Inspection on 09/11/05 for Kingsmead Care Centre

This inspection was carried out on 9th November 2005.

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

The inspector found there to be outstanding requirements from the previous inspection report. These are things the inspector asked to be changed, but found they had not done. The inspector also made 1 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

Kingsmead Care Centre 16/10/07

Kingsmead Care Centre 21/03/07

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 ADULTS 18-65 Kingsmead Care Centre Crawley Road Roffey Horsham West Sussex RH12 4RX Lead Inspector Mrs S Gawley Unannounced Inspection 9th November 2005 09:00 Kingsmead Care Centre DS0000024246.V263232.R01.S.doc Version 5.0 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.V263232.R01.S.doc Version 5.0 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.V263232.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service Kingsmead Care Centre Address Crawley Road Roffey Horsham West Sussex RH12 4RX 01403 265335 01403 269944 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 Mr Mauro M Pinson 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.V263232.R01.S.doc Version 5.0 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. 18th July 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. Mr M. Pinson is the registered manager responsible for the day-to-day running of the home. Kingsmead Care Centre DS0000024246.V263232.R01.S.doc Version 5.0 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. It was the first inspection since the registration status of the home changed from the separate registrations for two individual units to a single registration. Mr Pinson and members of staff assisted the inspector and made available all the records and information required to carry out the inspection. The building was inspected; several Residents and relatives were spoken to. Most spoken with praised the quality of the care provided by staff but one Resident commented that some staff can sometimes be abrupt and another stated that the day has a very early start being wakened and dressed between 06.00 and 06.30. What the service does well: What has improved since the last inspection? What they could do better: There is an issue of identity documents not being available for adaptation students who are employed in the home, furthermore there is evidence of one of these students starting prior to Criminal Records Bureau clearance and a check against the Protection of Vulnerable Adults list. The appointment of this Student prior to receipt of these documents was not discussed with the Commission. Kingsmead Care Centre DS0000024246.V263232.R01.S.doc Version 5.0 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 Care Centre DS0000024246.V263232.R01.S.doc Version 5.0 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home Individual Needs and Choices Lifestyle Personal and Healthcare Support Concerns, Complaints and Protection Environment Staffing Conduct of Management of the Home Scoring of Outcomes Statutory Requirements Identified During the Inspection Adults 18 – 65 (Standards 1–5) (Standards 6-10) (Standards 11–17) (Standards 18-21) (Standards 22–23) (Standards 24–30) (Standards 31–36) (Standards 37-43) Older People (Standards 1–5) (Standards 7, 14, 33 & 37) (Standards 10, 12, 13 & 15) (Standards 8-11) (Standards 16-18 & 35) (Standards 19-26) (Standards 27-30 & 36) (Standards 31-34, 37 & 38) Kingsmead Care Centre DS0000024246.V263232.R01.S.doc Version 5.0 Page 8 Choice of Home The intended outcomes for Standards 1 – 5 (Adults 18 – 65) and Standards 1 – 5 (Older People) are: 1. 2. 3. Prospective service users have the information they need to make an informed choice about where to live. (OP NMS 1) Prospective users’ individual aspirations and needs are assessed. No service user moves into the home without having been assured that these will be met. (OP NMS 3) Prospective service users’ know that the home that they choose will meet their needs and aspirations. Service Users and their representatives know that the home they enter will meet their needs. (OP NMS 4) Prospective service users’ have an opportunity to visit and “test drive” the home. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. (OP NMS 5) Each service user has an individual written contract or statement of terms and conditions with the home. Each service user has a written contract/statement of terms and conditions with the home. (OP NMS 2) 4. 5. The Commission considers Standard 2 (Adults 18-65) and Standards 3 and 6 (Older People) the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 1-6 Prospective residents have the information they need to make an informed choice about where to live but it needs update. No resident moves into the home without having had his/her needs assessed and been assured that these will be met. Prospective residents know that the home they choose will their needs and aspirations and that the home they enter will meet their needs. Prospective resident service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Each resident has an individual written contract/statement of terms and conditions with the home. Kingsmead Care Centre DS0000024246.V263232.R01.S.doc Version 5.0 Page 9 EVIDENCE: The Statement of Purpose and Service User Guide is now in place reflecting the current registration status of the home. Care plans inspected showed evidence of pre assessment and Mr Pinson stated that prospective residents could visit the home. Terms and conditions are in place for all residents. Kingsmead Care Centre DS0000024246.V263232.R01.S.doc Version 5.0 Page 10 Individual Needs and Choices The intended outcomes for Standards 6-10 (Adults 18-65) and Standards 7, 14, 33 & 37 (Older People) are: 6. Service users know their assessed and changing needs and personal goals are reflected in their Individual Plan. The Service Users health, personal and social care needs are set out in an individual plan of care. (OP NMS 7) Service users make decisions about their lives with assistance as needed. Service Users are helped to exercise choice and control over their lives. (OP NMS 14) Service users are consulted on, and participate in, all aspects of life at the home. The home is run in the best interests of service users. (OP NMS 33) Service users are supported to take risks as part of an independent lifestyle. The service users health, personal and social care needs are set out in an individual plan of care. (OP NMS 7) Service users know that the information about them is handled appropriately and that their confidences are kept. Service Users rights and best interests are safeguarded by the home’s record keeping, policies and procedures. (OP NMS 37) 7. 8. 9. 10. The Commission considers Standards 6, 7 and 9 (Adults 18-65) and Standards 7, 14, and 33 (Older People) the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 6,7,9 Residents know that their assessed needs and personal goals are reflected in their individual plan. Their health personal and social care needs are set out in an individual plan of care. Residents make decisions about their lives and mostly exercise choice and control. EVIDENCE: Care plans inspected showed all needs recorded. The younger adults accommodated have communication needs recorded and these are well known to staff. Care plans maintained by nursing staff were up to date but those held in the rooms to be completed by care staff were not up to date. This was discussed with the nurse in charge of the unit and the registered manager. Residents mostly exercise choice and control over their lives but one resident Kingsmead Care Centre DS0000024246.V263232.R01.S.doc Version 5.0 Page 11 did state that she does not like to have to get up so early in the mornings. This was discussed with the manager. Risk assessment is recorded and residents can go on outings or attend day centres as assessed. Kingsmead Care Centre DS0000024246.V263232.R01.S.doc Version 5.0 Page 12 Lifestyle The intended outcomes for Standards 11 - 17 (Adults 18-65) and Standards 10, 12, 13 & 15 (Older People) are: 11. Service users have opportunities for personal development. 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. (OP NMS 12) Service users are able to take part in age, peer and culturally appropriate activities. 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. (OP NMS 12) Service users are part of the local community. Service users maintain contact with family/ friends/ representatives and the local community as they wish. (OP NMS 13) Service users engage in appropriate leisure activities. 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. (OP NMS 12) Service users have appropriate personal, family and sexual relationships and maintain contact with family/friends/representatives and the local community as they wish. (OP NMS 13) Service users’ rights are respected and responsibilities recognised in their daily lives. Service users feel they are treated with respect and their right to privacy is upheld. (OP NMS 10) Service users are offered a (wholesome appealing balanced) healthy diet and enjoy their meals and mealtimes. Service users receive a wholesome appeaing balanced diet in pleasing surroundings at times convenient to them. (OP NMS 15) 12. 13. 14. 15. 16. 17. The Commission considers standards 12, 13, 15, 16 and 17 (Adults 1865) and Standards 10, 12, 13 and 15 (Older People) the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 11-16 Residents have opportunities for personal development. Residents are able to take part in age, peer and culturally appropriate activities. Residents are part of the local community. Kingsmead Care Centre DS0000024246.V263232.R01.S.doc Version 5.0 Page 13 Residents engage in appropriate leisure activities and have appropriate, personal, family and sexual relationships. Resident’s rights are respected and responsibilities recognised in their daily lives. EVIDENCE: An activities coordinator is employed and there is a well-developed activities programme and residents and relatives feel that there are sufficient activities. One resident felt that there could be more religious input. Residents are encouraged to attend college and the attached day centre, one resident spoken to today was going to the day centre. The kitchen was not inspected today but meals seen served were well presented and residents confirmed that they enjoy them. Kingsmead Care Centre DS0000024246.V263232.R01.S.doc Version 5.0 Page 14 Personal and Healthcare Support The intended outcomes for Standards 18 – 21 (Adults 18-65) and Standards 8 – 11 (Older People) are: 18. 19. 20. Service users receive personal support in the way they prefer and require. Service users feel they are treated with respect and their right to privacy is upheld. (OP NMS 10) Service users’ physical and emotional health needs are met. Service users’ health care needs are fully met. (OP NMS 8) Service users retain, administer and control their own medication where appropriate and are protected by the home’s policies and procedures for dealing with medicines. Service users, where appropriate, are responsible for their own medication and are protected by the home’s policies and procedures for dealing with medicines. (OP NMS 9) The ageing, illness and death of a service user are handled with respect and as the individual would wish. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. (OP NMS 11) 21. The Commission considers Standards 18, 19 and 20 (Adults 18-65) and Standards 8, 9 and 10 (Older People) the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 18,20 Residents receive personal support in the way they prefer and require. Service users retain, administer and control their own medication where appropriate, and are protected by the home’s policies and procedures for dealing with medicines. EVIDENCE: Residents retain, administer and control their own medication where appropriate. Residents are protected by the home’s policies and procedures for dealing with medicines. Medicines are stared appropriately and Medicine Administration Charts were up to date. Sample signatures were available Kingsmead Care Centre DS0000024246.V263232.R01.S.doc Version 5.0 Page 15 which includes the adaptation students and the registered manager confirmed that these students are not responsible for administering medication. Kingsmead Care Centre DS0000024246.V263232.R01.S.doc Version 5.0 Page 16 Concerns, Complaints and Protection The intended outcomes for Standards 22-23 (Adults 18-65) and Standards 16, 18 & 35 (Older People) are: 22. 23. Service users feel their views are listened to and acted on. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted on. (OP NMS 16) Service users’ are protected from abuse, neglect and self-harm. Service users legal rights are protected. (OP NMS 17) Also Service users are protected from abuse. (OP NMS 18) Also Service users financial interests are safeguarded. (OP NMS 35) The Commission considers Standards 12, 13, 15, 16 and 17 (Adults 1865) and Standards 16, 18 and 35 (Older People) the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 22,23 Service users feel their views are listened to and acted on. Service users are protected from abuse, neglect and self-harm. EVIDENCE: The majority of Residents and relatives spoken to stated that if they had cause to complain then they would be listened to. Residents are protected from abuse by the provision of policies and procedures. A copy of the West Sussex multi agency policy and procedure for the protection of vulnerable adults is available in the home and Sussex Health Care has in house policies regarding whistle blowing and adult abuse. Training an abuse is shown on the training schedule. Kingsmead Care Centre DS0000024246.V263232.R01.S.doc Version 5.0 Page 17 Environment The intended outcomes for Standards 24 – 30 (Adults 18-65) and Standards 19-26 (Older People) are: 24. 25. 26. 27. 28. 29. 30. Service users live in a homely, comfortable and safe environment. Service users live in a safe, well-maintained environment (OP NMS 19) Also Service users live in safe, comfortable surroundings. (OP NMS 25) Service users’ bedrooms suit their needs and lifestyles. Service users own rooms suit their needs. (OP NMS 23) Service users’ bedrooms promote their independence. Service users live in safe, comfortable bedrooms with their own possessions around them. (OP NMS 24) Service users’ toilets and bathrooms provide sufficient privacy and meet their individual needs. Service users have sufficient and suitable lavatories and washing facilities. (OP NMS 21) Shared spaces complement and supplement service users’ individual rooms. Service users have access to safe and comfortable indoor and outdoor communal facilities. (OP NMS 20) Service users have the specialist equipment they require to maximise their independence. Service users have the specialist equipment they require to maximise their independence. (OP NMS 22) The home is clean and hygienic. The home is clean, pleasant and hygienic. (OP NMS 26) The Commission considers Standards 24 and 30 (Adults 18-65) and Standards 19 and 26 (Older People) the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): These standards were not assessed today as they were assessed and fully met on the last inspection with the exception of the door closures in the event of fire. There is an ongoing programme of maintenance, which includes completion of the installation door closure devices, refurbishment of the laundry in the haven unit and further changes to the kitchen and bedrooms planned in the future. EVIDENCE: Kingsmead Care Centre DS0000024246.V263232.R01.S.doc Version 5.0 Page 18 Kingsmead Care Centre DS0000024246.V263232.R01.S.doc Version 5.0 Page 19 Staffing The intended outcomes for Standards 31 – 36 (Adults 18-65) and Standards 27 – 30 & 36 (Older People) are: 31. 32. 33. 34. 35. 36. Service users benefit from clarity of staff roles and responsibilities. Service users are supported and protected by the home’s recruitment policy and practices. (OP NMS 29) Service users are supported by competent and qualified staff. Service users are in safe hands at all times. (OP NMS 28) Service users are supported by an effective staff team. Service users needs are met by the numbers and skill mix of staff. (OP NMS 27) Service users are supported and protected by the home’s recruitment policy and practices. Service users are supported and protected by the home’s recruitment policy and practices. (OP NMS 29) Service users’ individual and joint needs are met by appropriately trained staff. Staff are trained and competent to do their jobs. (OP NMS 30) Service users benefit from well supported and supervised staff. Staff are appropriately supervised. (OP NMS 36) The Commission considers Standards 32, 34 and 35 (Adults 18-65) and Standards 27, 28, 29 and 30 (Older People) the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 34 Service users are supported and protected by the home’s recruitment policy and practices for most staff. EVIDENCE: Full documentation for adaptation students, which has been a requirement of the last two inspections, remains an issue. There is evidence of one of these students starting prior to Criminal Records Bureau clearance and a check against the Protection of Vulnerable Adults list. The appointment of this Student prior to receipt of these documents was not discussed with the Commission. The need for these checks to be in place and the need to discuss the appointment with the Commission should they not be in place was stressed to the registered manager. Kingsmead Care Centre DS0000024246.V263232.R01.S.doc Version 5.0 Page 20 Kingsmead Care Centre DS0000024246.V263232.R01.S.doc Version 5.0 Page 21 Conduct and Management of the Home The intended outcomes for Standards 37 – 43 (Adults 18-65) and Standards 31-34, 37 & 38 (Older People) are: 37. Service users benefit from a well run home. 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. (OP NMS 31) Service users benefit from the ethos, leadership and management approach of the home. Service users benefit from the ethos, leadership and management approach of the home. (OP NMS 32) Service users are confident their views underpin all self-monitoring, review and development by the home. The home is run in the best interests of service users. (OP NMS 33) Service users’ rights and best interests are safeguarded by the home’s policies and procedures. Service users rights and best interests are safeguarded by the homes record keeping, policies and procedures. (OP NMS 37) Service users’ rights and best interests are safeguarded by the home’s record keeping policies and procedures. Service users rights and best interests are safeguarded by the homes record keeping policies and procedures. (OP NMS 37) The health, safety and welfare of service users are promoted and protected. The health, safety and welfare of service users and staff are promoted and protected. (OP NMS 38) Service users benefit from competent and accountable management of the service. Service users are safeguarded by the accounting and financial procedures of the home. (OP NMS 34) 38. 39. 40. 41. 42. 43. The Commission considers Standards 37, 39 and 42 (Adults 18-65) and Standards 31, 33, 35 and 38 (Older People) the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): These standards were not inspected on this occasion as they were fully assessed at the last inspection. EVIDENCE: Kingsmead Care Centre DS0000024246.V263232.R01.S.doc Version 5.0 Page 22 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Adults 18-65 have been met and uses the following scale. Where there is no score against a standard it has not been looked at during this inspection. 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 2 2 3 3 4 3 5 3 INDIVIDUAL NEEDS AND CHOICES CONCERNS AND COMPLAINTS Standard No Score 22 3 23 3 ENVIRONMENT Standard No Score 24 x 25 x 26 x 27 x 28 x 29 x 30 x STAFFING Standard No Score 31 x 32 x 33 x 34 2 35 x 36 x CONDUCT AND MANAGEMENT 37 x 38 x 39 x 40 x 41 x 42 x 43 x Standard No 6 7 8 9 10 LIFESTYLES 11 12 13 14 15 16 17 Score 2 3 x 3 x 3 3 3 3 3 3 x PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 x 3 x Kingsmead Care Centre DS0000024246.V263232.R01.S.doc Version 5.0 Page 23 Are there any outstanding requirements from the last inspection? yes STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1 Standard YA34 Regulation 19 Requirement The registered person operates a thorough recruitment procedure based on equal opportunities and ensuring the protection of service users. This was a requirement of the previous inspection and a new timescale has been agreed. Timescale for action 31/12/05 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. Refer to Standard Good Practice Recommendations Kingsmead Care Centre DS0000024246.V263232.R01.S.doc Version 5.0 Page 24 Commission for Social Care Inspection Worthing LO 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. 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