Inspection on 05/10/05 for Kings House
Also see our care home review for Kings House for more information
This inspection was carried out on 5th October 2005.
CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Adequate. 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 found no outstanding requirements from the previous inspection report, but made 3 statutory requirements (actions the home must comply with) as a result of this inspection.
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
Kings House is a specialist service for men and women with mental health problems. There are currently 18 residents and of those spoken to one had lived in the home for 18 years, "because she was very happy there" and another was nearing the end of a 6 week assessment period. Both described being pleased with the care they received identifying competent, caring staff who had a good awareness of their needs. Accommodation mainly comprises of shared rooms however there is the opportunity for independent living in selfcontained accommodation. Premises are comfortable and well equipped with two communal rooms, conservatory, summerhouse and attractive rear garden. Records and discussion with service users demonstrated that they are encouraged to make decisions about their lives. A service user informed the inspector that she made long distance trips to see her children; another had been supported on a holiday to Spain. One service user described the range of mental health day services he used. Residents are assisted to maintain as much independence as possible and are encouraged to maintain contact with their families and local community. Support at the home is offered in a way that promotes service users` privacy dignity and independence. One service user retains their own medication which promotes a feeling of trust and responsibility. Whilst others, the deputy manager stated, were strongly encouraged to pursue individual activities. For example swimming, which one resident particularly enjoyed and which created a feeling of well-being. Posters and notices around the home demonstrated that residents were encouraged to join in appropriate activities and social events. A Halloween party was one such forthcoming event. Generally the quality of life presents as very good with a variety of recreational and social activities and home cooked meals. The home is well run by experienced staff and the atmosphere is a positive one. Comprehensive systems are in place to offer quality care to service users and this is reflected in the wide-ranging policies and practice.
What has improved since the last inspection?
Since the last inspection all training cascaded to staff within the home is undertaken by those qualified to do so. Certificates were seen and validated by the inspectors.
What the care home could do better:
Inspection of the residents individual portfolios revealed that whilst there was an initial risk assessment in place the risk assessment in files inspected was not updated to incorporate physical and mental changes. The potential risk of harm both to self and others had not been clearly documented and advice on how the threat of harm might be minimised was not included. In order to ensure the safety of all service users these must now be completed, be held on residents files and be available to all staff. Kings house has a comprehensive system for risk assessing all hazardous chemicals however; new products had not been included. Similarly cleaning materials are held in communal areas for the benefit of service users but had not been subject of risk assessment. In order to promote and safeguard the health, safety and welfare of service users, health and safety practices must be adhered to at all times. A new boiler has resulted in erratic radiator temperatures and some were extremely hot. In order to maximise service user safety this must be addressed within the identified timescale. Kings House is moving towards promoting and developing individual activity plans for service users. The emphasis is on a more person centred approach and the aim is to encourage independent decision making. The inspectors welcomed this development which promotes greater social inclusion and access to a range of culturally appropriate activities. As residents increase in age this affects their mobility and ability to negotiate steps and raised areas. It is suggested that a full Occupational Therapy assessment be undertaken to ensure the safety of older residents.