CARE HOMES FOR OLDER PEOPLE
Kingfisher Residential Care Home 43 - 45 Marshalls Road Raunds Wellingborough Northamptonshire NN9 6ET Lead Inspector
Irene Miller Unannounced Inspection 6th November 2007 10:15 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 Residential Care Home DS0000067924.V354055.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 Residential Care Home DS0000067924.V354055.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION
Name of service Kingfisher Residential Care Home Address 43 - 45 Marshalls Road Raunds Wellingborough Northamptonshire NN9 6ET 01933 623028 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) Ferns Carehomes Limited Post Vacant Care Home 27 Category(ies) of Dementia - over 65 years of age (27) registration, with number of places Kingfisher Residential Care Home DS0000067924.V354055.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION
Conditions of registration: 1. 2. No one falling within category DE (E) should be admitted to The Ferns Care Home where there are 27 persons within the category of DE (E) already accommodated The 5 persons identified in correspondence dated 2nd December 2004 who fall within the category of OP may continue to be accommodated at The Ferns 1st February 2007 Date of last inspection Brief Description of the Service: Kingfisher Care Home is registered to provide personal care to 27 older people, most of who have needs relating to dementia. The home is privately owned and is situated in the market town of Raunds, Northamptonshire, close to a range of local amenities. The home is on two floors and has a passenger lift and a stair lift. There are 13 single bedrooms and seven doubles, and four separate lounge/dining rooms. The homes statement of purpose and service user guide (which provides information on the range of facilities and services available at the home) is made available to prospective residents and their representatives. This ensures that a fully informed choice can be made as to whether or not the home is suitable to meet the resident’s needs. The current range of fees range from £350 to £380 per week. Kingfisher Residential Care Home DS0000067924.V354055.R01.S.doc Version 5.2 Page 5 SUMMARY
This is an overview of what the inspector found during the inspection. The focus of inspections undertaken by the Commission for Social Care Inspection (CSCI) is based upon outcomes for Service Users and their views of the service provided. This visit was unannounced and focused on ‘key standards’ under the National Minimum Standards and the Care Standards Act 2000 for homes providing care for older people. The care needs of three people living at the home were looked at in depth. This involved looking through written information available on their care, such as the care plans (a care plan sets out how the home aims to meet the individual service users personal, healthcare, social and spiritual needs). Time was spent with the people living in the home, during which time the views on the quality of care of the service users were sought and discussion took place with the staff. Some of the service users were unable to comment on their care due to communication difficulties. Therefore, observations of staff and service users interactions were made with an aim to establish if service users were satisfied living at the home. A random unannounced visit took place in July 2007 to follow up on concerns that had been raised and to monitor compliance with requirements set at the previous key inspection. Reference to the random inspection is contained within this report. Prior to the visit the Commission for Social Care Inspection sent out to the home the Annual Quality Assurance Assessment (AQAA) for the home to self assess their performance. The AQAA was not returned to the Commission for Social Care Inspection prior to this visit taking place and therefore sample checks were carried out on the homes policies and procedures, records in relation to staff recruitment, complaints, and general maintenance and upkeep of the home. The manager Irene Taylor was not available at the home on first day of the visit, and therefore the inspection took place over two consecutive days to ensure that standards in relation to staffing, complaints, protection and management and administration to be assessed. The manager and the registered provider Mr Jayraj Sisodia were available on the second day of the inspection visit. Kingfisher Residential Care Home DS0000067924.V354055.R01.S.doc Version 5.2 Page 6 What the service does well:
All of the areas identified for improvement during the random inspection had been complied with which demonstrated that the registered provider had taken the previous complaints/concerns raised seriously. Full pre assessments are carried out prior to a resident moving into the home, and residents will only move into the home once it has been established that their needs can be fully met. In general the care plans outlined the level of staff support required. There is an established staff team, some of whom have worked in the home for many years. Discussions with staff confirmed that they know residents well and have a good understanding of their needs. Staff were observed to spend time informally with the residents sitting chatting, discussing local news and events, talking about seasonal foods and vegetable gardening. The conversations were natural and residents were fully involved in the discussions and their views sought. Over the lunchtime the staff were observed to encourage residents to help with setting up the dining tables and staff were also seen to assist residents who required practical support to eat their meals. This was done with sensitivity and tact to ensure that the residents dignity was maintained and independence promoted where possible. No formal programme of activities are in place, however staff support residents in pursuing day to day pastimes. There was newspapers and board games available for residents. Religious services are held in the home every month. The kitchen was seen to be clean and tidy. There was records of food safety standards being followed. The cook was knowledgeable about the dietary needs of the elderly, and confirmed that they had recently attended a food safety standards refresher course. The cook went through the menus and identified where improvements had and were still to take place as the menus were in the process of being fully reviewed. This is to ensure that a balanced diet is available. The cook confirmed that the registered provider has responded to all her requests in terms of equipment required for the kitchen and that food stocks were always kept to a high level. There was a good supply of home baked cakes and pastries available. Residents spoken with said that the staff were ‘good girls’ and said that they felt they were treated with respect and dignity. This was supported by observations made of care practice. Kingfisher Residential Care Home DS0000067924.V354055.R01.S.doc Version 5.2 Page 7 What has improved since the last inspection? What they could do better:
The risk assessments were in a tick box format and not specific to fully outline to identify the potential hazards surrounding the person and the control measures needed to reduce the risks to an acceptable level. Residents weight gains or losses were not being monitored, the scales available within the home are not suitable for residents who are unable to weight bear. Therefore the registered provider needs to consider purchasing sit on scales to ensure that all residents have the opportunity to have their weight monitored.
Kingfisher Residential Care Home DS0000067924.V354055.R01.S.doc Version 5.2 Page 8 Staff must ensure that upon giving residents their medication that a signature is entered onto the medication administration record (MAR) sheet. Some staff signatures were absent which left uncertainty as to whether the resident had been given their medications. The staff recruitment records need to have a clear audit trail as to when the staff member was appointed and records of the dates that the CRB and POVA checks have been carried out. Consideration needs to be given to formalise the repairs and renewals records to ensure that there is a rolling programme in place and provide a clear audit trail of improvements made to the building and internal furnishings, equipment etc. 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 Residential Care Home DS0000067924.V354055.R01.S.doc Version 5.2 Page 9 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 Residential Care Home DS0000067924.V354055.R01.S.doc Version 5.2 Page 10 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): Standard 3 (Standard 6 is not applicable to this home) Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Prior to admission the needs of prospective residents are assessed to ensure the home is suitable for them. EVIDENCE: The care plans of three residents were viewed, each had documentation to support that pre assessments had been carried out prior to the residents moving into the home. There is a mixture of private and social services funded residents living at the home. In discussion with the registered provider it was verbally confirmed that the pre admission assessment visits are carried out by himself, or the homes manager. The resident’s representatives and health professionals are fully involved in the assessment procedure and have input into the decision as to whether the home can meet the residents assessed needs.
Kingfisher Residential Care Home DS0000067924.V354055.R01.S.doc Version 5.2 Page 11 Where possible the prospective resident is invited to view the home and meet with the residents and staff prior to admission. Following admission into the home each resident has a four weeks trial period to ensure that they are happy with the home, and the home can meet their needs. Kingfisher Residential Care Home DS0000067924.V354055.R01.S.doc Version 5.2 Page 12 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 & 10 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. Shortfalls within the homes medication administration records, and on recording the changing needs of residents could place residents at risk of their healthcare needs not being fully met. EVIDENCE: The care plans, daily reports and medication records of three resident were viewed. In general the care plans outlined the level of staff support required. Within the care plans there is a ‘daily records’ section where staff record at the end of each shift observations of the resident’s emotional state, dietary, mobility and physical healthcare needs and when changes had taken place in, these areas. However for some residents there had been several days where no observations had been entered into the ‘daily record’. Kingfisher Residential Care Home DS0000067924.V354055.R01.S.doc Version 5.2 Page 13 In discussion with the staff it was confirmed that much of the communication on the daily changing needs of residents was passed verbally from shift to shift. The staff and identified that there was a need for this verbal communication to be written within the ‘daily record’ and subsequently transferred into the care plan. The risk assessments were in a tick box format and not specific to fully outline the hazards or control measures needed to ensure as far as possible the individual residents health, safety and welfare. For example one resident that was experiencing sleepless nights, had entries within the daily records of having tried on several occasions to open a fire door during the night/early hours of the morning, and there was entries of when the resident had displayed aggression towards the staff on duty. In discussion with the staff they knew how to respond and continue to provide care for this resident at such times when aggression was being displayed, but this had not been identified within the care plan. There was no written strategy in place for staff to follow. Records confirmed that the risk assessments had been reviewed every three months and care plans every month, however the information on the changing needs of the residents that had been entered into their ‘daily records’ was not always reflected within the care plans or the risk assessments. There were records within the care plans of residents being seen by their general practitioner the district nursing team, chiropody, eye care and dental specialists and other healthcare professionals. Residents weight gains or losses were not being monitored, in discussion with the registered provider he said that a new set of scales had been purchased, however these are of the stand on type and not suitable for residents who are unable to weight bear. Therefore the registered provider needs to consider purchasing sit on scales to ensure that all residents have the opportunity to have their weight monitored. The homes medication and administration records were sample checked, in discussion with the senior in charge it was confirmed that only senior staff that have been trained in giving medication hold this responsibility. The medication administration records (MAR) sheets were sample checked; some medications that were required to be taken daily had some staff signatures missing and this left uncertainty as to whether the residents had been given their medications. Assessments of residents nutritional and dietary needs, moving and handling and pressure area assessment and treatment were available within the district nurse’s care plans. Kingfisher Residential Care Home DS0000067924.V354055.R01.S.doc Version 5.2 Page 14 Residents spoken with said that the staff were ‘good girls’ and said that they felt they were treated with respect and dignity. This was supported by observations made of care practice; the staff were seen to knock on doors before entering and to respond to the personal needs of the residents maintaining privacy and dignity. Kingfisher Residential Care Home DS0000067924.V354055.R01.S.doc Version 5.2 Page 15 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 & 15 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. People living at the home are supported to follow their preferred lifestyle choices. EVIDENCE: Within the care plans there was some information on the hobbies and interests of residents, and staff were observed during the morning to spend time informally with the residents sitting chatting, discussing local news and events, talking about seasonal foods and vegetable gardening. The conversations were natural and residents were fully involved in the discussions and their views sought. There was no programme of activities in the home for residents although there was newspapers and board games available residents said that they liked listening to music and within each lounge there was a CD player available and a television. Religious services are held in the home every month. In discussion with the registered provider he said that there was plans to facilitate residents who would wish, to see a Christmas Pantomime, the home
Kingfisher Residential Care Home DS0000067924.V354055.R01.S.doc Version 5.2 Page 16 has the use of a car and it was anticipated that in the future a people carrier may be considered. The lunch on the day of the visit was steak pie, mashed potatoes and mixed vegetables and residents spoken with said that they enjoyed the meals and that they could choose to have something else if they did not fancy what was on the menu. Over the lunchtime the staff were observed to encourage one resident to help set up the dining tables and seen to assist residents who required practical support to eat their meals, this was done with sensitivity to ensure that the residents dignity was maintained and independence promoted where possible. The kitchen was viewed and seen to be clean and tidy. There was records of food safety standards being followed, the cook was knowledgeable about the dietary needs of the elderly, and confirmed that they had recently attended food safety standards refresher training. The cook went through the menus and identified where improvements were to take place as the menus were in the process of being fully reviewed, this was to ensure that there was a balanced diet available. The cook confirmed that the registered provider has responded to all her requests in terms of equipment required for the kitchen and that food stocks were always kept to a high level. There was a good supply of home baked cakes and pastries available. Residents were seen to move freely around the home, and staff attention was paid to those who were less mobile. Kingfisher Residential Care Home DS0000067924.V354055.R01.S.doc Version 5.2 Page 17 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 & 18 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. People who use the service can be assured that any concerns that they may have will be listened to and acted upon. EVIDENCE: Since the last key inspection visit the Commission for Social Care Inspection had received in total eight complaints about the home, a Random Unannounced Inspection visit was carried out by CSCI on 6th July 2007. The nature of the complaints/concerns were in relation to: 1) 2) 3) 4) 5) 6) 7) Lack of staff training and support Lack of moving and handling equipment Food being of poor quality and lacking in quantity No activities or outings being provided Complaints not being listened to or acted upon The home falling into disrepair No registered manager being in post. There was also safeguarding concerns that were forwarded to the Northamptonshire Adult Protection Team and a meeting was held with the provider to address the concerns. Kingfisher Residential Care Home DS0000067924.V354055.R01.S.doc Version 5.2 Page 18 Items 1,2,5,6, and 7 were substantiated with the exception of items 3 and 4 and requirements were made under the Care Standards Act 2000 Regulations to improve. At this visit improvements had taken place in all of the areas identified for improvement during the random inspection. The provider had complied with all the requirements and demonstrated that he has taken the concerns seriously. Within the homes complaints book there was records of complaints that had been brought to the attention of the registered provider since the random inspection and there was records of the action that the registered provider had taken to address them. Safeguarding Adults training was in progress with 50 of the staff team having attended the training, the purpose of the training is to raise staff awareness as to what constitutes different types of abuse and the reporting procedures should staff witness or suspect any abuse, to ensure the protection of service users from being at risk of harm. Staff spoken with during the visit were aware of the importance of the residents right to be treated with respect and that choice and dignity is promoted, and the staff were observed to treat the residents with dignity and respect. Kingfisher Residential Care Home DS0000067924.V354055.R01.S.doc Version 5.2 Page 19 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 & 26 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents live in an environment that mostly safe and well maintained. EVIDENCE: A limited tour of the building was carried out and all areas seen were clean and free from offensive odours, with the exception of the ground floor bathroom, where the assisted bath was being used as an area to hold soiled chair cushions prior to them being cleaned and disinfected. Consideration needs to be taken as to where such items are placed. Since the last inspection there had been a small fire within one of the resident’s bedrooms, the bedroom was seen to be clean and fresh and had been fully decorated. All other bedrooms viewed were clean and tidy and contained items of personal effects belonging to the individual occupants. Kingfisher Residential Care Home DS0000067924.V354055.R01.S.doc Version 5.2 Page 20 A new bath hoist had been purchased, and the portable hoist had been serviced. The managers office had been relocated to the ground floor within the conservatory to the rear of the lounge. This gives residents, visitors and staff the opportunity to be directly in contact with the manager, the windows and the doors of the conservatory had been repaired. The fitting of a gate and fencing has made the rear courtyard secure for the safety of residents, as discussed with the registered provider further work in this area such as the introduction of raised flower beds around the perimeter of the step leading to the outdoor shed, would provide residents with a safe pleasant outdoor area. In discussion with the registered provider and the home manager it was confirmed that a decision had been made not to use bedside rails and that in the event that such equipment is necessary that the advice of the district nurse would be sought. Kingfisher Residential Care Home DS0000067924.V354055.R01.S.doc Version 5.2 Page 21 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 & 30 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. Commitment to ongoing staff training will ensure that staff are fully aware of their roles and responsibilities, and having robust recruitment procedures in place will protecte the people that use the service from potential harm. EVIDENCE: The home was not at full occupancy, and over the two days of the inspection visit the staffing levels were satisfactory to meet the needs of the residents. The registered provider has taken seriously the shortfalls identified from the last two inspections in the area of staff training. An external training consultancy has been commissioned to provide training in all the mandatory training requirements such as moving and handling, fire awareness, food hygiene, first aid and the storage and administration of medication. Vocational training has also been provided such as a dementia awareness course and a loss and bereavement course. In discussion with staff they confirmed that they had been on training courses and spoke of further training that they were due to attend. Senior staff were being provided with training on supervision and management skills and the
Kingfisher Residential Care Home DS0000067924.V354055.R01.S.doc Version 5.2 Page 22 homes manager had just completed a two day course to be a verified moving and handling instructor. The recruitment and selection files of three staff were viewed, the recruitment files of two staff were not clear as to the start dates. There were records of checks having been carried out with the Protection of Vulnerable Adults Register (POVA 1st), written references being obtained and clearance through the Criminal records Bureau (CRB), however for one member of staff who had recently taken up employment the CRB clearance was still outstanding. The registered provider is reminded that staff should only take up employment pending the CRB clearance ‘in exceptional circumstances’ and only after a clear POVA 1st check. Under such circumstances the new employee must be employed subject to the induction and supervisory arrangements stipulated in the Care Standards Act 2000 (Establishments and Agencies)(Miscellaneous Amendments) Regulations 2004. The employee can only work with vulnerable adults in accordance with these prescribed supervisory arrangements until a full satisfactory CRB and POVA check is received. Kingfisher Residential Care Home DS0000067924.V354055.R01.S.doc Version 5.2 Page 23 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 3,33,35 & 38 Quality in this outcome area is Adequate. This judgement has been made using available evidence including a visit to this service. The management and administration systems are being further developed, the manager needs to register with CSCI. EVIDENCE: In July 2007 Irene Taylor was appointed as the new manager of the home, she has achieved the NVQ level 4 in Management and has yet to submit her application to be registered with CSCI. The registered provider confirmed that a registered managers application is to be submitted to the Commission for Social Care Inspection, and is therefore urged to proceed with the application. Staff spoken with said that the manager and the registered provider were supportive and approachable, the staff confirmed that one to one supervision
Kingfisher Residential Care Home DS0000067924.V354055.R01.S.doc Version 5.2 Page 24 had now started and they were pleased that training was being provided. The registered provider has complied with the statutory requirements set following the last inspection visit and records seen confirmed that he visits the home to carry out checks on the health safety and welfare of the residents. Records of maintenance to building improvements and areas identified for repair and renewals were seen, however the registered provider should consider formalising these records to provide a clear audit trail. There has been a drive to ensure that all staff are fully up to date with mandatory training needs, this is being achieved through the use of an external training consultancy. Records were seen of training that had taken place and the dates for further training planned. Reviews of the management systems were taking place and in discussion with the manager it was confirmed that the risk assessment forms that are currently in the form of a tick list are to be improved to provide specific detail to identify hazards/risks to individuals, and have detailed control measures for staff to follow to reduce the risks to an acceptable level. The manager made available the new risk assessment format and should this be rolled out this would greatly improve the quality of the risk assessments and create live working documents. The manager confirmed that she is in the process of meeting with the families of residents living at the home to give the opportunity to discuss the care needs, and to seek the views of families as to how the home can improve on the quality of care provided. Records of health and safety checks were viewed and there was evidence that weekly fire equipment checks were being carried out and documented and all potable electrical equipment in use, such a radios, televisions, hoists, laundry and kitchen equipment having recently been safety tested (PAT tested). Kingfisher Residential Care Home DS0000067924.V354055.R01.S.doc Version 5.2 Page 25 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 2 9 2 10 3 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 X X X 3 STAFFING Standard No Score 27 3 28 3 29 2 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 2 X 3 X 3 X X 2 Kingfisher Residential Care Home DS0000067924.V354055.R01.S.doc Version 5.2 Page 26 NO 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 OP8 Regulation 12 (1) (a) Requirement To monitor service users weight gains and losses, scales that are suitable for all service users use must be made available. Staff must sign the medication administration record for all medications given to service users. The employment of a member of staff prior to receiving the CRB clearance must be only under exceptional circumstances and must be subject to the induction and supervisory arrangements stipulated in the Care Standards Act 2000. An application must be submitted to the Commission for Social Care Inspection for the manager to be considered for registration. Timescale for action 31/12/07 2 OP9 13 (2) 30/11/07 3 OP29 19 (1) (i) paragraph 1 to 7 of schedule 2 30/11/07 4 OP31 9 (1)(i) Paragraph 1 to 5 and 7 of schedule 2 31/12/07 Kingfisher Residential Care Home DS0000067924.V354055.R01.S.doc Version 5.2 Page 27 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 Refer to Standard OP8 OP19 Good Practice Recommendations All care needs identified within the daily notes should be documented in care plans A programme of routine maintenance and renewal of the fabric and decoration of the building should be produced and implemented with records kept. Risk assessments should detail the specific hazards in relation to the individual and the control measures needed to reduce the hazards to an acceptable level. 3 OP38 Kingfisher Residential Care Home DS0000067924.V354055.R01.S.doc Version 5.2 Page 28 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 Text phone: 0845 015 2255 or 0191 233 3588 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk
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