Inspection on 14/11/07 for Kings Cottage Residential Home Limited

This inspection was carried out on 14th November 2007.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is (sorry - unknown). 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

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

CARE HOMES FOR OLDER PEOPLE Kings Cottage Residential Home Limited Kings Cottage Allendale Road Hexham Northumberland NE46 2NJ Lead Inspector Mary Blake Key Unannounced Inspection 09:30 14 and 26th November 2007 th 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 Kings Cottage Residential Home Limited DS0000070119.V351484.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. Kings Cottage Residential Home Limited DS0000070119.V351484.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Kings Cottage Residential Home Limited Address Kings Cottage Allendale Road Hexham Northumberland NE46 2NJ 01434 607667 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) Kings Cottage Residential Home Ltd Mrs Alison S Murray Care Home 26 Category(ies) of Dementia (1), Old age, not falling within any registration, with number other category (25) of places Kings Cottage Residential Home Limited DS0000070119.V351484.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. The registered person may provide the following category of service only: Care Home only - Code PC To service users of the following gender: Either Whose primary care needs on admission to the Home are within the following categories: Dementia over 65 years of age - Code DE(E), maximum number of places 1 Old Age, not falling within any other category, - Code OP, maximum number of places 25 The maximum number of service users who can be accommodated is: 26 First inspection under new ownership 2. Date of last inspection Brief Description of the Service: Kings Cottage cares for 26 people in a two storey detached property. It is set in a quiet residential area on the outskirts of the town of Hexham. The home is on two floors with a passenger lift to all levels. There are a variety of aids and adaptations to allow service users to move freely around their part of the home. The majority of bedrooms are single, with communal bathing and toilet facilities are situated around the home. There is sufficient communal lounge and dining space. The home is close to local amenities and transport networks. Kings Cottage is registered to provide residential care for frail older people and one older person with dementia. The home does not provide nursing care. The fees are £389.24 per week. The updated statement of purpose and service user guide are available at the main office. Kings Cottage Residential Home Limited DS0000070119.V351484.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This unannounced key inspection took place over two days and involved one inspector. All of the key standards have been assessed during these visits and from other information provided to the Commission. Eleven residents and four staff (carers and ancillary) were spoken to. Others were chatted to briefly. Three relatives were spoken to during the visits. Two resident and two relative questionnaires were received. These were generally very positive. Three care plans, training records and records for medication were examined. Staff files, recruitment records and health and safety documentation were looked at. What the service does well: Staff were kind and considerate when helping residents. Residents explained the admission process; this includes a gradual introduction to the home and a detailed pre-admission assessment. This helps new residents adjust and settle into living in the home. Individual care plans are well detailed, regularly reviewed and updated. Residents and staff were more involved in planning and evaluating care and the plans this helps staff give residents the care they need. The management overviews these plans and this helps to provide a consistent staff approach. Residents described good relationships with the staff and said they were all polite and helpful. Staff were friendly and relaxed and showed a good understanding of residents needs. Arrangements for residents to maintain contact with their family and friends are good. Residents confirmed that visitors are always made welcome and kept informed and involved. Hygiene practices were good protecting the health of residents and staff. The home is staffed with a skilled, consistent and trained staff team giving security to residents. Staff recruitment and training records were clear and concise and contained all relevant information. The vetting process helps protect residents. The staff have a good understanding of residents individual needs. More than seventy percent of staff are qualified to National Vocational Kings Cottage Residential Home Limited DS0000070119.V351484.R01.S.doc Version 5.2 Page 6 Qualification in Care level 2 (NVQ) or above providing residents with a trained, skilled staff team. The residents were very complimentary about the staff. What has improved since the last inspection? 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. The summary of this inspection report can be made available in other formats on request. Kings Cottage Residential Home Limited DS0000070119.V351484.R01.S.doc Version 5.2 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–6) Health and Personal Care (Standards 7-11) Daily Life and Social Activities (Standards 12-15) Complaints and Protection (Standards 16-18) Environment (Standards 19-26) Staffing (Standards 27-30) Management and Administration (Standards 31-38) Scoring of Outcomes Statutory Requirements Identified During the Inspection Kings Cottage Residential Home Limited DS0000070119.V351484.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 1&3 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home undertakes a detailed pre admission assessment and liaises with the residents and family prior to admission. Residents and relatives have opportunities to visit before admission to the home. EVIDENCE: Care plans had good information to ensure that the home can meet the needs of the prospective resident. The Manager is involved in the decisions and in the majority of instances visits the residents prior to their admission. Residents spoke of visiting the home prior to admission and that this was useful to reduce anxiety and make the settling in process easier “after looking Kings Cottage Residential Home Limited DS0000070119.V351484.R01.S.doc Version 5.2 Page 9 at various residential homes for our mum we were quite despondent then a friend recommended Kings Cottage and it was the best decision we ever made” “I never thought my mum would have settled as well as she has.” Kings Cottage Residential Home Limited DS0000070119.V351484.R01.S.doc Version 5.2 Page 10 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 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The residents are having their needs met by the staff in the home and the staff are skilled in providing the care in a sensitive and dignified manner. This is shown in the documentation and care plans in place. The residents receive their prescribed medication in line with safe working practices. The medicines in the home are well managed and safely disposed of as necessary. EVIDENCE: Three care plans were examined; they were of a satisfactory standard, with relevant risk assessments for the prevention of falls, nutrition, moving and assisting, continence promotion and mental health status. The plans are regularly reviewed and updated. Kings Cottage Residential Home Limited DS0000070119.V351484.R01.S.doc Version 5.2 Page 11 The care plans showed that the residents have access to all NHS services and facilities. A number of assessment tools are in use, and they were reviewed monthly, and were dated and signed by the author. Daily reporting of residents care was generally satisfactory, and the changing health care needs of residents was reviewed and up dated. The medicines in the home are well managed and safely disposed. The medicines were stored safely. The controlled drugs procedures were satisfactory. Staff were treating residents with respect and dignity. Personal care was given in privacy. Staff used residents preferred name at all times. Residents and relatives were complimentary about the staff in the home and felt that they were able to have privacy in their own rooms “The staff give my mother in law the confidence to do things herself but give kind patient help with other things”. Kings Cottage Residential Home Limited DS0000070119.V351484.R01.S.doc Version 5.2 Page 12 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 good. This judgement has been made using available evidence including a visit to this service. Residents are satisfied with the flexibility of their routines for daily living and activities. Arrangements for residents to maintain contact with their family and friends and the local community are suited to each individual’s needs and vary accordingly. There is a social programme in place and residents felt that this had improved. The food served is good and the residents are happy with the quality and the quantity. EVIDENCE: Residents and relatives stated that the choice and range of activities had improved. The Manager was allocating staff time and this appeared to be working well with more choice and time for individuals. Residents were generally happy and enjoyed being able to move freely around the home. The majority of the residents were moving around the home and were being encouraged to do so even when they were at some risk of falling. Kings Cottage Residential Home Limited DS0000070119.V351484.R01.S.doc Version 5.2 Page 13 Residents have visitors at any time and are able to use their own rooms, the small lounges or the larger, busier lounges to receive them. “From the manager to the cleaner they all make us so welcome with their friendly, caring manner and nothing is a bother to them” The residents are encouraged to go to places in the local area and families are encouraged and supported to take residents out and about. The residents’ bedrooms were personalised reflecting individual choices and preferences. Residents said they were happy with the decoration Residents take control of their daily routines in simple but important ways including the time they get up, what and when they eat and how they spend their time. All residents, spoken to, said that they are able to make choices about how they spend their day. “We have never seen our mum so happy and content for quite a while. The girls look after mums every need from getting her up in the morning till they put her to bed and its all done with a smile and a laugh. I could go on and on praising them and it still wouldnt be enough”. Lunch served on the day was observed. The meal was good all of the residents enjoyed the food, which was well cooked. Unobtrusive and discreet staff support was on hand. The tables were nicely set. Mealtimes were a relaxed and social occasion “Mum has put on a stone in weight since last November” “Im filling this in on my mothers behalf- shes always been a very fussy eater. Ive seen the food, and I think its pretty good!” Kings Cottage Residential Home Limited DS0000070119.V351484.R01.S.doc Version 5.2 Page 14 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. The home ensures that making it available in a variety of places makes the residents and relatives aware of the complaints policy. Complaints are managed satisfactorily and the necessary action taken. Staff had completed or it was planned for training in the Protection of Vulnerable adults and this is necessary to ensure that residents are protected. EVIDENCE: The complaints procedure is in the service users guide and copies are displayed in the home. Six of the residents said that they knew problems were dealt with and how this would be done. “We cannot think of one thing we would change about Kings Cottage. Thank you for giving us the opportunity to have our say”. The Registered Manager stated that all staff were aware of the whistle blowing policy and informing the Manager of any incidents or issues of which there are concern. Staff confirmed this. It was clear from the training records which staff had completed Protection of Vulnerable Adults training and further training is planned. Kings Cottage Residential Home Limited DS0000070119.V351484.R01.S.doc Version 5.2 Page 15 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. The residents live in a safe environment. There are good communal areas. There are suitable toilets and baths. The bedroom areas are personalised and comfortable. The home is clean, hygienic with no offensive odours. EVIDENCE: The location and layout is suitable for the residents who live here. There are lounges and a dining room that are pleasantly decorated and furnished. Residents were able to use a range of lounges and there was a range of television and audio equipment available for their use. Bedrooms were well decorated and personalised. The home was very clean with no offensive odours. Kings Cottage Residential Home Limited DS0000070119.V351484.R01.S.doc Version 5.2 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 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. The manager ensures there are adequate numbers of staff on duty that have appropriate skills and experience to care for the residents. Staff recruitment records were clear and concise and contained all relevant information. The vetting process helps protect residents. Staff training was well organised this improves staff skills to meet residents needs. EVIDENCE: Staffing rotas showed that there are enough staff are on duty to meet the necessary staffing levels. When sickness and staff holidays occur home staff usually cover, agency staff are not used. The home operates the following staff levels 8am to 5pm 3 carers\plus 1 8am – 2pm, 5pm to 10pm 3 carers, 10pm to 8am 2 carers. In additional there is good ancillary support. There is an in house training programme in place and more than 70 of the staff having NVQ level 2 in care or above. The training programme is up to date for all staff and significant amounts of training are being given to the staff in health and safety, statutory and care practices. Kings Cottage Residential Home Limited DS0000070119.V351484.R01.S.doc Version 5.2 Page 17 Staff said that they are undertaking or had completed NVQ level 2 or over and the home has an induction and training programme for all staff working in the home. Two staff recruitment files were examined and were satisfactory. Relatives commented, “Kings Cottage has a welcoming, friendly atmosphere and the staff always interact with the residents” “My family and myself cannot praise the manager and staff of Kings Cottage highly enough”. Kings Cottage Residential Home Limited DS0000070119.V351484.R01.S.doc Version 5.2 Page 18 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 & 38 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents live in a home, which is well run and managed by an experienced, trained person. There are systems in place to organise the home taking into account the needs and wishes of the residents. Good quality systems are established and being developed. The health, safety and welfare of residents and staff are promoted or protected and the manager ensures safe working practices in the home in line with the company policies and procedures. Kings Cottage Residential Home Limited DS0000070119.V351484.R01.S.doc Version 5.2 Page 19 EVIDENCE: The residents and staff made positive comment about the changes in ownership, Registered Manager and staff team; they gave examples of the staff team taking time to listen and respond to any concerns they may have. The Registered Manager has obtained her Registered Managers Award and National Vocational Qualification in Care Level 4. Regular informal meetings had been held for residents, relatives and staff with variable attendance. Once a year questionnaires (last completed March 2007) are given to all residents and relatives and any issues addressed, it was discussed with the manager that publication of these results of the surveys may be helpful to residents, families and supporting professionals. Accidents are recorded effectively with accident analyses being completed by the Manager and actions taken as necessary. System testing had been undertaken and maintenance certificates were available. Fire Risk assessment and Portable appliance testing had been undertaken. Kings Cottage Residential Home Limited DS0000070119.V351484.R01.S.doc Version 5.2 Page 20 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 X 3 3 3 N/a HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 3 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 4 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X 3 X 3 X 3 3 Kings Cottage Residential Home Limited DS0000070119.V351484.R01.S.doc Version 5.2 Page 21 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. Standard Regulation Requirement Timescale for action RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. Refer to Standard Good Practice Recommendations Kings Cottage Residential Home Limited DS0000070119.V351484.R01.S.doc Version 5.2 Page 22 Commission for Social Care Inspection Cramlington Area Office Northumbria House Manor Walks Cramlington Northumberland NE23 6UR 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 Kings Cottage Residential Home Limited DS0000070119.V351484.R01.S.doc Version 5.2 Page 23 - 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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