Inspection on 24/01/07 for Kimblesworth Care Home

This inspection was carried out on 24th January 2007.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Excellent. 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

Kimblesworth Care Home 18/11/08

Kimblesworth Care Home 27/01/06

Kimblesworth Care Home 29/07/05

Kimblesworth Care Home 08/12/04

Kimblesworth Care Home 21/07/04

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

CARE HOMES FOR OLDER PEOPLE Kimblesworth Care Home Kimblesworth Care Home Elm Crescent Kimblesworth Chester le Street County Durham DH2 3QJ Lead Inspector Dr Michaela Griffin Unannounced Inspection 09:30 24 January 2007 th X10015.doc Version 1.40 Page 1 The Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Reader Information Document Purpose Author Audience Further copies from Copyright Inspection Report CSCI General Public 0870 240 7535 (telephone order line) This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI www.csci.org.uk Internet address Kimblesworth Care Home DS0000043604.V319523.R01.S.doc Version 5.2 Page 2 This is a report of an inspection to assess whether services are meeting the needs of people who use them. The legal basis for conducting inspections is the Care Standards Act 2000 and the relevant National Minimum Standards for this establishment are those for Care Homes for Older People. They can be found at www.dh.gov.uk or obtained from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering: www.tso.co.uk/bookshop This report is a public document. Extracts may not be used or reproduced without the prior permission of the Commission for Social Care Inspection. Kimblesworth Care Home DS0000043604.V319523.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Kimblesworth Care Home Address Kimblesworth Care Home Elm Crescent Kimblesworth Chester le Street County Durham DH2 3QJ 0191 3712259 Telephone number Fax number Email address Provider Web address Name of registered provider(s)/company (if applicable) Name of registered manager (if applicable) Type of registration No. of places registered (if applicable) Mental Health C.A.R.E. Paul Satterthwaite Care Home 20 Category(ies) of Mental disorder, excluding learning disability or registration, with number dementia (20), Mental Disorder, excluding of places learning disability or dementia - over 65 years of age (20) Kimblesworth Care Home DS0000043604.V319523.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 27th January 2006 Brief Description of the Service: Kimblesworth Care Home is a converted school in a small village on the outskirts of Durham. It is run by a registered charity Mental Health CARE. The home provides 24- hour personal care (with nursing) for up to twenty service users with mental health needs and most are over sixty-five years of age. Accommodation is provided on two levels, with a choice of lounges and dining room and other quiet areas for use by the service users. People who use wheel chairs can move around the ground floor of the home. The home has six double bedrooms and eight single bedrooms. The home employs registered nurses, care staff, domestic staff and kitchen staff. The weekly charge varies from £412 to £576 per week (January 2007), depending on the assessed needs of the individual. Kimblesworth Care Home DS0000043604.V319523.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The inspection took place over one and a half days. First the inspector read the past reports on the home and the information the manager sent. Then she spent a day at the home and asked the manager questions about the service. She looked around the home and met six people who live there. Three service users talked to her about what it is like to live in the home. Three staff also talked about working in the home. The inspector also looked at paperwork kept in files about service users and staff. She also checked the records the home keeps on computer. What the service does well: What has improved since the last inspection? What they could do better: Six of the bedrooms in this home are shared. So, the people who live in those rooms can not have as much privacy and be able to have as much choice over Kimblesworth Care Home DS0000043604.V319523.R01.S.doc Version 5.2 Page 6 their lifestyles, as the people who have single rooms. There are plans to improve the home to give everyone their own room, with a toilet and sink. The home should also get more information from the local authority before people move in, to help make sure that the service will be able to meet each person’s needs. Information for service users about charges should be clear to understand and be kept up to date. 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. The summary of this inspection report can be made available in other formats on request. Kimblesworth Care Home DS0000043604.V319523.R01.S.doc Version 5.2 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 Outcomes Statutory Requirements Identified During the Inspection Kimblesworth Care Home DS0000043604.V319523.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 1,2, and 3. Standard 6 was not inspected because the home does not provide intermediate care. Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. People know about the home and their needs are assessed before they move in. Each service user has a contract, but they do not have full information about charges. EVIDENCE: Two of the people, who moved into the home in the last two years, remembered how the manager has first visited them and talked to them about their needs. They were given information about the home and visited it more than once before they decided to move in. They met the staff and other people who lived there, to help them to make a choice. One person said: ‘The manager came to see me and then I came here for a visit.’ People come into the home for a trial period, before they decide to stay as permanent residents. This helps them to find out if they will be happy in the home and if the home can meet their needs. Kimblesworth Care Home DS0000043604.V319523.R01.S.doc Version 5.2 Page 9 People also get a pack of information about the home when they move in. The inspector looked at the contract between the service provider and one person who pays for their own service. It did not have detailed information about what the charges they pay are for and the fees were not up to date. It is important that each person has this information so that they, or their representatives, can check that they are being treated fairly and honestly and that they are getting the service that they are entitled to. Most people who live in the home get their fees paid by either the local authority, the health service or both. Most also make a contribution to the costs of their own care. The home should get a breakdown of this information for each service user, so that they understand how much the service costs and what the charges they pay are for. The records kept on file and in the computerised information system showed that very full assessments were carried out, by the manager or the care plan coordinator, before each person moved into the home and during the first six weeks assessment period. The manager also collected information on their health care needs. All this information on service users’ needs is kept up to date. But the home has not been provided with copies of the community care assessment or the local authority care plan before people move in. The manager should get this information from the person’s care manager because it is another way that the home can check that it will be able to meet the individual’s needs before it offers a service. Kimblesworth Care Home DS0000043604.V319523.R01.S.doc Version 5.2 Page 10 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 7, 8,9 and 10. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Care plans set out how individuals’ health and social care needs should be met. Service users feel that they are treated with respect. EVIDENCE: Every service user has a detailed care plan, which shows how their assessed needs should be met. These plans are recorded on a computerised system, and so can be easily kept up to date. The care plan is agreed with the individual. Each person has a primary nurse and they discuss how the care plan is working together, at least every month. The care plans cover all of their health and social care needs and it identifies when some aspect of their welfare should be monitored carefully, like the person’s weight or blood pressure, or the condition of their skin. This is so that the home can work with health professionals to help them to be as well as they can. The plans take into account that people may need support to take risks and to make choices about their lives, and encouragement to be independent. One new service user explained: ‘They didn’t used to let me go out on my own at first, but now they know I am okay to go to the shop.’ Kimblesworth Care Home DS0000043604.V319523.R01.S.doc Version 5.2 Page 11 Another person who has diabetes described how the staff help him by checking his blood and making sure he enjoys his food but eats the right things to keep him well: ’They are careful to let me have some sweet things, but not too much.’ Records are also kept of what each person eats and drinks, to help make sure that each person has a balanced diet and has what they need to be well. The home has a policy for the safe administration of medication and careful procedures for ordering it storing it and recording who takes what. The service users interviewed said that they like the staff to look after their medication. Care staff and service users described how the qualified nurses give out medicines and write down what people take and when. The people who live in the home feel that the staff treat them properly, understand their needs and how they like them to be met. One said ‘If you want help you can get it.’ The care staff do all they can to respect the privacy and the dignity of the people they support, particularly with respect to personal care needs and confidentiality. But, the service users who share rooms cannot have as much privacy as they would if they had their own bedrooms. Kimblesworth Care Home DS0000043604.V319523.R01.S.doc Version 5.2 Page 12 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. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 12 13, 14 and 15. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Service users are satisfied with the lifestyle the home provides. They have as much choice and control as the manager and staff can offer, within the limits of the home’s design and location. People’s rights and differences between individuals are respected. EVIDENCE: A small team of staff supports each service user, and each person has a primary nurse and a co-worker from the care team. The primary nurse and coworker are responsible for getting to know the individual well and helping them to do the things they like to do and to make choices. A carer explained: ‘We try to make everything personal. The residents get to know you and will come to you and say what they want to do or talk about.’ A service user said ‘the staff are all lovely, they all know me and how I like things.’ The home is in a small village, away from busy roads. It is a quiet community where people feel they can go out safely. This means there is not much going on within walking distance of the home, although there are some local shops where people are said to be friendly and helpful. There are regular buses to the nearby towns of Durham and Chester le Street and the larger village of Sacriston, but the service is less frequent on Sundays and on holidays. Kimblesworth Care Home DS0000043604.V319523.R01.S.doc Version 5.2 Page 13 Two people attend local churches regularly and ministers from the Roman Catholic Church and Church of England visit and hold services in the home. There is a new church building shared by Anglicans and Methodists, in the nearby village of Sacriston. But this can only be reached by bus. The local church communities have taken an interest in the people who live here and they are invited to social events. People can choose not to practice any religion. None of the service users in this home follow a faith other than Christianity. People who live in this home talked about how their visitors are made welcome and how they keep contact with the people and community groups that are important to them. One service user explained that her sister visits her regularly and takes her out. Some people do not have relatives who are able to take them out shopping and so their co-worker organises that for them. A carer described how she takes the individuals out she works with out shopping for personal items. The home also hires a mini bus to take people out to the metro centre. The home has a residents’ committee that meets once or twice a month and is chaired by a service user. He explained: ‘One of the nurses listens to what we have to say. They try to act on it.’ The meetings are open to all the people who live in the home and are a place where people can ask questions and make suggestions. The home has a regular programme of outings and activities, which are organised by an Activities Group of staff and the residents’ committee. The programme is based on what people say they want to do and where they want to go. One of the staff group is responsible for hiring and driving the mini bus to take people on these trips. Holidays are also arranged based on the requests of the committee. One service user talked about a caravan holiday she had enjoyed with a group of other people from the home: ‘I had a lovely holiday last year.’ Another person said that he was very pleased that the staff plan to book a cottage in the Lake District, at the suggestion of the committee. There are regular activities and special social events held inside the home. A carer said the manager expects staff to give people individual attention and to spend time doing one to one activities like playing chess, draughts or chatting: ‘I sit and talk to them and help them to have a life.’ Another carer said ‘Staff will put themselves out for service users. They try to understand them and to not make assumptions.’ Service users, who are able to, are encouraged to do jobs around the home. One person said that she does some of her own laundry and sets the tables. A carer explained ‘We try to get them out and about as much as possible and encourage them to do more.’ Kimblesworth Care Home DS0000043604.V319523.R01.S.doc Version 5.2 Page 14 The manager, staff and service users all agreed that the home tries to give people choice and control in their lives. A carer commented ‘Here choice is important. They choose what to eat, what to wear and what to do.’ Carers have learned about equality and diversity on the courses they took for their National Vocational Qualifications in Care. They know that it is important to respect the differences between people and to help them to use their rights. Some people who live in the home do not have the choice and control over their lifestyles that they would have if they had the privacy of a single room. People who share rooms said that they do not mind. One person said ‘It’s company’. But they also said that they would prefer to have a single room when one is available. The home has a pleasant dining room and people can be served meals in their rooms if they choose and at different times. The home has catering staff who prepare a variety of different meals, to try and suit different tastes. There were example of menus provided for the inspection and they showed that alternatives are offered at every meal. The residents’ committee has commented on the food in the past and has asked for changes and improvements. One person said that the food is lovely another said it is better than it was and there is more choice. Hot drinks and snacks are provided between meals, but one service user said that they are not available at any time. The home also caters for the special diets of some people who live there, and they said that the food is good. The manager is aware that an individual might want different food to the choices offered on the menu, for cultural or religious reasons. He is prepared to find out about their beliefs and ensure that the staff who buy and prepare food have the knowledge required to do so appropriately. One person regularly has an early breakfast, to enable him to attend a morning communion service at his church. Kimblesworth Care Home DS0000043604.V319523.R01.S.doc Version 5.2 Page 15 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. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 16 and 18. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Service users are confident that they are listened to and that their complaints and concerns are acted upon. Service users are protected by the home’s policies and procedures. EVIDENCE: There have been no complaints about this service, since the last inspection. The home has a complaints policy and procedure. Information about how to make a complaint and how complaints will be acted upon is included in the service user guide and also displayed on notice boards. Some people, who completed a survey that the manager did last year, said that they did not know about complaints. As a result of this, the manager made sure that all the people who live in the home know where to find information about the Complaints Policy and Procedure. The service users who were interviewed during the inspection said that they had no complaints but that they could talk to the manager if there was anything they were unhappy or worried about. The residents’ committee is another way that people can comment on the service and make suggestions for change. The staff have received training on Adult Protection issues and understand the home’s policies and procedures. The staff interviewed did not have any experience of being told that someone had been abused or neglected, or seeing evidence that made them suspicious. However, they felt that they would recognise the signs and symptoms of abuse and know what to do to keep people safe. Kimblesworth Care Home DS0000043604.V319523.R01.S.doc Version 5.2 Page 16 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. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 19, 23 and 26. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The environment and equipment are all clean, safe and well maintained. Service users’ rooms suit their needs, although some people share. EVIDENCE: The home is cosy and comfortable. The unusual layout of this old building make it both interesting and homely. The shared areas provide a choice of communal rooms, with opportunities to meet relatives and friends in quieter areas, as well as in bedrooms. The organisation that runs this home has a maintenance team who visit the home on a regular basis, to carry out repairs. A look around the home and the garden and car park, showed that it is well maintained. Only the ground floor bedrooms and communal areas can be used by people who use wheelchairs inside. As well as a good selection of general aids, the home also ensures that there is personal equipment for each service user, when they are assessed as needing it, and all staff members are trained in the safe use of aids and equipment. Kimblesworth Care Home DS0000043604.V319523.R01.S.doc Version 5.2 Page 17 There are enough bathrooms and toilets, including some for people who need assistance. The floor covering has been renewed, so these rooms are easy to keep clean and safe. Bedrooms are well furnished and equipped and they are personalised to the preferences of the people who live there. Service users said that they are happy with their rooms, but that they are looking forward to the planned improvement that will give each person a single room and their own en suite toilet. These planned improvements to the building will give the people who live in the home more privacy and convenience, and more opportunities to have choice and control in their lifestyles. Domestic staff are employed for seven and a half hours every day and keep the home clean and tidy and the environment pleasant. Kimblesworth Care Home DS0000043604.V319523.R01.S.doc Version 5.2 Page 18 Staffing The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users’ needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission consider all the above are key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 27, 28 ,29 and 30. Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. There are enough staff in this home to meet service users’ needs and they have the right mix of qualifications, skill and experience to care for them safely. EVIDENCE: Rotas show that there are four or five staff on duty at key times, when people need most individual attention. There are never less than three on duty at all other times, and that includes a qualified nurse. These good staffing levels were agreed to meet the needs of the first group of service users, when the home opened in 1993. More than half of the first group of people to live in the home are still there, but are older and frailer. Service users commented that the people who live in the home get more help and have greater needs than they did. The people admitted more recently to the home also have complex needs, because of their age and health problems. It is important that the home continues to keep enough staff on duty, including qualified nurses, to meet the increasing needs of service users. The staff have all had the training they need to look after people safely and well. They receive this as soon as they start, during an induction period when they are introduced to the service users and the way that the home expects them to carry out their work. This training is kept up to date, by regular refresher courses. One service users said : ‘They know what they are doing; they understand how to meet people’s needs.’ Kimblesworth Care Home DS0000043604.V319523.R01.S.doc Version 5.2 Page 19 The home has policies and procedures for the recruitment of staff and the staff files and recruitment records checked show that these rules are followed. The managers of this service are careful to recruit people who are suitable to work with vulnerable people. They get references from previous employers and check criminal records to find out that there is nothing in the background of people who apply for jobs that shows that they are not suitable. People who apply for jobs complete application forms, visit the home and have an interview to show that they have the knowledge, skill and qualifications for the job or the ability to learn. They must also have the right attitude to care for people. The home’s policies welcome all sorts of people to apply for jobs and state that it is good that people are different to each other. These rules are followed to try to make sure that the people are treated fairly, whatever their age, race, background, beliefs, other personal characteristics or lifestyle choice. So, good carers and nurses are not discriminated against. People who work in this home usually stay a long time, so there are not a lot of changes in staff. It is good for service users to have a stable team of staff supporting them. This is because they get to understand their needs, the way the service is run and work well together as a team. The home does not use agency staff to cover when regular staff are off work. The people who work here are happy to be flexible and change their shifts or do overtime, to cover for when their colleagues are off work. All the care team, apart from the newest carer, have already achieved a National Vocational Qualification in Care at level two. So, they have shown they have had training and learned the knowledge and skills they need to care for people and to promote their rights and independence. The newest member of staff has already begun to study for her National Vocational Qualification. This means that the home has already done better than the national target set by the Commission for Social Care Inspection, which states that half the staff should have suitable, relevant qualifications. Staff talk about their training needs in supervision. These are then written in their personal development plans and the Care Plan Coordinator, who organises the training programme, has a training budget. So she has money every year to spend on the training staff need. One carer said: ‘There are always loads of courses; I get the training I need to do the job.’ The Care Plan Coordinator keeps records of the training that staff have and when they are due for more. Kimblesworth Care Home DS0000043604.V319523.R01.S.doc Version 5.2 Page 20 Management and Administration The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. Service users’ rights and best interests are safeguarded by the home’s record keeping, policies and procedures. The health, safety and welfare of service users and staff are promoted and protected. The Commission considers Standards 31, 33, 35 and 38 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 31, 33, 35, 36 and 38. Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. The home is well managed and run in the best interests of service users. EVIDENCE: The manager has been running this home since 2004 and he worked in the home for four years before then. So, he knows the service and service users well and the staff know that they can rely on him to make decisions and give them support. He understands the needs of the people who live there. He has studied for and passed qualifications that show he has the knowledge and skill to manage a care home with nursing for older people and people with mental health problems. He has a degree in social sciences, he is a Registered Mental Nurse and in the last year has achieved a Professional Development Certificate Kimblesworth Care Home DS0000043604.V319523.R01.S.doc Version 5.2 Page 21 in Management Studies. He has had many years of experience working in and helping to run services for people who have the same sort of needs as the people who live in this home. The people who work in this home said that the manager is a good leader and the people who live there said that they can talk to him easily and he always tries to help them. He has an ‘open door’ policy, so staff and service users can walk into his office anytime to speak to him. One carer said:’ He is a great manager…he is approachable and knows what is going on in the home.’ The manager has a deputy, the care plan coordinator, who is also a well qualified and experienced nurse. The home has a quality assurance system. This means that the manager asks people who live in and visit the home for their views on the service and then makes any improvements that their answers show are needed. The quality report based on surveys carried out for last year (2006) was available for the inspection. It showed that the manager had acted on the feedback he had received when he asked people their views and suggestions for improvements. For example, the home is being re-decorated in a different colour scheme and the staff now pay more attention to making sure that service users and visitors know about the complaints policy and procedure. Some people have relatives or other representatives who help them with their money, going to the bank and shopping with and for them. Some people can look after their own finances. Others need the help of the staff. The home has clear policies and procedures, which tell staff how they can help people to look after their money. The home looks after some service users’ money. This is so that they can get the money they want easily and quickly, without having to go to the bank for small amounts, but they do not have keep large amounts on them or in their rooms, if they do not want to. These rules also tell staff to keep clear records, so that they can explain to service users and their representatives when and how their money has been spent. The system and financial records were audited by a contract officer from Durham County Council, in December 2006, and her report was available for the inspection. They showed that a suitable, independent person has checked the way that the home looks after service users’ money. The report said ‘ The systems in place for the recording of residents’ financial affairs are clear to understand and welloperated.’ All the people who work here have regular supervision. This is a one to one meeting with a senior member of staff, to give each person a chance to talk about how they do their jobs and how they can do them better. These meetings are planned, so staff can get ready for them, and what they talk about and agree to do is written down. The manager and his deputy, the care plan coordinator, supervise the qualified nurses. The nurses supervise the care teams. Carers said that they can also approach senior staff for advice and Kimblesworth Care Home DS0000043604.V319523.R01.S.doc Version 5.2 Page 22 support at any time. One carer said: ‘You have to learn to do things yourself, but they are there to help.’ Staff understand the home’s procedures for Health and Safety and have regular training in how to carry them out. This means they know how to keep themselves and service users safe. The manager keeps detailed records of health and safety checks of the building, services and equipment. The records prove that these checks are carried out regularly. Kimblesworth Care Home DS0000043604.V319523.R01.S.doc Version 5.2 Page 23 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 3 2 3 x x x HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 3 10 2 11 x DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 x 18 3 3 x x x 2 x x 3 STAFFING Standard No Score 27 4 28 4 29 3 30 4 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 4 x 4 x 3 4 x 3 Kimblesworth Care Home DS0000043604.V319523.R01.S.doc Version 5.2 Page 24 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 Regulation 5, schedule 4 14 Requirement Timescale for action 01/07/07 2. OP3 The home must ensure each service user has an up to date contract explaining the charges and what the service user gets for them. The home must get a copy of the 01/09/07 community care assessment and care plan, for each person referred by the local authority. 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 OP10 Good Practice Recommendations The home should progress its plans to make improvements, so that each person can have their own room. Kimblesworth Care Home DS0000043604.V319523.R01.S.doc Version 5.2 Page 25 Commission for Social Care Inspection Darlington Area Office No. 1 Hopetown Studios Brinkburn Road Darlington DL3 6DS National Enquiry Line: Telephone: 0845 015 0120 or 0191 233 3323 Textphone: 0845 015 2255 or 0191 233 3588 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 Kimblesworth Care Home DS0000043604.V319523.R01.S.doc Version 5.2 Page 26 - 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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