Inspection on 18/11/05 for Kingsleigh Resource Centre

This inspection was carried out on 18th November 2005.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Excellent. 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 Resource Centre 09/10/09

Kingsleigh Resource Centre 27/05/09

Kingsleigh Resource Centre 27/02/08

Kingsleigh Resource Centre 01/12/06

Kingsleigh Resource Centre 13/06/05

Kingsleigh Resource Centre 26/08/04

Kingsleigh Resource Centre 01/06/04

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

CARE HOMES FOR OLDER PEOPLE Kingsleigh Resource Centre Kingsleigh Kingfield Road Woking Surrey GU22 9EQ Lead Inspector Kathy Martin Unannounced Inspection 18th November 2005 10:45 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 Resource Centre DS0000013888.V257762.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 Resource Centre DS0000013888.V257762.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service Kingsleigh Resource Centre Address Kingsleigh Kingfield Road Woking Surrey GU22 9EQ 01483 740750 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) Care UK Community Partnerships Limited Ms Karen Seabrook Care Home 50 Category(ies) of Dementia - over 65 years of age (47), Old age, registration, with number not falling within any other category (1), of places Sensory Impairment over 65 years of age (2) Kingsleigh Resource Centre DS0000013888.V257762.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 13th June 2005 Brief Description of the Service: Kingsleigh resource centre is run by Care UK Community Partnerships ltd. The home caters for the needs of older people providing permanent and respite care including care for people with dementia and a day care service. Residential accommodation consists of five self- contained units and each unit caters for ten service users. All bedrooms are single and each unit has a bathroom and toilets, lounge/ dining room and kitchenette. The home has spacious communal areas and has a safe, well-maintained garden. The home is situated near to local shops and community facilities and is approximately two miles from Woking town centre. Kingsleigh Resource Centre DS0000013888.V257762.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This inspection was the second visit this year. The home has now received a CSCI audit of all key National Minimum Standards for Older People. The inspection was unannounced and the manager was present. The inspection concentrated on inspecting documentation kept in the home, speaking to residents and staff on the day and also touring the premises. The interactions observed during this visit indicated that residents responded well to the staff and either directly said that they were comfortable and liked their home or indicated by their behaviour and appearance that they were generally happy. Most of the residents in Kingsleigh have a diagnosis of Dementia with differing levels of communication difficulties and short-term memory loss. Sometimes comments and responses from the residents are not always appropriate to some of the questions asked. It was therefore necessary on occasions to rely on staff feedback and care notes for the inspector to gain better understanding of the residents’ perspective and whether their needs were being met. Staff were knowledgeable of the residents and spoke of their individual needs with ease. They were observed dealing with residents with respect and courtesy. During this inspection, many of the residents were in their own units preparing for lunch and having a chat with each other and the staff. Many talked freely with the inspector and commented on how well they were looked after. One resident wanted to go out to the shops and the manager would arrange a trip soon. The decorations for Christmas were being arranged shortly after the inspection. There was a very homely feel in each of the units visited and the staff were attentive to the residents’ needs and were observed dealing with them in a sensitive manner. What the service does well: The inspector spoke with a few members of staff who stated that they felt well supported by their peers and also the manager. They were able to contribute to the daily handover of residents and felt part of the team. There was an open culture in the home and all staff felt they were able to communicate effectively and felt heard. The staff knew their residents well. The documentation sampled was well maintained and regularly updated. Kingsleigh Resource Centre DS0000013888.V257762.R01.S.doc Version 5.0 Page 6 Residents stated that they were well looked after and had everything they needed. The comments about the food were good. 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. Kingsleigh Resource Centre DS0000013888.V257762.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 Resource Centre DS0000013888.V257762.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): This section was assessed during the last inspection. The inspector was advised that there had been no changes to the admission process. EVIDENCE: Kingsleigh Resource Centre DS0000013888.V257762.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): 7 The care plans sampled indicated that residents’ needs were clearly identified and met. EVIDENCE: Three care plans were inspected. This section was also assessed during the last inspection. Each care plan consisted of a lifestyle and interest sheet which contains all information relevant to how the resident lived before and any details staff need to be aware of at admission to ensure they are able to relate to this part of their lives and try to include some of their previous experiences into Kingsleigh. All areas of needs were explained in detail. Risk assessments for moving and handling and falls were also noted. Each team leader takes the lead to look after a group of care plans and update them with the assistance of the carers. All kept daily notes which were well written and offered professional recording of events that take place on each shift on a daily basis, thus offering an on going record of meaningful communication between staff. Kingsleigh Resource Centre DS0000013888.V257762.R01.S.doc Version 5.0 Page 10 Kingsleigh Resource Centre DS0000013888.V257762.R01.S.doc Version 5.0 Page 11 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 The arrangements for providing activities are good as the home has a day centre. The home encourages community involvement and visitors to come to the home and add to the stimulation of the residents on a daily basis. EVIDENCE: The home benefits from an internal day centre, which is accessible for all residents. Staff who work there have the relevant experience of working with older persons with Dementia. An activities list is planned beforehand and the home also provides entertainers to come in. The home very obviously encouraged participation and regular visiting from relatives and friends. Residents have access to their doctors and visiting health professionals. Parties are planned for the summertime. Birthdays are always celebrated. Residents are also encouraged to mingle with each other and sit together at table for meals in each of their five units. There is a secluded garden for those who enjoy some fresh air. There are some outings that are organised for the residents. Some are able to go out with family and friends. The home does not own its own transport but is Kingsleigh Resource Centre DS0000013888.V257762.R01.S.doc Version 5.0 Page 12 able to organise this when required. One resident expressed a particular wish to go around Woking town centre, which the manager was going to facilitate. The majority of the community activities would normally take place inside the home by way of visits from the church, library, local schools and the hairdresser. Kingsleigh Resource Centre DS0000013888.V257762.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): 16 and 18 The home has a procedure for making complaints, which is in writing and not always used by residents themselves due to their condition. Staff received training in the protection of vulnerable adults and procedures for protection from abuse is in place. EVIDENCE: Kingsleigh Resource Centre DS0000013888.V257762.R01.S.doc Version 5.0 Page 14 The complaints procedure is in writing but not always understood and used by the current residents especially those who are in advanced stages of Dementia. The complaints procedure was amended since the previous inspection to include that complainants may contact the CSCI “at any stage” of the complaint. The staff respond to any comment made seriously and act on these, similarly to the comments that are sometimes made during social workers reviews and key workers meetings or inspections. Staff were able to talk to the inspector about the training they were offered regarding the protection of vulnerable persons. The organisation is keen to resolve any issues promptly and also ensure there is an ongoing method of checking on performance of the home by internal and external audits. The home has policies and procedures to ensure the protection of vulnerable people in their care. There were currently no ongoing complaints that had not been dealt with by the home and there were no cases being investigated under the POVA procedures at the time of the inspection. Previous cases had been referred appropriately under those procedures. Kingsleigh Resource Centre DS0000013888.V257762.R01.S.doc Version 5.0 Page 15 Kingsleigh Resource Centre DS0000013888.V257762.R01.S.doc Version 5.0 Page 16 Kingsleigh Resource Centre DS0000013888.V257762.R01.S.doc Version 5.0 Page 17 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): This section was assessed during the previous inspection. EVIDENCE: Kingsleigh Resource Centre DS0000013888.V257762.R01.S.doc Version 5.0 Page 18 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): 30 Staff are now supervised and there is good training and development to equip staff to work in a competent manner and are supported. EVIDENCE: Staff are now regularly supervised and some team leaders have already undergone supervisor training as they are also assisting the manager to conduct regular formal one to one supervision of staff. The organisation has also introduced appraisals systems. Staff spoken with during the inspection were working well and were able to express themselves openly in front of the manager and the inspector which demonstrated that there was an open culture in this home. Residents praised their carers. Staff received training relevant to their jobs including level 2 and 3 NVQ. 2 have completed level 2 and 2 are currently undertaking the same level. 5 others are undertaking level 3, which is more relevant to the team leaders. Kingsleigh Resource Centre DS0000013888.V257762.R01.S.doc Version 5.0 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 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 and 38 The manager has completed level 4 in management and is fit to run the home in an efficient manner. There are procedures in the home to ensure the health and safety of all concerned. EVIDENCE: The manager has worked in Kingsleigh for a number of years and has progressed into taking on the manager’s post. She feels supported by the organisation and is able to obtain additional knowledge via training. She has already achieved competency in managing a home by completing level 4 NVQ. She takes her development seriously and demonstrated clear leadership. She talked freely about the recent achievements in meeting all the requirements made at the last inspection, her staff team’s support to her and generally her commitment to the home and the residents in particular. In conversation with the residents and staff, the inspector made the observation that it was evident Kingsleigh Resource Centre DS0000013888.V257762.R01.S.doc Version 5.0 Page 20 that they were confident in her management style and leadership skills of the manager. The home has all the relevant health and safety procedures in place to safeguard against hazards and risks. Risk assessments are completed and reviewed. The home is subject to Regulation 26 visits undertaken on behalf of the organisation unannounced every month, which covers health and safety. Equipment is regularly checked and serviced. Repairs are conducted promptly. Records from fire equipment checks, drills and alarms checks are maintained. All staff received training in health and safety. Kingsleigh Resource Centre DS0000013888.V257762.R01.S.doc Version 5.0 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 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 HEALTH AND PERSONAL CARE Standard No Score 7 3 8 X 9 X 10 X 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 X 15 X COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 X X X X X X X X STAFFING Standard No Score 27 X 28 X 29 X 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 4 X X X X X X 3 Kingsleigh Resource Centre DS0000013888.V257762.R01.S.doc Version 5.0 Page 22 Are there any outstanding requirements from the last inspection? no STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. Standard Regulation Requirement Timescale for action RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. Refer to Standard Good Practice Recommendations Kingsleigh Resource Centre DS0000013888.V257762.R01.S.doc Version 5.0 Page 23 Commission for Social Care Inspection Surrey Area Office The Wharf Abbey Mill Business Park Eashing Surrey GU7 2QN 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 Resource Centre DS0000013888.V257762.R01.S.doc Version 5.0 Page 24 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. 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