and there are regular drills for staff in the home. Accidents are recorded and Mrs May is aware of her responsibilities to report specified things under RIDDOR or Regulation 37 of the Care Homes Regulations. A safety checklist has been devised for any visiting contractors to ensure they are fully aware of the special needs relating to the home and people with dementia. Mrs May undertakes a monthly health and safety monitoring check which is recorded. Kimberley Residential Home H56-H05 S23458 Kimberley RH V245501 181005 Stage 2.doc Version 1.40 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 ENVIRONMENT Standard No 1 2 3 4 5 6 Score Standard No 19 20 21 22 23 24 25 26 Score x x x x x N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 3 10 x 11 x DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 3 COMPLAINTS AND PROTECTION 3 x x x x x x 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 x x x x x x x x x x 3 Kimberley Residential Home H56-H05 S23458 Kimberley RH V245501 181005 Stage 2.doc Version 1.40 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. 1. 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 Good Practice Recommendations Kimberley Residential Home H56-H05 S23458 Kimberley RH V245501 181005 Stage 2.doc Version 1.40 Page 20 Commission for Social Care Inspection 11th Floor, International House Dover Place Ashford Kent TN23 1HU 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. 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