Inspection on 20/02/06 for Kingsbridge Way

This inspection was carried out on 20th February 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 18/12/06

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 & Rehana Rashid Unannounced Inspection 20th February 2006 10:00 Kingsbridge Way DS0000059705.V282486.R01.S.doc Version 5.1 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.V282486.R01.S.doc Version 5.1 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.V282486.R01.S.doc Version 5.1 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.V282486.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 14th October 2005 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. Kingsbridge Way DS0000059705.V282486.R01.S.doc Version 5.1 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The Inspection lasted approximately three and a half hours, through the middle of the day with two Inspectors present. The methodology used was to visually inspect the premises, talk with three service users about their experiences of staying at Kingsbridge Way, talk with two relatives of people who use the service, and talk to four members of staff. Three service users were ‘case tracked’ which involved looking at a range of care records and making a judgement about the quality of service those three individuals receive from Kingsbridge Way. On the day of the Inspection both of the (job share) Managers were off duty, so a Senior Team Leader facilitated the Inspection. What the service does well: 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.V282486.R01.S.doc Version 5.1 Page 6 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.V282486.R01.S.doc Version 5.1 Page 7 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): 2 Prospective service users individual needs and aspirations are assessed. EVIDENCE: Three service users files were seen; these all contained an Extended Community Care Assessment, and a range of other assessment tools and information. Recording within documents was very thorough and complete. Kingsbridge Way DS0000059705.V282486.R01.S.doc Version 5.1 Page 8 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&8 Service users know that their assessed and changing needs are reflected within their individual plan. Service users at Kingsbridge Way do make decisions about their lives. Service users are consulted on, and participate in all aspects of life at Kingsbridge Way. EVIDENCE: As a matter of course service user’s families will be contacted prior to their short breaks stay, to ascertain if there have been any significant changes since the service user last stayed at Kingsbridge Way. Documentation with care plans reflected this, and information was collected and recorded. The nature of Kingsbridge Way is that it is a short breaks service, with many service users and their families seeing the service offered as a ‘holiday home.’ As a result service users are ‘transitional’ and major decision-making does not usually enter into the equation. There are regular service user meetings, where service users are able to influence decisions around activities and menus, and the minutes of these meetings were seen – with the last meeting recorded as being on 27th January. Consultation also takes place during the service user meetings, but more over service users are consulted on a daily basis. During the Inspection three service users were seen being consulted about activities and a choice of having lunch out. Kingsbridge Way DS0000059705.V282486.R01.S.doc Version 5.1 Page 9 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): 16 Service users at Kingsbridge Way do have their rights respected and their responsibilities recognised in their daily lives. EVIDENCE: All three service users files that were seen contained evidence of service user’s rights being acknowledged and respected, and during the Inspection staff were seen talking to service users about their responsibilities in relation to other service users. Kingsbridge Way DS0000059705.V282486.R01.S.doc Version 5.1 Page 10 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 & 21 Service users at Kingsbridge Way do receive personal support in the way that prefer and require. Service user’s illness is handled with respect and as the individual would wish. EVIDENCE: Service users at Kingsbridge Way have their personal support well documented within their care plans. The changing nature of the residents at Kingsbridge Way, means that staff need to get to know people quite quickly, and as a result the information recorded within the files is very thorough, and quite specific in it’s nature – so as to pass on information to other members of staff. Health issues – are discussed with service users families before the service users come to stay, and emergency contact numbers are always available. NHS direct is used for advice, although if a service user were to become seriously ill, the family would be contacted. Similarly if a service user were to die, the family would be contacted to make the necessary arrangements. Kingsbridge Way DS0000059705.V282486.R01.S.doc Version 5.1 Page 11 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 Service users at Kingsbridge Way do feel that their views are listened to and acted upon. EVIDENCE: The minutes of the service user meetings were seen, and these showed that service users were making their views known, and the minutes reflected that the points raised and been heard, and in many cases were acted upon. Kingsbridge Way does use a monitoring tool, where information is gathered from service users and their families after a stay at the service. Copies of the monitoring tool and the information gathered were seen within service users files. Kingsbridge Way DS0000059705.V282486.R01.S.doc Version 5.1 Page 12 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): 25 26 27 28 & 29 Bedrooms at Kingsbridge Way suit service users needs and lifestyles, while promoting independence. Service users bathrooms and toilets do provide sufficient privacy, and do meet individual needs. Shared spaces do compliment the service user’s individual rooms. There is a range of specialist equipment to maximise service users independence. EVIDENCE: A number of service users bedrooms were seen; all of the bedrooms have ensuite facilities, four having a shower in addition to a toilet, while the other four just have a toilet and sink. The bedrooms were well furnished, and tastefully decorated. The bedrooms have all of the basic requirements from a furniture point of view – bed, table, chairs wardrobe, and chest of drawers, with good quality furniture. One bedroom was seen to have an electric tilting bed. The en-suite facilities do help to promote service users independence. In addition to the en-suite facilities there are a number of communal bathing facilities with a Malibu bath, which also had pictorial instructions for use – A Malibu is a bath, which can be raised or lowered to allow the care staff to have easier access when assisting a service user to bathe. The communal rooms were found to be very comfortable and well furnished. During the Inspection there were a number of different activities being organised in the lounge areas for the Kingsbridge Way DS0000059705.V282486.R01.S.doc Version 5.1 Page 13 service users. Kingsbridge Way is very well equipped with specialist equipment designed to maximise independence. In addition to the electric beds, and the specialist baths and showers, there are bars and grab rails around the toilets, and an electric standing frame. Kingsbridge Way DS0000059705.V282486.R01.S.doc Version 5.1 Page 14 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): 33 An effective team supports Service users at Kingsbridge Way. EVIDENCE: The staffing rota was seen, and staffing structure was discussed with staff. There is a clear structure, and clarity of roles, which points to it being an effective team. On the day of the Inspection both managers of the service were off duty, however the service continued to operate at a more than acceptable level, and the senior who provided the bulk of the information, clearly had a good grasp of the essentials of how Kingsbridge Way operates. Kingsbridge Way DS0000059705.V282486.R01.S.doc Version 5.1 Page 15 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): 40 & 42 Service users rights and best interests at Kingsbridge Way are safeguarded by the policies and procedures in place. The health, safety and welfare of service users is not always protected. EVIDENCE: Kingsbridge Way has a wide range of policies and procedures covering all aspects of its operation. Sample policies were seen, and these were current and up to date. Records of refrigerator temperatures in the kitchenettes showed a number of gaps. This was explained as – temperatures are not recorded if there are no service users in residence on that particular day. Refrigerator temperatures should be taken and recorded every day, irrespective of whether there are any service users actually staying. In one of the bathrooms there was a chart for recording bath water temperatures. The last entry on this chart was 9th December 2005. It is recommended that if records are going to be kept, they should be complete and up to date. Kingsbridge Way DS0000059705.V282486.R01.S.doc Version 5.1 Page 16 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 X 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 X ENVIRONMENT Standard No Score 24 X 25 3 26 4 27 4 28 3 29 4 30 X STAFFING Standard No Score 31 X 32 X 33 4 34 X 35 X 36 X CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 4 3 4 X X LIFESTYLES Standard No Score 11 X 12 X 13 X 14 X 15 X 16 3 17 X PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 X X 3 X X X 3 X 2 X Kingsbridge Way DS0000059705.V282486.R01.S.doc Version 5.1 Page 17 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 2 Refer to Standard YA42 YA42 Good Practice Recommendations The Registered person should ensure that refrigerator temperature recordings are taken and recorded even if there are no service users in residence. The Registered person should ensure that bath temperature records if kept, are complete and up to date. Kingsbridge Way DS0000059705.V282486.R01.S.doc Version 5.1 Page 18 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.V282486.R01.S.doc Version 5.1 Page 19 - 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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