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Inspection on 01/11/07 for Kingfisher Court Care Home

Also see our care home review for Kingfisher Court Care Home for more information

This inspection was carried out on 1st November 2007.

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.

What follows are excerpts from this inspection report. For more information read the full report on the next tab.

What the care home does well

One of the tools used to carry out this inspection visit - the Short Observational Framework for Inspection (SOFI) showed that the staff were caring, and committed to the welfare of the residents. There was good interaction on a personal level, and staff were seen to be very aware of resident`s physical needs, ensuring that no one was cold, and supplying extra blankets and cardigans when needed.

What has improved since the last inspection?

The one statutory requirement set at the last key inspection (in April 2007) has been met. This related to: Care plans being reviewed on a regular basis. In addition three good practice recommendations relating to the monthly review of the care plans, and the quality assurance system have also been met.

What the care home could do better:

Four statutory requirements have been made as a result of this inspection visit: * Resident`s care plans need to be more detailed, and provide staff with instruction and guidance in how to meet resident`s needs. * Similarly care plans relating to residents health care need to allow staff to record relevant information, and to give staff access to the information that will help to keep residents healthy. * Where there are significant risks to resident`s health and welfare, there must be a risk assessment in place to guide staff in dealing with that risk.* The food on offer at Kingfisher Court must be reviewed urgently, as currently residents are leaving more than they are eating, and this could lead to malnutrition. In addition five good practice recommendations have also been made: * Better recording of resident`s wishes at the time of their death, with a specific care plan in place to capture all of the relevant information. * Introduction of menus with pictures to help those residents with memory loss or communication difficulties to make choices. * Residents should be consulted about their likes and dislikes in respect of food. * Thought should be given to the location of the smoking room, particularly as it is situated `off` the dining room. * Thought should also be given into ways of making the dining room more homely, and comfortable.

CARE HOMES FOR OLDER PEOPLE Kingfisher Court Care Home The Spinney Sturgeon Avenue Clifton Nottingham NG11 8HE Lead Inspector Rob Cooper Unannounced Inspection 1st November 2007 10:10 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 Kingfisher Court Care Home DS0000002206.V353950.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. Kingfisher Court Care Home DS0000002206.V353950.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Kingfisher Court Care Home Address The Spinney Sturgeon Avenue Clifton Nottingham NG11 8HE 0115 940 5031 0115 984 7071 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) Tawnylodge Limited Mrs Debora Karen Millband Care Home 40 Category(ies) of Dementia - over 65 years of age (1), Old age, registration, with number not falling within any other category (40) of places Kingfisher Court Care Home DS0000002206.V353950.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. 3. No one falling within category OP may be admitted into Kingfisher Court where there are 40 persons of category OP already accommodated within this home. No one falling within category DE(E) may be admitted into Kingfisher Court where there is 1 person of category DE(E) already accommodated within this home. No person to be admitted to Kingfisher Court in categories OP or DE(E) when 40 persons in total of these categories/combined categories are already accommodated in this home. 24th April 2007 Date of last inspection Brief Description of the Service: Kingfisher Court is a purpose built care home offering accommodation for up to 40 older people. In agreement with the Commission for Social Care Inspection the home has accommodated one person with dementia. The accommodation is situated over two floors with a passenger lift providing independent access for service users. Kingfisher Court is situated on the edge of Clifton housing estate providing easy access to a range of local facilities including public transport links. There is a nature reserve to the rear of the property giving a pleasant outlook and a good-sized car park to the side and rear of the property. The fees for Kingfisher Court range from £285 - £427 Kingfisher Court Care Home DS0000002206.V353950.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was an unannounced visit as part of the key inspection process – so that no one at Kingfisher Court knew that the inspection visit was going to take place. The visit took approximately five hours through the middle of the day, with one inspector present. The methods used during this key inspection and visit were to visit Kingfisher Court, where a method called case tracking was used; this involved identifying four residents and looking at their individual files and making a judgement about the quality of care they are receiving, and if their needs are being met. In addition to case tracking a Short Observational Framework for Inspection (a SOFI) was used, this involved sitting in a communal area and observing for two hours the activities and staff interactions, and making notes on which to base judgements and observations. This was followed by a partial tour of Kingfisher Court, looking at the activities on offer, and talking to two residents, one relative and two members of staff about the quality of the service, and their experiences of living and working at Kingfisher Court. Normally the Commission for Social care inspection will send out an Annual Quality Assurance Assessment (known as an AQAA) as part of the inspection methodology, for Kingfisher Court to self assess their service. However this had not yet been sent by the time of this key inspection visit, so did not inform the process. Kingfisher Court is in the process of being purchased by new owners, and as part of the take over the registered manager has stepped down from her post, and a new manager will be sought in the near future. An acting manager is in post for the short-term period of the take over and until a new manager is recruited. The acting manager provided much of the information during this key inspection visit. On the day of this inspection there were thirty-seven residents in residence. Prospective residents can obtain information about Kingfisher Court direct from the care home, and this would include seeing previous inspection reports prepared by the Commission for Social Care Inspection. Following the key inspection in April 2007 a further random inspection took place in July 2007 to check on progress with the requirements that had been set at the previous key inspection. Kingfisher Court Care Home DS0000002206.V353950.R01.S.doc Version 5.2 Page 6 What the service does well: What has improved since the last inspection? What they could do better: Four statutory requirements have been made as a result of this inspection visit: * Resident’s care plans need to be more detailed, and provide staff with instruction and guidance in how to meet resident’s needs. * Similarly care plans relating to residents health care need to allow staff to record relevant information, and to give staff access to the information that will help to keep residents healthy. * Where there are significant risks to resident’s health and welfare, there must be a risk assessment in place to guide staff in dealing with that risk. Kingfisher Court Care Home DS0000002206.V353950.R01.S.doc Version 5.2 Page 7 * The food on offer at Kingfisher Court must be reviewed urgently, as currently residents are leaving more than they are eating, and this could lead to malnutrition. In addition five good practice recommendations have also been made: * Better recording of resident’s wishes at the time of their death, with a specific care plan in place to capture all of the relevant information. * Introduction of menus with pictures to help those residents with memory loss or communication difficulties to make choices. * Residents should be consulted about their likes and dislikes in respect of food. * Thought should be given to the location of the smoking room, particularly as it is situated ‘off’ the dining room. * Thought should also be given into ways of making the dining room more homely, and comfortable. 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. Kingfisher Court Care Home DS0000002206.V353950.R01.S.doc Version 5.2 Page 8 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 Kingfisher Court Care Home DS0000002206.V353950.R01.S.doc Version 5.2 Page 9 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): 12&3 Quality in this outcome area is good; this judgement has been made using available evidence including a visit to this service. Prospective residents at Kingfisher Court had sufficient information before they moved in to make an informed choice about where to live. Currently residents are well informed about the services Kingfisher Court offers EVIDENCE: With the change in ownership both the Service user Guide and Statement of purpose are being re-written. Copies of the old versions were available, however it is anticipated that there will be some considerable changes, and the new documents will reflect this. Similarly the contracts and statements of terms and conditions of residence are also being re-written to reflect the new ownership. Draft copies of documents were seen, and these met the National Minimum Standards and complied with regulations. Kingfisher Court Care Home DS0000002206.V353950.R01.S.doc Version 5.2 Page 10 Four resident’s files were seen as part of the case tracking process. One contained a Shared Nottinghamshire Assessment Profile (SNAP), which is Nottinghamshire’s preferred assessment tool for older people, another a Community Care Assessment, while the remaining two had in-house assessments, the assessments had been completed before residents had moved into Kingfisher Court, and were in sufficient detail for staff to be able to base the care plans on them. Kingfisher Court Care Home DS0000002206.V353950.R01.S.doc Version 5.2 Page 11 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): 7 8 9 10 & 11 Quality in this outcome area is adequate; this judgement has been made using available evidence including a visit to this service. The residents do not currently have their health and personal care well managed, supported or recorded by the staff at Kingfisher Court. EVIDENCE: The four resident’s files that were seen all contained an individual plan of care, which had been produced from the assessment of the resident’s needs, and contained details of health, personal and social care. Evidence was seen that the care plans were being reviewed on a regular basis. However the care plans lacked detail and they did not give staff clear instruction in how to meet resident’s needs, or have adequate recording systems in place to capture important information about resident’s care needs and progress. The care plans relating to resident’s health were not well organised, and one example of a resident who has epilepsy, showed no specific care plan in place to guide staff in the individual’s specific care needs, no charts to record the type of seizure or monitor their frequency – which is very relevant information that a doctor would need when reviewing medication for epilepsy. Epilepsy Kingfisher Court Care Home DS0000002206.V353950.R01.S.doc Version 5.2 Page 12 also carries with it a number of risks, yet there were no risk assessments in place, and generally health care recording was found to be poor. Boots (The Chemist) provide Kingfisher Court with their medication. An inspection of the storage, and booking in and out procedures showed that medication is handled safely and there is a clear audit trail for medication from the point of ordering to administration and/or disposal. Administration records were inspected and found to be complete, including photographs of individual residents to help with identification. The lunchtime medication round was partially observed, and there were no concerns seen in the administration procedures. No resident at Kingfisher Court currently self-medicates. The pharmacist from Boots last visited approximately two weeks before this inspection visit. During this inspection visit a Short Observational Framework for Inspection (known as a SOFI) was used. The SOFI showed that the staff were caring and spoke to residents in a friendly yet respectful manner. Staff were aware of resident’s needs and wishes, and assisting residents to the toilet was done in a respectful and dignified manner, without broadcasting to the entire room. When offering residents a choice of drinks, staff were seen to be asking individuals, and trying to meet their differing choices. The SOFI also showed that residents were not left unattended for long periods, rather that staff were involved in conversation and stimulating the residents particularly through the use of music. Each of the resident’s files that were seen contained details relating to the resident’s/families wishes at the time of death, although some were a little brief. They should include details of whom to contact, and whether a burial or cremation is required as a minimum. This is an important area of resident’s care, and could be developed further with specific care plans in place relating to resident’s wishes in relation to their funeral arrangements. Kingfisher Court Care Home DS0000002206.V353950.R01.S.doc Version 5.2 Page 13 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): 12 13 14 & 15 Quality in this outcome area is adequate; this judgement has been made using available evidence including a visit to this service. Residents at Kingfisher Court have a lifestyle that reflects their cultural, social and religious interests, and needs, however there are issues relating to choice, and the quality of food on offer to residents. EVIDENCE: Kingfisher Court have good photographic records of activities to evidence what activities residents are involved in, and the records show a good variety of activities, with festivals and holidays such as Easter, Valentine’s Day and Christmas marked with events, as well as pizza evenings and birthday celebrations. Two residents were asked about activities at Kingfisher Court, and one said: “There’s usually something going on.” While the second added: “It’s very good, we make hats and have special teas sometimes.” Both residents said they thought that there were enough activities at Kingfisher Court to keep them happy. One relative was spoken with about visiting Kingfisher Court, and indicated that there were open visiting times, and the staff made visitors welcome. Two residents said that their families could come to visit, and that there was Kingfisher Court Care Home DS0000002206.V353950.R01.S.doc Version 5.2 Page 14 somewhere quiet where they could talk. Both residents said they were happy with the arrangements for their families to visit. As already indicated by the SOFI residents appeared to be offered a good deal of choice and control in their day to day lives, although the SOFI only offers a snapshot on the day of the inspection visit. The two residents who were spoken with both said they thought they could make choices in their lives, although when asked both struggled to think of examples. One area of choice that needs to be addressed is the area relating to the choice of meals, which appeared to be limited, with residents being asked to make choices a long time before the meal, which is confusing. The menu could also be presented in a pictorial form to aid resident’s choice. The lunchtime meal was observed, and this showed quite a lot of food being wasted. This could have been related to the quality of the food, or the type of meal on offer, and this should be analysed, as currently resident’s are not getting a nutritious meal (as so much is being thrown away), and it could be that resident’s are actually saying through their actions, that they do not like what is being offered. This needs to be addressed as a matter of urgency, as it is clearly an issue for the residents, and could have a bad effect on resident’s health. In addition the dining room is not a particularly pleasant environment, with the smoking room situated ‘off’ of the dining room. It is a harsh and uninviting room in which to eat a meal, with linoleum on the floor, and few paintings or decorations. Kingfisher Court Care Home DS0000002206.V353950.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): 16 & 18 Quality in this outcome area is good; this judgement has been made using available evidence including a visit to this service. Residents at Kingfisher Court are safe, and their complaints are taken seriously and dealt with. EVIDENCE: Since the last key inspection Kingfisher Court have received four complaints. A review of these complaints showed that they had been handled in line with Kingfisher Court’s complaints policy and procedure, and handled in a timely manner, with written responses given to the person who made the complaint(s). The complaints policy is going to be re-written by the new owners, and this will be extended to contain the contact details for Social Services as well as the Commission for Social Care Inspection. A review of staff training records showed that there is an ongoing programme of training for staff in safeguarding adults. This training is a crucial tool in protecting residents from abuse, as it raises awareness, and informs staff of the action to take if they suspect that abusive behaviour is occurring. Evidence was seen that Kingfisher Court have made two referrals to the safeguarding adults team through the summer, which would suggest that staff are aware of the procedures and how to use them. Kingfisher Court Care Home DS0000002206.V353950.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): 19 & 26 Quality in this outcome area is good; this judgement has been made using available evidence including a visit to this service. Residents at Kingfisher Court live in a safe, clean home, with their personal possessions around them. EVIDENCE: A partial tour of Kingfisher Court showed it to be comfortable and generally well maintained. Although the dining room as already mentioned is not homely, and thought needs to be given to the location of the smoking room. Three resident’s bedrooms were seen and these were found to be comfortable and well equipped with resident’s personal possessions. Two residents were asked about the building, each resident said they liked living at Kingfisher Court, and one said: “I’ve got a nice bedroom.” Staff were seen cleaning in various areas of Kingfisher Court during the inspection visit, and the building was found to be clean. Two residents were Kingfisher Court Care Home DS0000002206.V353950.R01.S.doc Version 5.2 Page 17 asked about the cleanliness, and both said that they were quite happy, and that they thought the staff worked hard to keep the home clean and tidy. Kingfisher Court Care Home DS0000002206.V353950.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): 27 28 29 & 30 Quality in this outcome area is good; this judgement has been made using available evidence including a visit to this service. Staff at Kingfisher Court have been recruited professionally, and are competent and trained to do their jobs. EVIDENCE: A review of the staffing rota and staffing levels at Kingfisher Court showed that there were enough staff currently employed to meet the resident’s needs. Two residents were asked about staffing levels, and both said that they thought there were enough staff. A discussion with the representatives of the new owners of Kingfisher Court indicated that a review of staffing levels was about to take place to ensure that all of the resident’s needs are being met by the staffing levels, and not just their physical needs. The recommended basic staff training course for working in care is the National Vocational Qualification (NVQ) level II. A review of the staff training records showed that the majority of staff working at Kingfisher Court either have an NVQ qualification or are working towards getting one. There is a further recommendation that 50 of the staff team are qualified to a minimum of NVQ level II and this has been achieved. Four staff files were seen, and checked for evidence that the staff had been recruited in a way that would offer resident’s protection - this would be Kingfisher Court Care Home DS0000002206.V353950.R01.S.doc Version 5.2 Page 19 through written application forms, showing their work history, formal interviews, providing two written references, and a undergoing a criminal records bureau check. Each of the four files contained all of the necessary documentation to evidence that Kingfisher Court has safe recruitment practices. Two members of staff were spoken with and asked about their recruitment, each person said they had been through a formal recruitment process, and had supplied the necessary documentation. A review of the staff training records showed that Kingfisher Court does have a training plan for its staff, however discussions with the representatives of the new owners showed that a new staff training matrix would be introduced, and every member of staff would be having their training needs reviewed within the next six months, and a new training plan produced. Kingfisher Court Care Home DS0000002206.V353950.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): 31 33 35 36 & 38 Quality in this outcome area is good; this judgement has been made using available evidence including a visit to this service. Kingfisher Court is a safe, well-managed care home with good systems for ensuring it’s quality in place. EVIDENCE: Kingfisher Court has a registered manager in place who has been through the Commission for Social Care inspection’s vetting procedure. However the new owners have decided to recruit a new manager, as they wish to move in a different direction, to this end a new manager will be recruited in the New Year, although the current manager has decided to remain albeit in a different role. Kingfisher Court Care Home DS0000002206.V353950.R01.S.doc Version 5.2 Page 21 Discussions with the representatives of the new owners indicated that the quality assurance system would be reviewed, and a number of new forms and systems will be introduced. Currently regular resident’s meetings are taking place, and the minutes of several meetings were seen. It is seen that these meetings will continue, and continue to play an important part in the quality assurance and monitoring of Kingfisher Court. The resident’s at Kingfisher Court have a system for their cash needs. This is operated on their behalf by the staff, and four resident’s finances were checked at random. All of the cash tallied with the records, and receipts were seen, which enabled a clear audit trail of resident’s expenditure. Two residents were asked about their money, and both said they were able to get their money when they needed it. Kingfisher Court has a staff supervision system that sees staff having formal supervision approximately six times a year. Records of the staff’s formal supervision were seen and these showed that staff members were properly supervised. Two staff members were spoken with about formal supervision sessions, and they said that they were having a formal supervision session approximately once every two months. A range of health & safety records were seen, including the fire safety records – with records of weekly tests, emergency lighting tests and extinguisher maintenance records, and the Control of Substances Hazardous to Health (COSHH) records, these were found to be correct and up-to-date, which showed that the residents and the staff are living and working in a safe environment. Kingfisher Court Care Home DS0000002206.V353950.R01.S.doc Version 5.2 Page 22 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 3 3 X X N/A HEALTH AND PERSONAL CARE Standard No Score 7 2 8 2 9 3 10 4 11 2 DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 2 15 1 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 2 X X X X X X 3 STAFFING Standard No Score 27 3 28 3 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X 3 X 3 3 X 3 Kingfisher Court Care Home DS0000002206.V353950.R01.S.doc Version 5.2 Page 23 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 OP7 Regulation Requirement Timescale for action 31/03/08 2. OP8 3. OP8 4. OP14 Regulation Residents’ care plans must 15 instruct staff in how to meet their assessed needs in respect of health and welfare, and record information that is relevant in meeting those needs. Regulation Care plans relating to residents’ 31/03/08 12 health must provide staff with all relevant information, and allow for the recording of necessary information to ensure resident’s good health. Regulation Risk assessments must be in 31/01/08 13 place, where there is a significant risk to resident’s health and welfare. Regulation The selection of food on offer to 31/12/07 16 (2) i residents must be reviewed so that residents are receiving sufficient quantities of wholesome and nutritious food. Kingfisher Court Care Home DS0000002206.V353950.R01.S.doc Version 5.2 Page 24 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. 2. 3. Refer to Standard OP11 OP14 OP14 Good Practice Recommendations Resident’s wishes in relation to their death should be recorded in care plans, and where possible there should also be a funeral plan in place. Consideration should be given to the use of pictorial menus to help residents make choices around what food they would like. Residents at Kingfisher Court should be asked about their likes and dislikes with regard to food, as the current high levels of waste are suggesting that residents do not like the choices being offered to them. Consideration should be given to the location of the smoking room, which is situated ‘off’ the dining room. Consideration should be given to the layout and design of the dining room, which is not homely, and not a comfortable room in which to ‘enjoy’ a meal. 4. 5. OP19 OP19 Kingfisher Court Care Home DS0000002206.V353950.R01.S.doc Version 5.2 Page 25 Commission for Social Care Inspection Nottingham Area Office Edgeley House Riverside Business Park Tottle Road Nottingham NG2 1RT 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 Kingfisher Court Care Home DS0000002206.V353950.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. 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!