Inspection on 21/03/07 for Kingsmead Care Centre

This inspection was carried out on 21st March 2007.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Good. The way we rate inspection reports is consistent for all houses, though please be aware that this may be different from an official CSCI judgement.

The inspector made no statutory requirements on the home as a result of this inspection and there were no outstanding actions from the previous inspection report.

Other inspections for this house

Kingsmead Care Centre 16/10/07

Kingsmead Care Centre 09/11/05

Kingsmead Care Centre 18/07/05

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 HOME MIXED CATEGORY MAJORITY OLDER PEOPLE Kingsmead Care Centre Crawley Road Roffey Horsham West Sussex RH12 4RX Lead Inspector Mrs J Aston Unannounced Inspection 21st March 2007 10:00a X10029.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 Kingsmead Care Centre DS0000024246.V334454.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 and Care Homes for Adults 18 – 65*. 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 Care Centre DS0000024246.V334454.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Kingsmead Care Centre Address Crawley Road Roffey Horsham West Sussex RH12 4RX 01403 265335 01403 269944 kingsmead@sussexhealthcare.org 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) Dr Shafik Hussien Sachedina Mr Shiraz Boghani Post Vacant Care Home 34 Category(ies) of Physical disability (34), Physical disability over registration, with number 65 years of age (17) of places Kingsmead Care Centre DS0000024246.V334454.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. A maximum of 34 service users may be accommodated. Kingsmead House Unit - A maximum of 25 service users in the category physical disability (PD) aged 40-65 years of age may be accommodated of whom 17 service users in the category physical disability elderly (PD)(E) may be accommodated. Kingsmead Haven Unit - A maximum of nine service users in the category physical disability 18-65 years may be accommodated. 9th November 2005 3. Date of last inspection Brief Description of the Service: Kingsmead Care Centre is a mixed care home registered to offer health, personal and nursing care to up to 34 service users in the categories specified above. The establishment is located in the village of Roffey, on the outskirts of Horsham, West Sussex. It comprises of a two storey main building in which 25 residents are accommodated, aged 40-65. Accommodation in the main unit 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 two lounge /dining rooms. A smaller attached unit, Kingsmead Haven accommodates 9 residents with physical disabilities aged 18-65, in single well-equipped rooms. Sussex Health Care Group owns the service. The responsible individuals on behalf of Sussex Health Care are Dr S. Sachedina and Mr S Boghani. A new manager has been appointed Mrs Alison Williams but at the time of the inspection was not registered with the Commission. Fees range from £525 to £2381. Kingsmead Care Centre DS0000024246.V334454.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The reader should be aware that the Care Standards Act 2000 and Care Homes Regulation Act 2001, uses the term ‘service user’ to describe those living in care home settings. This inspection is the first inspection in 2006-2007. It is called a key inspection and will determine the frequency of inspections hereafter. Only the key standards determined by the Commission have been assessed during this inspection. Planning for this inspection took place prior to the site visit. A pre-inspection questionnaire was received and some of the information provided will be referred to in this report. Surveys were sent to service users and a number of Health Professionals who know the service. Eighteen surveys were received from service users and two from Health Professionals. Information obtained from service users through surveys is included within the report. A site visit took place on the 21st March 2007 and was an unannounced visit. Six hours were spent in the home. A tour of the premises was undertaken, seven members of staff, six service users, two relatives and one GP were spoken with during the visit to the home and a sample of records was examined. What the service does well: The information received whilst undertaking this inspection indicates that Kingsmead provides a caring and well managed service. There was a friendly atmosphere in the home and all members of staff were polite and helpful and seen to communicate with service users in an appropriate manner. A relative said, “We are very satisfied with the care and attention at Kingsmead.” Another said, “The nursing staff and carers work hard and are welcoming and cheerful” “Staff are always very polite and friendly to family of patients.” A service user said, “The move to Kingsmead has been very beneficial.” Another said, “Very friendly and helpful staff.” Professionals who responded to the inspection through comment cards indicated that they were satisfied with the overall care provided at Kingsmead. The home looked clean and provides comfortable and individual space for service users. Service users’ individual care plans provide comprehensive and detailed information about each resident that ensures that members of staff are aware of the needs and the support they require. Kingsmead Care Centre DS0000024246.V334454.R01.S.doc Version 5.2 Page 6 Members of staff confirmed that the level of training provided is very good and they are kept up to date with Health & Safety training and can undertaken any other training that is relevant to the service users needs. What has improved since the last inspection? What they could do better: Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. The summary of this inspection report can be made available in other formats on request. Kingsmead Care Centre DS0000024246.V334454.R01.S.doc Version 5.2 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home Health and Personal Care Daily Life and Social Activities Complaints and Protection Environment Staffing Management and Administration Scoring of Outcomes Statutory Requirements Identified During the Inspection Older People (Standards 1–6) (Standards 7-11) (Standards 12-15) (Standards 16-18) (Standards 19-26) (Standards 27-30) (Standards 31-38) Adults 18 – 65 (Standards 1–5) (Standards 6, 9, 16 and 18–21) (Standards 7, 15 and 17) (Standards 22–23) (Standards 24–30) (Standards 31–35) (Standards 8, 10 and 37–43) Kingsmead Care Centre DS0000024246.V334454.R01.S.doc Version 5.2 Page 8 Choice of Home The intended outcomes for Standards 1 – 6 (Older People) and Standards 1 – 5 (Adults 18 – 65) are: 1. 2. 3. 4. 5. Prospective service users have the information they need to make an informed choice about where to live. (YA NMS 1) Each service user has a written contract/ statement of terms and conditions with the home. Each Service User has an individual contract or statement of terms and conditions with the home. (YA NMS 5) No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Prospective Service Users’ individual aspirations and needs are assessed. (YA NMS 2) Service users and their representatives know that the home they enter will meet their needs. Prospective Service Users know that the home they choose will meet their needs and aspirations. (YA NMS 3) Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Prospective service users have an opportunity to “test drive” the home. (YA NMS 4) Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. 6. The Commission considers Standards 3 and 6 (Older People) and Standard 2 (Adults 18-65) the key standards. JUDGEMENT – we looked at outcomes for the following standard(s): Key standards were assessed. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Prospective service users needs are assessed appropriately before admission to the home. EVIDENCE: Records relating to service users admitted to the home within the last six months were examined. It was demonstrated that information about the service users needs had been obtained from either Health Care Professionals or Care Manager prior to admission. Trained staff within the home had also completed a pre-admission assessment. A further assessment of a service user’s needs had been undertaken on admission. Kingsmead Care Centre DS0000024246.V334454.R01.S.doc Version 5.2 Page 9 The Head of training for the organisation was spoken with during the visit to the home explained how the staff had been supported with extra training and advice about a service users condition prior to his admission to the home. This process demonstrates that the individual and complex needs can be met by the service before the service user is admitted to the home. From examining service users records there was evidence that each service user had signed a contract with the home and a copy was kept in their files. Surveys received from service users and relatives prior to the inspection confirmed that they had information about the home and made visits to the home before moving in. Intermediate care in not provided in this setting. Kingsmead Care Centre DS0000024246.V334454.R01.S.doc Version 5.2 Page 10 Health and Personal Care The intended outcomes for Standards 7 – 11 (Older People) and Standards 6, 9, 16, 18 –21 (Adults 18-65) are: 7. The service user’s health, personal and social care needs are set out in an individual plan of care. Service Users know their assessed and changing needs and personal goals are reflected in their individual plan. (YA NMS 6) Also Service Users are supported to take risks as part of an independent lifestyle. (YA NMS 9) Service users’ health care needs are fully met. Service Users physical and emotional health needs are met. (YA NMS 19) 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, retain, administer and control their own medication where appropriate and are protected by the home’s policies and procedures for dealing with medicine. (YA NMS 20) Service users feel they are treated with respect and their right to privacy is upheld. Service Users rights are respected and responsibilities recognised in their daily lives. (YA NMS 16) Also Service Users receive personal support in the way they prefer and require. (YA NMS 18) Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The ageing, illness and death of a Service User are handled with respect and as the individual would wish. (YA NMS 21) 8. 9. 10. 11. The Commission considers standards 7, 8, 9 and 10 (Older People) and Standards 6, 9, 16, 18, 19 and 20 (Adults 18-65) are the key standards. JUDGEMENT – we looked at outcomes for the following standard(s): Key Standards were assessed. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Service users’ needs and wishes are recorded appropriately. The health care needs of each service user are known to staff and are met well. Staff team operate safe storage, handling and recording of service users medication. Service users feel they are treated with respect. EVIDENCE: Kingsmead Care Centre DS0000024246.V334454.R01.S.doc Version 5.2 Page 11 The needs of each service user and the support they require are recorded on a care plan. During the visit to the home seven care plans were examined. Each care plan stipulates clearly the different needs of each person and the action members of staff have to take to meet those needs. The Manager confirmed after the inspection that a brief outline of service users’ needs had been compiled. It recommended however that these are made available in each service users file. This would assist with accessing information about each service user easily particularly for new members of staff or agency staff. There was evidence that the care plans had been reviewed regularly and where a Care Manager was involved a review of the placement had been undertaken. Two surveys were received from Health Professionals prior to the inspection. They confirmed that the staff demonstrated a clear understanding of the care needs of service users, the medication is appropriately managed in the home, and any specialist advice was incorporated into the care plan. Within the home and organisation there is a physiotherapist and Occupational therapist available for treatment and assessment. There was evidence that Health Care Professionals are consulted for other health checks, advice and treatment. During the visit to the home the storage and handling of medication was examined. The Inspector found that all medication was stored appropriately and securely. An observation of a member of staff giving medication to a resident demonstrated that this was done appropriately. The records relating to the medication administered were in good order. Each resident has a pen picture in relation to what medication he or she is taking and what it is for. This enables staff to understand what each type of medication is for and to be aware of any side affects from the medication. Kingsmead Care Centre DS0000024246.V334454.R01.S.doc Version 5.2 Page 12 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 (Older People) and Standards 7, 11– 15 and 17 (Adults 18-65) are: 12. 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 have opportunities for personal development. (YA NMS 11) Also Service Users are able to take part in age, peer and culturally appropriate activities. (YA NMS 12). Also Service users engage in appropriate leisure activities. (YA NMS 14) Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service Users are part of the local community. (YA NMS 13) Also Service Users have appropriate personal, family and sexual relationships. (YA NMS 15) Service users are helped to exercise choice and control over their lives. Service Users make decisions about their lives with assistance as needed. (YA NMS 7) Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. Service Users are offered a healthy diet and enjoy their meals and mealtimes. (YA NMS 17) 13. 14. 15. The Commission considers standards 12, 13, 14 and 15 (Older People) and Standards 12, 13, 15 and 17 (Adults 18-65) the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): Quality in this outcome area is (excellent, good, adequate or poor) This judgement has been made using available evidence including a visit to this service. The home provides a range of activities for residents that include leisure and educational activities where appropriate. Daily routines within the home take account of service users activities and wishes. Service users receive support and assistance from members of staff to make choices and decisions in their lives. The home has maintained good links and relationships with relatives. Residents are supported to maintain a healthy diet. Kingsmead Care Centre DS0000024246.V334454.R01.S.doc Version 5.2 Page 13 EVIDENCE: The service employs four activity co-ordinators to undertake activities within the home and to transport and support service users with activities outside of the home. Service users are supported to attend college or day centres or to go shopping. Most service users spoken with and who responded to the surveys sent prior to the inspection were satisfied with the activities provided. A service user said, “The wide range of activities provided are beneficial to me.” However some service users said they would like more activities at the weekends. There are some daily routines within the home like meal times for instance but generally service users said that they were able to get up when they wished, to spend the day how they chose and to go to bed when they wished. There was evidence that the service assisted service users to maintain contact with relatives and friends. Relatives spoken to during the visit to the home confirmed that they are able to visit the home at any time and are made welcome. Relatives said they are kept informed about their relatives well being but this could be improved. It is recommended therefore that the manager consult with relatives about how this could be improved. Eighteen surveys were received from service users or their relatives prior to the inspection. Three out of the eighteen said they always make decisions about what they did each day; three said they usually did, and five said sometimes. Eleven out of the eighteen confirmed that they are able to do what they want during the day, in the evening and at the weekend. It was indicated through surveys and during the visit to the home that due to the level of disability a number of service users require support with making decisions or choices. Where their choice or wish is known it is recorded in their individual file. It is recommended that the Manager obtain information about the requirements of the Mental Capacity Act that will come into effect in 2007. This will ensure that the home is acting appropriately on behalf of residents where decisions have to be made in their best interests. A sample of menus were provided with the pre-inspection questionnaire. The menus are varied and provide a variety of meals and a choice. Service users spoken with confirmed that they are consulted about what food is available for the following day and what alternatives may be provided. During the visit to the home the Inspector observed meals being served in all three dining areas. It was noted that there were sufficient staff in each dining area to support service users with eating. Kingsmead Care Centre DS0000024246.V334454.R01.S.doc Version 5.2 Page 14 Members of staff provided this assistance in an appropriate and sensitive manner. Where liquidised food is required it was noted that this is prepared correctly and each component of a meal is liquidised separatley and not mixed together. Special diets are catered for. The Chef/Manager has put together a selection of photographs of meals available. As it was observed that there was no real reminder of the food service users were about to eat at each meal; it is recommended that the Manager look at ways of providing this information in different formats in each dining area. It was noted from care plans that where service users required peg feeding there were clear guidelines about the time that this should be undertaken. There was evidence that members of staff receive training in how to undertake this. Kingsmead Care Centre DS0000024246.V334454.R01.S.doc Version 5.2 Page 15 Complaints and Protection The intended outcomes for Standards 16 – 18 (Older People) and Standards 22 – 23 (Adults 18-65) 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 feel their views are listened to and acted on. (YA NMS 22) Service users’ legal rights are protected. Service Users are protected from abuse, neglect and self-harm. (YA NMS 23) Service users are protected from abuse. Service Users are protected from abuse, neglect and self-harm. (YA NMS 23) The Commission considers standards 16 and 18 (Older People) and Standards 22 and 23 (Adults 18-65) the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): Key Standards were assessed. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. There are appropriate procedures for dealing with complaints. Through training the staff team have awareness about signs of abuse and know how to report any allegations. EVIDENCE: The Commission has not received any complaints in respect of this service. The pre-inspection material received prior to the visit to the home recorded that five complaints had been received in the last twelve months four of which had been substantiated. The complaints record was examined during the visit to the home that demonstrated the complaints had been responded to appropriately and within the stipulated timescale. Two professionals who responded to the inspection through surveys confirmed that they had not received any complaints about the home. Twelve service users/relatives out of the eighteen who responded to the inspection through surveys said that they knew who to speak to if they were not happy and knew how to make a complaint. Kingsmead Care Centre DS0000024246.V334454.R01.S.doc Version 5.2 Page 16 Fourteen out of the eighteen said their views were always or usually listened to and acted upon and two said sometimes. The service users and relatives who were spoken with during the visit to the home said they felt that the new manager was very approachable and would feel happy to speak with her if there was anything they were not satisfied with. The West Sussex Multi-disciplinary Adult Protection Procedures are followed by the home. From training records it could be seen that members of staff have received training in recognising signs of abuse and this is updated as required. Kingsmead Care Centre DS0000024246.V334454.R01.S.doc Version 5.2 Page 17 Environment The intended outcomes for Standards 19 – 26 (Older People) and Standards 24 – 30 (Adults 18-65) are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service Users live in a homely, comfortable and safe environment. (YA NMS 24) Service users have access to safe and comfortable indoor and outdoor communal facilities. Shared spaces complement and supplement service users’ individual rooms. (YA NMS 28) Service users have sufficient and suitable lavatories and washing facilities. Service Users toilets and bathrooms provide sufficient privacy and meet their individual needs. (YA NMS 27) Service users have the specialist equipment they require to maximise their independence. (YA NMS 29) Service users’ own rooms suit their needs. Service Users’ own rooms suit their needs and lifestyles. (YA NMS 25) Service users live in safe, comfortable bedrooms with their own possessions around them. Service users’ bedrooms promote their independence. (YA NMS 26) Service users live in safe, comfortable surroundings. Service Users live in a homely, comfortable and safe environment. (YA NMS 24) The home is clean, pleasant and hygienic. The home is clean and hygienic. (YA NMS 30) The Commission considers standards 19 and 26 (Older People) and Standards 24 and 30 (Adults 18-65) the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): Key Standards were assessed. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The standard of accommodation provided for service users is good and provides a safe environment. EVIDENCE: The pre-inspection material provided prior to the inspection confirmed that safety checks and maintenance of equipment is up to date. Kingsmead Care Centre DS0000024246.V334454.R01.S.doc Version 5.2 Page 18 There is a current Public Liability Insurance Certificate for the home. A tour of the premises was undertaken during the visit to the home. On the day the home was clean and hygienic and provided a comfortable environment for the residents. Service user rooms looked clean and personalised. However it is recommended that the Manager address the following points within the home: • • • • • Lack of storage for wheelchairs and equipment, No locks on some service user bedrooms that means the rooms cannot be secured if they are out of the home of if there is a death. Service users’ room doors being left open whilst the service user is out of the home that means their belongings cannot be secured. A door wedge was seen to be used on the door to the oxygen storage room which is against fire regulation. The provision of a refurbished staff room. Discussions held with the Manager after the inspection confirmed that action is being taken to address some of the points above and other points recommended will be addressed. Therefore no requirements have been made at this inspection. Kingsmead Care Centre DS0000024246.V334454.R01.S.doc Version 5.2 Page 19 Staffing The intended outcomes for Standards 27 – 30 (Older People) and Standards 31 – 35 (Adults 18-65) are: 27. 28. 29. Service users needs are met by the numbers and skill mix of staff. Service users are supported by an effective staff team. (YA NMS 33) Service users are in safe hands at all times. Service Users are supported by an effective staff team. (YA NMS 32) Service users are supported and protected by the home’s recruitment policy and practices. Service Users benefit from clarity of staff roles and responsibilities. (YA NMS 31) Also Service Users are supported and protected by the home’s recruitment policy and practices. (YA NMS 34) Staff are trained and competent to do their jobs. Service Users individual and joint needs are met by appropriately trained staff. (YA NMS 35) 30. The Commission considers standards 27, 28, 29 and 30 (Older People) and Standards 32, 34 and 35 (Adults 18-65) the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): Key Standards were assessed. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. A trained staff team support service users and have sufficient time to do this safely and well. The organisation operates a robust recruitment procedure in respect of permanent members of staff. EVIDENCE: The staff team consists of eight registered nurses; seventeen care staff, and eight ancillary staff. Within the staff team there is a mix of female and male staff, a mix of ages and different nationalities. Inspection material provided prior to the inspection confirmed the staffing levels within the home. The staffing levels on the day of the visit to the home appeared appropriate to meet the needs of the service users. Kingsmead Care Centre DS0000024246.V334454.R01.S.doc Version 5.2 Page 20 There were two activity co-ordinators working in the home and it was seen that there were sufficient staff around in all dining areas when lunch was being served. Where service users required assistance with moving it was observed that two members of staff undertook this in a safe manner. Service users spoken with said that members of staff are friendly and kind. Comments received from service users and relatives from surveys said that staff treated them well, “we try and talk through any problems and find the best way to proceed; they are very experienced.” “A friendly and helpful staff group.” “We are very satisfied with the care and attention at Kingsmead.” “The nursing staff and carers work hard and are welcoming and cheerful.” The records relating to the recruitment of new members of staff were examined. This demonstrated that the necessary recruitment checks had been undertaken prior to them working in the home. Where overseas staff had been employed there was evidence of the persons identity, passports had been seen with permission to enter the country and to work, three references and a police check from their country of origin. Criminal Record Checks are applied for through the organisations head office and confirmation of the outcome of a check against the protection of vulnerable adults register and the Criminal Record Check is sent to the home. These were seen during the visit to the home and confirmed that Criminal record checks had been undertaken in relation to the sample of records examined. A sample of eight staff records was examined. The records were organised and in good order. The records demonstrated that members of staff receive an appropriate induction, training in health and safety topics and in topics relevant to the service users’ needs. The range of training provided covers induction through to National Vocational Qualifications (NVQ) level 2 & 3. The pre-inspection material provided prior to the inspection confirmed that 49 of the staff team are trained to NVQ Level 2 and above. Members of staff spoken with confirmed that they had received this training. Where overseas nurses are employed there was evidence to demonstrate that they are supported to undertake a full programme of training. Whilst visiting the home a training session in providing intimate personal care was provided by the Head of training for the organisation. Information was provided to the Inspector through discussion about the range of training available and provided and how it is ensured that members of staff are suitably trained in the needs of a service user with specialised needs prior to their admission. Training is also provided when necessary in relation to specific service users needs as they arise. Kingsmead Care Centre DS0000024246.V334454.R01.S.doc Version 5.2 Page 21 Management and Administration The intended outcomes for Standards 31 – 38 (Older People) and Standards 8, 10, 23, 37 – 43 (Adults 18-65) are: 31. 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 a well run home. (YA NMS 37) Service users benefit from the ethos, leadership and management approach of the home. (YA NMS 38) The home is run in the best interests of service users. Service Users are consulted on and participate in, all aspects of life in the home. (YA NMS 8) Also Service Users are confident their views underpin all selfmonitoring, review and development by the home. (YA NMS 39) Service users are safeguarded by the accounting and financial procedures of the home. Service Users benefit from competent and accountable management of the service. (YA NMS 43) Service users’ financial interests are safeguarded. Service Users are protected from abuse, neglect and self-harm. (YA NMS 23) Staff are appropriately supervised. Service Users benefit from well supported and supervised staff. (YA NMS 36) Service users’ rights and best interests are safeguarded by the home’s record keeping, policies and procedures. Service Users know that information about them is handled appropriately, and that their confidences are kept. (YA NMS 10) Also Service Users rights and best interests are safeguarded by the home’s policies and procedures. (YA NMS 40) and (YA NMS 41) The health, safety and welfare of service users and staff are promoted and protected. The health, safety and welfare of service users and staff are promoted and protected. (YA NMS 42) 32. 33. 34. 35. 36. 37. 38. The Commission considers standards 31, 33, 35 and 38 (Older People) and Standards 37, 39 and 42 (Adults 18-65) the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): Key Standards were assessed. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home is well maintained and safe for service users. The safety of service users and members of staff is considered and risks minimised as far as possible. Service users finances are managed appropriately. Kingsmead Care Centre DS0000024246.V334454.R01.S.doc Version 5.2 Page 22 EVIDENCE: A new manager has been in post for five weeks. A registration application will be submitted shortly. The manager was out of the home undertaking training during the visit to the home. Members of staff spoken with confirmed that they were supported well by the manager and deputy managers of the home. The atmosphere in the home on the day of the visit was friendly, helpful and cheerful. Members of staff, service users and volunteers told the Inspector that they felt the new manager was approachable and caring and they had confidence in raising concerns and that action would be taken. Members of staff confirmed that they receive regular supervision and monthly staff meetings were arranged. There were records to demonstrate this. From examining staff records there was only one example of an annual appraisal and this was undertaken in 2004. The manager therefore should ensure that all members of staff receive an annual appraisal. Training records examined demonstrated and members of staff spoken with confirmed that training in the Health & Safety topics: Moving & Handling, First Aid, Food Hygiene, Fire and Health & safety is undertaken as part of their induction programme and then updated as required. There is a fire risk assessment for the home and evidence that fire drill and training are regularly undertaken. Checks on fire alarms and equipment were recorded but there were no records available for checks on smoke alarms or emergency lights. There is a current Public Liability Insurance Certificate for the home. Records seen on the day of the inspection and provided prior to the inspection demonstrate that annual safety inspections are undertaken on equipment and utility supplies and maintenance systems are in place to ensure the safety of residents. The Manager and staff team support service users to keep safe through highlighting any potential risks to them. It was seen that potential risks from the environment or whilst staff are supporting them with moving had been assessed for each service user. A quality assurance system is in place and provides an organisation service review. There was evidence that some questionnaires have recently been sent out. This ensures that the home and organisation are consulting service users, staff and relatives about the quality of the service and making improvements where necessary. Where possible service users manage their own finances or their relatives take responsibility through Power of Attorney. The organisation does manage some service users’ finances through an impress account. Kingsmead Care Centre DS0000024246.V334454.R01.S.doc Version 5.2 Page 23 The Inspector was informed that within this account each service user has their own account and monthly statements were received showing the balance in each account. All transactions are recorded and receipts kept. The records are monitored and audited by the Manager and as part of the Regulation 26 inspections. Kingsmead Care Centre DS0000024246.V334454.R01.S.doc Version 5.2 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 X 2 X 3 3 4 X 5 X 6 X HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 3 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 3 18 X ENVIRONMENT Standard No Score 19 3 20 X 21 X 22 X 23 X 24 X 25 X 26 3 STAFFING Standard No Score 27 3 28 3 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No Score 31 3 32 X 33 3 34 X 35 3 36 X 37 X 38 3 Kingsmead Care Centre DS0000024246.V334454.R01.S.doc Version 5.2 Page 25 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. 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. Refer to Standard Good Practice Recommendations Kingsmead Care Centre DS0000024246.V334454.R01.S.doc Version 5.2 Page 26 Commission for Social Care Inspection Hampshire Office 4th Floor Overline House Blechynden Terrace Southampton SO15 1GW 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. Kingsmead Care Centre DS0000024246.V334454.R01.S.doc Version 5.2 Page 27 - 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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