Inspection on 02/08/05 for Kingsley Cottage

This inspection was carried out on 2nd August 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

Kingsley Cottage 14/04/09

Kingsley Cottage 10/04/08

Kingsley Cottage 27/09/06

Kingsley Cottage 22/11/05

Kingsley Cottage 13/09/04

Kingsley Cottage 29/04/04

Kingsley Cottage 18/01/04

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Maple Lodge

Heathlands

Aston Court Nursing Home

Breme

Ravenhurst

Bank House

Inspirations

Ashcroft Hollow Nursing Home

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

CARE HOMES FOR OLDER PEOPLE Kingsley Cottage 40 Uxbridge Street Hednesford Cannock Staffordshire WS12 1DB Lead Inspector Kathryn Marks Announced 2 August 2005 8.45 am The Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Reader Information Document Purpose Author Audience Further copies from Copyright Inspection Report CSCI General Public 0870 240 7535 (telephone order line) This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI www.csci.org.uk Internet address This is a report of an inspection to assess whether services are meeting the needs of people who use them. The legal basis for conducting inspections is the Care Standards Act 2000 and the relevant National Minimum Standards for this establishment are those for Care Homes for Older People. They can be found at www.dh.gov.uk or obtained from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering: www.tso.co.uk/bookshop This report is a public document. Extracts may not be used or reproduced without the prior permission of the Commission for Social Care Inspection. Kingsley Cottage E51-E09 S4966 Kingsley Cottage V237966 2.08.05 Stage 4.doc Version 1.40 Page 3 SERVICE INFORMATION Name of service Kingsley Cottage Address 40 Uxbridge Street Hednesford Cannock Staffordshire WS12 1DB 01543 422763 Telephone number Fax number Email address Name of registered provider(s)/company (if applicable) Name of registered manager (if applicable) Type of registration No. of places registered (if applicable) Mr Rughbir singh Rai Mrs Shirley Catchpole CRH 17 Category(ies) of DE(E) - 3 registration, with number OP - 17 of places PD(E) - 3 Kingsley Cottage E51-E09 S4966 Kingsley Cottage V237966 2.08.05 Stage 4.doc Version 1.40 Page 4 SERVICE INFORMATION Conditions of registration: N/A Date of last inspection 13 September 04 Brief Description of the Service: Kingsley Cottage is a seventeen- bedded care home for elderly people situated in the Hednesford area of Cannock. The home is on a main road with public transport passing the door. There is a railway station in Hednesford enabling service users to access the west midlands conurbation if physically able to do so. Service users accommodation is on two floors and consists of fifteen bedrooms two double and thirteen single, two have en/suite facilities and the shared rooms have privacy screening. There are two bathrooms a shower room and four separate toilets. All areas where needed are fitted with appropriate hand and grab rails. The home has two lounges a small sun lounge and dining room all overlooks the gardens. Externally there are attractive gardens with secluded patio corners and mature borders, trees, shrubs/flower beds. There is limited off the road car parking at the front of the home. A number of areas have been refurbished since the last inspection and furniture replaced. Kingsley Cottage E51-E09 S4966 Kingsley Cottage V237966 2.08.05 Stage 4.doc Version 1.40 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This inspection was carried out over one day on 2nd August 2005. Prior to the Inspection the inspecting officer received responses to sixteen comments cards eight from residents and eight from relatives. All comments were of a positive nature and provided written evidence that residents who had responded were satisfied with the manner in which services are provided to them and care is carried out in the home. The district nurse and community psychiatric nurse visited the home at the time of the inspection and spoke highly of staff and the observed care at Kingsley Cottage. District Nurse confirmed that good relationships exist between the home and the health care team. The Proprietor and his Care Manager provided written information regarding staffing, staff training, menu and dietary provision that was observed by the Inspector to be in place at the home. On arrival at Kingsley Cottage individuals were completing breakfast some had breakfast in their bedrooms others had come down to the dining areas when they were ready. Inspector was greeted by residents and staff in a friendly manner and invited into areas of the home. The residents were very eager to tell the inspector about their exciting day out the previous week. Resident’s accommodation is located on the ground and first floor observations of the Inspector were that the home was clean and maintained to a very high standard. Resident’s bedrooms were individualised with favourite personal items they had brought into the home with them. Kingsley Cottage has in place a statement of purpose and service users guide to inform residents of the services and facilities provided. All service users have a full assessment of their needs carried out prior to admission to the home. Arrangements are in place for meeting the health and personal care needs of residents and details are recorded in care records. Regular social opportunities are available for individuals who wish to be involved. Kingsley Cottage E51-E09 S4966 Kingsley Cottage V237966 2.08.05 Stage 4.doc Version 1.40 Page 6 Residents are provided with a choice of well-balanced and nutritious food prepared by a qualified cook who consults with individuals on a daily basis. The home has a complaints procedure in place that residents were aware of and is given to them on admission to the home. The complaints procedure is also displayed in the home along with details of how to contact the Commission for Social Care Inspection. The staff at this home are experienced and competent to care for older people and were able to discuss diseases associated with old age. Appropriate recruitment procedures were in place and all staff prior to employment has Criminal Records Bureau and Pova checks carried out. What the service does well: What has improved since the last inspection? What they could do better: • • Complete covering of hot water pipes Access course for social activities for residents with dementia. Kingsley Cottage E51-E09 S4966 Kingsley Cottage V237966 2.08.05 Stage 4.doc Version 1.40 Page 7 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. Kingsley Cottage E51-E09 S4966 Kingsley Cottage V237966 2.08.05 Stage 4.doc Version 1.40 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 Standards Statutory Requirements Identified During the Inspection Kingsley Cottage E51-E09 S4966 Kingsley Cottage V237966 2.08.05 Stage 4.doc Version 1.40 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 1,2,3. The homes Statement of Purpose and Service Users Guide provides prospective residents with details of the services the home has to offer enabling an informed decision about admission to be made. EVIDENCE: The homes Statement of Purpose and Service users Guide is given to residents and their relatives clearly describing the services and facilities Kingsley Cottage is able to offer. All residents have a contract of their terms and conditions of residence at the home that is explained/discussed with the resident and their relative. Prior to admission a full assessment of individual needs is carried out to ensure that Kingsley Cottage and its staff are able to meet the assessed needs of the prospective resident. A policy is being put in place to also enable the deputy to carry out assessments. Kingsley Cottage E51-E09 S4966 Kingsley Cottage V237966 2.08.05 Stage 4.doc Version 1.40 Page 10 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 7,8,9,10. The health, personal and social care needs of residents is well met. The systems for the administration of medication were good with clear arrangements being in place to ensure resident’s medication needs are met. EVIDENCE: All residents at Kingsley Cottage had an individual plan of care that is divided into modules relating to specific areas. Risk assessments are carried out and were included in care records. All contacts the resident has regarding health and personal care are recorded these records were up to date. Private chiropodist visited the home today. Detailed records are in place for the administration of medication all of which is securely stored. One resident is self administering Insulin under supervision. Policies are in place to inform staff of systems and procedures at the home. Kingsley Cottage staff access all specialist services via general practitioners, the health centre, specialist staff i.e. continence advisor, diabetes nurse, give talks to staff at the home. Observations of the inspector were that residents are treated with dignity and respect residents confirmed this during conversations with them. Kingsley Cottage E51-E09 S4966 Kingsley Cottage V237966 2.08.05 Stage 4.doc Version 1.40 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 standard(s) 12,13,14,15, The systems for resident’s consultation in the home are good with a variety of evidence that indicates that resident’s views are sought and acted upon. There was a relaxed and friendly atmosphere with residents moving freely around the home. Contact with the local community is good. The cook at the home provides excellent food with a choice at all meals. EVIDENCE: Residents during conversations with them confirmed that they enjoy the lifestyle at Kingsley Cottage. Small homely intimate environment where residents are involved as they wish in social activities a number organise their own daily routines. Individuals like sitting in the garden in warm weather and there is good contact with relatives. Residents today were eager to relate the events of their day out last week when they were picked up by a stretch limo and went for a ride around and ended up sitting drinking champagne on Milford Common. (Well done to staff for originality) The homes menu offered a balanced nutritious diet with a choice at all meals, home baking and fresh produce purchased locally in Hednesford. Inspector had lunch at the home which residents said they thoroughly enjoyed “gammon, mashed potato, sweet corn, peas, pineapple and parsley sauce, followed by fresh fruit salad. A cook covers all mealtimes or a kitchen assistant all have food hygiene training. Kingsley Cottage E51-E09 S4966 Kingsley Cottage V237966 2.08.05 Stage 4.doc Version 1.40 Page 12 Complaints and Protection The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 16,17,18. The home has a satisfactory complaints system with some evidence that service users feel their views are listened to. EVIDENCE: There have been no complaints received about Kingsley Cottage since the last inspection. The home has a complaints procedure in place this is displayed for residents/relatives and is contained in the service users guide. The home has in place a book to record any complaints and how they are dealt with. Discussions with some residents identified that they were aware of the complaints procedure. All current residents had family involvement and received regular visitors. Residents are protected from abuse by staff awareness, observations, and training. Policies and procedures are in place at the home. Kingsley Cottage E51-E09 S4966 Kingsley Cottage V237966 2.08.05 Stage 4.doc Version 1.40 Page 13 Environment The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 19, 26. The standard of the environment within this home is good providing residents with an attractive and homely place to live. EVIDENCE: The home generally is well maintained and suitable for its stated purpose. Programmes of routine maintenance are in place with work identified having been carried out. Externally there are attractive gardens with level walkways and seating for residents. Observations of the inspector were that the home was clean attractive and free from offensive odour. Kingsley Cottage E51-E09 S4966 Kingsley Cottage V237966 2.08.05 Stage 4.doc Version 1.40 Page 14 Staffing The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission considers Standards 27, 29, and 30 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 27,29,30. Staff morale was observed to be high with the staff team working well together with residents to improve their quality of life. EVIDENCE: At the time of this visit to Kingsley Cottage observations of staff identified that staff on duty were as the rota and were sufficient in number to meet the observed needs of individuals in their care. An extra member of staff is coming on duty in the evening to bathe residents who wish to bathe in the evening, and also bed baths the lady being cared for in her room. Robust recruitment procedures are in place to employ staff Criminal Records Bureau checks are carried out along with POVA checks prior to permanent employment being offered. There is a staff-training programme in place with records being maintained of training carried out. The home promotes NVQ training. Kingsley Cottage E51-E09 S4966 Kingsley Cottage V237966 2.08.05 Stage 4.doc Version 1.40 Page 15 Management and Administration The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. Service users’ rights and best interests are safeguarded by the home’s record keeping, policies and procedures. The health, safety and welfare of service users and staff are promoted and protected. The Commission considers Standards 33, 35 and 38 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 33, 35, 38. The Care Manager is supported by the proprietors in providing clear leadership throughout the home with all staff on duty demonstrating an awareness of their roles and responsibilities. EVIDENCE: The Care Manager is experienced and competent to care for older people and has obtained her Registered Managers Award. The registered proprietors and care manager ensures so far as is reasonably practicable the health safety and welfare of service users and staff. A professional company carries health and Safety Audit out twelve monthly. Resident’s financial interests are safeguarded by the involvement of individuals themselves their relatives/solicitors and staff at the home. Finances sampled by the Inspector identified that cash balanced with receipts and records maintained. Kingsley Cottage E51-E09 S4966 Kingsley Cottage V237966 2.08.05 Stage 4.doc Version 1.40 Page 16 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME ENVIRONMENT Standard No 1 2 3 4 5 6 Score Standard No 19 20 21 22 23 24 25 26 Score 3 3 4 x x x HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 3 10 4 11 x DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 4 13 3 14 3 15 4 COMPLAINTS AND PROTECTION 3 x x x x x x 3 STAFFING Standard No Score 27 3 28 x 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score Standard No 16 17 18 Score 3 3 3 x x 3 x 3 x x 3 Kingsley Cottage E51-E09 S4966 Kingsley Cottage V237966 2.08.05 Stage 4.doc Version 1.40 Page 17 no Are there any outstanding requirements from the last inspection? STATUTORY REQUIREMENTS This section sets out the actions which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1. Standard 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 Good Practice Recommendations Kingsley Cottage E51-E09 S4966 Kingsley Cottage V237966 2.08.05 Stage 4.doc Version 1.40 Page 18 Commission for Social Care Inspection Stafford - Dyson Court Staffordshire Technology Park Beaconside Stafford ST18 0ES 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. 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