Inspecting for better lives Random inspection report
Care homes for older people
Name: Address: Kings Lodge 50 North End Higham Ferrers Northants NN10 8JB The quality rating for this care home is: The rating was made on: two star good service A quality rating is our assessment of how well a care home, agency or scheme is meeting the needs of the people who use it. We give a quality rating following a full assessment of the service. We call this a ‘key’ inspection. This is a report of a random inspection of this care home. A random inspection is a short, focussed inspection. Details of how to get other inspection reports for this care home, including the last key inspection report, can be found on the last page of this report. Lead inspector: Judith Roan Date: 2 9 0 9 2 0 0 8 Information about the care home
Name of care home: Address: Kings Lodge 50 North End Higham Ferrers Northants NN10 8JB 01933315321 01992710401 info@windmillbanks.com Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Type of registration: Number of places registered: Mr Claude Fonseka,Mrs Viola Fonseka care home 21 Conditions of registration: Category(ies) : Number of places (if applicable): Under 65 dementia learning disability 0 1 Over 65 21 0 Conditions of registration: No person within the category DE(E) can be admitted where there are already 21 persons of category DE(E) already in the home. A named service user within the category of LD may be admitted to the home for a period of not more than 6 weeks. Date of last inspection Brief description of the care home Kings Lodge provides personal care and support for up to 21 people over the age of 65 years who have a dementia related condition. The home is situated on the outskirts of Higham Ferrers, with public transport links to neighbouring towns. The home is a conversion of a large residential property, with 2 larger communal lounges and 2 smaller sitting rooms. Bedrooms are located on the ground and first floors and a shaft lift provides access to the first floor. There is a garden at the rear of the property, Care Homes for Older People Page 2 of 8 which contains an aviary. The home has been in the hands of the current owners since 2004. Care Homes for Older People Page 3 of 8 What we found:
The reason for this inspection was a concern raised by an anonymous complainant as follows: That a resident is at risk of falls. There are no risk assessments completed in respect of this resident. The resident requires 1-1 support but there are only three staff. They consider that management are not doing enough to support. Carers have been advised to lock the resident in their room. That medication is not being signed for and that medication is missing. Cook has no qualifications and the food is not edible. People who use the service are not happy. People using the service are covered in bruises. Not enough staff. We met with the acting Manager who was willing and co-operative with the investigation. Three staff and the acting manager were on duty for sixteen resident. One carer was in the kitchen cooking the mid-day meal. One resident was case tracked to review the care plan, supporting risk assessments and medication administration records. In reviewing the care plan and in discussion with staff it was evident that the needs of the person being case tracked were being met by the staff team. The individual was however in need of a healthcare assessment to investigate if there was an underlying physical need for the falls and to review their present medication. The doctor was addressing this but there was a delay in obtaining specialist healthcare support. In reviewing the medication records it was evident that there had been many changes to the medication for the resident being case tracked. Not all of these changes had written confirmation from the doctor, with staff relying verbal directions. This practice is unsafe. In discussion with the acting manager they informed the inspector that they were reviewing how the medication was ordered, stored and administered. They were considering a move from a monitored dosage system to having individual medication in their original containers. One carer was undertaking the role of cook at the time of the inspection and this was reducing the number of staff available for direct care. In discussion with staff it was evident that there had been issues with an untrained member of staff at weekends but this was being addressed. In reviewing healthcare needs it was evident that the resident was being referred appropriately for healthcare support, however this was not always conveyed adequately to families and staff. This was creating poor communication and raising anxieties. Risk assessments had been completed for the individual being case tracked and additional staff had been brought in to maintain observation during the day. It was observed during the inspection that even this did not prevent all falls. The relative of the resident was distressed about the falls and felt that the system was failing their relative. Care Homes for Older People Page 4 of 8 The position of cook is vacant at present and temporary cover was in operation. This was short term and a new member of staff was due to commence their duties. In the meantime carers are performing these duties. The meal provided during the inspection was presented well and looked appetising. Residents had no complaints. The complainant was concerned that the resident being case tracked was being restrained by locking their bedroom door at night. The complainant was not willing to make a formal witness statement. In discussion with staff on duty during the inspection no further evidence was found to support this part of the complaint. What the care home does well: What they could do better: If you want to know what action the person responsible for this care home is taking following this report, you can contact them using the details set out on page 2. Care Homes for Older People Page 5 of 8 Are there any outstanding requirements from the last inspection? Yes £ No R Outstanding statutory requirements These requirements were set at the last inspection. They may not have been looked at during this inspection, as a random inspection is short and focussed. The registered person must take the necessary action to comply with these requirements within the timescales set.
No. Standard Regulation Requirement Timescale for action Care Homes for Older People Page 6 of 8 Requirements and recommendations from this inspection
Immediate requirements: These are immediate requirements that were set on the day we visited this care home. The registered person had to meet these within 48 hours.
No. Standard Regulation Requirement Timescale for action Statutory requirements These requirements set out what the registered person must do to meet the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The registered person(s) must do this within the timescales we have set.
No. Standard Regulation Requirement Timescale for action 1 9 13 That the recording, handling, 31/12/2008 safekeeping, safe administration and disposal of medicines is maintained at the home. This is to ensure the protection and well being of people using the service Recommendations These recommendations are taken from the best practice described in the National Minimum Standards and the registered person(s) should consider them as a way of improving their service.
No. Refer to Standard Good Practice Recommendations 1 27 That the staffing numbers and skill mix are appropriate to the assessed needs of people using the service. Care Homes for Older People Page 7 of 8 Reader Information
Document Purpose: Author: Audience: Further copies from: Inspection Report CSCI General Public 0870 240 7535 (telephone order line) Our duty to regulate social care services is set out in the Care Standards Act 2000. Copies of the National Minimum Standards –Care Homes for Older People can be found at www.dh.gov.uk or got from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering from the Stationery Office is also available: www.tso.co.uk/bookshop Helpline: 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 We want people to be able to access this information. If you would like a summary in a different format or language please contact our helpline or go to our website. Copyright © (2008) Commission for Social Care Inspection (CSCI). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CSCI copyright, with the title and date of publication of the document specified. Care Homes for Older People Page 8 of 8 - 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!
