Inspection on 27/02/08 for Kingsleigh Resource Centre

This inspection was carried out on 27th February 2008.

CSCI found this care home to be providing an Good service.

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 01/12/06

Kingsleigh Resource Centre 18/11/05

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 Sandra Holland Unannounced Inspection 27th February 2008 10:15 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.V357991.R01.S.doc Version 5.2 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.V357991.R01.S.doc Version 5.2 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) manager.burroughs@careuk.com Care UK Community Partnerships Ltd vacant post Care Home 67 Category(ies) of Dementia (0) registration, with number of places Kingsleigh Resource Centre DS0000013888.V357991.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. The registered person may provide the following category of service only: Care home only (PC) to service users of the following gender: Either Whose primary care needs on admission to the home are within the following categories: 2. Dementia (DE) The maximum number of service users to be accommodated is 67. Date of last inspection 1st December 2006 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 and can provide permanent and respite care for people with dementia and a day care service. Residential accommodation consists of five self-contained units, each with varying numbers of single bedrooms, some of which have en-suite facilities. Each unit also has a lounge/dining room, a kitchenette, a bathroom and toilets. The home has spacious communal areas and has safe, well-maintained gardens. The home is situated near to local shops and community facilities and is approximately two miles from Woking town centre. There are car parking facilities within the grounds of the home. The fees at this service range from £725.00 per week to £900.00 per week. Kingsleigh Resource Centre DS0000013888.V357991.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The Commission for Social Care Inspection (CSCI) has since the 1st April 2006, developed the way it undertakes its inspection of care services. This inspection of the service was an unannounced “Key Inspection”. The inspector arrived at the service at 10.15 and carried out the inspection visit over seven and a half hours. It was a thorough look at how well the service is doing. It took into account detailed information provided by the service’s owner or manager, and any information that CSCI has received about the service since the last inspection. The quality rating for this service is 2 star. This means the people who use this service experience good quality outcomes. A tour of the home was carried out and most areas were seen. A number of documents and records were sampled, including individual’s care plans, medication administration records, staff recruitment files and records of residents’ monies held for safekeeping. An Annual Quality Assurance Assessment (AQAA) was supplied to the home by CSCI and this was completed with most of the required information and returned. Some of the information supplied in the AQAA will be referred to in this report. In order to promote equality and diversity, the home stated in the AQAA “we admit people from all races, culture and religion” and “we have culturally sensitive care provided to the residents with special and culturally specific needs”. The inspector would like to thank the residents and staff for their hospitality, time and assistance. The people living at the home prefer to be known as residents and that is the term that will be used in this report. What the service does well: People thinking of moving into the home are provided with the information they need to assist them in deciding if the home is right for them. The needs of prospective residents have been assessed before they moved in, including social and leisure needs, to ensure that these could be met in the home. Kingsleigh Resource Centre DS0000013888.V357991.R01.S.doc Version 5.2 Page 6 People living at the home can be confident that their healthcare needs will be well met and they are protected by the home’s procedures and practices of medication administration. A wide selection of social and leisure activities are offered to people living at the home and they are actively supported to take part in these. Encouragement is provided to help those living at the home to maintain contact with their families and friends, and visitors to the home are made welcome. A selection of well balanced and appetising meals are offered to residents and these are served in attractive and comfortable dining rooms. Residents and those involved in their support can be confident that their complaints will be listened to and acted on. Staff were aware of their responsibilities in the protection of those living in the home. People living at the home benefit from a safe, well-maintained and comfortable environment, which is attractively decorated and furnished, is kept clean and very freshly aired. The home’s recruitment policies and practices protect people living at the home, and residents are supported by a full team of staff. People living at the home made positive comments about the staff saying, “ I am impressed with the job that the staff do, often in demanding circumstances”, and “the staff are all very kind and helpful”. It is clear from the good outcomes experienced by people living in the home, that it is being effectively managed and run in the best interests of those living there. What has improved since the last inspection? Full care plans have been drawn up for residents and include the information and guidance that staff need to be able to meet residents’ needs. The required recruitment documents and information have been obtained to ensure that people working in the home are fit to do so, and do not present a risk to those living there. Staff are now receiving regular supervision to ensure they are carrying out their role appropriately, and to ensure they receive support and guidance from senior staff. The manager confirmed that an assessment has been carried out regarding the potential risks involved in residents keeping their toiletries and related liquids openly available and not in locked provisions in their bedrooms. This is Kingsleigh Resource Centre DS0000013888.V357991.R01.S.doc Version 5.2 Page 7 required because toiletry products may present a risk to residents who may wander in and consume or use them inappropriately. 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. The summary of this inspection report can be made available in other formats on request. Kingsleigh Resource Centre DS0000013888.V357991.R01.S.doc Version 5.2 Page 8 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.V357991.R01.S.doc Version 5.2 Page 9 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. JUDGEMENT – we looked at outcomes for the following standard(s): 1, 3, 5 and 6. People who use the service experience good outcomes in this area. People who are thinking of moving into the home are provided with the information they need to assist them to decide if the home is right for them. The needs of prospective residents have been assessed in detail before they moved in to ensure that these could be met, and people are welcomed to visit the home before they move in, to see if it suits them. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The manager advised that a range of information is supplied to people who are thinking of moving into the home, to help them decide if the home will suit them, including a resident’s information file, a statement of purpose and a service user’s guide. These documents are being updated to ensure people receive the correct information about the increased number of bedrooms Kingsleigh Resource Centre DS0000013888.V357991.R01.S.doc Version 5.2 Page 10 following the recent building works, and are aware of the appointment of a new manager, staff advised. A detailed assessment had been carried out of the needs of prospective residents, as this enables the home to know if they can meet the resident’s needs. It was positive to note that most of the assessments also recorded the social and leisure interests of prospective residents, as this would enable the home to know if it could meet these needs. Staff advised that assessments are carried out by the manager or by experienced team leaders, and this was confirmed on the assessments that were seen. It was noted on one assessment form, that not all the specified areas had been completed. It is recommended that any areas that do not apply are marked to indicate this, so that it is clear these areas have not been overlooked. Most residents had visited the home for an assessment day, as this enabled them to experience the home and meet other residents and staff, and enabled the home to more fully assess the needs of prospective residents. The manager advised that residents are also visited at their own home or previous place of residence. The manager advised that intermediate care is not provided at the home, so Standard 6 does not apply and has not been assessed. Kingsleigh Resource Centre DS0000013888.V357991.R01.S.doc Version 5.2 Page 11 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. JUDGEMENT – we looked at outcomes for the following standard(s): 7, 8, 9 and 10. People who use the service experience good outcomes in this area. People living at the home can be assured that staff are provided with detailed information about their needs, and with clear guidance as to how their needs should be met. Residents’ healthcare needs are well met and they are protected by the home’s procedures and practices of medication administration. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The care and support needs of people living at the home are recorded on computer based care plans, and a computer has been provided on each unit to enable staff to have access to these. A number of care plans were sampled, and these were noted to provide detailed information to staff regarding the needs of residents, and the support staff should provide to meet these. Residents’ needs relating to personal care, mobility, keeping active, work and play and eating drinking were amongst those included in their care plans. Kingsleigh Resource Centre DS0000013888.V357991.R01.S.doc Version 5.2 Page 12 A number of assessments were also included within the care plans, to ensure that areas of possible risk to residents had been assessed, recorded and provided guidance to minimise the risk if at all possible. These included risks relating to mobility and falls, moving and handling, nutrition and of developing pressure sores. Although the computer based care plans are not directly available for residents or their supporters to see, the manager advised that these can be printed out whenever required or requested. Care plans are printed out when meetings are held to review the needs of residents, staff advised. From speaking to residents and staff, and from the records seen, it was clear that the healthcare needs of residents are well met. A number of healthcare professionals are involved in the support of residents, including specialist nurses, general practitioners (GP’s), hospital specialists and community psychiatric nurses (CPN’s). A number of healthcare professionals visited the home on the day of inspection, and one advised that the home makes prompt and appropriate referrals if a change is noted in the health of a resident. Staff advised that a GP visits the home regularly on a weekly basis and whenever required if a change is noticed in a resident’s health. It was positive to observe that the paramedic service was promptly called on the day of the inspection to assess a resident who had a fall. The procedures and practices of medication administration appeared to be effectively managed, and the required records are maintained to safeguard people living in the home. A number of local policies and guidelines for staff were available in the medication room, and these included guidelines to indicate when “as required” medication should be administered. Staff advised that they constantly monitor the medication administration record (MAR) charts, to ensure they are maintained as an accurate record. Medication was seen to be appropriately stored in locked provisions, and a lockable fridge was available for medication requiring chilled storage. Access to medication is restricted to the management team and staff who have received medication training. The amounts of a number of medications were randomly sampled, were checked against the records held, and almost all of these were seen to accurately match. The amount of one medication appeared to less than recorded, but staff were able to account for this after checks were carried out. It was noted that for a number of medications, the amount held had not been carried forward onto new medication administration record (MAR) charts, so it was not easy to follow an audit trail. It is recommended that all stocks of medication held are carried forward, as this enables an audit trail to be clearly Kingsleigh Resource Centre DS0000013888.V357991.R01.S.doc Version 5.2 Page 13 followed. This will further safeguard residents and their medication, and assists with monitoring stock. Staff were observed to treat residents with respect, and to speak residents in a relaxed and friendly, but appropriate manner. Resident’s privacy was seen to be promoted, with staff taking care to knock on resident’s bedroom doors before entering and waiting for a response before entering. Staff also offered support with personal care in a tactful and discreet way, to maintain the dignity of those living in the home. Kingsleigh Resource Centre DS0000013888.V357991.R01.S.doc Version 5.2 Page 14 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. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 14 and 15. People who use the service experience excellent outcomes in this area. People living at the home are offered a selection of social and leisure activities and are supported to take part in these. They are also encouraged to maintain contact with their families and friends, and visitors to the home are made welcome. A selection of well balanced meals are offered to residents and these are served in attractive and comfortable dining rooms. This judgement has been made using available evidence including a visit to this service. EVIDENCE: People living in the home are supported to take part in a wide range of social and leisure activities, some of which are arranged on individual units, whilst others take part in the large day centre, staff advised. This is well equipped with a lounge area fitted with a homely fireplace, a dining room with tables and chairs that can also be used for activities, and a small kitchenette area. A television and musical facilities are also available. The walls were covered with residents’ artworks, with photographs showing the local area in the past, and with a number of advertisements, which dated from Kingsleigh Resource Centre DS0000013888.V357991.R01.S.doc Version 5.2 Page 15 many years ago. Photographs of residents enjoying previous social events were also displayed. Individual residents spoke of their leisure interests and some were happy to show the activities they enjoyed and how they spend their time. Trips out of the home are also arranged and these include visits to places of interest and to a local school for seasonal assemblies and other events, the AQAA indicated. Staff advised that they have been encouraged to understand that all activities of daily life can be incorporated into “activity based care”, rather than viewing activities only as structured, organised events. This approach promotes residents’ independence and enables them to be actively involved in all aspects of life in the home, including helping at mealtimes and serving themselves at the table. From speaking to residents and visitors, it was clear that people living in the home are helped to maintain contact with their families and friends. Visitors advised that they are made very welcome in the home and can visit at any time. A number of visitors were seen coming in and out of the home on the day of inspection and all were warmly greeted by staff. Residents are supported to follow their own faith, the AQAA indicated, and a local minister makes visits to the home. Staff advised that local schools and colleges are involved in activities in the home, such as carol singing concerts at Christmas, as this brings the local community to the residents. Residents advised that they were encouraged to make their own choices and decisions in as many aspects of their lives as possible. Residents said they could get up and go to bed as they wished, and could take part in the activities or spend time in their room, as they preferred. A choice of meals is offered to residents each morning, so that they can be ordered, but alternatives were always available, staff advised. A number of residents were spoken to as they were served their lunchtime meal, and they said they were enjoying it, that it was hot when served and that they appreciated the choices. It was noted that staff were available to assist residents with their meals if required, but were seen to encourage residents to be independent wherever possible. Most units have their own dining room, although two units share a very spacious dining room that has recently been extended. All the dining rooms were furnished in a homely style with tables seating up to four residents. Tables were attractively set with tablecloths, napkins, glasses and some with flowers. Staff advised that meals can be served in alternative forms, such as pureed, if necessary to meet residents’ needs, although these are not currently required. Staff advised that the weight of residents is monitored every month and if a loss or gain of a specified amount is recorded, food and drink monitoring is put Kingsleigh Resource Centre DS0000013888.V357991.R01.S.doc Version 5.2 Page 16 in place. Specialist, prescribed food supplements are obtained for any residents requiring them. Kingsleigh Resource Centre DS0000013888.V357991.R01.S.doc Version 5.2 Page 17 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. JUDGEMENT – we looked at outcomes for the following standard(s): 16 and 18. People who use the service experience good outcomes in this area. A small number of complaints have been received and these have been dealt with appropriately. Residents and those involved in their support, can be confident that their complaints will be listened to and acted on. Staff were aware of their responsibilities in the protection of residents. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The home’s complaints procedure is displayed in the entrance hall, in every resident bedroom and a large print copy is displayed in the corridor. Residents and visitors said they know who they can speak to if they are unhappy or dissatisfied, and no information has been passed to CSCI about any complaint made to the home. Staff and residents advised that as the manager and the senior staff team are available in the home on a day-to-day basis, any areas of dissatisfaction or unhappiness can be discussed promptly. These are then dealt with immediately to prevent them developing, wherever possible, into formal complaints. The manager was able to advise of the formal complaints that have been received in the past year, and of the actions taken in response. Information Kingsleigh Resource Centre DS0000013888.V357991.R01.S.doc Version 5.2 Page 18 supplied in the AQAA indicated that some of the complaints had been upheld. The management team were observed to interact with residents and visitors in a friendly, informal manner, whilst maintaining respect. Visitors advised that there was an open atmosphere in the home, and they could speak to the management team if they had any concerns, but had not needed to do so. It was positive to hear that the home receives letters and cards of thanks from appreciative residents, their families and friends. The manager stated that in the event of any concerns being raised about suspicions or allegations of abuse, the home would follow the Surrey MultiAgency Safeguarding Adults procedure. An up to date copy of the procedure is kept in the home for staff to refer to if needed. The home has made referrals under this procedure in the past and all appropriate actions were taken. A number of staff were spoken with and they advised that they understood about the types of abuse, and said they would report any concerns immediately to the manager or person in charge. Kingsleigh Resource Centre DS0000013888.V357991.R01.S.doc Version 5.2 Page 19 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. JUDGEMENT – we looked at outcomes for the following standard(s): 19 and 26. People who use the service experience excellent outcomes in this area. People living at the home benefit from a safe, well-maintained and comfortable environment. It is attractively decorated and furnished, is kept clean and very freshly aired. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The home is a purpose built, single storey building and following the addition of 17 new resident bedrooms, and the enlargement of some communal areas, has recently been re-registered to provide accommodation and care for up to 67 people. Although the home can accommodate a large number of people, residents live in smaller, family style units, which provide a more homely environment. Kingsleigh Resource Centre DS0000013888.V357991.R01.S.doc Version 5.2 Page 20 Each of these has its own lounge, dining room and kitchen areas, and it was noted that each unit was decorated and furnished in different colours and some had a different layout. Toilets and bathrooms with easy access baths are available on each unit, and are situated close to resident bedrooms. The entrance hall of the home is a welcoming space and is furnished in a homely style with a sofa and armchairs, plants and pictures. Residents were spoken with as they sat in the hall and enjoyed watching staff and visitors coming and going. It was observed that the home was very attractively decorated, comfortably furnished in a homely style and appeared well maintained. All residents’ bedrooms are single rooms and some of the recently built rooms have en-suite toilets, basins and wet-room style showers. Residents who were spoken with said they were happy with their bedrooms and had been able to bring their own things in when they moved into the home, to make their rooms more personal. Many residents had brought their own small items of furniture, photos, pictures and ornaments to personalise their rooms. To ensure that the facilities in the home are maintained to a good standard for residents, the manager has developed an action plan for improvements. This stated that some of the existing resident units will be refurbished to the same high standard of the newly built rooms. All areas of the home that were seen were clean, very well presented and appeared hygienic. Staff advised that they are provided with personal protective equipment, including gloves and aprons to maintain hygiene and prevent infection, and these were seen in use. Hand-washing facilities were equipped with liquid soap and paper towels and were provided in all appropriate places. It was very positive to note that the home was freshly aired throughout, which gave no indication of the high personal care and support needs of some residents. Information in the AQAA indicated that the majority of staff have received training in infection control, to ensure they understand current good practice in maintaining effective hygiene standards, and the actions to take to prevent infection or to prevent the spread of infection. Posters in toilets around the home provided helpful guidance about the importance of thorough handwashing & how to carry this out effectively, to maintain hygiene. Kingsleigh Resource Centre DS0000013888.V357991.R01.S.doc Version 5.2 Page 21 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. JUDGEMENT – we looked at outcomes for the following standard(s): 27, 28, 29 and 30. People who use the service experience good outcomes in this area. People living at the home are protected by the home’s recruitment policies and practices, and are supported by a full team of enthusiastic staff. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Information supplied in the AQAA indicated that residents are supported and cared for, by a full team of staff. The team consists of care staff, catering staff, housekeeping staff, laundry staff, maintenance workers, an administrator and activities co-ordinators. A number of staff from a variety of roles were spoken with during the course of the inspection visit and it was clear that they were enthusiastic about their roles. It was positive to hear that they enjoy working at the home and some staff said they had worked at the home for many years, providing continuity and consistency for those living there. The manager advised that agency staff are not used in the home, as the homes own bank staff are used to cover any absences, which also ensures continuity of care and support for residents. Kingsleigh Resource Centre DS0000013888.V357991.R01.S.doc Version 5.2 Page 22 People living at the home made positive comments about the staff saying, “ I am impressed with the job that the staff do, often in demanding circumstances”, and “the staff are all very kind and helpful”. A number of care staff have achieved a National Vocational Qualification (NVQ) to level 2 or higher, and further care staff are working towards this qualification, so the home is on target to meet the recommended 50 of care staff trained to this level. The manager advised that there is an on-going recruitment programme, and the AQAA indicated that all staff working in the home have had satisfactory pre-employment checks, to ensure that residents are protected from people who are not fit to work in a care home. The files of a number of recently recruited staff were seen and the specified records and documents had been obtained. These included two written references, a check of the POVA Register and a Criminal Records Bureau (CRB) disclosure. For one member of staff, a second reference had been accepted, which had been written some time before the person’s application to work in the home, and had not been directly requested by the home. The manager advised that a further reference would be directly requested immediately. A general staff training plan is maintained, in addition to individual staff training records, the manager advised. He said that he was aware the staff training plan needed to be updated and agreed to forward of copy of the updated plan to CSCI. Information supplied in the AQAA indicated that staff receive training required by law (mandatory training), including fire safety, food hygiene and moving and handling. Information from the AQAA stated that a senior member of staff has been trained to train other staff in moving and handling and has taken over responsibility for the staff training and development programme in the home. Staff advised that they receive training that is appropriate to their role and are provided with opportunities to develop and progress their roles within the home. Kingsleigh Resource Centre DS0000013888.V357991.R01.S.doc Version 5.2 Page 23 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. JUDGEMENT – we looked at outcomes for the following standard(s): 31, 33, 35, 36 and 38. People who use the service experience good outcomes in this area. It is clear from the good outcomes experienced by people living in the home, that it is being effectively managed and run in the best interests of those living there. The procedures for managing residents’ monies that are held for safekeeping ensure that residents are safeguarded from financial abuse. The health and safety of all those living and working in the home is promoted and protected. This judgement has been made using available evidence including a visit to this service. EVIDENCE: A new manager was appointed to run the home in December 2007 and he has submitted his application for registration to CSCI. This application is currently Kingsleigh Resource Centre DS0000013888.V357991.R01.S.doc Version 5.2 Page 24 being processed, and will be used to assess the applicant’s fitness to run the home. The manager advised that he has a Registered Mental Nurse (RMN) qualification and that he has over thirty years experience working in health and social care. Information supplied in the AQAA stated the manager holds degree qualifications in Social Sciences and in Social Policy and Administration, is an NVQ assessor and verifier and has completed a dementia-mapping course. It was clear from speaking to residents, visitors and staff, and from the information gathered, that although there has been a change of manager the home continues to be effectively managed, and is providing good outcomes for the people living there, as assessed during this key inspection. The home is managed in an open and accessible way, by a manager who has many years experience in care, and is ably supported by a management team, made up of a deputy manager and a team of senior care staff known as team leaders. The manager stated that the views of residents and those involved in their support are obtained to ensure the home is run in the best interests of those living there. This is achieved in a number of ways including surveys, resident meetings and by the day-to-day contact between residents and the management team. Residents’ meetings are held regularly the manager advised and minutes of these were seen. These provide people living in the home an opportunity to air their views and to make a contribution to the way that the home is run. Quality assurance surveys have recently been supplied to obtain the views of the people living at the home and those involved in their support, as part of the manager’s action plan for improving the quality of the service provided, he advised. The administrator advised that monies can be held for safekeeping if required by residents. To ensure these are safeguarded, only administrative or senior staff have access to these. The administrator advised that a computer based recording system is maintained in addition to written records. The amounts of monies held for four residents were randomly checked against the record held, and these accurately matched. Residents are also provided with a lockable facility in their bedrooms, in which to store any valuables. A requirement made following the last inspection, that staff must receive formal supervision, has been complied with. Schedules of supervision meetings were seen and these had been signed by the individual staff members being supervised, and by the supervisor, to show that the meeting had taken place. Information provided in the AQAA confirmed that maintenance and service checks are carried out on systems and equipment in the home. This is to ensure that these work effectively and protect the health, safety and welfare of Kingsleigh Resource Centre DS0000013888.V357991.R01.S.doc Version 5.2 Page 25 all those who live and work there. It was positive that no hazards were noted during the tour of the home. Kingsleigh Resource Centre DS0000013888.V357991.R01.S.doc Version 5.2 Page 26 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 3 X X N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 2 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 4 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 3 X X X X X X 4 STAFFING Standard No Score 27 3 28 3 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X 3 X 3 3 X 3 Kingsleigh Resource Centre DS0000013888.V357991.R01.S.doc Version 5.2 Page 27 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 Refer to Standard OP9 Good Practice Recommendations Kingsleigh Resource Centre DS0000013888.V357991.R01.S.doc Version 5.2 Page 28 Commission for Social Care Inspection Maidstone Office The Oast Hermitage Court Hermitage Lane Maidstone ME16 9NT National Enquiry Line: Telephone: 0845 015 0120 or 0191 233 3323 Textphone: 0845 015 2255 or 0191 233 3588 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.V357991.R01.S.doc Version 5.2 Page 29 - 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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