Inspection on 12/10/05 for Kingfield Holt

This inspection was carried out on 12th 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

Kingfield Holt 12/12/07

Kingfield Holt 12/02/07

Kingfield Holt 19/06/05

Kingfield Holt 08/03/05

Kingfield Holt 04/10/04

Similar services:

Snydale Care Home

Abbey The

Hawkhills

Larchfield Manor

Beeches The - North Yorkshire County Council

The Grove Waltham

Carentan House

Ravensworth Lodge

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

CARE HOMES FOR OLDER PEOPLE Kingfield Holt 38 Kingfield Road Sheffield South Yorkshire S11 9AS Lead Inspector Shirley Samuels Unannounced Inspection 12th October 2005 16:45 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 Kingfield Holt DS0000002977.V254956.R01.S.doc Version 5.0 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. Kingfield Holt DS0000002977.V254956.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service Kingfield Holt Address 38 Kingfield Road Sheffield South Yorkshire S11 9AS 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) 0114 255 3968 0114 255 3968 Mr Ibrahim Farid Ibrahim Mrs Celia Norma Ibrahim Miss Susan Iris Walker Care Home 25 Category(ies) of Old age, not falling within any other category registration, with number (25) of places Kingfield Holt DS0000002977.V254956.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 19th June 2005 Brief Description of the Service: Kingfield Holt is a home that provides care for 25 older people. The home is situated in the Brincliffe area of the city. The detached building is in its own grounds and is close to a good selection of local amenities including an extensive range of shops, pubs, and a park. The grounds around the home are very pleasent offering a patio area and well established gardens. All but one of the bedrooms are single and many have en-suite facility. There are three dining rooms and three communal areas for service users to sit including a spacious sun lounge. Kingfield Holt DS0000002977.V254956.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was an unannounced inspection carried out over three and a half hours. Ten service users, two relatives, two staff and the deputy manager were spoken to. Observations were made of the care and support provided. Many of the service users choose to spend most of their time in their bedrooms, which they said were comfortable. During the inspection a teatime meal was served and service users were assisted to get ready for bed. What the service does well: What has improved since the last inspection? The bedroom highlighted in the last inspection report has been redecorated. Kingfield Holt DS0000002977.V254956.R01.S.doc Version 5.0 Page 6 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. Kingfield Holt DS0000002977.V254956.R01.S.doc Version 5.0 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 Kingfield Holt DS0000002977.V254956.R01.S.doc Version 5.0 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 3 Service users did not move into the home without first having there needs assessed, and being assured that their needs will be meet. EVIDENCE: One service user file was checked, for the most recent admission to the home. There was an assessment completed which detailed the needs of the service user. A care plan was developed from the assessment, which the service user and representative contributed to. This ensured that the home had the information they needed to make a decision about the service they could provide. Kingfield Holt DS0000002977.V254956.R01.S.doc Version 5.0 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 the following standard(s): 7,8,9 &10 Service users health, personal, and social care needs are set out in an individual plan of care and their health care needs are met. Where appropriate, service users are able to be responsible for their own medication, and are, in the main protected by the procedures for dealing with medication. Service users are treated with respect, and their right to privacy was upheld. EVIDENCE: Service users said they knew records of their needs were kept, and that staff discussed their needs with them. Enabling them to contribute to what was included in the plan. One care plan was checked; this included details of service users health social and personal care needs, and what action staff needed to take to meet those needs. This ensured that the care delivered was in accordance with service users needs. Kingfield Holt DS0000002977.V254956.R01.S.doc Version 5.0 Page 10 Staff said, wherever possible service users were able to administer their own medication. Service users confirmed this and said they were able to do as much as they were able for themselves. Medications due to be administered to service users the following morning, were found dispensed into pots at 4:30pm. This practice is unsafe and placed service users at risk. An immediate requirement was issued for this practice to cease. Service users said, they were treated with dignity and their right to privacy was upheld. They said staff were, “polite” “patient” “”kind” and described the care provided as “excellent” and “very good”. Staff said they tried to maintain service users dignity and right to privacy by “Knocking on bedrooms doors before entering” “ closing bathroom and toilet doors” “ being sensitive when providing personal care”, thereby reducing the risk of embaracement and promoting wellbeing. Kingfield Holt DS0000002977.V254956.R01.S.doc Version 5.0 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 the following standard(s): 12 & 15 Service users found, the lifestyle experienced in the home met with their expectations and preferences, and they were able to maintain contact with their family and friends. Service users received a wholesome, appealing and balanced diet, in pleasing surrounding at a time convenient to them. EVIDENCE: Service users said they could choose how to spend their day. Activities did take place; some service users choose to take part others did not, exercising their right to choice. Some said, they preferred their own company, and spent most of their time in their bedroom, reading, watching television or writing letters, this promoted individual personal preference. Service users said they liked the food there was always a choice and they were able to have their meals in their bedrooms if they wished. Hot drinks and snacks were provided in-between meals and service users were provided with Kingfield Holt DS0000002977.V254956.R01.S.doc Version 5.0 Page 12 jugs of fresh water twice a day. Special diets and preferences were catered for service users said the cooks were always were “very accommodating”. Kingfield Holt DS0000002977.V254956.R01.S.doc Version 5.0 Page 13 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 the following standard(s): 16 Service users, their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. EVIDENCE: Service users said they were given information on how to make a complaint. Details of the complaint procedure was posted in the entrance to the home. Relatives spoken to said they had not made any complaints, and where they may have had comments to make these had been listened to and action taken. Records of complaints were kept which detailed the nature of the complaint and of any action taken. Many of the service users said they would talk to a member of their family if they were not happy but also added that if necessary they would approach one of the staff or the manager. Kingfield Holt DS0000002977.V254956.R01.S.doc Version 5.0 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 the following standard(s): 19 & 26 Service users live in a safe, well- maintained environment, which is clean pleasant and hygienic. EVIDENCE: All areas of the home were well decorated and procedures were in place to maintain the building to the required standard. Service users said their rooms were cleaned regularly. The observations made were of a high standard of hygiene and cleanliness. Service users said the home was “nice and clean” “ we have all we need”, “the home is warm and comfortable”. Kingfield Holt DS0000002977.V254956.R01.S.doc Version 5.0 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 consider all the above are key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): Standards not assessed on this occasion. EVIDENCE: Kingfield Holt DS0000002977.V254956.R01.S.doc Version 5.0 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 31, 33, 35 and 38 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 38 The health, safety and welfare of service users and staff is promoted and protected. EVIDENCE: Staff said they had received health and safety training. They were able to give examples of what they did to maintain safety standards. eg removing tripping hazards, using recommended moving and handling techniques, and encouraging service users to use the aids provided to promote their safety. Maintenance records for equipment were inspected. Records showed that the fire system and fire fighting equipment was checked regularly. Staff had received fire instruction at twice yearly intervals. This promoted the health and safety of the service users and staff. Kingfield Holt DS0000002977.V254956.R01.S.doc Version 5.0 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 Standard No Score 1 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 x x 3 x x N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 2 10 3 11 x DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 x 14 x 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 x 18 x 3 x x x x x x 3 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 x x x x x x x 3 Kingfield Holt DS0000002977.V254956.R01.S.doc Version 5.0 Page 18 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 OP9 Regulation 13 Requirement The practice of transferring medication in advance of administration must cease immediately. Medication must be dispensed directly from the original container at the prescribed time of administration. Timescale for action 12/10/05 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. Refer to Standard Good Practice Recommendations Kingfield Holt DS0000002977.V254956.R01.S.doc Version 5.0 Page 19 Commission for Social Care Inspection Sheffield Area Office Ground Floor, Unit 3 Waterside Court Bold Street Sheffield S9 2LR 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 Kingfield Holt DS0000002977.V254956.R01.S.doc Version 5.0 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!