Inspection on 29/07/05 for Kingsbury House

This inspection was carried out on 29th July 2005.

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 found there to be outstanding requirements from the previous inspection report but made no statutory requirements on the home.

Other inspections for this house

Kingsbury House 04/08/09

Kingsbury House 27/11/08

Kingsbury House 24/07/08

Kingsbury House 04/03/08

Kingsbury House 19/12/06

Kingsbury House 03/11/05

Kingsbury House 09/02/05

Kingsbury House 27/09/04

Kingsbury House 18/02/04

Similar services:

Turret Villa Retirement Home

Moor House

Mendip House

Beaconsfield Court Care Home

Little Sisters Of The Poor

Manor House

Middleton Hall Ltd

Middlesbrough Intermediate Care Centre

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

CARE HOMES FOR OLDER PEOPLE Kingsbury House 61-62 Percy Park Tynemouth North Shields NE30 4JX Lead Inspector Glynis Gaffney Announced 29 and 31 July and 30 August 2005 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 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 Older People. 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. Kingsbury House B53-B03 S371 Kingsbury House V230866 290705 Stage 4.doc Version 1.30 Page 3 SERVICE INFORMATION Name of service Kingsbury House Address 61-62 Percy Park Tynemouth North Shields Tyne & Wear NE30 4JX 0191 2575121 0191 2575121 None Mrs Pamela Craig Dawson Telephone number Fax number Email address Name of registered provider(s)/company (if applicable) Name of registered manager (if applicable) Type of registration No. of places registered (if applicable) Mrs Lynne Partington CRH 30 Category(ies) of DE(E) Dementia - over 65 (9) registration, with number OP Old age (21) of places Kingsbury House B53-B03 S371 Kingsbury House V230866 290705 Stage 4.doc Version 1.30 Page 4 SERVICE INFORMATION Conditions of registration: None Date of last inspection 9th February 2005 Brief Description of the Service: Kingsbury House consists of a number of adapted houses situated near to the seafront at Tynemouth. The bedrooms were spread over the first and second floors and single room accommodation is offered. There were en-suite facilities in two of the single rooms. A range of communal space was available as follows: - a dining room, two lounge areas; three bathrooms and eight toilets. The premises were well maintained with a pleasant patio and grassed area to the front and side of the building. The Home was noted to be in a good state of repair and decoration and was nicely furnished. Kingsbury House provides care and support for 30 persons of whom upto nine may have dementia care needs. Nursing care is not provided. The Home is situated close to local transport links and street park is available to the front of the building. Kingsbury House B53-B03 S371 Kingsbury House V230866 290705 Stage 4.doc Version 1.30 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This inspection was announced, took place over eight hours and involved one inspector. A tour of the premises was undertaken and a sample of care and other records were examined. Three staff and four residents were spoken to. The Home’s Manager was also interviewed. As part of the inspection, residents were asked to comment upon the quality of care provided at the Home. 29 returns were received. In summary: 28 persons stated that they liked living at the Home; 29 persons stated that they felt well cared for and were treated well. Residents’ relatives were also asked to comment upon the quality of care provided. Of the three returns received, all were satisfied with the overall quality of care provided at Kingsbury House. What the service does well: What has improved since the last inspection? A new shower is to be fitted and made available to residents living on the top floor. The room was undergoing refurbishment at the time of the inspection. New flooring has been fitted to one of the toilets on the first floor. Bedroom 19 has been redecorated and new flooring fitted. A loop system has been Kingsbury House B53-B03 S371 Kingsbury House V230866 290705 Stage 4.doc Version 1.30 Page 6 installed in the large lounge. Four bedrooms have been redecorated. The kitchen has also been partly refurbished. New stainless steel equipment has been fitted as follows: a cooker; a fridge; a water heater; a sink; a workbench and shelving. Further refurbishment is planned. All the Home’s policies and procedures have been reviewed since the last announced inspection. The Manager has coloured coded and laminated each policy to make it easier for staff to access and use. Improvements to the Home’s care planning system have taken place. 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. Kingsbury House B53-B03 S371 Kingsbury House V230866 290705 Stage 4.doc Version 1.30 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–6) Health and Personal Care (Standards 7-11) Daily Life and Social Activities (Standards 12-15) Complaints and Protection (Standards 16-18) Environment (Standards 19-26) Staffing (Standards 27-30) Management and Administration (Standards 31-38) Scoring of Standards Statutory Requirements Identified During the Inspection Kingsbury House B53-B03 S371 Kingsbury House V230866 290705 Stage 4.doc Version 1.30 Page 8 Choice of Home The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 1, 2 and 3. The Home’s Service User Guide, which includes the Statement of Purpose, provides existing and prospective residents with good information about the services provided at Kingsbury House. Residents have been provided with an opportunity to read and sign the Home’s Statement of Terms and Conditions. Prospective residents’ needs are assessed by people trained to carry out need assessments. The Home obtains a copy of the Care Management assessment and care plan to ensure that its staff are able to meet residents’ individual needs. EVIDENCE: Prospective residents and their families are forwarded a copy of the Home’s Service User Guide. The Guide is written in plain English and is easy to understand. A copy of the Guide was available in main reception and within service users’ bedrooms. It contains the required information. None of the residents interviewed could recall receiving any information about the Home prior to admission. Kingsbury House B53-B03 S371 Kingsbury House V230866 290705 Stage 4.doc Version 1.30 Page 9 Each resident had been provided with the opportunity to read and sign a copy of the Home’s Statement of Terms and Conditions. One resident confirmed that she had seen and signed such a Statement. Care Management assessment and care plan information was available in each resident’s care record and had been obtained prior to their admission. A preadmission assessment visit is carried out by the Manager to ensure that the Home is able to meet each person’s care needs. The Home provides prospective residents with written confirmation to this effect. Kingsbury House B53-B03 S371 Kingsbury House V230866 290705 Stage 4.doc Version 1.30 Page 10 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 7, 8, 9 and 10. Residents’ care plans cover all aspects of health, personal and social care and ensure that staff are provided with the information they need to satisfactorily meet residents’ needs. The health care needs of residents were satisfactorily met. The systems in place to support the safe administration, storage and disposal of medication were considered satisfactory and to promote good health. Staff were seen to provide personal support in such a way as to promote and protect service users’ privacy, dignity and independence. Kingsbury House B53-B03 S371 Kingsbury House V230866 290705 Stage 4.doc Version 1.30 Page 11 EVIDENCE: Individual plans of care were in place for each resident and covered the recommended areas with the exception of financial matters. The care plans checked were up to date and had been reviewed monthly. Regular checks of the quality of care records had been completed by the Manager. A number of residents had signed both their care plans and, in some cases, the risk assessment information held about them. A Key Worker system was in place and staff interviewed felt that residents benefited from this. Regular six monthly reviews of residents’ placements had taken place. An examination of residents’ care records confirmed that they were provided with access to medical, nursing, dental and chiropody care on a regular basis and more often if needed. There were no residents with pressure area skin problems. Advice and input from the Community Nursing Service is sought where residents develop such needs. General risk assessments had been completed in the care records examined. Additional risk assessments covering the following areas were also in place: susceptability to falling; pressure area care, nutritional care; manual handling. Monthly weight checks had been completed for all residents. Residents’ records were securely stored. An inventory of personal property had not been completed for each resident. Staff were observed providing personal care to residents in a kind, considerate and helpful manner. Staff respected residents’ right to privacy and dignity. Staff knocked on residents’ bedroom doors before entering. Bedroom doors were closed whilst staff attended to residents’ personal care needs. Residents spoken to said that they could meet with their visitors in private and, make and receive private telephone calls, without being overheard. Staff were aware of the importance of dealing with residents’ personal affairs in a confidential manner. A Medication Policy was in place. Residents’ medication records were satisfactorily completed. Identification photos were in place for each resident. The systems in place for the storage, administration and disposal of medication were considered safe and appeared to be followed by senior staff. Arrangements have been put in place to ensure that staff are able to follow good hygiene practices when administering medication. All staff administering medications have received accredited training. Staff were not undertaking delegated simple nursing tasks. Although controlled Drugs were not in use at the time of the inspection, a Controlled Drugs Register was available. Temperature checks of the area within which medications are stored had been undertaken. Kingsbury House B53-B03 S371 Kingsbury House V230866 290705 Stage 4.doc Version 1.30 Page 12 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 12 and 15. The provision of social activities is good and opportunities for stimulation through leisure and recreational activities, both within and outside of the Home, are available. The meals in this Home are good offering residents both choice and variety that take account of individual tastes and choices. Meals are served in pleasant surroundings by helpful staff who are willing to provide whatever assistance is required. EVIDENCE: A four-week menu cycle was in use. Residents are offered three full meals each day with at least one of these being a hot meal. Hot and cold drinks and, in-between meal snacks, are available throughout the day and night where required. Alternatives to the main meal choices are available. The Cook confirmed that she consults with residents on a daily basis to find out their meal choices for the day ahead. Residents are also consulted about the content of the menus as part of residents’ meetings. Details of the breakfast, lunch, tea and supper-time meals were displayed on the noticeboard in the dining room. Two residents require diabetic meals. The Cook confirmed that standard menu choices are adapted to meet their special dietary care needs. A review of the menus confirmed that two portions of fresh fruit and dairy foods are not always provided each day. However, the Manager confirmed that residents are provided with access to fresh fruit outside of main meal times. A Kingsbury House B53-B03 S371 Kingsbury House V230866 290705 Stage 4.doc Version 1.30 Page 13 hot meal choice was not always available at the tea-time meal. Food stocks were checked and appeared adequate. The quality of the lunch-time meal was excellent and appeared to be enjoyed by all residents who participated in the meal. The dining room was a pleasant area and the tables were attractively dressed. Staff were on hand to provide residents with support throughout the meal time. Residents interviewed as part of the inspection process expressed their satisfaction with the quality of meals served at the Home. A programme of weekly activities had been posted around the building and confirmed that: a different activity is offered every weekday; staff provide residents with access to a weekly shop facility; a Diversional Therapist visits the Home three times a week to provide a range of activities; a bingo and buffet session is held each month. In addition, birthdays and festive occasions are celebrated. The Home also carries out fundraising events such as Summer and Christmas Fayres. Information is collected covering residents’ past histories, hobbies and interests. Care plans addressing residents’ social care needs were in place. In one of the survey questionnaires returned, a resident’s relative commented that ‘we would like to see trips to the swimming pool reinstated as soon as possible.’ Kingsbury House B53-B03 S371 Kingsbury House V230866 290705 Stage 4.doc Version 1.30 Page 14 Complaints and Protection The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 16 and 18 A satisfactory complaints procedure was available. that their views and opinions were listened to. Generally, residents felt The majority of staff have received Adult Protection Awareness Training which enables them to take appropriate steps to protect residents from abuse. A satisfactory Adult Protection Policy was in place to ensure a proper response to any suspicion or allegation of abuse received by the Home. The arrangements for recruiting and vetting staff were robust and protected residents from the risk of harm and potential abuse. Kingsbury House B53-B03 S371 Kingsbury House V230866 290705 Stage 4.doc Version 1.30 Page 15 EVIDENCE: A Complaints Procedure was in place and included details of how to refer a complaint to the Commission. A record of complaints received was available. However, neither the Home, nor the Commission, have received any complaints since the last inspection visit. A summary of the Complaints Procedure was included within the Home’s Service User Guide. Staff interviewed were clear about how they would handle a complaint should that become necessary. The Home’s Adult Protection Policy complied with the relevant guidance and legislation. There have been no adult protection concerns raised with either the Home, or the Commission, since the last inspection. Twelve staff have received training in the protection of vulnerable adults. Arrangements are in place to ensure that remaining staff receive training in this area. Staff were able to satisfactorily describe the action that they would take to deal with an allegation of abuse. Kingsbury House B53-B03 S371 Kingsbury House V230866 290705 Stage 4.doc Version 1.30 Page 16 Environment The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) Standards 19 to 26 were not assessed on this occasion. EVIDENCE: Kingsbury House B53-B03 S371 Kingsbury House V230866 290705 Stage 4.doc Version 1.30 Page 17 Staffing The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission considers Standards 27, 29, and 30 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 27, 28, 29 and 30. The Home has sufficient numbers of staff on duty to meet residents’ assessed needs. Staff generally have the skills, competencies and qualities to meet service users’ needs. Residents are supported and protected by the Home’s recruitment policies and practices. EVIDENCE: A staff rota was in place showing which staff were on duty and in what capacity. The following staffing levels have been agreed with the Commission: Kingsbury House B53-B03 S371 Kingsbury House V230866 290705 Stage 4.doc Version 1.30 Page 18 8am to 2pm 5 2pm to 6pm 3 6pm to 10pm 3 10pm to 8am 2 A Manager is also available during office hours - Monday through to Friday. Following an examination of one week’s rota, it was confirmed that the above levels of staffing had been provided. However, the number of staff scheduled on duty between 2pm and 10pm was not in line with that recommended by the Residential Forum for the Provision of Staffing in Care Homes for Older People. Mrs Partington did however stress that she had authority to provide extra staff on duty where a need to do so was identified. Over 50 of the care team have obtained a relevant care based qualification. Staff personnel records contained all of the required information. Since the last inspection visit, only one member of staff has ended their employment at the Home. Shortfalls in the staff rota are covered by the Home’s own staff. Agency workers are not used. Residents’ comments about staff were very positive. One person said that ‘the lasses were lovely’. Another resident said that ‘the staff are really nice and the food is lovely and I couldn’t want anything better.’ Another person said ‘me and my husband are very happy and the girls are always lovely to us.’ The relative of a resident said that ‘I feel very comfortable and confident with all staff, they always tell me where my mother is and how she is. I find the Manager, Mrs Partington, to be very supportive.’ Kingsbury House B53-B03 S371 Kingsbury House V230866 290705 Stage 4.doc Version 1.30 Page 19 Management and Administration The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. 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 and staff are promoted and protected. The Commission considers Standards 33, 35 and 38 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 31, 32 and 33. Residents live in a home which is run and managed by a person who is fit to be in charge, is of good character and able to discharge her responsibilities fully. The Manager provides consistent leadership, guidance and direction to staff and ensures that residents receive good quality care. Staff morale was high. Arrangements are in place to enable the Provider and Manager to review aspects of the Home’s performance through a programme of self-review, which includes seeking the views of staff, relatives and service users. EVIDENCE: A Registered Manager was in post. Mrs Partington has obtained a relevant management qualification and has many years experience of working with older people. She has now managed the Home for over three years and regularly updates her training. There is a job description that allows her to take responsibility for carrying out her duties. Staff were clear about who they reported to on their shift. Kingsbury House B53-B03 S371 Kingsbury House V230866 290705 Stage 4.doc Version 1.30 Page 20 Staff interviewed said that they were clear about the standard of care they were expected to work to. One carer was able to describe the purpose, aims and objectives of the Home. Staff felt that they knew what was going on within the Home and felt able to raise any matters of concern with the Manager. Staff had been issued with a copy of the General Social Care Council Code of Conduct. The Home uses a recognised quality assurance system to assess the quality of care and services provided at Kingsbury House. An experienced member of staff has been delegated the responsibility of examining the Home’s performance against the National Minimum Standards. Written records were available confirming that the following areas had been examined: the premises; the management of the Home; the arrangements in place for delivering a satisfactory standard of care and providing good quality staff. However, a written report had not been forwarded to the Commission as stipulated in the last inspection report. Kingsbury House B53-B03 S371 Kingsbury House V230866 290705 Stage 4.doc Version 1.30 Page 21 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People 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 ENVIRONMENT Standard No 1 2 3 4 5 6 Score Standard No 19 20 21 22 23 24 25 26 Score 3 3 3 x x x HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 3 10 3 11 x DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 x 14 x 15 3 COMPLAINTS AND PROTECTION x x x x x x x x STAFFING Standard No Score 27 3 28 3 29 3 30 x MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score Standard No 16 17 18 Score 3 x 3 3 3 2 x x x x x Kingsbury House B53-B03 S371 Kingsbury House V230866 290705 Stage 4.doc Version 1.30 Page 22 Yes Are there any outstanding requirements from the last inspection? 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. 1. Standard 18 33 Regulation 13 26 Requirement Ensure that all staff receive training in the protection of vulnerable adults. Ensure that a report is prepared and forwarded to the Commission following completion of the first quality assurance cycle. Prepare an Annual Development Plan. The plan should, amongst other things, include any actions that need to be taken to address shortfalls arising out of the first quality assurance cycle. Timescale for action 01/11/05 01/10/05 01/10/05 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 7 27 Good Practice Recommendations Where the Home handles a residents monies, a financial care plan must be put in place. Keep staffing levels under review to ensure that they are sufficient to meet residents assessed care needs. Kingsbury House B53-B03 S371 Kingsbury House V230866 290705 Stage 4.doc Version 1.30 Page 23 Commission for Social Care Inspection Northumbria House Manor Walks, Cramlington Northumberland NE23 6UR 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 Kingsbury House B53-B03 S371 Kingsbury House V230866 290705 Stage 4.doc Version 1.30 Page 24 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. 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