Inspection on 22/11/05 for Kingsley Cottage

This inspection was carried out on 22nd 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

Kingsley Cottage 14/04/09

Kingsley Cottage 10/04/08

Kingsley Cottage 27/09/06

Kingsley Cottage 02/08/05

Kingsley Cottage 13/09/04

Kingsley Cottage 29/04/04

Kingsley Cottage 18/01/04

Similar services:

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 Mrs Kathryn Marks Unannounced Inspection 22nd November 2005 09:15 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 Kingsley Cottage DS0000004966.V266539.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. Kingsley Cottage DS0000004966.V266539.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service Kingsley Cottage Address 40 Uxbridge Street Hednesford Cannock Staffordshire WS12 1DB 01543 422763 01543 422763 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) Mr Rughbir Singh Rai Mrs Gurbaksh Kaur Rai Mrs Shirley Catchpole Care Home 17 Category(ies) of Dementia - over 65 years of age (3), Old age, registration, with number not falling within any other category (17), of places Physical disability over 65 years of age (3) Kingsley Cottage DS0000004966.V266539.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 13th September 2005 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. As at previous inspection number of areas had been refurbished since the last inspection and furniture replaced. Kingsley Cottage DS0000004966.V266539.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This inspection was carried out over half a day on 22nd November 2005. During the Inspection the inspecting officer received comments from residents and relatives visiting the home about the care delivered, food, and the staff at the home. All comments were of a positive nature and provided evidence that residents were satisfied with the manner in which services are provided to them and care is carried out in the home. The district nurse visited the home at the time of the inspection and spoke highly of staff and the observed care at Kingsley Cottage. District Nurse also confirmed that pressure care and diabetic care at the home are good and referrals are made appropriately. Good working relationships exist between the home and the health care team. The deputy manager provided 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 having coffee in the lounges or their own rooms if they wished. The Inspector was greeted by residents and staff in a friendly manner and invited into areas of the home. The residents were looking forward to Christmas and various activities had been arranged. 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. 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. Kingsley Cottage DS0000004966.V266539.R01.S.doc Version 5.0 Page 6 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. 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? New curtains have been provided in various areas throughout the home. Bedroom 22 has been redecorated and refurbished. New dining tables and chairs have been purchased enhancing the dining areas and residents said they are very comfortable. Kingsley Cottage DS0000004966.V266539.R01.S.doc Version 5.0 Page 7 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. Kingsley Cottage DS0000004966.V266539.R01.S.doc Version 5.0 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 Kingsley Cottage DS0000004966.V266539.R01.S.doc Version 5.0 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 the following standard(s): 1,2,3,4,5. 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. Kingsley Cottage DS0000004966.V266539.R01.S.doc Version 5.0 Page 10 Pre-admission visits are made to the prospective resident at home or in their current surroundings and holistic information is obtained and forms part of the assessment. The resident and their relative would where possible visit Kingsley Cottage to view the accommodation available. Kingsley Cottage DS0000004966.V266539.R01.S.doc Version 5.0 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 7,8,9,10,11. 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: As at the previous inspection 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 and sees all residents in their own bedrooms. 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. Kingsley Cottage DS0000004966.V266539.R01.S.doc Version 5.0 Page 12 Observations of the inspector were that residents are treated with dignity and respect residents confirmed this during conversations with them. Policies and procedures are in place for death and the dying and were seen by the Inspector. If a resident were dying in the home extra staff would be on duty. Where relatives wish to remain at the home they would be made comfortable and hospitality would be offered. Kingsley Cottage DS0000004966.V266539.R01.S.doc Version 5.0 Page 13 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): 12,13,14,15. 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: As at the previous inspection residents confirmed that they enjoy the comfortable lifestyle they experience at Kingsley Cottage. The home provides a 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 although at this visit the cosy inside is more appealing to them. There is good contact with relatives a number of whom were in and out of the home today. Kingsley Cottage DS0000004966.V266539.R01.S.doc Version 5.0 Page 14 Residents today were looking forward to Christmas and talked about the arrangements for outings and events at Christmas. The homes menu offered a balanced nutritious diet with a choice at all meals, home baking and fresh produce purchased locally in Hednesford. A cook covers all mealtimes or a kitchen assistant all have food hygiene training. Kingsley Cottage DS0000004966.V266539.R01.S.doc Version 5.0 Page 15 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): 16,17,18. 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. The Inspector saw this at the time of this visit. 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, discussions during supervision and staff meetings, observations, and training. Policies and procedures are in place at the home. Kingsley Cottage DS0000004966.V266539.R01.S.doc Version 5.0 Page 16 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): 20,21,22,23,24,25. The standard of the environment within this home is good providing residents with an attractive and homely place to live. Regular redecoration and refurbishment takes place. EVIDENCE: The home generally is well maintained and suitable for its stated purpose. Communal areas include lounge, small sunroom, and two cosy dining areas a number of original features of the house have been retained. The area off the sunroom where hairdressing is done the doorway would benefit from some form of screening. Bathrooms and toilets are satisfactory in number and appropriately sited around the home. The inspector was told that plans are in hand to refurbish first floor bathroom in 2006. Kingsley Cottage DS0000004966.V266539.R01.S.doc Version 5.0 Page 17 The home where necessary provided specialist equipment via the district nursing service. Resident’s bedrooms are personalised as individuals wish and meet the needs of the older person occupying the room. The curtain valance in bedroom 10 is hanging off and needs attention. The vanity unit in bedroom 18 has a jagged edge and needs replacing. There is still one bedroom where the radiator is not guarded, and areas where pipe work remains uncovered. This will be a requirement of the report and has previously been discussed with the proprietor. 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 DS0000004966.V266539.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): 27,28,29,30. Staff morale was observed to be high with the staff team working well together with residents to improve their quality of life. EVIDENCE: As at the previous inspection 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 DS0000004966.V266539.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): 31,32,34,36,37. 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. Regular supervision of staff is carried out both formally and informally the management operating an open door policy. Kingsley Cottage DS0000004966.V266539.R01.S.doc Version 5.0 Page 20 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 3 4 3 3 N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 4 9 3 10 4 11 3 DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 4 13 4 14 3 15 4 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 3 18 3 3 3 3 3 3 3 3 3 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 3 X 3 X 3 3 X Kingsley Cottage DS0000004966.V266539.R01.S.doc Version 5.0 Page 21 Are there any outstanding requirements from the last inspection? NO STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1 Standard OP25 Regulation 13 (4) (a) & (c) Requirement The registered person shall ensure that(a) All parts of the home to which service users have access are so far as reasonably practicable free from hazards to their safety. (c) Unnecessary risks to the health or safety of service users are identified and so far as possible eliminated. The unguarded radiator must be guarded and remaining uncovered hot pipes must be covered. Timescale for action 31/12/05 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 Kingsley Cottage DS0000004966.V266539.R01.S.doc Version 5.0 Page 22 1 2 3 OP24 OP24 OP19 The vanity unit in bedroom 18 needs attention due to jagged edge The Curtain Valance needs to be re hung in bedroom 10 The doorway to hairdressing area would benefit from curtain or screen. Kingsley Cottage DS0000004966.V266539.R01.S.doc Version 5.0 Page 23 Commission for Social Care Inspection Stafford Office 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. Extracts may not be used or reproduced without the express permission of CSCI Kingsley Cottage DS0000004966.V266539.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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