Inspection on 18/12/06 for Kingsbridge Way

This inspection was carried out on 18th December 2006.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Good. 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 20/02/06

Kingsbridge Way 14/10/05

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 Key Unannounced Inspection 18th December 2006 10:00 Kingsbridge Way DS0000059705.V297297.R01.S.doc Version 5.2 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.V297297.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 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.V297297.R01.S.doc Version 5.2 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 Jacqueline Skinner Care Home 9 Category(ies) of Learning disability (9) registration, with number of places Kingsbridge Way DS0000059705.V297297.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 20th February 2006 Brief Description of the Service: Kingsbridge Way is a short breaks service for adults with a learning disability, operated by Nottingham 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. Two people job share the management of the service - Jacquie Skinner and Nicola Lindsay. The building is divided into two halves with each comprising of a lounge/diner with a kitchenette, individual rooms plus bathrooms and toilets. Service users are admitted to the home for both planned short breaks and emergency care. Kingsbridge Way is situated 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. Fees: The fees are individually assessed by service user’s social worker Kingsbridge Way DS0000059705.V297297.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was an unannounced inspection – so that no one at Kingsbridge Way knew that the inspection was going to take place. The inspection took approximately three hours through the middle of the day with one Inspector present. The method used to carry out the inspection was to send out a questionnaire, which asked questions about the service, to gather statistics, such as how many service users there are, the numbers of staff etc. This was followed with a visit to Kingsbridge Way, where a method called case tracking was used; this involved identifying three residents and looking at their individual files and making a judgement about the quality of care they are receiving, and if their needs are being met. This was done by a partial tour of Kingsbridge Way, looking at the activities on offer, and talking to staff. Unfortunately their was only one service users staying at Kingsbridge Way on the day of the inspection, and this service user had a profound learning disability and communication problems, which meant it was not possible to gain their views. Two members of staff were also spoken with to get their views on how service user’s needs are being met. What the service does well: Kingsbridge Way have an excellent information pack which make use of signs, symbols and pictures to tell service users about the service. There are lots of activities for service users to enjoy, this includes activities inside Kingsbridge Way and trips out as well. There is a very good communication book for letting relatives know what service users have been doing during their stay at Kingsbridge Way. The building is very well equipped and maintained, and makes for a very comfortable and homely environment. The staff are very friendly, and work hard to promote service users privacy and dignity. Kingsbridge Way DS0000059705.V297297.R01.S.doc Version 5.2 Page 6 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. Kingsbridge Way DS0000059705.V297297.R01.S.doc Version 5.2 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.V297297.R01.S.doc Version 5.2 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): 1&2 Quality in this outcome area is excellent; this judgement has been made using available evidence including a visit to this service and meeting with residents. Prospective service users at Kingsbridge Way have the information they need to make an informed choice about coming to stay there. Prospective service users at Kingsbridge Way have their individual aspirations and needs assessed. EVIDENCE: The Service User Guide and the Statement of Purpose were both seen, and found to be informative documents. The Statement of purpose contains all of the information that Care Homes Regulations say that it should. The Service User Guide is available with pictures and symbols and is presented in an easy to understand format, with a more detailed version for relatives. Three service user’s files were seen as part of the case tracking process. Each of these files contained an Extended Community Care Assessment completed by the service user’s social worker. The information contained within the assessments forms the basis on which further assessment work and the service user’s plan are developed. Kingsbridge Way DS0000059705.V297297.R01.S.doc Version 5.2 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): 67&9 Quality in this outcome area is good; this judgement has been made using available evidence including a visit to this service and meeting with residents. Service users know that their assessed and changing needs and personal goals are reflected in their individual plan of care at Kingsbridge Way. Service users make decisions about their lives with assistance if needed. Service users at Kingsbridge Way are supported to take risks as part of an independent lifestyle. EVIDENCE: Each of the three files seen on the day of the inspection contained a clear individual plan of care. As Kingsbridge Way is offering a short breaks service, the plans do tend to focus on health related matters and social activities, rather than the long term development of service users, as this would clearly be inappropriate. Kingsbridge Way hold regular service user meetings which are documented, and the minutes of recent meetings were seen, in addition there was evidence of service users being asked activities, and being involved in the decision about what to do, and where to go. During the inspection a conversation between Kingsbridge Way DS0000059705.V297297.R01.S.doc Version 5.2 Page 10 staff and a service user was observed, which followed exactly this scenario. Each of the three service user’s files also contained lists of choices and preferences, so that the staff would be better able to support the service users in their decision making processes. The service user’s files contained risk assessments, which identified risks in ‘the activities of daily living’, and health related matters. The risk assessments and the care plans, which went with them, demonstrated that the staff working at Kingsbridge Way were attempting to keep service users active and involved in the activities which they chose. Kingsbridge Way DS0000059705.V297297.R01.S.doc Version 5.2 Page 11 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 15 & 17 Quality in this outcome area is good; this judgement has been made using available evidence including a visit to this service and meeting with residents. Service users are able to take part in age, peer and culturally appropriate activities. Service users at Kingsbridge Way are part of the local community. Service users have appropriate personal, family and sexual relationships. Service users are offered a healthy diet, and enjoy their meals and mealtimes. EVIDENCE: The nature of the short breaks service is that many service users come to Kingsbridge Way for a holiday. There are many activities on offer within the building – a pool table, arts and craft, a Snoezlan (this is a sensory and relaxation therapy) room, plus a range of activities in-house and off site. During the inspection the one service user who was staying at Kingsbridge Way (others had left that morning, and three more were expected in the afternoon/evening) was off to the cinema to watch ‘Happy Feet.’ Kingsbridge Way staff have developed an activities feedback sheet for the service user’s relatives. This involves placing stickers onto a timetable, so that relatives can see what the service user has been doing during their stay at Kingsbridge Way. Kingsbridge Way DS0000059705.V297297.R01.S.doc Version 5.2 Page 12 Throughout the building there were many examples of art and craftwork made by service users. Every service user had been helped to make a calendar to take home, which involved photographs of activities that they had undertaken at Kingsbridge Way. As already identified a range of activities take place from Kingsbridge Way in the local community – trips to the cinema, discos, local parks etc. In addition Kingsbridge Way do use local shops and resources in the Chilwell area. The nature of the short breaks service is that service users are not long-term residents, and therefore maintaining family contact or appropriate personal relationships is not an issue. The daily menu is displayed within Kingsbridge Way, and service users are offered a choice. Meals are eaten in the comfortable lounge/diners, rather than in a central communal dining room. A range of records relating to the storage and delivery of food items were seen, and found to be in order and correct. The weekly menus were seen, and found to offer an interesting and balanced selection of meals for the service users. Kingsbridge Way DS0000059705.V297297.R01.S.doc Version 5.2 Page 13 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): 18 19 & 20 Quality in this outcome area is good; this judgement has been made using available evidence including a visit to this service and meeting with residents. Service users at Kingsbridge Way receive personal support in the way that they prefer. Service user’s physical and emotional health needs are met at Kingsbridge Way. Service users are protected by Kingsbridge Way’s policies and procedures for dealing with medication, although there is a potential problem when service users leave for home. EVIDENCE: The three service user’s files that were seen all identified preferences within the care plans around personal care. To ensure continuity there is a good communication system with relatives to ensure that individual service users preferences around personal care are identified and ‘usual routines’ are followed wherever possible. Each of the service user’s files contained care plans relating to the health needs of the service users. If there are any relevant health related issues, these are communicated to Kingsbridge Way by the relatives, and care plans are drawn up accordingly, where appropriate. Kingsbridge Way DS0000059705.V297297.R01.S.doc Version 5.2 Page 14 On the day of the inspection no service user was self-medicating, and staff said that this was actually very rare for a service user to attend Kingsbridge Way who was self-medicating, due to the profound nature of the learning disability that service users tended to have. Service users will bring their medication in with them, and the system for booking in medication was seen, together with storage and administration records, which were all found to be fine. One recommendation would be that when a service user goes home, particularly if they go home via the day centre, their medication should be handed on, and signed for by either a family member or day centre member of staff. Currently there is a loophole through which medication could potentially go missing. Kingsbridge Way DS0000059705.V297297.R01.S.doc Version 5.2 Page 15 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 Quality in this outcome area is good; this judgement has been made using available evidence including a visit to this service and meeting with residents. Service users at Kingsbridge Way feel their views are listened to and acted upon. Service users are protected from abuse, neglect and self-harm. EVIDENCE: Since the last key inspection Kingsbridge Way have received two complaints, both from neighbours. The records relating to those complaints show that they were both dealt with in line with the Kingsbridge Way complaints procedure. After every service user’s stay at Kingsbridge Way, staff will contact relatives to check that everything has gone well, and to provide feedback on the service user’s stay. A review of staff training records showed that there is an ongoing staff training programme in safeguarding adults, which will identify issues around abuse. This training is important because if staff are aware of the issues surrounding abuse, and the procedures in place to report and deal with abuse, then they will be better prepared for dealing with abuse if and when they encounter it. Two staff members were spoken with, and both said that they had received training in safeguarding adults. Kingsbridge Way DS0000059705.V297297.R01.S.doc Version 5.2 Page 16 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 Quality in this outcome area is excellent; this judgement has been made using available evidence including a visit to this service and meeting with residents. Service users at Kingsbridge Way live in a safe, homely and comfortable environment. Kingsbridge Way is clean and hygienic. EVIDENCE: Kingsbridge Way has been completely refurbished within the last five years. The fixtures and fittings within the building are to a high standard, and maintenance is provided by the council’s maintenance department. All bedrooms have en-suite toilet and bathing facilities, and there are additional rooms for arts, crafts and leisure pursuits, including a Snoezlan room (this is a sensory and relaxation therapy room, with soft music, and lighting, and other sensory equipment.) Throughout the inspection the building was found to be clean and odour free. Staff were seen to be hoovering and cleaning, and the appearance was of a clean, tidy, pleasant and comfortable building in which to be. Kingsbridge Way DS0000059705.V297297.R01.S.doc Version 5.2 Page 17 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): 32 34 35 & 36 Quality in this outcome area is good; this judgement has been made using available evidence including a visit to this service and meeting with residents. Service users are supported by competent and qualified staff. Service user’s rights are supported and protected by Kingsbridge Way’s recruitment policies and procedures. Service users at Kingsbridge Way have their individual and joint needs met by appropriately trained staff. Service users at Kingsbridge Way benefit from well supported and supervised staff. EVIDENCE: Staff training records show that there is an ongoing programme of training for all staff. Discussions with two staff members identified that they had undergone training that is relevant to their jobs, and that updates for this training is regularly available. A review of the staff training records showed that there is an ongoing programme of staff training in the National Vocational Qualification (NVQ). This is the industry standard within care for staff training. Of the two staff members spoken with, both were hoping to start the course in early 2007. Kingsbridge Way is owned, managed and operated by Nottingham City Council, all of their recruitment is managed centrally through the council’s Human Kingsbridge Way DS0000059705.V297297.R01.S.doc Version 5.2 Page 18 Resources department, and an appointment to visit and inspect staff records will be made in early 2007. The staff training records evidenced that there is a staff training programme in place, and that staff are being offered training relevant to their role, and personal development. Three staff files were seen and each contained details of training undertaken by the individual. The staff files also contained information relating to formal supervision, and showed that staff have a regular six weekly formal supervision session with a senior member of staff. Discussions with two members of staff confirmed that there is regular (approximately) six weekly staff supervision, and both staff members said they felt very well supported within their roles. Kingsbridge Way DS0000059705.V297297.R01.S.doc Version 5.2 Page 19 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): 37 39 & 42 Quality in this outcome area is good; this judgement has been made using available evidence including a visit to this service and meeting with residents. Service users at Kingsbridge Way benefit from a well run home. Service users are confident their views underpin all self-monitoring, review and development by Kingsbridge Way. The health, safety and welfare of service users and staff at Kingsbridge Way are promoted and protected. EVIDENCE: Kingsbridge Way is managed by two managers who job share. This arrangement has been in place for a number of years, and all indications are that it works very well. Both managers are suitably qualified and experienced and have been through the Commission for Social Care inspection’s registration process. Kingsbridge Way holds service user meetings approximately once every two months, and the minutes of past meetings were seen. The nature of the Kingsbridge Way DS0000059705.V297297.R01.S.doc Version 5.2 Page 20 service, with service users coming for short breaks means that the service users in residence changes on a daily or weekly basis. Therefore staff tend to talk to service users on an individual basis rather than on a group basis. Feedback forms for the relatives are sent home with every service user after their stay, and this is reinforced with a telephone call. A range of health & safety records were seen including those relating to fire and the Control of Substances Hazardous to Health (COSHH) these were all found to be correct and complete. At the last inspection two recommendations were made – one relating to the recording of refrigerator temperatures, and the other relating to the recording of bath temperatures. The first recommendation has been met, however the second has not. It is not necessary to record bath temperatures, although this is seen as good practice. However if the necessary paperwork – charts etc are in place to record this information, then they should be used. Kingsbridge Way DS0000059705.V297297.R01.S.doc Version 5.2 Page 21 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 Standard No Score 1 4 2 4 3 X 4 X 5 X INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 3 23 3 ENVIRONMENT Standard No Score 24 4 25 X 26 X 27 X 28 X 29 X 30 4 STAFFING Standard No Score 31 X 32 3 33 X 34 3 35 3 36 3 CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 3 3 X 3 X LIFESTYLES Standard No Score 11 X 12 4 13 3 14 X 15 3 16 X 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 2 X 3 X 3 X X 2 X Kingsbridge Way DS0000059705.V297297.R01.S.doc Version 5.2 Page 22 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. 1. Refer to Standard YA20 Good Practice Recommendations The Registered person should consider that when a service user goes home, particularly if they go home via the day centre, their medication should be handed on, and signed for by either a family member or day centre member of staff. Currently this does not happen and medication could potentially go missing. The Registered person should ensure that bath temperature records if kept, are complete and up to date. 2. YA42 Kingsbridge Way DS0000059705.V297297.R01.S.doc Version 5.2 Page 23 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. Extracts may not be used or reproduced without the express permission of CSCI Kingsbridge Way DS0000059705.V297297.R01.S.doc Version 5.2 Page 24 - 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. 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