Inspection on 03/11/05 for Kingsbury House

This inspection was carried out on 3rd November 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 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

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 29/07/05

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 Tyne & Wear NE30 4JX Lead Inspector Glynis Gaffney Unannounced Inspection 2.30pm 3 and 8 November 2005 rd th X10015.doc Version 1.40 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 Kingsbury House DS0000000371.V258177.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 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 DS0000000371.V258177.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service Kingsbury House Address 61-62 Percy Park Tynemouth North Shields Tyne & Wear NE30 4JX 0191 2575121 0191 257 5121 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) Mrs Pamela Craig Dawson Mrs Lynne Partington Care Home 30 Category(ies) of Dementia - over 65 years of age (9), Old age, registration, with number not falling within any other category (21) of places Kingsbury House DS0000000371.V258177.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 29th July 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 DS0000000371.V258177.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This inspection was unannounced, took place over four hours and 30 minutes, and involved one inspector. A tour of the premises was undertaken and a sample of care and other records were examined. A number of residents were spoken to and the Home’s Manager was interviewed. What the service does well: What has improved since the last inspection? A new central heating boiler has been fitted. Further improvements have been made to the Home’s kitchen. An extractor fan has been fitted. All radiators have now been guarded. All fire doors have been fitted with new draft excluder strips to improve fire prevention and safety. A number of bedrooms have been redecorated. Kingsbury House DS0000000371.V258177.R01.S.doc Version 5.0 Page 6 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 DS0000000371.V258177.R01.S.doc Version 5.0 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 Outcomes Statutory Requirements Identified During the Inspection Kingsbury House DS0000000371.V258177.R01.S.doc Version 5.0 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 the following standard(s): The Key Standards were inspected as part of the 2005 Announced Inspection. EVIDENCE: Kingsbury House DS0000000371.V258177.R01.S.doc Version 5.0 Page 9 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 the following standard(s): The Key Standards were inspected as part of the 2005 Announced Inspection. EVIDENCE: Kingsbury House DS0000000371.V258177.R01.S.doc Version 5.0 Page 10 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 the following standard(s): 13 and 14. Residents are encouraged and supported to participate in making decisions about their own lifestyle in so far as they are able to do so. Residents are supported to maintain contact with their families and friends and visitors are made to feel welcome. EVIDENCE: Residents spoken with confirmed that the Manager and her staff team always made their families and friends welcome. One resident said that visitors could be seen in private or join residents in the lounge and dining areas. A policy outlining the Home’s approach to enabling residents to maintain contact with family and residents was available. None of the residents spoken with could recall the Manager placing any restrictions upon their visitors. Wherever possible, it is the Home’s Policy to support residents to maintain control of their own financial affairs. However, the Manager confirmed that safekeeping facilities, and day-to-day support with managing personal monies and valuables, would be given if a need to do so was identified. Residents are permitted and supported to bring their own personal possessions with them when moving into the Home. Kingsbury House DS0000000371.V258177.R01.S.doc Version 5.0 Page 11 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 the following standard(s): The Key Standards were inspected as part of the 2005 Announced Inspection Report. EVIDENCE: Kingsbury House DS0000000371.V258177.R01.S.doc Version 5.0 Page 12 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 the following standard(s): 19, 20, 21, 22, 23, 24, 25 and 26. The standard of the environment was generally good and provided residents with an attractive and homely place to live. The Home is generally clean, well maintained and decorated. However, further improvements to the Home’s kitchen are required to meet with current legislation and good practice recommendations. EVIDENCE: Residents are able to access a paved area to the front of the Home, which provides attractive sea views. This area was tidy, safe and well maintained. It is used extensively during the summer months. The toilets and bathrooms were clean, tidy and hygienic. Toilets were situated near residents’ bedrooms and the lounge and dining areas. Residents have level access to all parts of the building, with the exception of three steps leading up to the main dining area. A lift enables residents to Kingsbury House DS0000000371.V258177.R01.S.doc Version 5.0 Page 13 access bedrooms and other facilities on the first and second floors. A selection of aids and adaptations, such as grab rails and hoisting equipment, are located throughout the Home. A call point was available in each bedroom and within communal areas. Residents’ bedrooms were individually and naturally ventilated. They were warm and comfortable and had sufficient light. Radiators were guarded and the rooms were pleasantly decorated. Emergency lighting was seen working throughout the Home. The Home was generally clean and free from unpleasant odours. The laundry was tidy and well organised. Soiled laundry was not carried through areas in which food was stored, prepared and cooked. A hand wash facility was available and the laundry walls and floor covering were easy to keep clean. The washing machines and dryer were seen to be in good working order. Although the areas used and accessed by residents were well maintained, a number of concerns were identified following an inspection of the Home’s kitchen: • • • • • • • • • A large hole in the kitchen back wall required repair following the fitting of a new cooker hood. An easy to clean surface needs to be fitted to this wall; One of the kitchen window frames was in a poor condition and in need of either repair and redecoration or replacement; Some of the kitchen tiles needed de-greasing; Some of the kitchen cupboards were not as clean as they should have been; The veneer edging on some kitchen cupboards had come away. The present condition of some of the cupboards does not facilitate ease of cleaning; The cupboard used to store hazardous materials was unlocked. It had an unhygienic appearance; An item of medication stored in the kitchen fridge was not secured within a lockable labelled container; Kitchen fridge and food probe temperature checks were not up to date. Mrs Partington agreed to ensure that the appropriate checks were being carried out; An analysis of the risks associated with the delivery, storage, preparation and serving of foodstuffs was not in place. Mrs Partington agreed to liaise with the Home’s Environmental Health Officer with regards to this matter; The fire door leading into the kitchen was wedged open; Potentially combustible materials had been placed outside of the first floor shower room, which was in the process of being refurbished. Mrs Partington took immediate action to resolve this matter; A bolt type lock had been fitted to the en-suite toilet door in Bedroom 8 DS0000000371.V258177.R01.S.doc Version 5.0 Page 14 • • • Kingsbury House • and if used by the bedroom’s occupant, could prevent staff gaining access in an emergency. Mrs Partington agreed to take immediate action to resolve this matter; Two fire doors did not fully close into their rebates. Mrs Partington agreed to take immediate action to resolve this matter. Shortly following the Commission’s inspection of Kingsbury House, the Home’s Environmental Health Officer also carried out an inspection, and issued a number of requirements necessitating the need for prompt action by the Manager. Mrs Partington confirmed that she intended to prepare an Action Plan to deal with the requirements that had been issued. Kingsbury House DS0000000371.V258177.R01.S.doc Version 5.0 Page 15 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 consider all the above are key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 28. Staff receive suitable training to provide them with the knowledge and skills that they need to properly care for residents. EVIDENCE: An examination of training records confirmed that over 50 of the care team have obtained a relevant care based qualification. The Manager is committed to ensuring that every member of staff obtains such a qualification. Kingsbury House DS0000000371.V258177.R01.S.doc Version 5.0 Page 16 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 31, 33, 35 and 38 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 35 and 38. The records required for the protection of residents’ financial interests are well maintained, up to date and accurate. The Manager has taken steps to protect and promote the health and safety of both residents and staff. Kingsbury House DS0000000371.V258177.R01.S.doc Version 5.0 Page 17 EVIDENCE: The records kept in respect of residents’ monies were satisfactorily completed. Balances of monies held on behalf of residents were checked and found to match the Home’s records. Regular audits of the Home’s financial records were undertaken. A record is kept of accidents occurring within the Home. The Home’s Line Manager and Mrs Partington conduct a regular analysis of accidents occurring within the Home, which is then used to improve care and management practices. The Home’s Fire Log confirmed that the required fire prevention checks had been conducted. Staff had been provided with the access to fire instruction and opportunities to participate in fire drills. An up to date fire risk assessment was in place. Service contracts and maintenance reports relating to such matters as gas safety and servicing of the Home’s lift were available for inspection. Certificates of inspection confirmed that the Home’s fire equipment was in good working order. The Home’s water systems had been checked for the presence of Legionella during the previous 12 months. A clinical waste contract and a range of workplace risk assessments were in place. Kingsbury House DS0000000371.V258177.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 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 Standard No Score 1 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 X X X X X X X HEALTH AND PERSONAL CARE Standard No Score 7 X 8 X 9 X 10 X 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 X 13 3 14 3 15 X X COMPLAINTS AND PROTECTION Standard No Score 16 X 17 X 18 X 2 3 3 2 3 3 3 2 X STAFFING Standard No Score 27 X 28 4 29 X 30 X X MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score X X X X 3 3 X 3 x Kingsbury House DS0000000371.V258177.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. 1. Standard OP18 Regulation 13(6) Timescale for action Ensure that a report is prepared 01/04/06 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. Ensure that: 01/02/06 • Action is taken to comply with the requirements issued by the Home’s Environmental Health Officer (EHO) concerning the kitchen; Requirement 2. OP19 16(2)(g)(j ) 3. OP19 13(4) A copy of the Action Plan prepared to ensure compliance with the EHO’s report is forwarded to the Commission. Ensure that: 01/02/06 • Hazardous materials used within the kitchen are kept Version 5.0 Page 20 • Kingsbury House DS0000000371.V258177.R01.S.doc secure at all times; • Medicines stored within the kitchen are kept within a lockable labelled container; 4. OP19 23(2)(4) The bolt lock fitted to the en-suite door in Bedroom 8 is fitted with a type, which allows staff easy access in the event of an emergency. Ensure that: 01/02/06 • • • All fire doors close fully into their rebates; Fire doors are not wedged open; Combustible materials are not stored in corridor areas. • 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 Kingsbury House DS0000000371.V258177.R01.S.doc Version 5.0 Page 21 Commission for Social Care Inspection Cramlington Area Office 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 DS0000000371.V258177.R01.S.doc Version 5.0 Page 22 - 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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