Inspection on 05/05/05 for Kimberley Residential Home

This inspection was carried out on 5th May 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 18/10/05

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 Mickelburgh Hill Herne Bay Kent CT6 6DT Lead Inspector Christine Lawrence Unannounced 05 May 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 V225615 050505 Stage 4.doc Version 1.30 Page 3 SERVICE INFORMATION Name of service Kimberley Residential Home Address 40 Mickelburgh 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) 01227 374568 01227 370828 admin@kimberley-care.com C & P Limited Mrs Amanda Jane May CRH 31 Category(ies) of DE(E) x 30, DE x 30, LD x 1 registration, with number of places Kimberley Residential Home H56-H05 S23458 Kimberley RH V225615 050505 Stage 4.doc Version 1.30 Page 4 SERVICE INFORMATION Conditions of registration: 1) Residents must be 60 years of age and over 2) LD is restricted to one (1) person whose date of birth is 17.04.1942 Date of last inspection 09 December 2004 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 March 1992 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 V225615 050505 Stage 4.doc Version 1.30 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was an unannounced inspection which took place between 10.00am and 1.00pm. Two members of staff were interviewed and the manager, Amanda May and one of the owners, Kevin Post also provided information. Observations were made of members of staff as they were providing care and support to residents. Although not able to communicate their feelings verbally in a meaningful way, residents were, for the most part, not anxious or distressed. There were interactions between some residents and those who wished to move around did so. Some residents spoke in a relaxed manner about things unrelated to living at Kimberley. Some policies and procedures were looked at, as were some individual records of residents. 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 V225615 050505 Stage 4.doc Version 1.30 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 V225615 050505 Stage 4.doc Version 1.30 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) 1, 3 and 5 Prospective residents and their representatives have the written information they need to make an informed decision about what living at Kimberley Residential Home would involve. No person moves into the home without first having their needs carefully assessed and therefore being confident that these needs will be met. Prospective residents and their representatives have the opportunity to visit which allows them to assess the facilities and suitability of the home. EVIDENCE: A Statement of Purpose document entitled ‘About our Home’ is in place. This is a clearly written document and contains relevant information. This document is also being used as the guide for residents (although in reality it is mostly for residents’ representatives). Copies are available on request and a copy is on display in the entranceway of the home. A copy has also been provided to the Commission for Social Care Inspection (CSCI). Information is contained within this document about how to contact the local office of the CSCI. This information is also on display in the entranceway. The home also has a website. www.kimberley-care.com Kimberley Residential Home H56-H05 S23458 Kimberley RH V225615 050505 Stage 4.doc Version 1.30 Page 8 Examples of pre-admission assessments were viewed during this inspection. The home uses a format which is divided into two parts. Part one is completed to ascertain if the home can meet the assessed needs of the prospective resident. Part two is completed when the home has agreed to admit a prospective resident. The information contained in this two-part document is detailed and covers all aspects specified within standard 3. The manager, Mrs May or the owner, Mr Post carries out the pre-admission assessments. Information will also be sought from family members and others involved with the prospective resident. Mrs May and Mr Post will visit prospective residents in their current situation such as hospital or at home. These assessments are used to compile a care plan. The Statement of Purpose gives clear information about the admission procedure and there is an invitation to prospective residents’ representatives and to prospective residents, to visit the home prior to admission. In reality it is mostly relatives who visit prior to admission. Although an example was noted of a relative visiting the home with the prospective resident. There is a trial period and information about this is included in the home’s contract. Amanda May informed the Inspector that unplanned admissions are avoided if possible. Kimberley Residential Home H56-H05 S23458 Kimberley RH V225615 050505 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) 10 It was clear that staff attitudes and responses promote respect and dignity for residents. EVIDENCE: During this inspection observations were made of the care and support offered to residents by staff on duty. Members of staff were polite and explained what they were doing in a respectful, non-patronising manner, for instance when transferring a resident to another part of the building in order to receive a visit from the general practitioner or when taking someone to the toilet. A member of staff saw that a resident needed to change some clothes and this was done sensitively and ‘low key’. Support was at residents’ own pace and verbal encouragement was not condescending in tone. A resident’s preferred name is noted on part 1 of the pre-admission assessment form and staff are aware of these preferences. Residents were very individual in their style of dressing, for instance some men were wearing ties, others not; some people were wearing shoes and some were wearing slippers; the women’s style of clothing varied from dresses to trousers and blouses. Glasses worn by residents were clean and no man seen at this inspection needed a shave. Kimberley Residential Home H56-H05 S23458 Kimberley RH V225615 050505 Stage 4.doc Version 1.30 Page 10 Staff members spoken to confirmed that respect and dignity are important parts of providing care at Kimberley and this is highlighted at induction training. Kimberley Residential Home H56-H05 S23458 Kimberley RH V225615 050505 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) 0 These standards were not considered at this inspection. EVIDENCE: Kimberley Residential Home H56-H05 S23458 Kimberley RH V225615 050505 Stage 4.doc Version 1.30 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) 16 and 18 Complaints are handled objectively and in keeping with the home’s appropriate procedures and residents/their representatives can be confident that any concerns will be listened to, taken seriously and responded to. Staff are aware of adult protection issues and there are systems in place which creates an atmosphere for protecting residents from abuse. EVIDENCE: There is a notice on the notice board in the entranceway which gives brief but clear guidelines for who to talk to if anyone has any concerns. This includes the contact details of the Commission for Social Care Inspection (CSCI). There is a more detailed policy/procedure which clearly states that a complaint will be responded to no later than 28 days after receipt. Information is also available in the Statement of Purpose. A record is kept of any complaint which includes any investigation and subsequent actions. No complaints have been received by the CSCI since the last inspection. The home itself did receive a complaint and the records see show that it was satisfactorily responded to. There is a document entitled ‘Adult Protection: Policies and Procedures (Inc Physical Intervention)’. Any restriction of movement eg using bed safety rails is only carried out after careful risk assessment. Many members of staff have attended training days relating to adult protection and challenging behaviour. Training days have been booked for two senior members of staff, including the manager, covering the Protection of Vulnerable Adults register. Staff spoken to, including one who has only worked at the home for a short while, were clear and unambiguous about their responsibilities towards the residents in keeping with the home’s whistle blowing procedure. The local authority Kimberley Residential Home H56-H05 S23458 Kimberley RH V225615 050505 Stage 4.doc Version 1.30 Page 13 finance officer or members of residents’ families manage most residents’ finances. The involvement of any member of staff in residents’ finances is limited. There is an administrator in the home who assists with procedures, as does the owner. Kimberley Residential Home H56-H05 S23458 Kimberley RH V225615 050505 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) 0 These standards were not considered at this inspection. EVIDENCE: Kimberley Residential Home H56-H05 S23458 Kimberley RH V225615 050505 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) 0 These standards were not considered at this inspection. EVIDENCE: Kimberley Residential Home H56-H05 S23458 Kimberley RH V225615 050505 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) 0 These standards were not considered at this inspection. EVIDENCE: Kimberley Residential Home H56-H05 S23458 Kimberley RH V225615 050505 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 3 x 3 x 3 N/A HEALTH AND PERSONAL CARE Standard No Score 7 x 8 x 9 x 10 3 11 x DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 x 13 x 14 x 15 x COMPLAINTS AND PROTECTION x x x x x x x x STAFFING Standard No Score 27 x 28 x 29 x 30 x MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score Standard No 16 17 18 Score 3 x 3 x x x x x x x x Kimberley Residential Home H56-H05 S23458 Kimberley RH V225615 050505 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 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 V225615 050505 Stage 4.doc Version 1.30 Page 19 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 Kimberley Residential Home H56-H05 S23458 Kimberley RH V225615 050505 Stage 4.doc Version 1.30 Page 20 - 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!