Inspection on 14/10/05 for Kingsbridge Way

This inspection was carried out on 14th October 2005.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Excellent. 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

Kingsbridge Way 18/12/06

Kingsbridge Way 20/02/06

Kingsbridge Way 26/10/04

Kingsbridge Way 28/06/04

Similar services:

Hillside

Applegarth

122 Scorer Street

Jubilee Villa Care Home

Thornham Grove

Beech Lodge

8 Thorndale Road (Homefield College)

Hunter`s Lodge

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

CARE HOME ADULTS 18-65 Kingsbridge Way 9a, Kingsbridge Way Chilwell Nottingham NG9 3LW Lead Inspector Rob Cooper Unannounced Inspection 14th October 2005 10:00 Kingsbridge Way DS0000059705.V258901.R01.S.doc Version 5.0 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 Kingsbridge Way DS0000059705.V258901.R01.S.doc Version 5.0 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 Adults 18-65. 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. Kingsbridge Way DS0000059705.V258901.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service Kingsbridge Way Address 9a, Kingsbridge Way Chilwell Nottingham NG9 3LW 0115 982 3823 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) Nottinghamshire County Council Nicola Jayne Lindsay Care Home 9 Category(ies) of Learning disability (9) registration, with number of places Kingsbridge Way DS0000059705.V258901.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 28th June 2004 Brief Description of the Service: Kingsbridge Way is a short breaks service for adults with a learning disability, operated by the County Council. The service is situated in the Chilwell area of Nottingham, and is located in a single storey building, which has been adapted to provide accommodation for up to nine people, who may have additional physical needs. The service is managed by two people who job share: Nicola Lindsay and Janet Wheatley. The building is divided into two halves with each comprising of a lounge/diner with a kitchenette, individual rooms and bathrooms and toilets. In the centre of the building there is office and reception space, and a large activities area, a meeting room, and a catering kitchen. Service Users are admitted to the home for both planned short breaks and emergency care. Kingsbridge Way is positioned in a residential suburb close to Nottingham; Beeston town centre is a short drive away providing banks, pedestrian shopping, bars and restaurants. There is a small convenience shop a short walk away. Kingsbridge Way DS0000059705.V258901.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The Inspection lasted approximately four hours through the middle of the day, with one Inspector present. The methodology used was to visually inspect the premises, speak with two service users about their experiences of staying at Kingsbridge Way, talk with two relatives of people who use the service. Talk with five members of staff about their views of working here, and to case track three individual service users. Case tracking involves looking at a range of care records, and making a judgement about whether the care those individuals receive, is the care they need. On the day of the Inspection Nicola Lindsay joint manager was on duty, and facilitated the Inspection. Kingsbridge Way was found to offer a good service to it’s local community, with a committed, focussed and experienced staff team. What the service does well: What has improved since the last inspection? What they could do better: Kingsbridge Way DS0000059705.V258901.R01.S.doc Version 5.0 Page 6 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. Kingsbridge Way DS0000059705.V258901.R01.S.doc Version 5.0 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–5) Individual Needs and Choices (Standards 6-10) Lifestyle (Standards 11-17) Personal and Healthcare Support (Standards 18-21) Concerns, Complaints and Protection (Standards 22-23) Environment (Standards 24-30) Staffing (Standards 31-36) Conduct and Management of the Home (Standards 37 – 43) Scoring of Outcomes Statutory Requirements Identified During the Inspection Kingsbridge Way DS0000059705.V258901.R01.S.doc Version 5.0 Page 8 Choice of Home The intended outcomes for Standards 1 – 5 are: 1. 2. 3. 4. 5. Prospective service users have the information they need to make an informed choice about where to live. Prospective users’ individual aspirations and needs are assessed. Prospective service users know that the home that they will choose will meet their needs and aspirations. Prospective service users have an opportunity to visit and to “test drive” the home. Each service user has an individual written contract or statement of terms and conditions with the home. The Commission consider Standard 2 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 134&5 Prospective service users would have the information they need to make an informed choice about living at Kingsbridge Way for a short break, and they would know that the service could meet their needs. Introductory visits form part of Kingsbridge Way’s admission policy and procedure. Every person using the service has a written contract. EVIDENCE: The Statement of Purpose and Service User Guide for Kingsbridge Way were both seen, and both contained all of the information required in Care Homes Regulations 4 & 5 and Schedule 1. The parents of two people who use the service were spoken with, and it was clear that both people were well aware of what the service has to offer their relatives. Both parents said that Kingsbridge Way had improved considerably since it had been refitted, and refurbished two years ago, with one parent saying: “It’s 90 better now.” The Service User Guide clearly outlines what the service has to offer. New users of the service are invited to visit for a look round, and stay for tea. This was confirmed by the relatives, the staff, and records held at Kingsbridge Way. Three service users files were seen, and these all had copies of terms and conditions of residence within. Kingsbridge Way DS0000059705.V258901.R01.S.doc Version 5.0 Page 9 Individual Needs and Choices The intended outcomes for Standards 6 – 10 are: 6. 7. 8. 9. 10. Service users know their assessed and changing needs and personal goals are reflected in their individual Plan. Service users make decisions about their lives with assistance as needed. Service users are consulted on, and participate in, all aspects of life in the home. Service users are supported to take risks as part of an independent lifestyle. Service users know that information about them is handled appropriately, and that their confidences are kept. The Commission considers Standards 6, 7 and 9 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 9 & 10 Risk taking is part of the lifestyle at Kingsbridge Way. Information held at Kingsbridge Way is stored securely, and confidences are kept. EVIDENCE: The three service user files that were seen all contained risk assessments. The staff members, who were spoken with, talked about the type of risks that service users would undertake, and this was evidenced in the service users files. Both parents talked about risk taking for their relatives, and described some of the types of risks they undertook. All records, files and information was seen to be stored securely in the office areas, under lock and key. Kingsbridge Way DS0000059705.V258901.R01.S.doc Version 5.0 Page 10 Lifestyle The intended outcomes for Standards 11 - 17 are: 11. 12. 13. 14. 15. 16. 17. Service users have opportunities for personal development. Service users are able to take part in age, peer and culturally appropriate activities. Service users are part of the local community. Service users engage in appropriate leisure activities. Service users have appropriate personal, family and sexual relationships. Service users’ rights are respected and responsibilities recognised in their daily lives. Service users are offered a healthy diet and enjoy their meals and mealtimes. The Commission considers Standards 12, 13, 15, 16 and 17 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 12 13 14 15 & 17 Kingsbridge Way has a range of activities available to service users both inhouse, and facilitating off-site activities as well. Service users are encouraged to take part in local community activities and appropriate leisure activities. Service users at Kingsbridge Way do have appropriate family relationships. Mealtimes, and choice of meals do mean that service users are offered a healthy diet. EVIDENCE: One service user who comes into Kingsbridge Way is a Season ticket holder at Nottingham Forest FC. His mother said that if he is in Kingsbridge Way when a match is on, arrangements are made for him to be picked up from there, and taken to the game, and brought back afterwards. The staff at Kingsbridge Way ensure he has everything he needs, and his mealtimes are adjusted accordingly. Another parent said that her son accesses the local Gateway Club when he is staying at Kingsbridge Way, and that there are often organised activities that he takes part in. The only criticism voiced by the parents was the lack of transport at Kingsbridge Way. A minibus or a car would really enhance the service on offer. During the Inspection there was a great deal of Kingsbridge Way DS0000059705.V258901.R01.S.doc Version 5.0 Page 11 artwork on display that had been produced by the service users this included: paintings, fridge magnets, masks and key rings. There was a well-stocked activity cupboard containing games and art materials, as well as a ‘Snoezlan’ – relaxation and sensory room. The Snoezlan room contained a mobile unit, so that it could be taken out, to a service user’s bedroom or a lounge area if a particular service user experienced difficulty for any reason in accessing the Snoezlan room. Both parents said that visiting while their sons were in residence was not a problem, although they tended not to, as this was an opportunity for everyone to ‘chill out.’ Communication between Kingsbridge Way and families is very good, with a newsletter (copies were seen during the Inspection) and a relatives meeting approximately once every three months, again minutes of these meetings were seen during the Inspection, and there is a Development Group too, which has relatives involved and participating in looking at issues relating to the service. The menu was seen, and two service users said that they liked the food. Previously a service user had stayed who had special dietary needs, and halal meat had been purchased to meet their specific needs. In the kitchenette there were flash cards for food and drink, so that service users who had communication difficulties could make choices. All of the records in the kitchen were found to be as required, up to date, and complete. There was clear evidence of fresh fruit and vegetables being brought in on a regular basis. One of the parents said: “His (her son’s) dietary needs are well met, and they do nice packed lunches” while another said: “He never comes home hungry”. The service user, who was spoken with, had just returned from a shopping expedition into Beeston, as part of his organised daytime activity. Kingsbridge Way DS0000059705.V258901.R01.S.doc Version 5.0 Page 12 Personal and Healthcare Support The intended outcomes for Standards 18 - 21 are: 18. 19. 20. 21. Service users receive personal support in the way they prefer and require. Service users’ physical and emotional health needs are met. Service users retain, administer and control their own medication where appropriate, and are protected by the home’s policies and procedures for dealing with medicines. The ageing, illness and death of a service user are handled with respect and as the individual would wish. The Commission considers Standards 18, 19, and 20 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 19 & 20 Service users health and emotional needs are met at Kingsbridge Way. There is a safe and secure policy and procedure for administering medication. EVIDENCE: Service users files contained details of healthcare needs and these were well documented. One of the relatives said that there was an annual care plan review, a medication review, which was really positive, and that the staff are also working on the Communication Plan too. The same parent said that there had been a problem with her relative’s medication, and staff from Kingsbridge Way had attended the GP with her, to help sort out the problem. The medication storage and Medication Administration Record sheets (MAR’s) were seen, and all were found to be correct, when a service user arrives for a short break, their photograph is taken with a digital camera, and a copy of the photograph is attached to their medication record sheet, to ensure there is no confusion over who the medication is for. With Kingsbridge Way being a short breaks service, there was clear evidence in service users files of good communication between home and the staff around medication issues. Kingsbridge Way DS0000059705.V258901.R01.S.doc Version 5.0 Page 13 Concerns, Complaints and Protection The intended outcomes for Standards 22 – 23 are: 22. 23. Service users feel their views are listened to and acted on. Service users are protected from abuse, neglect and self-harm. The Commission considers Standards 22, and 23 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 22 & 23 Service users and their families feel that their views are listened to, and acted upon. Service users are protected from abuse, neglect and self-harm. EVIDENCE: Kingsbridge Way hold monthly service user meetings, and the minutes from these meetings were seen during the Inspection. In addition as all ready reported there is a relatives meeting approximately every three months, where relatives are able to raise issues, and concerns. Kingsbridge Way has a complaints procedure, and this was prominently displayed at several points around the building, including a version in signs and symbols. Both relatives who were spoken with said that they knew how to complain, whom to complain to, and that they were confident that their complaint would be taken seriously and acted upon. Records showed that the last recorded complaint was in July 2004, and that this complaint was dealt with in line with the complaints procedure. Three members of staff were spoken with, and they were able to describe the Protection of Vulnerable Adults Procedure (POVA). In addition two said they had undertaken abuse training, while the third was waiting for a suitable course, this was also evidenced in the staff training records. Kingsbridge Way DS0000059705.V258901.R01.S.doc Version 5.0 Page 14 Environment The intended outcomes for Standards 24 – 30 are: 24. 25. 26. 27. 28. 29. 30. Service users live in a homely, comfortable and safe environment. Service users’ bedrooms suit their needs and lifestyles. Service users’ bedrooms promote their independence. Service users’ toilets and bathrooms provide sufficient privacy and meet their individual needs. Shared spaces complement and supplement service users’ individual rooms. Service users have the specialist equipment they require to maximise their independence. The home is clean and hygienic. The Commission considers Standards 24, and 30 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 24 & 30 Kingsbridge Way is homely, comfortable and safe, and it is clean and hygienic. EVIDENCE: There was a great deal of evidence that suggested Kingsbridge Way was a ‘home.’ There is artwork on the walls, soft furnishings, and many ‘little touches’ such as vases and flowers. All of the bedrooms are en-suite with five having a shower and toilet, and four with just a toilet . Colour schemes are complimentary and the overall appearance is of a welcoming environment. Repairs are carried out through the Council’s maintenance department, and repair logs were seen during the Inspection. There were no obvious environmental hazards observed during the Inspection. There is a smallenclosed garden, laid mainly to lawn at the rear of the property, and this contained a number of outdoor games and activities. Throughout the property it presented as clean, fresh and tidy. Cleaning schedules were seen, and the procedure for preparing a room for a new service user, was discussed and explained by the staff. Kingsbridge Way DS0000059705.V258901.R01.S.doc Version 5.0 Page 15 Staffing The intended outcomes for Standards 31 – 36 are: 31. 32. 33. 34. 35. 36. Service users benefit from clarity of staff roles and responsibilities. Service users are supported by competent and qualified staff. Service users are supported by an effective staff team. Service users are supported and protected by the home’s recruitment policy and practices. Service users’ individual and joint needs are met by appropriately trained staff. Service users benefit from well supported and supervised staff. The Commission considers Standards 32, 34 and 35 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 31 32 & 36 Staff working at Kingsbridge Way have clearly defined roles, and responsibilities. The staff team have an adequate skill mix to meet the needs of the service users. The staff team are well supported and supervised. EVIDENCE: The staffing at Kingsbridge Way is a partnership between staff employed by the County Council and staff employed by the Health Authority. One relative said that there had been a vast improvement in the service since the Health Authority had been involved, as this meant greater continuity, and greater confidence that her relative’s health needs would be adequately met. There are three qualified nurses offering a service at Kingsbridge Way, and one of them said that between them they arrange and deliver all health care training, around subjects such as epilepsy and tube feeding. The staff rota was seen, and this showed that staffing levels were adequate to meet the needs of the service users. One relative did comment: “they would like to see more staff” and “more men (male staff) would be good.” Additionally another relative said: “The staff seem happy and well settled which leads to a good service.” Staff training records were seen, and there is an ongoing staff-training programme, which is designed to meet the service users, needs. Three members of staff were spoken with regarding formal supervision, and each member of staff said they received adequate support and formal supervision with an identified supervisor on a regular basis. Formal supervision records were observed in Kingsbridge Way DS0000059705.V258901.R01.S.doc Version 5.0 Page 16 staff files, and this evidenced that the staff were receiving regular formal support. Kingsbridge Way DS0000059705.V258901.R01.S.doc Version 5.0 Page 17 Conduct and Management of the Home The intended outcomes for Standards 37 – 43 are: 37. 38. 39. 40. 41. 42. 43. Service users benefit from a well run home. Service users benefit from the ethos, leadership and management approach of the home. Service users are confident their views underpin all self-monitoring, review and development by the home. Service users’ rights and best interests are safeguarded by the home’s policies and procedures. 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 are promoted and protected. Service users benefit from competent and accountable management of the service. The Commission considers Standards 37, 39, and 42 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 39 & 42 Service users are confident that their views underpin the review and development of the service. The service users are protected by regular and thorough health & safety checks. EVIDENCE: There is a weekly service users meeting, where issues can be raised, and suggestions made. In addition at the end of each short break a monitoring and comment form is sent home with the service user. Both relatives said that they always complete these forms and return them, and that there was evidence that their comments had been acted upon. A range of health & safety records were seen, and these were all found to be in order. Staff training records showed that a variety of different of health & safety training was offered, covering topics such as: fire, moving and handling and Control of Substances Hazardous to Health (COSHH) Kingsbridge Way DS0000059705.V258901.R01.S.doc Version 5.0 Page 18 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Adults 18-65 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 CONCERNS AND COMPLAINTS Standard No 1 2 3 4 5 Score 3 X 3 3 3 Standard No 22 23 Score 4 3 ENVIRONMENT INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score X X X 3 3 Standard No 24 25 26 27 28 29 30 STAFFING Score 3 X X X X X 3 LIFESTYLES Standard No Score 11 X 12 4 13 4 14 4 15 3 16 X 17 Standard No 31 32 33 34 35 36 Score 4 3 X X X 3 CONDUCT AND MANAGEMENT OF THE HOME 4 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Kingsbridge Way Score X 3 4 X Standard No 37 38 39 40 41 42 43 Score X X 4 X X 3 X DS0000059705.V258901.R01.S.doc Version 5.0 Page 19 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 Kingsbridge Way DS0000059705.V258901.R01.S.doc Version 5.0 Page 20 Commission for Social Care Inspection Nottingham Area Office Edgeley House Riverside Business Park Tottle Road Nottingham NG2 1RT National Enquiry Line: 0845 015 0120 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. 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