Inspecting for better lives Random inspection report
Care homes for older people
Name: Address: Kineton Manor Manor Lane Kineton Warwickshire CV35 0JT The quality rating for this care home is: The rating was made on: two star good service A quality rating is our assessment of how well a care home, agency or scheme is meeting the needs of the people who use it. We give a quality rating following a full assessment of the service. We call this a ‘key’ inspection. This is a report of a random inspection of this care home. A random inspection is a short, focussed inspection. Details of how to get other inspection reports for this care home, including the last key inspection report, can be found on the last page of this report. Lead inspector: Suzette Farrelly Date: 3 1 1 0 2 0 0 8 Information about the care home
Name of care home: Address: Kineton Manor Manor Lane Kineton Warwickshire CV35 0JT 01926641739 01926642220 Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Type of registration: Number of places registered: Mr Ken Inglefield,Mr Edward Graham O`Rourke care home 43 Conditions of registration: Category(ies) : Number of places (if applicable): Under 65 old age, not falling within any other category 0 Over 65 43 Conditions of registration: Date of last inspection Brief description of the care home Kineton Manor is a large converted manor house situated in the village of Kineton and is close to the village amenities. It is set in its own extensive grounds with an outlook onto open fields. The home is surrounded by well kept gardens and a large lawned area. The home is registered to provide personal and nursing care for 43 elderly service users. Ample car parking is available to the rear of the home. The service user accommodation is provided on two floors with 31 single ensuite rooms and 5 ensuite shared rooms. There are two lounges and one dining area. A lift is available to access all floors. The current proprietors Mr Inglefield and Mr O?Rourke have owned the home since 1988. The scale of fees is not included in the service users guide. Fees are discussed at the point of referral and include hairdressing and chiropody. Care Homes for Older People Page 2 of 9 What we found:
We received an anonymous call informing us that Kineton Manor management had admitted more people then they were registered for. Two of these people admitted were living in the library and hairdressing room. A visit was undertaken to establish this. The registered manager and both registered persons were at the home when we arrived. Once it had been established that there were 46 people living at the home instead of 43 as stated on the registration certificate, they were informed of the breach and served a Code B Notice to enable us to legally seize information that demonstrated this breach. The registered manager confirmed to us that there were 46 people living at the home on the day of the visit. Statements were also taken from two other people working at the home. Two peoples records were looked at who had been admitted in the last four weeks for respite care. Both of these people were occupying rooms that were not intended as bedrooms. One was occupying the hairdressing room and one the library. The records showed that a Respite Admission Sheet had been completed on the day of admission for both persons. A very brief summary of needs was available for one person, the other person had a more in depth assessment although all areas of the assessment had not been completed. There were no care plans or risk assessments for either individual. From the written records and discussion with two of the nursing staff it was confirmed that both people require assistance with daily living tasks. One person is fully dependent on staff and requires the use of equipment to assist with their mobility and would be at risk of developing sore skin. Two nurses spoken to told us what care was required, and confirmed that the person living in the library required a standing hoist to assist with their mobility. The room occupied is small and inappropriate for this use. The two nurses confirmed that it was difficult to use the equipment. Contracts stating the Terms and Conditions of admission and residing at this service had not been issued. The administrator told us that this was not normal practice for those who use the respite service. A further single bedroom has been used as a shared room, it was found from our examination of records and discussion with staff that the single bedroom had been used in this way for more than three years. One of the nursing staff showed us around the home and the following was found: The hairdressing equipment was seen in the smaller lounge/dining area and we were told that the hairdressing is now carried out there. The library was still stocked with all the books that are available for the use of the Care Homes for Older People Page 3 of 9 people who live in the home. The hairdressing room had a key pad with a code for entering, it was confirmed that this is closed during the day. The person who is occupying this room would not be able to enter without staff assistance. The door is frosted glass, a net curtain that did not fit properly was visible from the outside; this did not ensure complete privacy from those in the corridor. The hairdressing room and library had minimal furniture. There was no wardrobe in the library and the individuals clothes were hung from the bookcases. Neither room had a toilet and the library room had no hand wash basin. Two staff were seen, while visiting the bedrooms, preparing to assist a person with their personal care. This was taking place in a shared room and the other person was seated in a chair. There was no evidence of a portable screen. The two staff were asked where this was and if they were going to use it. They replied that it had broken the day before. Later a nurse was seen with a portable screen and was taking this to the shared room. It is important that screens are used to ensure the privacy and dignity of the person receiving the care and the other person in the room. Staff had not ensured the privacy and dignity of the two people who share this room and when this was stated the staff still did not get any screening or create privacy. A further visit was carried out on 6th November to check staff records and we had received further information that staff start work before all the checks have been made to ensure that they are suitable to work with vulnerable people. Four staff records of staff who have recently started work at this home were examined. It was found that in all cases the staff had started work without a Protection of Vulnerable Adults checked being received. This ensures that the person has not been reported or found guilty of an abusive act toward a vulnerable person. This check arrived between 10 and 15 days after employment had started. Staff who start work without a Criminal Record Bureau check must be suitably supervised until the service recieves information that there are no concerns. One member of staff recently employed told us that they had been allocated a mentor, a more experienced member of staff to show them the job and to work along side them. They also told us that they worked with others and also alone. All four staff had a satisfactory police check from their own countries and references. In one file an e-mail containing the references and police check arrived after the person had started work. This practice of employing staff without the proper checks does not ensure that they are suitable to work with vulnerable people. The above was discussed with the manager and she was informed that regulations that are set to ensure that vulnerable people are safe from harm had been breach. A Code B notice was given to her and records of the four files photocopied to show this breach. What the care home does well: Care Homes for Older People Page 4 of 9 Good induction standards are used to assist new staff to settle into the home and the job and to help them understand their role. What they could do better: If you want to know what action the person responsible for this care home is taking following this report, you can contact them using the details set out on page 2. Care Homes for Older People Page 5 of 9 Are there any outstanding requirements from the last inspection? Yes £ No R Outstanding statutory requirements These requirements were set at the last inspection. They may not have been looked at during this inspection, as a random inspection is short and focussed. The registered person must take the necessary action to comply with these requirements within the timescales set.
No. Standard Regulation Requirement Timescale for action Care Homes for Older People Page 6 of 9 Requirements and recommendations from this inspection
Immediate requirements: These are immediate requirements that were set on the day we visited this care home. The registered person had to meet these within 48 hours.
No. Standard Regulation Requirement Timescale for action Statutory requirements These requirements set out what the registered person must do to meet the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The registered person(s) must do this within the timescales we have set.
No. Standard Regulation Requirement Timescale for action 1 2 5A All people who are admitted 20/11/2008 must be given a Contract which clearly states the conditions of admission, fees and extra costs required. This will ensure that both the person and/or their representative and the service know what is expected. 2 7 15 All people lving at the home 14/11/2008 must have a care plan which is kept under review and made available to the person and/or their representative. This is to ensure that all care needs are recorded, the the person and/or their representatives are aware of care given and that staff have a guide to ensure that all care needs are met. 3 8 13 Assessment of risks associate with health care and living at the home must be completed for each individual. This is to ensure that risk is 14/11/2008 Care Homes for Older People Page 7 of 9 recognised and acted upon to minimise where possible. 4 23 16 All bedrooms must be 20/11/2008 furnished and suitable for the person to live in and use safely. This is to ensure that the room is safe, comfortable and used for the sole purpose of the person occupying it. 5 29 19 Povafirst and two suitable references must be sought before a person starts working at the home. This will ensure that the person is suitable to work with vulnerable adults. Recommendations These recommendations are taken from the best practice described in the National Minimum Standards and the registered person(s) should consider them as a way of improving their service.
No. Refer to Standard Good Practice Recommendations 30/11/2008 1 2 10 28 Screening should be available in all shared rooms and used to ensure the privacy and dignity of those using the room. The management should ensure that the period of induction is suitable, approximately 3 months and that there is evidence that this is being worked towards to ensure that new staff are suitably trained in their role. Care Homes for Older People Page 8 of 9 Reader Information
Document Purpose: Author: Audience: Further copies from: Inspection Report CSCI General Public 0870 240 7535 (telephone order line) Our duty to regulate social care services is set out in the Care Standards Act 2000. Copies of the National Minimum Standards –Care Homes for Older People can be found at www.dh.gov.uk or got from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering from the Stationery Office is also available: www.tso.co.uk/bookshop Helpline: 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 We want people to be able to access this information. If you would like a summary in a different format or language please contact our helpline or go to our website. Copyright © (2008) Commission for Social Care Inspection (CSCI). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CSCI copyright, with the title and date of publication of the document specified. Care Homes for Older People Page 9 of 9 - 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!
