Inspection on 30/08/07 for Kingsley Rest Home

This inspection was carried out on 30th August 2007.

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

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 Rest Home 7 Southlands Avenue Wolstanton Newcastle under Lyme Staffordshire ST5 8BZ Lead Inspector Mr Berwyn Babb KEY Unannounced Inspection 30th August 2007 14:15 X10015.doc Version 1.40 Page 1 The Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Reader Information Document Purpose Author Audience Further copies from Copyright Inspection Report CSCI General Public 0870 240 7535 (telephone order line) This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI www.csci.org.uk Internet address Kingsley Rest Home DS0000069469.V348488.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 Rest Home DS0000069469.V348488.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Kingsley Rest Home Address 7 Southlands Avenue Wolstanton Newcastle under Lyme Staffordshire ST5 8BZ 01782 628 154 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) Robert David White Lesley Karen White, trading as Kingsley Rest Home Robert David White Care Home 12 Category(ies) of Dementia - over 65 years of age (3), Old age, registration, with number not falling within any other category (12), of places Physical disability over 65 years of age (3) Kingsley Rest Home DS0000069469.V348488.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. The registered person shall provide personal care and accommodation for service users of both sexes whose primary care needs on admission to the home are within the following categories: Old Age not falling within any other category OP 12 Dementia over 65 years of age DE(E) 3 Physical Disability over 65 years of age PD(E) 3 The maximum number of service users to be accommodated is 12. 2. Date of last inspection 09/ 03/07 Brief Description of the Service: Kingsley is a largely Victorian house of character located facing the green in the township of Wolstanton. There are a range of local shops and facilities within half a mile of the home, with a much wider range of choices in the adjacent town of Newcastle under Lyme, including a major hospital complex. There are a good road connections, and frequent bus services along the main road that crosses the green (Wolstanton Marsh) in front of the home. Car parking is available on the service road immediately in front of the home. The previously high standard of physical environment was improved in 2002 with the addition of an extension providing single bedrooms with ensuite facilities and an assisted bathroom, or on the ground floor. The main part of the building provides large pleasant reception areas with seating, a lounge area and separate dining area. The kitchen adjoins the dining area, and is in itself adjoined by the storage areas, and there is a laundry located in the basement. On the ground floor there are bedrooms and an assisted bathroom. The first floor is reached by a staircase that also has a stair lift on it, and there, eight further single bedrooms (six with ensuite facilities), and two shared bedrooms (one of which has ensuite facilities) are located. All furniture, fittings, and equipment are to a high standard. The proprietors state that the aim for a quality environment, and are committed to maintaining high standards of care. Kingsley caters for up to 12 older people in a homely, relaxed, family typesetting, with good standards of environment and care. Three people may have a physical disability, and these would be accommodated on the ground floor which gives good access to all necessary facilities. Three of the people in the home may also be diagnosed as having the dementia care needs. Kingsley Rest Home DS0000069469.V348488.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This inspection was carried out during the afternoon of Thursday the 30th of August 2007 by one inspector. Mrs White, one of the proprietors, was with the people who use the service, and she was being assisted by two carers. Her husband, who is also the care manager, returned to the home shortly after the inspection commenced, having been to the ironmongers to purchase chain to secure a newly fitted wardrobe in one of the bedrooms. Arrangements had been made for people to use the dining room to sit in, as the decorator was at work refurbishing the lounge with new paint and new wallpaper. The inspector interacted with the majority of the people who use the service, whilst respecting the needs of those who preferred to rest in their rooms without interruption. He also undertook a formal interview with one of the members of staff, and had in-depth discussions with the proprietors about what they had achieved in their first five months at Kingsley, and the things that they wanted to do in the future. He looked at various care plans and training records, how as well as reviewing documents appertaining to health and safety, staff levels within the home, and the diet being enjoyed by those who lived there. All the people living in the home who spoke to the inspector praised the quality of the care they were receiving, and the kindness of all people who looked after them. Areas of the home that were not been disrupted due to refurbishment were cleaned and warm and tidy, without any hint of malodours. The current level of fees was given as being £355 for a shared room and £377 for a single room, rising to £379 where somebody had been identified as requiring Dementia Care. What the service does well: This home continues to provide good quality care for up to 12 elderly people, three of whom may have dementia, and three of whom may have a physical disability. Kingsley Rest Home DS0000069469.V348488.R01.S.doc Version 5.2 Page 6 It does so in him at your domestic styled accommodation, situated in a local residential area, with pleasant views from most rooms across an extensive piece of grassed common land, and with easy access to local services and the town of Newcastle. What has improved since the last inspection? What they could do better: Kingsley Rest Home DS0000069469.V348488.R01.S.doc Version 5.2 Page 7 The only recommendation being made as a result of this inspection will be for the provision of disposable paper towels in the staff toilet, in the interests of infection control. 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. The summary of this inspection report can be made available in other formats on request. Kingsley Rest Home DS0000069469.V348488.R01.S.doc Version 5.2 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 Rest Home DS0000069469.V348488.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 3 and 6.Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Prospective users of this service were seen to receive adequate and appropriate assessment of their needs and personal choices, and to have written confirmation of an ability to meet these. Intermediate care was not seen to be provided at this time. EVIDENCE: In addition to reviewing a sample of care plans to ensure that the proper pre admission assessments had taken place so that the providers had been able to inform prospective users in writing of their services ability to meet their needs and personal choices, discussion took place about the major overhaul that Mrs White has subjected the care plans to in an attempt to simplify them and make them more user-friendly. Kingsley Rest Home DS0000069469.V348488.R01.S.doc Version 5.2 Page 10 In relation to this particular group of standards, this has been reflected in the provision of a new admission assessment sheet to be used in conjunction with statutory Care Management multi agency assessments. It was felt that these are an improvement on what was in place before, and it was pleasing to be informed that the home remains full, with all beds are being utilised. (This includes one former shared room where the occupant pays a supplement to enjoy the benefits of greater space, which she has been able to furnish more in the style of a Bed Sitting Room . Intermediate care within the meaning of National Minimum Standard 6 was not being offered by the home at this time. Kingsley Rest Home DS0000069469.V348488.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 7, 8, 9, and 10. Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. People who use this service were seen to have comprehensive care plans recording their social and health needs, and their personal choices, to have their medication managed for them safely and appropriately, and to be having their privacy and dignity respected by a group of staff who they praised for their sensitivity. EVIDENCE: A sample of care plans was reviewed and each one of them commenced with the notice reminding staff that this was a confidential document, and that they should not share any information found in it, without the consent of the person to whom it referred. Kingsley Rest Home DS0000069469.V348488.R01.S.doc Version 5.2 Page 12 This was followed by an information sheet, giving details of important people and important events in both the social and medical life of the person. Details of current medication included any known allergies, were followed by an assessment of mental state. (There was a second copy of this document to be used should the person need to be taken to hospital, to swiftly and accurately convey important information about them.) There was then a pen picture of their life (social history) followed by a monthly assessment and review sheet covering: Hygiene, continence, mobility, nutrition, hydration, medication, sleeping, communication, mental status (both confusion and mood), and significant events that had taken place in the month. These had been signed and dated by a member of the care staff. Next came a set of assessment sheets to be filled in by members of each of the three shifts the cover the 24 hours of care, which when taken together, gave a total picture of a day in the life of that person. All domiciliary visits by health professionals were recorded, and in addition to such things as assessment of the risk of falling, there were the usual charts to record when a person and had a bath, how much they weighed each week, and whether they had had their nails cut or their hair washed. There were clear records of any forthcoming appointments with various health professionals, and in one care plan, there was a collaborative discharge care plan of the North Staffs Combined Healthcare Trust, completed by staff at the Hayward Hospital. In discussion with people who use this service assurances were received that their privacy and dignity was being respected at all times. One person said: They always knock before they come in , and another person confided: They are always very sensitive about taking you to the loo . In one care plan there was a note instructing staff that this particular lady disliked her given names, and asking them to use another name that she had always chosen to answer to. In a room being used for two people that was visited during this inspection, mobile screens were provided to ensure the privacy of the two ladies whenever personal care was being given, or at any other time of their choice. The new providers are both nurses, and they have initiated a weekly check of the Medication Administration Record to ensure any errors are taken up with the member of staff concerned, and appropriate guidance and training given. In a formal interview with a member of staff, it was learned that the Boots pharmaceutical company were providing training in this area, and also offered an advice service over the telephone. No errors or omissions were found in the record on this visit. Kingsley Rest Home DS0000069469.V348488.R01.S.doc Version 5.2 Page 13 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 14, and 15. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. People use this service said that the home was run just the way they liked it. They were able to maintain links with their families and friends, and to make contact with the local community. Their right to exercise choice over their lives was respected, and their diet was both appropriate to their needs, and to their liking. EVIDENCE: People who use this service in conversation with the inspector stated that it was the nearest thing to being in their own home that they could wish for. Most of the rooms give a view over Wolstanton Marsh, and people enjoyed watching the life of this little community as both pedestrians and road traffic passed through their field of vision. One lady said: “I only came here because it was so much like my own home. I have the same view that I have enjoyed for over 30 years.” Kingsley Rest Home DS0000069469.V348488.R01.S.doc Version 5.2 Page 14 There was evidence from both talking to people and from records made in their care plans, of regular visits by family and friends, and the new providers have written to local schools to see if they can set up more formal links between the representatives of such different generations, which if successful, should be beneficial to all concerned. One of the people who use this service was entertaining a group of visitors in one of the smaller seating areas in this home, and they were favourable in their comments to the inspector, especially mentioning the reminiscence corner that Mr & Mrs White have created at this point. A feature of this discussion was that when they had previously visited and brought grandchildren with them, the person who uses this service was surprised at having to explain what purpose a cold bucket served, as they had apparently never seen one before. During discussion with one lady it emerged that she needed a special diet, though that she was not too keen on the restrictions this imposed on her, and was particularly grateful to those who worked in the kitchen for their imagination in creating dishes that she was both allowed, and enjoyed. In a formal interview with a member of staff, the subject of people exercising choice and control over their lives was touched in a discussion about carrying out a caring task. It was reassuring to hear her initial response that there was no such thing as a standard way of performing a care task in this home, because all the people who used this service we are re individuals, with different personalities, choices, likes, and dislikes. As the conversation continued, she talked about how she assisted them with those things they found difficult to do, whilst encouraging them to continue to do those things that they were able to do. She had received training in Dementia Awareness, and was at pains to describe how important it was for somebody losing their grip on reality, to continue to make what ever choices they could, how ever insignificant these might see to those of us fortunate enough not to share their condition. The menu for the day of the inspection, which was displayed in a suitable sized format in the dining room, was said to be representative by one lady who spoke to the inspector, and included a good variety, with cooked alternatives to the evening meal, as well as for the main lunchtime meal. A visit to the kitchen confirmed the importance given to peoples individual choice, with space being devoted to separate shelves for one person who is vegetarian. Kingsley Rest Home DS0000069469.V348488.R01.S.doc Version 5.2 Page 15 Complaints and Protection The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be. JUDGEMENT – we looked at outcomes for the following standard(s): 16 and 18. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. People who use this service was seen to live in an atmosphere with out fear, surrounded by carers devoted to protecting them from abuse, and accommodating them should they ever want to make a complaint. EVIDENCE: In a formal interview with a member of the care staff both the response to complaints, and the protection of vulnerable adults, was discussed in some depth. It emerged that she had received written instruction about how to respond to cases of suspected abuse, and she confirmed that she had been made aware of how to assist somebody using this service, should they want to make a complaint. (There had been no complaints about this service during the tenure of the current providers) She knew that anybody who came in contact with someone living in Kingsley had to be regarded as a potential abuser, and was aware of the procedure that had been agreed between all agencies, that she should follow if she were ever to suspect that someone was being abused. In response to questioning about what she thought abuse was, she stated: Kingsley Rest Home DS0000069469.V348488.R01.S.doc Version 5.2 Page 16 Forcing somebody to do anything that they do not want to do, however small, is an abuse. she felt that she was speaking for everybody who worked in the home when she declared that her ethos and culture was to protect vulnerable people, and ensure that they had the most comfortable and stress free life possible. Kingsley Rest Home DS0000069469.V348488.R01.S.doc Version 5.2 Page 17 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. JUDGEMENT – we looked at outcomes for the following standard(s): 19, 20, 21, 22, 24, and 26. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. People who use this service live in a comfortable well maintained environment with access to communal facilities, including sufficient and suitable lavatories and bathrooms, with the specialist equipment that helps to maximise their independence, and private bedrooms that are comfortable and safe, and furnished to their liking. They are able to have personal possessions around them, and to live in a home that is clean, warm, pleasant, and hygienic. EVIDENCE: Kingsley Rest Home DS0000069469.V348488.R01.S.doc Version 5.2 Page 18 A full tour was undertaken of the internal environment of this home, and lengthy discussion was entered into with the proprietors about the work that they had done during their first five months of tenure, and the plans that they had for the future. Their response to the requirement of the last report regarding the possibility of burns from coming into contact with radiators or hot water pipes, had been both swift and fruitful. A full survey of the alternatives available had guided them into purchasing a control system that both ignited the central heating if the outside temperature (as measured on several sensors around the exterior of the home) fell below a comfortable level, and then turned the boiler off if the temperature of the first radiator on the system exceeded 43°C. The kitchen area had been completely rearranged to give a simplified workstation, and a member of staff there at the time of this inspection said: It is now a joy to come to work . The floor had been replaced, and the worktops had been tiled over, and existing wall tiles had been freshened with a coat of white paint. The cooking arrangements had been renewed to give two separate cooking stations, both with four hobs, one grill and one oven. The whole presentation was light and airy, with improved access to all units, and the percentage of the glazed oval that made up 75 of the walls, had been fitted with light reflective film, that did not impair the view out, but prevented ultraviolet light from overheating the area in summer. As stated elsewhere in this report the lounge was being redecorated at the time of the inspection, and preparatory work had been done in the dining room to revamp this also. Most of the bedrooms were visited, and an impressive programme of redecoration had taken place therein. Some had had new carpets, and the state of those in other rooms belied the fact that they wont also new. Personalisation of the rooms included small items of furniture and soft furnishings, as well as ornaments and pictures of both family, and of other interests of the occupant. One room had received new furniture, and the proprietor was absent from the home at the beginning of this inspection purchasing suitable chain to secure the new wardrobe to the wall. (To prevent any accidental damage to occupants or staff, were it to fall over.) Bathing facilities included both Oxford Mermaid and Arjo chair hoists, and one unit had an integral shower for the benefit of anybody who either preferred this to a bath, or who had been advised on medical grounds to avoid immersion. Sufficient and appropriate toilet facilities were located at convenient points around the home, and appropriate mobility rails were provided to aid safety. Kingsley Rest Home DS0000069469.V348488.R01.S.doc Version 5.2 Page 19 Wheelchairs were kept in a dedicated storage area when not in use, and people using this service was seen to use Zimmer frames. The home was clean and warm, and was out unpleasant odour, and policies and procedures existed to reduce any danger from infection. However, it will be a recommendation of this report that of the communal towel in the staff toilets be replaced with a disposable paper towels. Kingsley Rest Home DS0000069469.V348488.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 27, 28, 29, and 30. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. People who use this service were being cared for by a group of staff who were committed to best practice in the care of the elderly, who are employed in sufficient numbers to carry this out, who were recruited and employed in line with all relevant legislation, and who were being trained and were competent to do their jobs. EVIDENCE: During the course of this unannounced inspection, 11 people (the last bed had been let but not yet occupied) were being cared for by four carers on the early shift, two carers on the late shift, one-person awake and watchful between 10 p.m. and 8 a.m., (with access to both Mr and Mrs White by telephone), and a cook. Both through the formal staff interview, and from a visual review of training records, it was established that the staff of the home have the necessary experience and qualifications to care for those people who have been admitted, and also that the new proprietors have introduced an enhanced programme of mandatory and specialist training in an attempt to further improve the standard of care available in this service. Kingsley Rest Home DS0000069469.V348488.R01.S.doc Version 5.2 Page 21 The member of staff who took part in a formal interview confirmed that at the point of employment she had been subjected to all proper procedures for the protection of those people living in the home, and to respect the equality and diversity of prospective members of staff. Further she stated that supervision and training were available in the home and that she had received both induction and supervision. Previously this latter had been on an ad hoc basis, but the new proprietors have introduced regular formal supervision in addition to reviving the staff meetings Kingsley Rest Home DS0000069469.V348488.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 31, 33, 35, and 38. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. People who use this service were seen to have their health, safety, and wealth are promoted by appropriately qualified and experienced care manager, with systems to obtain their views, and those of their supporters, about the service, so that these could be incorporated into future improvements for the provision. EVIDENCE: Kingsley Rest Home DS0000069469.V348488.R01.S.doc Version 5.2 Page 23 The new proprietor/care manager has now been interviewed by CSCI and appointed as being a satisfactorily qualified and experienced person to run the service. Mr White is a qualified nurse, as is his wife and co-proprietor Mrs White. In the last five months they have done much to improve the home, and have maintained 100 occupancy. In discussion Mr White expressed many views about ways that he could improve the home in the future, and committed himself to a long-term tenure. To try and ensure that the home is run in the best interest of the people living there, questionnaires have already been distributed to members of staff, people who live in the home, and their family and other supporters, and these have now been collected so that they can be audited in order to guide future service provision. A copy of this customer satisfaction survey was seen and it contained the following questions: Are your loved ones happy at Kingsley? Have you noticed any changes, and if so will you happy with them? Are you satisfied with the choice and quality of menu? Have you noticed any changes in the standard of cleanliness? To all staff treat your loved one as an individual? And do all staff treat your loved one with respect? Have you noticed differences in the standard of care between shifts? To staff always inform you of changes to your loved ones care or health? Are you happy with the room? Would you like to see more entertainment? Do we have enough staff on duty at all times? Systems were in place to safeguard the financial interests of people who use this service, with the majority of them receiving assistance from members of their family, and with contracts that clearly defined the level of service they were purchasing, and the arrangements in hand for payment of any items that were not covered by the fees. (For example, the visiting mobile hairdresser is paid by the home, and then individual invoices are sent to the relatives of people using her service, so that they can make the appropriate payments. Much work has been done to improve the safety and welfare of people who use this service, including the purchase and installation of the system to ensure that radiators and hot water pipes in the home to not exceed 43°, but this has not been done at the cost of their comfort, as the system also senses any drop in the outside temperature, and provides early ignition of the central heating system, to maintain the ambient temperature in the home, which should also have the additional benefit of increasing fuel efficiency, and reducing carbon emissions. During the course of this inspection radiators never became more than warm to the touch, but the home did not feel cool, and all the people who lived in it, who gave an opinion, expressed themselves satisfied. Kingsley Rest Home DS0000069469.V348488.R01.S.doc Version 5.2 Page 24 Record showed that the appropriate maintenance checks were being carried out on such things as window restraints, the accuracy of thermometers, the recorded temperature in 12 locations around the home, the medication administration sheets, Legionella testing, fire alarm and prevention systems, fridge and freezer temperatures, and the accuracy of pressure mats, and that the emergency call system was in working order. The food standards agency had been approached to provide a further literature for the cook, and new data sheets were on order in relation to the Containment of Substances Hazardous to Health. Kingsley Rest Home DS0000069469.V348488.R01.S.doc Version 5.2 Page 25 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 4 8 4 9 4 10 4 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 4 3 3 3 X 4 X 4 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 4 Kingsley Rest Home DS0000069469.V348488.R01.S.doc Version 5.2 Page 26 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. Standard Regulation Requirement Timescale for action 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 OP26 Good Practice Recommendations The registered person is recommended to review their procedures in relation to infection control, which in this instance refers to the consideration of replacing the communal towel in the staff toilet with single use/disposable paper and towels dispensed in an appropriate manner. Kingsley Rest Home DS0000069469.V348488.R01.S.doc Version 5.2 Page 27 Commission for Social Care Inspection Birmingham Local Office Commission for Social Care Inspection 1st Floor, Ladywood House, 45-56 Stephenson Street Birmingham B2 4UZ National Enquiry Line: Telephone: 0845 015 0120 or 0191 233 3323 Textphone: 0845 015 2255 or 0191 233 3588 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 Rest Home DS0000069469.V348488.R01.S.doc Version 5.2 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!