Inspection on 02/11/05 for Kingsleigh House

This inspection was carried out on 2nd 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

Kingsleigh House 14/10/09

Kingsleigh House 29/06/07

Kingsleigh House 08/06/05

Kingsleigh House 29/11/04

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Westmead

Maple Lodge

Heathlands

Aston Court Nursing Home

Breme

Ravenhurst

Bank House

Inspirations

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

CARE HOMES FOR OLDER PEOPLE Kingsleigh House 37 Harbinger Road Kings Norton Birmingham West Midlands B38 0AD Lead Inspector R McGorman Unannounced Inspection 2nd November 2005 10:30 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 Kingsleigh House DS0000018461.V258220.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. Kingsleigh House DS0000018461.V258220.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service Kingsleigh House Address 37 Harbinger Road Kings Norton Birmingham West Midlands B38 0AD 0121 459 9995 0121 451 2868 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) Christadelphian Care Homes Mrs Pauline Bateman Care Home 29 Category(ies) of Dementia - over 65 years of age (30), Old age, registration, with number not falling within any other category (30), of places Physical disability over 65 years of age (30) Kingsleigh House DS0000018461.V258220.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. The Home may also accommodate two named persons under 65 years of age, one with a physical disability and one with a learning disability Bedroom 23 on the first floor will be subject to the following restriction: The admission of any service user to that room must be discussed with the NCSC prior to arrangements being made. 8th June 2005 Date of last inspection Brief Description of the Service: Kingsleigh House is registered to provide residential care for up to 30 older people of the Christadelphian faith who are active, who may have a physical disability or who may experience mental health problems. The home may also accommodate 2 named persons under the age of 65 years, one with a physical disability and one with a learning disability. Respite care can be provided when a room is available. A day care facility can also be made available. Kingsleigh House is owned and run by Christadelphian Care Homes, (formerly Bethany Guild which was formed in 1943), and is a registered charity. The home is administered by a Board of Trustees, with the assistance of an Administrator and the local Home Committee. Situated on the borders of Worcestershire and on the edge of Birmingham, Kingsleigh House is a purpose built 2 storey building which also incorporates a sheltered housing unit for more independent older people. The stated aim of Kingsleigh House is to provide care and support in warm and friendly surroundings where service users, relieved of the many pressures of life, can enjoy the company of those who share their faith, hopes and values. Kingsleigh House DS0000018461.V258220.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The purpose of this routine, unannounced inspection was to follow up previous requirements and recommendations, and to monitor the care provision in relation to the stated aims and objectives of the home. The inspection took approximately 3 hours, and some time was spent talking with service users and staff, in order to ascertain their respective views on living and working at Kingsleigh House. Several parts of the building were seen, including the areas where upgrading work had been undertaken, and this had been completed to a high standard. The care records of residents were seen, and also the records of some members of staff. In addition, the records kept in respect of the maintenance of equipment and safe working practices were inspected. What the service does well: What has improved since the last inspection? Kingsleigh House DS0000018461.V258220.R01.S.doc Version 5.0 Page 6 The upgrading of the premises has further enhanced the facilities available to service users, and the provision of the refitted kitchen has greatly improved the catering facility at the home. The ongoing developmental work, which includes monitoring, review of care planning and documentation, and the training provision for staff, indicates a progressive approach by the management of the home. The positive attitude of staff is generated by the inclusive regime at the home, and the way in which the management demonstrate the value of the staff team, by encouraging their involvement. 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. Kingsleigh House DS0000018461.V258220.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 Kingsleigh House DS0000018461.V258220.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): 1&4 Relevant information is available to prospective service users, to enable an informed decision to be made about their future care. All service users belong to the Christadelphian Community, and have chosen to live in the home because of their personal beliefs. Kingsleigh House DS0000018461.V258220.R01.S.doc Version 5.0 Page 9 EVIDENCE: A Statement of Purpose and a Service Users Guide are produced and provide extensive information for prospective residents and their family, about the home and the care that can be provided at Kingsleigh House. Further details about the home are included in Guidance Notes for Residents. These documents are regularly reviewed, and the information updated. Staff are able to demonstrate their ability to meet the assessed needs of service users. Evidence is found in the assessments and care plans, the training that is provided for staff, and also in the observations of the interactions between service users and staff. Several service users confirmed that their needs are being met, and also that they are living at the home because this is their wish. Kingsleigh House DS0000018461.V258220.R01.S.doc Version 5.0 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 the following standard(s): 7 & 10 The individual plan of care for each resident is maintained to a satisfactory standard and is reviewed regularly, to ensure that relevant information is included, and that the needs of service users are met appropriately. Service users confirmed that they are treated with respect at all times, that their dignity is preserved, and their right to privacy is consistently observed by staff at the home. Kingsleigh House DS0000018461.V258220.R01.S.doc Version 5.0 Page 11 EVIDENCE: A care plan based on the initial pre-admission assessment is produced for each service user and is reviewed regularly, with amendments made depending on the changing needs of the individual. Further development of the care planning process has been undertaken, and additional documentation is being incorporated, specifically in relation to accidents sustained by service users. Staff are given instruction during their induction, on respecting the privacy and dignity of service users, and this is also included in the NVQ and ongoing training provided for staff. Appropriate interactions between staff and service users are evident, and the mutual respect and consideration afforded to everyone is very pleasing to observe. Service users consistently confirmed their satisfaction regarding their care. The comments made included the following: • We are very blessed living here • The food is lovely • It’s not home, but it’s as good as it can be • Everyone is very nice • My diet is managed to perfection Kingsleigh House DS0000018461.V258220.R01.S.doc Version 5.0 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 the following standard(s): 12 Links with the community are maintained, and ensure that the lifestyle of service users meets their religious interests and matches their expectations. EVIDENCE: The social, cultural, religious and recreational needs of service users are considered by staff at the home, and opportunities are provided to undertake various activities, both within and outside the home. Service users are able to choose how they wish to spend their time and some like to stay quietly in their room, whilst others prefer to be more involved. The commitment of service users at the home to the Christadelphian faith gives a sense of common purpose and belonging. The periods of Bible Study and Worship are said to be a very important aspect of daily life and a Bible reading is usually held each evening. Service users are also able to attend the local church situated in the grounds of the home. Kingsleigh House DS0000018461.V258220.R01.S.doc Version 5.0 Page 13 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): EVIDENCE: These standards were not inspected on this occasion, although met previously. The Care Manager confirmed that no complaints had been received recently. Kingsleigh House DS0000018461.V258220.R01.S.doc Version 5.0 Page 14 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): 19,24 & 25 The standard of cleanliness is excellent, the décor and furnishings are in good condition and the building is well maintained throughout, providing a very comfortable and homely environment for service users. The needs of service users are met in relation to the environment in which they live, and their safety and wellbeing is assured as far as possible at Kingsleigh House. Kingsleigh House DS0000018461.V258220.R01.S.doc Version 5.0 Page 15 EVIDENCE: Kingsleigh House is situated in an urban area, on the outskirts of Birmingham and is a purpose built, two storey building, providing comfortable and wellmaintained accommodation. Sheltered housing is also provided on site, although several of the flats have been incorporated into the home, and now provide a residential facility. They can be used as single accommodation, or for married couples, when a sitting room and a bedroom can be made available. Further upgrading of the premises has included refurbishment of the kitchen, which has been completed to a very high standard. A kitchenette for service users and visitors has also been provided, and the need for its use to be encouraged was identified. A corridor ceiling has been lowered to improve the view from the windows of two bedrooms, and a roof garden developed, which makes an attractive feature. All the bedrooms at Kingsleigh House have en suite toilet facilities, exceed the minimum space requirements and are able to accommodate wheel chair users. An extension to the home has provided two large bedrooms, both with en suite shower facilities. They have been registered for shared occupation to enable married couples to be accommodated. Service users are encouraged to personalise their bedrooms and are able to bring items of furniture. All rooms are carpeted, appropriately furnished and decorated to a satisfactory standard. Bedrooms are centrally heated and have low surface temperature radiators. Emergency lighting is provided throughout the home. Water temperatures are controlled and monthly tests undertaken. Kingsleigh House DS0000018461.V258220.R01.S.doc Version 5.0 Page 16 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): 27 & 28 The home is adequately staffed with employees who are experienced and competent to care for older people. EVIDENCE: Appropriate staffing levels at the home are maintained, and staffing is stable, with a waiting list for employment. The requirements of the National Minimum Standards, with regard to NVQ Level 2 training, have been exceeded at the home, which represents a high level of commitment from both the management and staff. 13 staff have achieved the Level 2 in Care, and 3 staff, who are seniors, have attained Level 3. In addition 2 staff have completed the Assessors Award. 1 carer is currently doing Level 2 and another is doing Level 3. 4 domestic assistants have achieved Level 1. Comments from staff about their experiences of working at Kingsleigh House are all very positive, and they confirmed that it is a happy home. Kingsleigh House DS0000018461.V258220.R01.S.doc Version 5.0 Page 17 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): 31,33,34 & 35 The Registered Manager is very experienced, and qualified both in management and care, and residents and staff benefit from the positive approach and leadership they receive. Further development of the quality assurance system will enable the views and opinions of service users to have a greater influence in how the home is run. Suitable accounting procedures are in place to ensure satisfactory management of the business, and the financial procedures safeguard the interests of service users. Kingsleigh House DS0000018461.V258220.R01.S.doc Version 5.0 Page 18 EVIDENCE: The management arrangements at the home are satisfactory. The registered manager has many years experience in the care of older people, and is extremely competent in her role. Mrs Paula Bateman has taken the Advanced Management for Care Course and has the Diploma in Management of Care Services. She has also achieved NVQ Level 4 and the Registered Managers Award. A formal quality assurance system has been developed by the Organisation, and the views of service users and their families are regularly sought. Informal monitoring is also undertaken through the involvement of the many people in regular contact with Kingsleigh House, including groups from other homes, relatives, friends and members of the local church. The need for further development was identified, and the results of the surveys published. Details relating to the procedure should be submitted to the Commission, on completion. The viability of the organisation was confirmed verbally. Appropriate accounting procedures are followed, and a copy of the annual accounts is available from the Treasurer. Adequate insurance cover is also maintained. Staff have minimal involvement with service users finances. The families or a representative deal with any financial matters, on behalf of service users who are unable, or do not wish to manage their own affairs. Safe storage of valuables is available, and appropriate records are maintained. Kingsleigh House DS0000018461.V258220.R01.S.doc Version 5.0 Page 19 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 3 X X 3 X X HEALTH AND PERSONAL CARE Standard No Score 7 3 8 X 9 X 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 X 14 X 15 X COMPLAINTS AND PROTECTION Standard No Score 16 X 17 X 18 X 3 X X X X 3 3 X STAFFING Standard No Score 27 3 28 3 29 X 30 X MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 4 X 2 3 3 X X X Kingsleigh House DS0000018461.V258220.R01.S.doc Version 5.0 Page 20 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 OP19 OP33 Good Practice Recommendations The use of the kitchenette by service users and their visitors should be encouraged The quality assurance procedures should be reviewed and further developed to include an audit. A report of the findings should be submitted to the Commission Kingsleigh House DS0000018461.V258220.R01.S.doc Version 5.0 Page 21 Commission for Social Care Inspection Worcester Local Office Commission for Social Care Inspection The Coach House John Comyn Drive Perdiswell Park, Droitwich Road Worcester WR3 7NW 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 Kingsleigh House DS0000018461.V258220.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. 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