Inspection on 24/04/06 for Kingsley Court

This inspection was carried out on 24th April 2006.

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 found there to be outstanding requirements from the previous inspection report but made no statutory requirements on the home.

Other inspections for this house

Kingsley Court 10/05/07

Kingsley Court 10/01/06

Kingsley Court 12/08/05

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 Key Unannounced Inspection 24th April 2006 09:45 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.V290316.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.V290316.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 www.Kfcare.co.uk 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.V290316.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 10th January 2006 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, with garden borders, while the back garden is small, enclosed and sheltered with lawns, rockery and flower borders. The home has both a web site and e-mail address where prospective residents can view details or contact the home directly for information. Copies of at least the last two Inspection Reports are displayed in the main hallway of the home and are available to visitors. Fees range from £375 - £475, extra amounts are charged for chiropody services, hairdressing, daily papers /magazines. Kingsley Court DS0000026829.V290316.R01.S.doc Version 5.1 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This unannounced inspection took place over one day. The service history of the home and the previous inspection report were read in preparation for this inspection. A tour of the home was carried out and care records, fire records, staff files, staff rotas, training and medication records were all inspected. Three of the care staff on duty, eight residents and one relative were spoken with either individually or in a group. The Manager and the Registered Provider were available throughout the inspection visit. All the staff and residents were welcoming and helpful. What the service does well: Kingsley Court continues to provide a good quality service to residents who confirmed this throughout the course of the inspection and was further evidenced by the comprehensive and detailed information provided about the residents health and social care needs found in their individual records and care plans. There is a relaxed and friendly atmosphere in an environment, which is comfortable and welcoming with staff having a good understanding of the specific needs of residents. The home offers consistency of care with a high number of staff who have worked at the home for a long period. Admissions to the home are conducted in a planned way by the senior staff team, with pre-admission assessments of needs being carried out. This means that the prospective residents can be assured that the home’s staff team has taken time to recognise their individual needs and if a placement is offered that they feel they are able to provide a service which will meet their individual needs. From the information gathered directly from residents it was clear that they felt well cared for and felt they were being treated with respect. Residents’ ability to personalise their bedrooms shows that their individuality is being respected by the home. Good communication in the home between all the staff ensures that the staff team develop positive relationships with the residents, their relatives/visitors. Kingsley Court DS0000026829.V290316.R01.S.doc Version 5.1 Page 6 What has improved since the last inspection? What they could do better: One requirement was made at this inspection and one is carried over from the previous inspection. MAR charts must be signed at the point of administering the medication to the individual residents and not later during the course of the morning shift as was found to be the practice on the day of this inspection visit. Work recommended at the last electrical inspection to up grade the existing call bell system and the fire alarm systems should be addressed. However, please note the current systems are safe and work adequately. Mandatory training is completed but a good practice recommendations have been identified to ensure that all staff record their training i.e. The Registered Provider and the Home’s Manager should record their own training sessions and senior staff are encouraged to attend the Dorset multi-agency Protection of adults training. Records of the regular checks of all fire equipment must be signed and dated. This refers to the omission of the fire extinguishers, which were checked but details of the date were not recoded. From checking all previous records this appeared to be a one off error and seemed to have occurred because the Fire Safety Company had checked the safety equipment and extinguishers as part of the annual service agreement completed in February/ March 2006. This has been identified in a good practice recommendation details to be found at the back of the report. Consideration needs to be given to refurbishing the bathrooms, which are fully functional though rather dated in appearance. Kingsley Court DS0000026829.V290316.R01.S.doc Version 5.1 Page 7 Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. Kingsley Court DS0000026829.V290316.R01.S.doc Version 5.1 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 Court DS0000026829.V290316.R01.S.doc Version 5.1 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): 3&6 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Admissions to Kingsley Court are conducted in a planned way, with preadmission assessments of needs being of a good standard. This ensures the home can make an informed decision as to their ability to meet the care needs of the prospective resident. Kingsley Court does not provide intermediate care and therefore NMS 6 is not applicable. EVIDENCE: The files of two residents who have recently moved to Kingsley Court were read. One resident is self-funding whilst the other resident is supported though local Health and Social Care Services. Both files contained comprehensive admission assessments, which clearly identified the residents’ care and health needs. In addition to the Home’s own assessment the person supported through the local authority had a Community Care Assessment Kingsley Court DS0000026829.V290316.R01.S.doc Version 5.1 Page 10 completed by a Care Manager. The assessments were practical and identified not only the residents’ needs but also their interests and abilities to manage everyday tasks i.e. “ dress appropriate to the weather”. Further references to the resident’s choice and home routines were clearly written indicating any personal preferences about bedtimes, diets, and social/leisure interests and family connections. Medical history was recorded and any specific needs identified with clear instructions to staff how most appropriately to manage the person’s needs. One set of records identified particular reference for the resident regarding action to be taken if they should fall. i.e. medical attention must be sought due to a history of falls and a current medical diagnosis. The relative of one of the residents was spoken to and recalled the efficiency and kindness of the staff during the pre and actual admission process. They spoke of the detail and time taken in understanding both the needs of the family and their relative the prospective resident. They described the efforts of all the staff ensuring the resident had a positive and reassuring welcome during their initial enquiries and viewing through to their trial stay. The daily records described the reactions and responses from both residents at the point of their admission and observations made from staff added further details. Kingsley Court DS0000026829.V290316.R01.S.doc Version 5.1 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 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. There are clear and detailed care planning systems in place to make sure that staff have the information they need to satisfactorily meet resident’s needs. The arrangements in the home to meet the residents’ medication needs are adequate. The working practices in the home ensure that residents are treated with respect and there are positive and appropriate relationships between residents and staff. EVIDENCE: Three care plans were read two of the residents are self-funded and one person supported by their local authority. Each resident has very different needs, abilities and interests and their care plans gave full and detailed information about their personal care needs, social interests and other areas of social and care. Completed and up to date risk assessments covered various Kingsley Court DS0000026829.V290316.R01.S.doc Version 5.1 Page 12 aspects including falls, manual handling, self- medicating (one of the three residents is currently managing their own medication). All aspects of the plans are reviewed regularly being signed and dated at appropriate intervals. Staff complete individual notes after each shift i.e morning, afternoon/evening and night and these provide a picture of the residents’ routines and are a mechanism to track and monitor any changes. Plans of care are then changed to reflect any significant changes. One of the three care plans had been signed by the resident and this aspect was discussed with the Manager who assured the inspector that the plans and reviews are always completed with the resident but many really show no interest and some are even anxious at the thought of signing a form. It is suggested that a short explanatory note is added where the resident has chosen not to sign or where there is no one to sign on his or her behalf. Throughout the inspection visit staff were observed working side by side with residents in a very gentle and encouraging manner, explaining where necessary their actions i.e. supporting someone from their armchair into a wheelchair. There was positive evidence from observations and endorsed from discussions with residents and a visitor that staff really do treat residents with kindness and respect but balance this with a sense of enjoyment and good humour. The records showed that the home was providing residents with access to a range of health care professionals including District Nurses, chiropodist and dental services. Residents are either supported to access their own dentists or use dental services provided at the local Hospital. Two of the more recently admitted residents were able to confirm they had kept their own family Doctor. Where this is not practical staff help residents to register with the local Health Practice. Residents’ medication is administered using a monitored dosage system (the NOMAD system). Only staff who have successfully completed external training in the safe handling and management and administration of medication take responsibility for the medication. Each shift has a designated member of the staff team who holds the keys to the medication cupboard and undertakes all the administration. The member of staff signs for the receipt of the keys. This practice occurs for each shift. The storage of the medication was well organised with clear labelling where necessary. A medication policy and procedure were in place and available for staff with key reminders on correct practice on the outside of the medication cupboard. However, despite staff knowing the correct procedure the MAR sheets were not being signed at the point of administering the medication so in practice all the medication is administered and then staff come into the office at some point during the shift and sign the MAR sheets. This practice is not safe and potentially could lead to errors and incorrect information being recorded or information being omitted. Kingsley Court DS0000026829.V290316.R01.S.doc Version 5.1 Page 13 This was discussed with the Manager and senior care worker on duty and both acknowledge this practice was not correct and will speak to staff to ensure all safe practices are followed immediately. Kingsley Court DS0000026829.V290316.R01.S.doc Version 5.1 Page 14 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 good. This judgement has been made using available evidence including a visit to this service. Residents are offered opportunities to enjoy social and recreational activities. Residents are helped to exercise choice and control in their daily lives within their capabilities and desire to do so. The meals provided to residents are of a good quality and menus are varied and planned. Residents are offered a good healthy and interesting diet, which accommodates personal preferences. EVIDENCE: Four residents joined in a discussion about the various activities and entertainment organised on their behalf. These range from outings, to professional entertainers coming to the home and in house activities e.g. regular use of a Memory Box, the contents of which are regularly changed. One resident described how they had worked out from the clues that the object was a crystal radio set and that brought back memories for them trying to make one at the age of fifteen. The Activities Organiser is currently employed two days per week but this may be extended in the summer months when Kingsley Court DS0000026829.V290316.R01.S.doc Version 5.1 Page 15 there are more opportunities for outings and other outside activities. They hope to encourage residents to join in with some container gardening and from conversations with residents this will be a very popular activity. In addition to group activities the organiser described how they make time for one-to one sessions, with one resident who loves a game of scrabble and another who enjoys having regular manicures, both interests are accommodated. The organiser stated that on average 80 of the residents join in the activities and support the entertainment though less take up the options of the outings. Notices about the forthcoming outing had been strategically but discreetly displayed to help remind residents when and where the next outing was. i.e. a poster was on the doorway into the dining room room. The organiser keeps a record of those residents participating in the different activities and outings and these notes were found in each of the care plans read during the course of the inspection. A record of indivual interests and spiritual needs were noted within the care plans and staff make every effort to accommodate these i.e. taking people to specific churches or clubs etc. On the day of this inspection residents appeared to be pursuing their own interests’ one knitting; one went outside to enjoy the garden, another was reading, someone else had been for a walk. The visitor spoken with said they always received a good welcome from staff and felt they could just pop in at any time. The visitor’s book was being actively used. The home’s dining area provides a comfortable and pleasant environment. The majority of the residents enjoy using the dining room and seem to benefit from the social aspect of sharing the mealtime however there are a couple who prefer their own company and their meals are served on attractively laid trays. Those residents spoken with varied in their opinions of the meals from “pretty good”, “not bad on the whole”, “to excellent”. The home is currently recruiting a second cook when the current cook is not available care staff or the activities organiser will take on this role but only as additional hours, so it does not detract from their main duties. One resident said they could choose exactly what they wanted for breakfast and tea and if they wanted something different for their main meal at lunchtime the cook would arrange this. The cook explained that each morning whoever is cooking for that day will make sure they see all the residents to check if they are happy with the planned menu. Alternative dishes are always available. Kingsley Court DS0000026829.V290316.R01.S.doc Version 5.1 Page 16 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. There is a clear and accessible complaints procedure and those residents spoken with stated they knew how and who to raise concerns with. Residents are offered protection though the use of relevant and accessible policies and procedures which are known by staff. EVIDENCE: The home has a complaints procedure, which includes details on how to contact the Commission for Social Care Inspection. A copy of the complaints procedure is given to all the residents as part of the Statement of Purpose and Service User Guide when they first move to Kinglsey Court. A book labelled concerns and compliments is left in the main entrance for any resident or visitor to comment in, however, to date there have been no entries though staff have received “thank you cards” from relatives of residents expressing their gratitude for the level of care their relative had received whilst at Kingsley Court. Residents spoken with said that they had no complaints or grumbles but if they were concerned about anything they would speak up and felt “ things would get done” and one resident said “they (staff) always come back to sort something out if they say they are going to”. Kingsley Court DS0000026829.V290316.R01.S.doc Version 5.1 Page 17 The home has a copy of the Department of Health publication No Secrets which relates specifically to the protection of vulnerable adults. In addition the home has policies and procedures, which include sections on the management and safeguarding of any monies held on behalf of residents. Many of the residents manage their own financial affairs or have made private arrangements for relatives or solicitors to act on their behalf. Issues relating to good practice and the protection of vulnerable adults is a standing item on supervision agendas and this was noted on the records of three staff files and is included as an essential element in the induction programme for all new staff. Kingsley Court DS0000026829.V290316.R01.S.doc Version 5.1 Page 18 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, 22 & 26 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. The overall standard of the home is good providing residents with an attractive and homely place to live and residents’ individuality is clearly reflected by their ability to personalise their bedrooms. The home is maintained in a clean and hygienic state, which adds to the comfort of residents. Please note a requirement made at the previous inspection for NMS 22 remains within the timescale for completion. Residents have individual aids and adaptations according to their assessed needs, however, the home should be assessed by a suitably qualified person for its overall disability provision. EVIDENCE: Since the last inspection some redecoration of bedrooms has been completed and some rooms have had new curtains fitted. Kingsley Court DS0000026829.V290316.R01.S.doc Version 5.1 Page 19 The next planned project is to refurbish the main hallway, which will include redecorating, new lighting, pictures and changing the general layout of the furniture. Rooms are always redecorated when vacated. The home has equipment such as bath lifting aids, grab rails, and some residents have their own wheel chairs and walking aids. There is a chair lift to the first floor, which is designed to accommodate wheelchair users safely, and a further chair lift providing access to a further level (six steps only). This area is not wheel chair accessible but all other areas of the home are fully accessible. Care call points are located in bedrooms, bathrooms, toilets and communal areas. A sample of bedrooms were viewed (50 ) and were clean and well personalised with the residents’ own belongings such as televisions, pieces of furniture, ornaments and family photographs. All bedrooms have en suite facilities comprising a wash hand basin and toilet. The home offers ample communal facilities, which include a large lounge and separate dining room plus a large landing and hallway. There is an attractive and accessible rear garden, which is well maintained, and from the comments of those residents spoken with, is clearly enjoyed. The bathrooms are totally functional and were clean and tidy but would benefit from being refurbished and decorated in the future. The laundry is small but adequate to the needs of the home and is fully equipped. All staff take on the household duties and “just get on and share the jobs”. Staff spoken with said “it seems to work well” and from discussions with staff and residents the residents care and welfare is never compromised in this arrangement. This was an unannounced inspection and the home was found to be clean and hygienic throughout. Work recommended at the last electrical inspection to up grade the existing call bell system and the fire alarm systems should be addressed. However, please note the current systems are safe and work quite satisfactorily. Kingsley Court DS0000026829.V290316.R01.S.doc Version 5.1 Page 20 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. The home provides sufficient staff throughout the day and night to ensure the care of residents is provided. A low turnover of staff and not using agency staff helps to make sure that there is consistency in the care of residents. The recruitment procedures in place are sufficiently robust and ensure that residents are protected. Training is provided so that staff have the necessary skills and confidence to provide care in a safe and competent way. EVIDENCE: Staffing rotas showed that there are generally three staff including senior care staff on duty in the mornings, two throughout the afternoon and then three in the evening and one waking night staff and one sleeping in. Either the Registered Provider, and or the Manager are available throughout the 24-hour period. Staff said they felt there was enough staff on duty and residents endorsed this by saying “they (staff) are always there to help. Another resident said, “I can always call them and they come to sort me out, they will do anything, I feel as if I am related to them all”. Care staff spoken with demonstrated a detailed knowledge of the needs and personalities of the residents. Kingsley Court DS0000026829.V290316.R01.S.doc Version 5.1 Page 21 Training records showed that all staff receive the mandatory areas of training including food hygiene, first aid, fire prevention and manual handling. All new staff receive planned induction, which includes at least one shift when they are supernumerary to allow the new recruit to shadow an experienced carer. Three staff files were read and each contained all the required information including statutory checks and references. Supervisions and training records were being maintained. Three staff are studying for their National Vocational Qualifications level 2 a further person has applied and there are currently four staff that already have NVQ awards varying from levels 2–4. Kingsley Court DS0000026829.V290316.R01.S.doc Version 5.1 Page 22 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 manager of the home is experienced and competent and openly communicates with all the staff, residents and visitors, which means that the residents can be assured that the staff are well-informed and work effectively as a team in supporting them; meeting their individual and collective needs. The views of residents, visitors and staff are regularly sought through their involvement in both the formal quality assurance process and informally though the continual self-monitoring. The health and safety of the residents was being adequately promoted through the home’s maintenance and servicing arrangements of equipment and adaptations. Kingsley Court DS0000026829.V290316.R01.S.doc Version 5.1 Page 23 EVIDENCE: The home’s manager works well with the registered provider and there are clear lines of accountability balanced with a good rapport between all the staff in the home. The manager supervises the senior support workers, who in turn supervise the support workers. There was evidence to show that the home manager communicates a clear sense of direction to the staff team. Staff spoken with said they felt there was a good atmosphere in the home with everyone taking their share of the responsibilities. A positive staffing attitude was one area highlighted in the Investors in People Award recently achieved by Kingsley Court. (reported upon at the time of the last inspection). The home has designed a series of questionnaires for both residents and visitors to complete, subjects include catering and food, personal care and support, daily living, premises and management. In addition there is a questionnaire given to new residents asking for their experience of the admission process. Comments drawn from these questionnaires included “ a friendly home, staff always make you welcome when visiting, good activities and entertainment, attractive gardens”. The results of the most recently circulated questionnaires have been collated and categorised into excellent, good, adequate or poor. It is significant to note that the home’s manager and their availability scored excellent. Records relating to the servicing of equipment, testing of the fire alarm systems and equipment were examined and found to be in date. Staff related there was always a good supply of protective clothing i.e., gloves, aprons. Accident records were being maintained and for one resident these reports were cross-referenced with the entries in their daily record and care plan. The entries and information were clear in both sets of records with all dates corresponding. The home currently meets the requirements of the Dorset Fire and Rescue Services and the Environmental Health Standards. Kingsley Court DS0000026829.V290316.R01.S.doc Version 5.1 Page 24 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 3 X X N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 2 10 3 11 x DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 3 X X N/A 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 2 Kingsley Court DS0000026829.V290316.R01.S.doc Version 5.1 Page 25 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 OP9 Regulation 13(2) Requirement The registered person must ensure that all staff implement the procedures for the correct handling and administration of medication. The home must be assessed for disability provision by a suitably qualified person for example an occupational therapist. This standard was not assessed at this inspection but the requirement remains. Timescale for action 30/04/06 2 OP22 14(1)(a) 310306 01/10/06 Kingsley Court DS0000026829.V290316.R01.S.doc Version 5.1 Page 26 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. 3. Refer to Standard OP18 OP22 OP38 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 call bell system and fire alarm systems are up graded, however, please note both work satisfactorily. All staff including the Home’s Manager and Registered Provider should date and log their fire safety training. Kingsley Court DS0000026829.V290316.R01.S.doc Version 5.1 Page 27 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.V290316.R01.S.doc Version 5.1 Page 28 - 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!