Inspection on 19/06/05 for Kingfield Holt

This inspection was carried out on 19th June 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 12/10/05

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 19 June 2005 8:30am-12:30pm 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. Kingfield Holt J55 S2977 Kingfield Holt V230035 23.06.05 UI Stage 4.doc Version 1.30 Page 3 SERVICE INFORMATION Name of service Kingfield Holt Address 38 Kingfield Road Sheffield S11 9AS 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) 0114 255 3968 0114 22553968 None Mr Farid Ibrahim Mrs Celia Norma Ibrahim Miss Susan Iris Walker PC Care Home Only 25 Category(ies) of OP Old age - 25 registration, with number of places Kingfield Holt J55 S2977 Kingfield Holt V230035 23.06.05 UI Stage 4.doc Version 1.30 Page 4 SERVICE INFORMATION Conditions of registration: None Date of last inspection 8th March 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 J55 S2977 Kingfield Holt V230035 23.06.05 UI 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 carried out over 4 hours. Ten service users, one relative and four staff were spoken to. A poster informing visitors that an inspection was in progress was displayed, inviting visitors to make comments if they wished. An inspection of the building was made and a selection of records was examined. What the service does well: What has improved since the last inspection? Records are now kept of pain relieving tablets, which have been purchased by the home, for staff use. The records detail who tablets had been given to, the date and the balance. Procedures are in place to make sure that any allegations of abuse are reported to the Local authority adult protection team. Kingfield Holt J55 S2977 Kingfield Holt V230035 23.06.05 UI Stage 4.doc Version 1.30 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 J55 S2977 Kingfield Holt V230035 23.06.05 UI Stage 4.doc Version 1.30 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 Standards Statutory Requirements Identified During the Inspection Kingfield Holt J55 S2977 Kingfield Holt V230035 23.06.05 UI Stage 4.doc Version 1.30 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 standard(s) None of the above standards were checked on this occasion but will be checked at the next inspection. EVIDENCE: Kingfield Holt J55 S2977 Kingfield Holt V230035 23.06.05 UI 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) 7, 8, 9 &10 Service users health, personal, and social care needs were set out in an individual plan of care and their health care needs were met. Where appropriate, service users were able to be responsible for their own medication, and were, in the main protected by the procedures for dealing with medication. Service users were treated with respect, and their right to privacy was upheld. Kingfield Holt J55 S2977 Kingfield Holt V230035 23.06.05 UI Stage 4.doc Version 1.30 Page 10 EVIDENCE: Service users said they knew a record of their needs were kept, and that staff discussed their needs with them. Enabling them to comment about what was included in the plan. Two care plans were checked, they 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. Staff said service users health was maintained by, making sure they had access to health care professionals, Doctors, Dentist, Opticians and Chiropodist etc. They added, it was important to build a relationship with service users, so that they felt able to report health problems, and for staff to recognise any changes in service users condition. Medication and medication records for two service users were checked. There were two examples of inaccuracies, one of offering painkillers three times a day instead of four as stated on the prescription label, and one of records not reflecting whether one or two tablets had been administered. Resulting in imprecise recording and the possibility of unnecessary discomfort to the service user. This was reported immediately to the person in charge and action was taken to address. The manager said, for the service user in question, pain killers could not be offered four times a day, as the service user was not awake long enough to allow the safe six hours between each dose. Staff said, wherever possible service users were able to administer their own medication. Service users confirmed this and said this offered them “choice and independence”. 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” “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 J55 S2977 Kingfield Holt V230035 23.06.05 UI 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) 12, 13, &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. Kingfield Holt J55 S2977 Kingfield Holt V230035 23.06.05 UI Stage 4.doc Version 1.30 Page 12 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 were able to maintain contact with friends and family. They said, “visitors are always made welcome” and they could receive their visitors in private. Encouraging good relationships between staff and service users relatives, and creating an atmosphere of approachability. Service users comments on the food were all positive except for one person who wanted more variety. The meal served was plentiful, hot and appetising, all said they enjoyed it. They were able to choose whether to have their meals in their bedrooms or in one of the three dining rooms. Service users like’s and dislikes were recorded in their care plan, special diets were catered for, and assistance with eating was offered where needed. Kingfield Holt J55 S2977 Kingfield Holt V230035 23.06.05 UI Stage 4.doc Version 1.30 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 standard(s) 18 Service users were protected from abuse. EVIDENCE: Service users said they felt safe, and that the staff had the knowledge and skills needed to look after them. There was a procedure in place, to follow in the event of an allegation of abuse being made. Staff said they had received training on adult protection. They were able to verbalise what they would do, and who they would report to if an allegation was reported to them. Kingfield Holt J55 S2977 Kingfield Holt V230035 23.06.05 UI 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) 19 & 26 Service users live in a safe, well- maintained environment, which is clean pleasant and hygienic. Kingfield Holt J55 S2977 Kingfield Holt V230035 23.06.05 UI Stage 4.doc Version 1.30 Page 15 EVIDENCE: Service users said, “ The home is kept spotlessly clean” “my room is cleaned regularly and my bedding changed” “ my bedroom is very comfortable”. Grounds were tidy, safe, attractive and accessible to service users. One service user said “ I love the grounds, I regularly take a walk”. Bedrooms and communal areas were in the main well decorated, clean, comfortable, homely, personalised and well furnished. One bedroom was noted to be sparse, lacking the homely, personalised touches, and one bedroom had damaged wallpaper. Care staff said, they were responsible for cleaning. Staff preferred this to having separate cleaning staff. They saw this as part of their caring and supporting role. A time to interact, chat and build knowledge and understanding of service users, and for service users to get to know them. This built good relationships between staff and service users. Kingfield Holt J55 S2977 Kingfield Holt V230035 23.06.05 UI Stage 4.doc Version 1.30 Page 16 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, & 30 Service users needs were met by the numbers and skill mix of the staff, who were trained and competent to do their job. EVIDENCE: Service users said there was always enough staff on duty. They described the staff as “marvellous”, patient”, “kind” and “second to none”, they also said that many of the staff had worked at the home for a long time, offering them consistency of care. Staff said they spent time talking with service users and getting to know them. Handovers took place at the start of each shift, informing staff of care given and of the changing needs of the service users. Allowing them to provide care and support, which met individual needs. Some staff had completed the NVQ 2 in care. Staff said training was ongoing and they had received health and safety, fire, health and hygiene and moving and handling training, which they said was updated on a regular basis. Kingfield Holt J55 S2977 Kingfield Holt V230035 23.06.05 UI Stage 4.doc Version 1.30 Page 17 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) 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 ensuring the health and safety of the service users. Kingfield Holt J55 S2977 Kingfield Holt V230035 23.06.05 UI Stage 4.doc Version 1.30 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 x 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 3 14 x 15 3 COMPLAINTS AND PROTECTION 2 x x x x x x 3 STAFFING Standard No Score 27 3 28 x 29 x 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score Standard No 16 17 18 Score x x 3 x x x x x x x 3 Kingfield Holt J55 S2977 Kingfield Holt V230035 23.06.05 UI Stage 4.doc Version 1.30 Page 19 Are there any outstanding requirements from the last inspection? No 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 9 Regulation 13 Requirement Medication must be offered and administered in line with the prescription label. Administration records must show how many tablets have been administerd All areas used by service users must be reasonably decorated. Timescale for action 19/6/05 As required on the day of the inspection. 1/9/05 2. 19 23 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 19 Good Practice Recommendations In line with service users wishes and preferences, their bedroom should be dressed in a way as to create a homley feeling, wherever possible this should include personal effects. Kingfield Holt J55 S2977 Kingfield Holt V230035 23.06.05 UI Stage 4.doc Version 1.30 Page 20 Commission for Social Care Inspection 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 J55 S2977 Kingfield Holt V230035 23.06.05 UI Stage 4.doc Version 1.30 Page 21 - 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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