Inspection on 12/08/05 for Kingsley Court

This inspection was carried out on 12th 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 Court 10/05/07

Kingsley Court 24/04/06

Kingsley Court 10/01/06

Kingsley Court 24/01/05

Kingsley Court 27/07/04

Kingsley Court 26/03/04

Similar services:

Fairfields Country Rest Home

Poldhu

Queensmount

Trevaylor Manor

Didsbury Court Rest Home

Belma

Hunters Care Centre

Manor Lodge

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

CARE HOMES FOR OLDER PEOPLE Kingsley Court 28 Dorchester Road Weymouth Dorset DT4 7JU Lead Inspector Marion Hurley Unannounced 12 August 2005 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 Court D55 S26829 Kingsley Court V230972 120805 Stage 4.doc Version 1.30 Page 3 SERVICE INFORMATION Name of service Kingsley Court Address 28 Dorchester Road Weymouth Dorset DT4 7JU 01305 782343 01305 786800 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 Michael Anthony Fry CRH PC - Care Home Only 18 Category(ies) of OP - Old age (18) registration, with number of places Kingsley Court D55 S26829 Kingsley Court V230972 120805 Stage 4.doc Version 1.30 Page 4 SERVICE INFORMATION Conditions of registration: None. Date of last inspection 24 January 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 D55 S26829 Kingsley Court V230972 120805 Stage 4.doc Version 1.30 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This inspection has been undertaken as part of the statutory 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 six hours, three of which were spent at the home. Seven residents were spoken to privately whilst the majority of the remaining residents joined in general discussions. Four carers and one assistant were on duty, plus the cook, and the Home’s Secretary. A partial tour of the premises was completed. Records and documents relating to those standards assessed were examined and read. 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 completes pre- admission assessments on all prospective residents; this ensures the Home is able to make informed decisions before offering any person accommodation at the Home. Equally all prospective residents following their assessment are given assurance that Kingsley Court has both the facilities and staffing to meet their assessed needs. All prospective residents are encouraged to visit the home before they make a decision. The records of two recently admitted residents were read which reflected this practise. One resident confirmed they had visited the home many times before making their “final decision”. Each resident has a care plan, which outlines their care needs and how this needs to be provided. A residents and relatives survey is currently being circulated and these results will be shortly analysed. Residents spoken with did feel their ideas and comments were listened to and all expressed appreciation for the staff. Visitors are very welcome at Kingsley Court and many residents have relatives living locally who can “pop in and out when s/he likes” Kingsley Court D55 S26829 Kingsley Court V230972 120805 Stage 4.doc Version 1.30 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 D55 S26829 Kingsley Court V230972 120805 Stage 4.doc Version 1.30 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 Standards Statutory Requirements Identified During the Inspection Kingsley Court D55 S26829 Kingsley Court V230972 120805 Stage 4.doc Version 1.30 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 standard(s) 2,3,4,5, standard 6 was not assessed as Kingsley Court is not registered to proide immediate care • Pre-admission assessments are completed with all prospective residents which means that no one considers moving into Kingsley Court without the reassurance that the home has the facilities and staff to meet their assessed needs. Prospective residents and or their representatives are always invited to visit the home before making a decision to move. • EVIDENCE: The records of two recently admitted residents were read and demonstrated that they had both had assessments and an initial care plan completed prior to their move. Both residents were able to confirm the meetings with staff before coming to Kingsley Court. The pre-admission assessments covered all aspects of the resident’s personal care, physical and emotional needs, their preferences in their daily routines i.e. times of getting up and going to bed, their social networks, and hobbies and interests were all noted. Each file contained completed and signed terms and conditions plus letters sent prior to their move that confirmed Kingsley Court could meet their assessed needs. Kingsley Court D55 S26829 Kingsley Court V230972 120805 Stage 4.doc Version 1.30 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 standard(s) 7,8 & 10 • Individual care plans provide staff with information and the “care instructions” they need to know and understand to ensure they can provide the health and personal care that each resident requires to ensure their needs are met. Residents felt that staff were kind and caring, and treated them with respect and safeguarding their privacy. • EVIDENCE: Three care files were reviewed. They contained care plans, which accurately reflected the care given to the individual residents. Files contained evidence that residents or their representatives were involved in the development and review of the care plans. Residents said that they were treated with respect and kindness and their right to privacy was upheld. Relevant risk assessments such as moving and handling, nutrition, the risk of pressure sore development and continence were undertaken on admission and were reviewed regularly. Where risk assessments identified a need for specialist equipment this was provided. Kingsley Court D55 S26829 Kingsley Court V230972 120805 Stage 4.doc Version 1.30 Page 10 Visits from GP, consultant physician, district nurse, community psychiatric nurse, dentist, optician and chiropodist were recorded in the care files. Residents, when asked, consistently spoke highly of the attention to detail the staff provided, “they always ask if I need help… very careful and gentle… she is very experienced I always have the same one… I am very well looked after”. Kingsley Court D55 S26829 Kingsley Court V230972 120805 Stage 4.doc Version 1.30 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, & 15 • • • The lifestyle in the home meets the expectations of the residents offering a variety of experiences, which meet their social and cultural, needs and interests. Visitors are welcome at Kingsley Court enabling residents to maintain social contacts as they wish. Dietary needs of the residents are well catered for with a balanced and varied selection of food available that meets service users tastes and choices. EVIDENCE: Most residents have breakfast in their bedrooms however the majority chose to have their main mid day meal in the dining room. Throughout the inspection visit there was evidence of a variety of drinks being regularly offered to residents and bowls of fresh fruit were available for residents “to help themselves”. The chef confirmed that all fresh fruit, vegetables and meat are supplied from local businesses that deliver twice weekly or more if required. Both staff and individual residents confirmed they enjoyed their meals and the social aspect of eating in the dining room. One resident especially commented about “ the delicious homemade Eccles cakes”. Records of nutritional screening showed that body weights were being maintained. The menu is based on a four-week cycle but no menus were displayed for the residents and Kingsley Court D55 S26829 Kingsley Court V230972 120805 Stage 4.doc Version 1.30 Page 12 when asked most of the residents said they did not know what their mid-day meal was going to be. The chef confirmed that an alternative” meal” would always been provided but unless residents know in advance it is much more difficult both for the residents and the chef to arrange alternatives at the last minute. (The chef who has recently been recruited did state that in previous homes she has always displayed the menu and will endeavour to get one displayed at Kingsley Court.) Residents said that there were activities and outings taking place if they wanted to get involved. Recent ones have been to Portesham for a pub lunch another to Portland Bill for tea. Pat the dog visits the home weekly and an Accordion Group regularly visit and a touring Theatre Group are booked to perform later in the summer. One resident said they went out most weeks with their family and another has a group of friends who come and play Bridge weekly. Kingsley Court D55 S26829 Kingsley Court V230972 120805 Stage 4.doc Version 1.30 Page 13 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) None of the above standards were assessed at this inspection. The key standards will be assessed at the next inspection. EVIDENCE: Kingsley Court D55 S26829 Kingsley Court V230972 120805 Stage 4.doc Version 1.30 Page 14 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) 20&26 • • All communal areas, including the gardens, are accessible to all residents and are safe and well maintained. On the day of this unannounced inspection the home was found to be clean and pleasant giving a good impression to prospective residents. However care should be taken to ensure that all bedrooms are free from unpleasant odours. EVIDENCE: A partial tour of the premises was completed followed by discussions with some of the residents and staff. A range of aids, hoists, assisted toilet seats are installed which are appropriate to meet the needs of the residents. There are grab rails in the corridors and there is level access to the back garden, which has ample garden furniture. In addition some residents have their own mobility aids. All call bells were positioned within comfortable reach for residents choosing to remain in their bedrooms. Kingsley Court D55 S26829 Kingsley Court V230972 120805 Stage 4.doc Version 1.30 Page 15 The communal areas are brightly decorated and the large lounge and separate dining room are attractively furnished with a variety of chairs and furniture. The lounge was in use throughout this inspection with some residents being helped and others independently walking to and fro. Radiator guards are fitted over all the radiators/ heaters. At the time of this inspection the heating was not required. The home was clean on the day of this inspection though one bedroom smelt strongly of stale urine. Kingsley Court D55 S26829 Kingsley Court V230972 120805 Stage 4.doc Version 1.30 Page 16 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) None of the above standards were assessed at this inspection. The key standards will be assessed at the next inspection. EVIDENCE: Kingsley Court D55 S26829 Kingsley Court V230972 120805 Stage 4.doc Version 1.30 Page 17 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) 38 • The health and safety of the residents and staff are protected by the policies and procedures followed at Kingsley Court. EVIDENCE: On the day of this unannounced inspection all records relating to health & safety issues were checked and there was sufficient evidence from these records to confirm that safety tests were being carried out within recommended timescales. The premises comply with the requirements of the local fire service and environmental health department. Fire safety equipment was well maintained. Servicing records for specialist equipment were satisfactory. The last electrical tests 10:07:05 stated that a considerable amount of work is required to the main circuit. At the time of this inspection estimates for this work have been requested. The fire alarm and detection system was tested 10:05:05 and whilst the tests were satisfactory it is the intention to upgrade the current system. Emergency lighting was tested 17:05:05 and Arjo 26:05:05. Kingsley Court D55 S26829 Kingsley Court V230972 120805 Stage 4.doc Version 1.30 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 ENVIRONMENT Standard No 1 2 3 4 5 6 Score Standard No 19 20 21 22 23 24 25 26 Score x 3 3 3 3 x HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 x 10 3 11 x DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 x 15 2 COMPLAINTS AND PROTECTION x 3 x x x x x 2 STAFFING Standard No Score 27 x 28 x 29 x 30 x MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score Standard No 16 17 18 Score x x x x x x x x x x 3 Kingsley Court D55 S26829 Kingsley Court V230972 120805 Stage 4.doc Version 1.30 Page 19 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 22 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.New timescale All equipment must be serviced regularly- Small electrical appliances need to be tested.At the time of this inspection servicing was in hand but not completed therefore the requirement remains outstanding.New timescale Timescale for action 31:03:06 2. 38 13(4) (a) 31:10:05 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1. 2. Refer to Standard 26 38 Good Practice Recommendations All areas including all bedrooms should be free from unpleasant odours. Records relating to health & safety staff training should be in a format which is easy for the Regsitered Provider to audit at any time ensuring all training requiremnts are mainatined. D55 S26829 Kingsley Court V230972 120805 Stage 4.doc Version 1.30 Page 20 Kingsley Court 3. 15 It is recommended that either a menu is displayed for the residents clearly offering the choice of meals or this information is either read or explained to the residents Kingsley Court D55 S26829 Kingsley Court V230972 120805 Stage 4.doc Version 1.30 Page 21 Commission for Social Care Inspection Unit 4, New Fields Business Park Stinsford Road Poole Dorset 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. 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