CARE HOMES FOR OLDER PEOPLE
Kingsley Court 28 Dorchester Road Weymouth Dorset DT4 7JU Lead Inspector
Marion Hurley Unannounced Inspection 10th January 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 Court DS0000026829.V274351.R01.S.doc Version 5.1 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 Court DS0000026829.V274351.R01.S.doc Version 5.1 Page 3 SERVICE INFORMATION
Name of service Kingsley Court Address 28 Dorchester Road Weymouth Dorset DT4 7JU 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) 01305 782343 01305 786800 Mr Michael Anthony Fry Care Home 18 Category(ies) of Old age, not falling within any other category registration, with number (18) of places Kingsley Court DS0000026829.V274351.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION
Conditions of registration: Date of last inspection 12th August 2005 Brief Description of the Service: Kingsley Court has been owned and managed by Mr M Fry since 1994. It is one of two homes owned by Mr M Fry, the other being Friary House and forms part of the family business. The home is established in a large detached house, which is situated on the Dorchester Road, a short drive away from Weymouth seafront and town centre. It is also close to local shops and amenities. Kingsley Court is registered to accommodate a maximum of 18 elderly residents with single and double bedrooms available at ground and first floor level. Communal facilities include a lounge with a conservatory extension and a separate dining room. There are two assisted bathrooms in the home, one on each floor. A stair lift enables access to the first floor of the home for those residents who cannot easily use the main staircase. Three rooms are accessible up a further four stairs. The front entrance of the home comprises of a large parking area, which has recently been re-surfaced with garden borders, while the back garden is small, enclosed and sheltered with lawns, rockery and flower borders. Kingsley Court DS0000026829.V274351.R01.S.doc Version 5.1 Page 5 SUMMARY
This is an overview of what the inspector found during the inspection. This inspection has been undertaken as part of the normal inspection process legally required in accordance with the Care Standards Act 2000. Kingsley Court was assessed according to the Care Homes for Older People, National Minimum Standards. The inspection took place over eight hours, three and a half were spent at the home with the residents and staff and checking records. A total of nine residents were spoken with. Records and documents relating to those standards assessed were examined and read. A total of six comment cards were returned from residents all indicated they were happy with the care and felt safe living at Kingsley Court. Three relatives had returned cards and one had comments “Kingsley Court is a very friendly homely, staff are always very professional and supportive towards residents and relatives”. A further seven comment cards were returned from Health, Medical & Social Care Professionals. The inspector was grateful for the time and support provided by both residents and all the members of staff on the day of this inspection visit. What the service does well:
Kingsley Court has a warm and friendly atmosphere. The home offers consistency of care with a high number of staff having worked at the home for sometime. Residents said that the staff members are friendly and attentive and always “seem to do that extra bit”. Residents said they could make choices about how to spend their day and the residents were pleased with the way the home is run and the choices they make. Staff demonstrated a good understanding of the specific and individual needs of the residents. Staff provide personal care and are always prepared to be flexible according to the preferences of the residents. Staff take “pride in their work“ and in representing the home. Since the last inspection the Proprietor has not been so readily available in the home and the acting manager has provided stability and consistent leadership to both staff and the residents during this time. The acting manager is developing a very positive and open style of management and has the ability and skills to communicate clearly with staff and residents. Kingsley Court DS0000026829.V274351.R01.S.doc Version 5.1 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 Court DS0000026829.V274351.R01.S.doc Version 5.1 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 Court DS0000026829.V274351.R01.S.doc Version 5.1 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): The key standards were not assessed having been assessed and met at the previous inspection. EVIDENCE: Kingsley Court DS0000026829.V274351.R01.S.doc Version 5.1 Page 9 Health and Personal Care
The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 9 • The arrangements in the home to meet the residents’ medication needs are good and provide safe working practices. EVIDENCE: Medication records were satisfactory. Controlled drugs are administered by two members of staff one witnessing the other and both sign and complete the records and remaining balance. Controlled drugs are separately recorded, and stored. Arrangements for the storage of the remaining medication are safe and secure, returns are stored separately and are all accounted for. All staff administering medication do so only when they have successfully completed the Intermediate Safe Handling of Medicines a distant learning course run by Swindon College. One member of staff signs the key register for each shift and takes the lead responsibility for administering and managing all aspects of the residents’ medication. The Pharmacist audits the system every six months and at the last review commented “all systems working well”. Kingsley Court DS0000026829.V274351.R01.S.doc Version 5.1 Page 10 The inspector observed two staff safely recording and managing the controlled drugs. Mar sheets were all signed and accurately maintained. The policy and procedures were clearly and concisely written and copies are issued to all staff and discussed regularly in individual supervision sessions. Kingsley Court DS0000026829.V274351.R01.S.doc Version 5.1 Page 11 Daily Life and Social Activities
The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 14 • Residents are encouraged to exercise choice and control in their daily lives within their capabilities to do so. EVIDENCE: Residents discussed with the inspector the different ways they are able to make choices and decisions regarding different aspects of their daily lives at Kingsley Court e.g. the time residents choose to get up and go to bed, the daily menu provides a choice for lunch and tea, and residents are free to choose to participate in activities or not. Posters are displayed in the dining room and lounge to give residents’ plenty of time to decide if they want to join in either with the regular entertainment or trips out. A record of the residents’ participation is kept to ascertain those entertainers and activities, which have proved most popular with the residents. The information board in the main entrance corridor provides information for residents and visitors concerning local organisations and services and forthcoming events. Kingsley Court DS0000026829.V274351.R01.S.doc Version 5.1 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 the following standard(s): 16 & 18 • The home has an accessible complaints procedure and residents spoken with said they would feel able to say if they were unhappy about the care they received or any other aspects of living at Kingsley Court. • The home has an Adult Protection policy and procedure and staff are aware of their duties and responsibilities ensuring as far as possible the residents live in a safe environment. EVIDENCE: A copy of the complaints procedure forms part of the residents information pack and includes specific details and contacts on “how to make a complaint”. When asked residents said they would “always say” if unhappy another said, “I would always tell someone”. Residents were also quite clear that they would be listened to and they could “ peak to any one of the girls”. A complaints and comments book is in the main reception and available to all visitors and residents. The proprietor and acting manager operate an “ open door” approach and staff aswell as residents felt confident they could approach senior staff at any time to raise concerns. When asked residents said they felt safe in the home. The adult protection policy/procedure sets out in a clear way the action to be taken if any allegation of abuse is made. All new staff receive the procedures and specific areas related to Elderly Abuse are highlighted and discussed in regular supervision sessions. Kingsley Court DS0000026829.V274351.R01.S.doc Version 5.1 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 the following standard(s): 19 • The environment in the home provides residents with an attractive and homely place to live. Aids and adaptations were being provided where necessary to ensure the safety of residents. EVIDENCE: The home is well maintained with on going decoration and since the last inspection August 2005, 2 bedrooms have been decorated and new carpets and curtains fitted. A further bedroom has had a new carpet and another new curtains. Both the dining room and lounge have new curtains and the lounge has also benefited from furniture being rearranged to provide a more homely feel in this room. The home has equipment such as grab rails, hoists, standing and bath lifting aids to help ensure the safe moving and where necessary handling of residents. Kingsley Court DS0000026829.V274351.R01.S.doc Version 5.1 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 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 • The staff members working at the home are meeting the needs of residents. A low turn over of staff and a very limited use of agency staff helps to make sure that there is consistency in the care of the residents. • Training is provided so that staff have the necessary skills and confidence to provide care in a safe and competent way. • Recruitment procedures are sufficiently robust to ensure that the residents are protected EVIDENCE: Staffing rotas showed that there are generally four staff including senior care on duty in the mornings. Most afternoons there will generally be two or three staff and two during the night one of whom “sleeps- in” from 22:00 – 06:00. Further staff employed include the chefs, activities organiser and maintenance employee. A total of 20 staff are employed and all contribute to the safe running of Kingsley Court. The acting manager has produced an excellent training matrix which clearly indicates when staff have completed training courses and when the next mandatory training is due. Currently 11 staff have completed First Aid training, 12 health & safety and 6 have food hygiene certificates and 15 have completed the infection control training. Four staff have completed NVQ training and a further four are applying for funding to take up places on NVQ courses. Kingsley Court DS0000026829.V274351.R01.S.doc Version 5.1 Page 15 Staff spoken with were aware of their various roles and responsibilities and had detailed knowledge of the needs and personalities of the residents. Five staff files were read and included the most recently recruited member of staff. All the files contained the required information including references and statutory checks. Induction summaries and checklists were completed for recently employed staff. All new staff are employed on an initial twelve week probation period and this allows sufficient time for the new employee to complete the induction and have sufficient opportunities to shadow experience staff and really get to understand their roles and responsibilities. Kingsley Court DS0000026829.V274351.R01.S.doc Version 5.1 Page 16 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 • The Proprietor of the home is very experienced and competent and with the home’s acting manager & staff team they ensure the home is run for the benefit of the residents. • The views of residents are regularly sought and acted upon. • Financial matters are carefully managed and records and receipts of all transactions are kept and any monies held on behalf of residents are kept in secure facilities. EVIDENCE: Residents said they felt listened to and any comments or issues would be acted upon. The home has recently been awarded The Investors in People Award and the assessors report was very positive concerning the good day to day running of the home. The acting manager has successfully achieved their NVQ level 4 in management and this is reflected in their competent and sensitive approach to managing the home. Staff said that despite quite a difficult period without the Proprietor being so actively involved and available in the home the
Kingsley Court DS0000026829.V274351.R01.S.doc Version 5.1 Page 17 acting manger has taken on the leadership role very well and has communicated a clear sense of direction for all the staff team. Staff said because the communication was good amongst themselves this also benefited the residents. The home does not deal with residents’ financials. Personal allowances are kept for some residents and accurate records and receipts are kept of all transactions. Kingsley Court DS0000026829.V274351.R01.S.doc Version 5.1 Page 18 SCORING OF OUTCOMES
This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People have been met and uses the following scale. The scale ranges from:
4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable
CHOICE OF HOME Standard No Score 1 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 x x x x x N/A HEALTH AND PERSONAL CARE Standard No Score 7 x 8 x 9 3 10 x 11 x DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 x 13 x 14 3 15 x COMPLAINTS AND PROTECTION Standard No Score 16 3 17 x 18 3 3 x x x x x x x 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 x Kingsley Court DS0000026829.V274351.R01.S.doc Version 5.1 Page 19 Are there any outstanding requirements from the last inspection? YES 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 OP22 Regulation 14(1)(a)3 1:03:06 Requirement The home must be assessed for disability provision by a qualified occupational therapist. This standard was not assessed at this inspection but the requirement remains. This remains within the existing timescale Timescale for action 31/03/06 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. 2 Refer to Standard OP18 OP31 Good Practice Recommendations It is recommended that senior staff complete the Dorset multi agency training in the Protection of Vulnerable Adults. It is recommended that the acting manager ensure they have a regular day off and this is included on the staff rota. Kingsley Court DS0000026829.V274351.R01.S.doc Version 5.1 Page 20 Commission for Social Care Inspection Poole Office Unit 4 New Fields Business Park Stinsford Road Poole BH17 0NF 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 Court DS0000026829.V274351.R01.S.doc Version 5.1 Page 21 - 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!
