Inspection on 18/07/05 for Kingsmead Care Centre

This inspection was carried out on 18th July 2005.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Adequate. 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

Kingsmead Care Centre 16/10/07

Kingsmead Care Centre 21/03/07

Kingsmead Care Centre 09/11/05

Kingsmead Care Centre 25/05/04

Similar services:

Wingham Court

Old Hastings House

The Shelley

Springfield House

Sutton Lodge Nursing Home

St Helier`s Residential Hotel

St Joseph`s

Ridgemount

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

CARE HOMES FOR OLDER PEOPLE Kingsmead Crawley Road Roffey Horsham, West Sussex RH12 4RX Lead Inspector Sheila Gawley Announced Monday 18 July 2005, 9:00am th 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. Kingsmead H60-H11 S24246 Kingsmead V230536 180705 Stage 4.doc Version 1.30 Page 3 SERVICE INFORMATION Name of service Kingsmead Address Crawley Road, Roffey, Horsham, West Sussex, RH12 4RX 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) 01403 265335 Dr Shafik Hussien Sachedina Mr Mauro M Pinson Care Home 25 Category(ies) of Care Home with Nursing 25 registration, with number of places Kingsmead H60-H11 S24246 Kingsmead V230536 180705 Stage 4.doc Version 1.30 Page 4 SERVICE INFORMATION Conditions of registration: 1. A maximun of 25 service users may be accomodated at any one time. 2. Only service users in the caregory Physical disability over 40 years of age to be admitted. Date of last inspection 1807 05 Brief Description of the Service: Kingsmead is a care home that is registered to accommodate up to twenty-five service users who have nursing needs. Kingsmead is registered to provide a service for older people and up to eight people who have a physical disability (PD) over the age of forty years may also be admitted. The establishment is located in the village of Roffey, on the outskirts of Horsham, West Sussex.Kingsmead is a two-storey building. Accommodation is provided in twenty-one single rooms and two double rooms. There is a ramped access to the ground floor and a passenger lift provides access to the first floor. Several rooms on the ground floor have direct access to a garden area. Facilities include an activities room and a lounge which currently also serves as a dining room.Sussex Health Care Group owns the service. The responsible individuals on behalf of Sussex Health Care are Dr S. Sachedina and Mr S Boghani. Mr M. Pinson is the registered manager responsible for the day-to-day running of the home. Kingsmead H60-H11 S24246 Kingsmead V230536 180705 Stage 4.doc Version 1.30 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The unannounced inspection took place over the morning and afternoon of 18th July 2005. Mr Pinson and members of staff assisted the inspector and made available all the records and information required to carry out the inspection. There were twenty-five service users accommodated at the time of the inspection. A tour of the building took place; several service users were spoken with as was one relative. All those spoken with praised the quality of the care provided by staff. Fifteen comment cards were received in respect of the service and all comments were positive. The commission has been in receipt of one complaint of late where the attitude of the manager was criticized. What the service does well: What has improved since the last inspection? What they could do better: The issue of door wedges continues but Mr Pinson stated that there is a programme of installation of automatic door closures. It will be a requirement of this inspection that this is completed. Kingsmead H60-H11 S24246 Kingsmead V230536 180705 Stage 4.doc Version 1.30 Page 6 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. Kingsmead H60-H11 S24246 Kingsmead V230536 180705 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 Kingsmead H60-H11 S24246 Kingsmead V230536 180705 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) These standards were not inspected on this occasion EVIDENCE: Kingsmead H60-H11 S24246 Kingsmead V230536 180705 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) 9, 10,11 Residents are protected by the home’s policies and procedures for dealing with medicines but greater clarity in medicine administration charts is needed Residents feel they are treated with respect and their right to privacy is upheld. Residents are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. EVIDENCE: Residents spoken to stated that they are treated with respect and that privacy is also respected: they also have freedom in their routines and movements. Medicine stores were inspected and were appropriate. Medicine administration charts were up to date. Controlled drugs are appropriately stored and recorded. The homes practices on the changing needs and approaching death were discussed with the manager who stated that as far as possible, where residents needs can be met they can remain in the home at the end of their lives. Policies are in place to support this Kingsmead H60-H11 S24246 Kingsmead V230536 180705 Stage 4.doc Version 1.30 Page 10 Kingsmead H60-H11 S24246 Kingsmead V230536 180705 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) 12-15 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. EVIDENCE: All of the Residents spoken to stated that there are suitable activities in the home. An activities programme was on display. Residents receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The chef was spoken to and made available menus detailing choice. The residents spoken to stated that they were very happy with the food served, and several were seen having lunch in the garden. A visitor spoken to stated that the food was good. Kingsmead H60-H11 S24246 Kingsmead V230536 180705 Stage 4.doc Version 1.30 Page 12 Complaints and Protection The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 16,18 Residents and relatives are confident that their complaints will be listened to, taken seriously and acted upon. Abuse procedures were not inspected on this occasion EVIDENCE: There is a complaints procedure in place and a record is made of all complaints and the outcomes. This was available for inspection. Residents and a relative spoken to stated that comments they make are listened to but that in the main they do not have the need to complain about anything serious. One complaint made to the commission was discussed with Mr Pinson and a deficiency in recording resident’s wishes in relation to issues to be discussed with relatives was highlighted. His attitude in dealing with the relative had also been a component of the complaint but the organisational investigation did not detail a response to this. The Mr Pinson said that this was a learning experience and such matters would be recorded in the future. Kingsmead H60-H11 S24246 Kingsmead V230536 180705 Stage 4.doc Version 1.30 Page 13 Environment The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 19-26 Residents live in a safe, well-maintained environment. Residents have access to safe and comfortable indoor and outdoor communal facilities. Residents have sufficient and suitable lavatories and washing facilities. Residents have the specialist equipment they require to maximise their independence and rooms suit their needs. Residents live in safe, comfortable bedrooms with their own possessions around them. Residents live in safe, comfortable surroundings. The home is clean, pleasant and hygienic EVIDENCE: The home on inspection was neat clean and free from offensive odours. The communal areas are pleasant and there is accessible and well maintained grounds which the residents were seen enjoying. Bedrooms were comfortable and personalised. Furnishings are of suitable quality but one chair in the lounge has torn upholstery, Mr Pinson to investigate the refurbishment of this chair. There is evidence that the safety of residents is considered in the Kingsmead H60-H11 S24246 Kingsmead V230536 180705 Stage 4.doc Version 1.30 Page 14 provision of safety equipment such as hoists and assisted baths, however the continued use of door wedges continues to pose a risk to the health and safety of residents Kingsmead H60-H11 S24246 Kingsmead V230536 180705 Stage 4.doc Version 1.30 Page 15 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) 27,29 The numbers and skill mix of staff meets resident’s needs. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. EVIDENCE: Staff rota were available for inspection and show adequate numbers of staff on duty. The home has not had any agency staff of late. A sample of staff files were inspected which show terms and conditions, discipline and whistle blowing policy. Mr Pinson stated that an enhanced Criminal records Bureau clearance is in place for all staff prior to appointment. Kingsmead H60-H11 S24246 Kingsmead V230536 180705 Stage 4.doc Version 1.30 Page 16 Management and Administration The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. Service users’ rights and best interests are safeguarded by the home’s record keeping, policies and procedures. The health, safety and welfare of service users and staff are promoted and protected. The Commission considers Standards 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) 31,32,33,38 Residents 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 but there has been a criticism of his abrupt attitude. Residents benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. The health, safety and welfare of service users and staff are promoted and protected in most areas. EVIDENCE: Kingsmead H60-H11 S24246 Kingsmead V230536 180705 Stage 4.doc Version 1.30 Page 17 Mr Pinson is a registered nurse and is experienced in the role of registered manager. It was evident today from observation and discussion that there is an open style of management at Kingsmead Care Home and that there are clear lines of accountability within Sussex Health Care. Mr Pinson stated that he is also willing to learn from a situation such as the recent complaint that was dealt with. There are policies in place regarding health and safety; staff are provided with training on these issues. The issue of the use of door wedges continues to be a risk to the health and safety of residents. Kingsmead H60-H11 S24246 Kingsmead V230536 180705 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 x x x x x HEALTH AND PERSONAL CARE Standard No Score 7 x 8 x 9 3 10 3 11 3 DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 x 13 x 14 x 15 x COMPLAINTS AND PROTECTION 2 3 3 3 3 3 3 3 STAFFING Standard No Score 27 3 28 x 29 x 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score Standard No 16 17 18 Score 2 x x 3 3 3 x x x x 2 Kingsmead H60-H11 S24246 Kingsmead V230536 180705 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 19 Regulation 23(4)(i) Requirement the registered person to make adequate arrangements for detecting, containing and extinguishing fires. Timescale for action 31 st sepetmber 2005 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 16.3 Good Practice Recommendations A record is mad eof all complaints and includes details of investigation and any actions taken Kingsmead H60-H11 S24246 Kingsmead V230536 180705 Stage 4.doc Version 1.30 Page 20 Commission for Social Care Inspection 2nd Floor, Ridgeworth House Liverpool Gardens Worthing, West Sussex BN11 1RY 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 Kingsmead H60-H11 S24246 Kingsmead V230536 180705 Stage 4.doc Version 1.30 Page 21 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. 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