Inspection on 27/09/06 for Kingsley Cottage

This inspection was carried out on 27th September 2006.

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

Kingsley Cottage 14/04/09

Kingsley Cottage 10/04/08

Kingsley Cottage 22/11/05

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 Key Unannounced Inspection 27 September 2006 09:30 X10015.doc Version 1.40 Page 1 The Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Reader Information Document Purpose Author Audience Further copies from Copyright Inspection Report CSCI General Public 0870 240 7535 (telephone order line) This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI www.csci.org.uk Internet address Kingsley Cottage DS0000004966.V311905.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. Kingsley Cottage DS0000004966.V311905.R01.S.doc Version 5.2 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.V311905.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 22nd November 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 a number of areas had been refurbished since the last inspection and furniture replaced. Kingsley Cottage DS0000004966.V311905.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This Key Inspection was carried out on the 27th September 2006 between 09:00 to 03:45 pm. The inspection was undertaken using the National Minimum Standards for Older People as a reference. The inspector received comments from service users and relatives both verbally and via questionnaires/feedback cards. All comments were of a positive nature about the care delivered, food, and staff at Kingsley Cottage. This provided evidence that service users were satisfied with the manner in which services and care are delivered to them in the home. The inspector spoke to the visiting district nurses who again spoke highly of staff and the observed care at the home. The nurse said that any instructions given to staff or requests made by the district nursing service were dealt with swiftly and appropriately. Nurse also confirmed that good working relationships exist between the home and the health care team. Management staff provided information relating to staffing, staff training, menu and dietary provision that was observed by the inspector to be in place. The home has in place a statement of purpose and service users guide that informs service users and their relatives in detail of the services the home is able to provide. All prospective service users receive a full assessment of their needs prior to admission to the home. There is a complaints procedure in place that is displayed in the home and residents spoken to were aware of. What the service does well: The home provides a high standard of accommodation where service users are involved in choices of colour schemes and soft furnishings. One service user commented on the “lovely window sills that had just been fitted in her bedroom” all personalise bedrooms as they wish and speak highly of the assistance given by staff to do this. Another service user referred to her bedroom as “liking her little flat”. (All very individualised.) Ongoing staff training takes place at the home with records being maintained ensuring that staff are equipped with the appropriate knowledge and experience to care for older people. Up to date care plans are in place to inform staff of the agreed plan of care. Kingsley Cottage DS0000004966.V311905.R01.S.doc Version 5.2 Page 6 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. Kingsley Cottage DS0000004966.V311905.R01.S.doc Version 5.2 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 Kingsley Cottage DS0000004966.V311905.R01.S.doc Version 5.2 Page 8 Choice of Home The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 1,3. Standard 6 is not applicable to this service. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home has in place a Statement of Purpose and Service User Guide providing residents and prospective residents/carers/relatives with details of the services the home provides enabling an informed decision about admission to be made. EVIDENCE: Kingsley Cottage has in place a detailed statement of purpose and service users guide that provides prospective service users with information about the home and details of the services that it aims to provide. Prior to the admission of a service user a full assessment of the individual needs of the person are carried out to ensure that the home and its staff can meet those needs. Pre admission visits are made to the prospective service user at home or in their current surroundings with holistic information being obtained and forming part of the assessment. Kingsley Cottage DS0000004966.V311905.R01.S.doc Version 5.2 Page 9 The service user and their relative would where possible visit Kingsley Cottage to meet other service users and view the accommodation available. Outcomes of assessment are confirmed in writing to the service user. Kingsley Cottage DS0000004966.V311905.R01.S.doc Version 5.2 Page 10 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 7,8,9,10. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. 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 the home were spoken with and all had an individual plan of care that clearly identified to staff the care needs of the individual. Written personal risk assessments of residents are carried out and were on care records. Service users health care needs are met by accessing local health care services. District nurses the inspector talked to spoke very highly of the care at the home and confirmed that good working relationships exist between local health care professionals and staff at the home. Policies and procedures are in place for management of medication and all staff administering medication has been trained to do so. No service user is self-medicating one is administering own insulin under supervision. Kingsley Cottage DS0000004966.V311905.R01.S.doc Version 5.2 Page 11 Service users rights and privacy were being promoted throughout this visit. Individual comments made to the inspector by service users included the following, “they are wonderful to you here” “you could not be better looked after anywhere” “I would not want to live anywhere else”. Kingsley Cottage DS0000004966.V311905.R01.S.doc Version 5.2 Page 12 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 12,13,14,15. Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. Service users at Kingsley Cottage are consulted about what happens in the home with their views being sought in a variety of ways. As always there was a relaxed and friendly atmosphere with residents moving freely around. Contact with the local community is good. The cook at the home provides excellent food with a choice at all meals. EVIDENCE: There is a long standing group of service users at the home who told the inspector that they are not as able as they used to be and have not wanted to go out so much because of the hot weather. Regular discussions take place with service users who are able to clearly express their views on the home and how it is run. Individuals were very complimentary about the proprietor and staff and told the inspector that they are very happy with the lifestyle they experience at Kingsley Cottage. The home presents as a homely attractive environment. Regular contact with friends and families with visitors in and out of the home and again positive relationships were observed between staff and visitors. Kingsley Cottage DS0000004966.V311905.R01.S.doc Version 5.2 Page 13 Individuals were observed to be making choices about their daily routines throughout this visit. Menu was observed and a traditional wholesome diet is offered to service users. Inspector had lunch at the home today. There was a choice of Faggots, Cheese Pie, Jacket Potato, Salad, and frozen/ fresh vegetables. Lemon Meringue Pie or Yoghurt followed this. Home baking and locally sourced produce are used at the home. There is a Cook or Kitchen Assistant on duty at all mealtimes. Kingsley Cottage DS0000004966.V311905.R01.S.doc Version 5.2 Page 14 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): 16,18. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home has a satisfactory complaints system with some evidence that service users views are listened to. EVIDENCE: The home has in place a complaints procedure that service users are aware of and told the inspector that they would talk to staff if unhappy about something and wanted to make a complaint. There is also a comments, compliments and complaints book that the inspector looked at. The Commission has received one complaint since the last inspection relating to care issues this was passed to the proprietor to investigate and was not upheld. Service Users are protected from abuse via staff training, observations of staff and relatives. The home has in place policies and procedures to inform staff of practice. Policies are discussed during supervision staff meetings and handovers. Kingsley Cottage DS0000004966.V311905.R01.S.doc Version 5.2 Page 15 Environment The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 19, 21, 26. Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. The standard of the environment at this home is generally high providing service users with an attractive and homely place to live. The first floor bathroom is however in need of attention. EVIDENCE: Service users live in an environment that is generally well maintained comfortable and homely. Service users said that they are very well cared for and that the proprietor listens to what they have to say. Many Original features have been retained which makes the environment attractive and individuals commented on this. Observations when walking around the home were of a clean odour free environment. Kingsley Cottage DS0000004966.V311905.R01.S.doc Version 5.2 Page 16 The bathroom on the first floor was in need of refurbishment there were cracked and broken tiles that need attention and will be a requirement of this report. Kingsley Cottage DS0000004966.V311905.R01.S.doc Version 5.2 Page 17 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. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Staff were observed to be working well together as a team and morale was high. EVIDENCE: As at previous inspection observations of staff identified that staff on duty were as the rota and sufficient in numbers to meet the observed needs of service users in their care. 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. Ongoing staff training programme in place with records being maintained of all training attended by staff. Kingsley Cottage DS0000004966.V311905.R01.S.doc Version 5.2 Page 18 Management and Administration The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. Service users’ rights and best interests are safeguarded by the home’s record keeping, policies and procedures. The health, safety and welfare of service users and staff are promoted and protected. The Commission considers Standards 31, 33, 35 and 38 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 31,33,35,38. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The Care Manager is well 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 her Registered Managers Award. The Deputy also has the Registered Managers Award. Observations were that the home is run in the interest of service users who confirmed that they are consulted about the running of the home. Individual service users regularly choose the menu of the day (With Alternative choices) Kingsley Cottage DS0000004966.V311905.R01.S.doc Version 5.2 Page 19 The home does not deal with service users finances this is dealt with by service user/relatives or solicitors. 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.V311905.R01.S.doc Version 5.2 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 X 4 X X N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 4 9 3 10 4 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 4 14 4 15 4 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 3 X 2 X X X X 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 X 3 X 3 X X 3 Kingsley Cottage DS0000004966.V311905.R01.S.doc Version 5.2 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 OP19 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. Attention must be paid to the first floor bathroom and broken and missing tiles must be replaced. Timescale for action 30/10/06 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 OP12 Good Practice Recommendations Need to record activities and who is involved including service users with diverse needs and dementia to evidence social stimulation is received. Kingsley Cottage DS0000004966.V311905.R01.S.doc Version 5.2 Page 22 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.V311905.R01.S.doc Version 5.2 Page 23 - 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. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. The policy of www.bestcarehome.co.uk is to use all legal avenues to pursue such offenders, including recovery of costs. You have been warned!