Inspection on 16/11/06 for Kingsmead Care Home

This inspection was carried out on 16th November 2006.

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

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

Other inspections for this house

Kingsmead Care Home 04/11/08

Kingsmead Care Home 17/01/06

Kingsmead Care Home 07/07/05

Kingsmead Care Home 06/01/05

Kingsmead Care Home 19/07/04

Kingsmead Care Home 27/01/04

Similar services:

2 Perhaver Park

The Vicarage

Fairfields Country Rest Home

St George`s

5 Seafield Road

Credence House

Poldhu

Queensmount

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

CARE HOMES FOR OLDER PEOPLE Kingsmead Care Home 63 Prospect Place Old Town Swindon Wiltshire SN1 3LJ Lead Inspector Steve Cousins Key Unannounced Inspection 09:30 16 – 17th November 2006 th 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 Kingsmead Care Home DS0000015923.V307920.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. Kingsmead Care Home DS0000015923.V307920.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Kingsmead Care Home Address 63 Prospect Place Old Town Swindon Wiltshire SN1 3LJ 01793 422333 01793 422666 kingsmead@fshc.co.uk 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) Laudcare Ltd (a wholly owned subsidiary of Four Seasons Health Care Ltd) Mrs Gillian Whiter Care Home 43 Category(ies) of Dementia (18), Dementia - over 65 years of age registration, with number (18), Learning disability (1), Mental disorder, of places excluding learning disability or dementia (18), Mental Disorder, excluding learning disability or dementia - over 65 years of age (18), Old age, not falling within any other category (25) Kingsmead Care Home DS0000015923.V307920.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. 3. 4. No more than 18 service users in the category old age, not falling within any other category, may be in receipt of nursing care and must be accommodated on the ground floor No more than 18 persons aged 45 years and over with a mental disorder or dementia may be accommodated at any one time. These service users must be accommodated on the first floor. The `Annex` area may not be used for service users in receipt of nursing care whether in the OP, MD, MD(E), DE or DE(E) categories The staffing levels set out in the Staffing Notice issued by Wiltshire Health Authority on 26 September 2000 in regard to Kingsmead Nursing Home must be met at all times in respect of the service users accommodated on the ground floor The staffing levels set out in the Staffing Notice issued by Wiltshire Health Authority on 28 May 1999 in regard to Kingsmead Nursing Home must be met at all times in respect of the service users accommodated on the first floor The only service user who may be accommodated in the category LD is the male service user in the application dated 28 June 2005. The only service user who may be in receipt of nursing care, aged under 65, is the service user named in the application dated 16th December 2005. 17th January 2006 5. 6. 7. Date of last inspection Brief Description of the Service: Kingsmead Nursing Home is situated in Old Town, Swindon and is close to local shops and bus routes. The home is a modern building on two floors and has accommodation for up to forty-three older people. It is split into three sections, comprising of a seven-bedded residential unit, an eighteen-bedded nursing unit and an eighteen-bedded dementia/mental health unit. The accommodation comprises of a mixture of single and double rooms with some en suite facilities. Communal sitting and dining rooms are available and there is a safe, enclosed rear garden that contains a seating area. There are parking areas to the front and rear of the home. Kingsmead is part of the Four Seasons Healthcare group and the registered manager is Gill Whiter. There is a minimum of two qualified nurses on duty at all times, supported by care assistants. Kitchen, domestic, administration and maintenance staff are also employed. Kingsmead Care Home DS0000015923.V307920.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This unannounced inspection took place over the 16th and 17th of November 2006 in order to inspect all of the key minimum standards relating to care homes for elderly people. The judgements contained in this report have been made from evidence gathered during the inspection, which included visits to the home and takes into account the views and experiences of people using the service. The findings from this inspection are based on a tour of the premises, speaking to residents, relatives and staff, and visiting frail residents. A number of records were inspected, including care plans, medication records and staff records. Comment cards were received from residents’ relatives and representatives and the home’s GP’s following the inspection. The findings of the visit were discussed with Mrs Whiter, the manager, at the end of the second day of the inspection. What the service does well: What has improved since the last inspection? What they could do better: There is a need to ensure that all complaints are recorded in order to demonstrate how well they are being dealt with. Some improvements are required to ensure that sluices, bathrooms and the laundry are adequately cleaned. Many of the beds in use in the home are unsuitable as they cannot be Kingsmead Care Home DS0000015923.V307920.R01.S.doc Version 5.2 Page 6 moved and are not height adjustable. This issue has been an unmet statutory requirement since the inspection held in January 2005 and the Commission will consider enforcement action if this latest requirement is not met by 1st March 2007. 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 Home DS0000015923.V307920.R01.S.doc Version 5.2 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 Outcomes Statutory Requirements Identified During the Inspection Kingsmead Care Home DS0000015923.V307920.R01.S.doc Version 5.2 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 the following standard(s): 3. Standard 6 does not apply to this service. Potential residents are assessed prior to admission to the home to ensure their needs can be met. The quality in this outcome area is good. This judgement has been made from evidence gathered before, during and after the visit to this service. EVIDENCE: All of the care plans reviewed contained pre admission assessments that had been carried out by the manager or her deputy, both of whom are registered nurses. Some contained other supporting documents such as assessments from care managers and hospital discharge summaries. The information is used to aid completion of individual care plans and information had been supplied by relatives where required. One resident was able to confirm their assessment process had taken place. Kingsmead Care Home DS0000015923.V307920.R01.S.doc Version 5.2 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 the following standard(s): 7, 8, 9 and 10. The residents’ health and personal care needs are being met and care planning has improved. The procedures for dealing with medicines protect the residents and they are treated respectfully and their right to privacy is upheld. The quality in this outcome area is good. This judgement has been made from evidence gathered before, during and after the visit to this service. EVIDENCE: The inspector chose six residents to case track, three females and three males between the ages of 52 and 83. The residents had varying physical, social and mental health needs and two were unable to verbally communicate and were fully dependent on staff support. A review of the residents care plans indicated an improvement since the previous inspection. Plans were more individualised and appeared an accurate reflection of assessed needs and were regularly reviewed. Assessments for tissue viability, manual handling and nutrition were in place in all but one case, which was brought to the attention of the nurse in charge. Kingsmead Care Home DS0000015923.V307920.R01.S.doc Version 5.2 Page 10 Although generally good, the inspector did find two areas where care planning and assessment procedure required improvement. Care plans that reflected residents’ wishes regarding end of life decisions were not in place for those residents who were very frail and dying, to ensure that they receive the care they would wish. Also, residents’ social assessments had not always been completed in order to ascertain how their social needs might be met. The inspector visited the residents who were being case tracked and found that interventions were in place to meet their assessed needs, such as pressure relief equipment, fluid intake charts, continence aids and manual handling equipment. Their personal hygiene needs were being met and residents appeared comfortable. Those who were able to communicate indicated satisfaction with the care given. Those who were assessed as being nutritionally at risk were regularly weighed. Daily records indicated that residents had access to their GP’s and staff take prompt action when there is a health care need. A comment card received from a GP and another from a relative, indicated satisfaction with the overall care provided by the home. Resident’s comments about the care included “ It’s OK here, they look after us”. ‘I get help if I need it’ and another said, “they are very helpful”. A visiting relative commented that they always found the person they were visiting “in clean clothes and safe, either in her chair or comfortable in bed” and felt the care “couldn’t be better”. Another relative indicated continued satisfaction with the care his wife received on the dementia unit. The inspector noted an improvement in the standard of personal care since the previous inspection. The arrangements regarding administration of medication were reviewed and found to be satisfactory. Registered nurses are responsible for the administration of medicines in the home. Medications were stored safely and records of receipts, administration and disposals maintained. Indirect observation confirmed that medication was being safely administered. Due to their complex needs, no residents self-administered their medication. The inspectors observations and the residents’ comments indicated that residents were being treated respectfully and staff endeavoured to respect their dignity and privacy. Doors were closed whilst personal care was being delivered and the GP confirmed that he was able to see his patients in private. No resident raised any concerns about the staff, one stated that they “liked the staff” and another said, “They are very kind”. Kingsmead Care Home DS0000015923.V307920.R01.S.doc Version 5.2 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 the following standard(s): 12,13,14 and 15. Social activity is provided and residents are able to maintain contact with family and friends. Where possible residents exercise some control and choice over their lives. The home provides nutritious meals in a suitable environment. The quality in this outcome area is good. This judgement has been made from evidence gathered before, during and after the visit to this service. EVIDENCE: Two activity coordinators are employed in the home however neither were on duty during the two days of the inspection, so no activity sessions could be observed. A weekly programme is produced and records of activity are kept that indicate a mixture of group and individual activities are available, along with opportunities for trips out of the home. Records also indicated that residents were able to attend church services. Meetings are held every three months with residents to discuss ideas for activities. Residents were not always able to comment on the activities available apart from one person who said “there is enough to do”, another comment received was that activities were not often available to the residents on the dementia unit, however he manager felt that this may have been exacerbated by the current absence of the activity staff. Kingsmead Care Home DS0000015923.V307920.R01.S.doc Version 5.2 Page 12 Evidence of good practice was found in the efforts the staff had made to meet the social needs of an individual resident by accessing services outside the home. Daily routines had been adjusted to facilitate attendance at a centre and a care plan relating to social integration was in place. A comment card received from a relative indicated that they were made welcome in the home, were able to visit in private and were kept informed of important matters. Visitors were in the home throughout the two days of the inspection and some residents confirmed that they were able to maintain contact with friends and relatives. Visitors could be received in residents’ rooms or in the communal areas. Few residents’ were able to comment on whether they were able to have some control over how they lived their lives, one resident did say “they normally get me up when I want” and another indicated that they received help when they required. Records indicated that two residents were supported by staff to maintain social interaction outside of the home. Residents are able to bring in personal items and furniture if required and a married couple are accommodated in a double room. The home provides three meals per day; breakfast, a main meal at lunchtime and an evening meal of soup, sandwiches or a hot snack. Residents are able to make their choice of meal and the comments received were generally complimentary. One resident felt the food was “good” and another “alright, there is always food here if you want it”. One resident felt that the food was “not bad, but a bit repetitive”. The meals served during the inspection appeared well cooked and residents spoken to indicated that they were enjoying the food. Residents were observed eating in their own rooms or in the dining rooms if preferred and staff were observed sensitively assisting some residents to eat and giving them sufficient time. A staff member supervised those eating without assistance in the dining room on the dementia unit. Kingsmead Care Home DS0000015923.V307920.R01.S.doc Version 5.2 Page 13 Complaints and Protection The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 16 and 18. A complaint procedure is available but not all complaints are being recorded. As far as possible, residents are protected from possible abuse. The quality in this outcome area is adequate. This judgement has been made from evidence gathered before, during and after the visit to this service. EVIDENCE: No complaints had recorded in the complaint log since the previous inspection in January 2006, however the manager reported dealing with “minor grumbles” as they arose. A comment card received from a relative stated that they had made a complaint, which the inspector was unable to evidence was handled correctly. Complaints logged prior to the previous inspection appeared to be dealt with in a timely manner. The homes complaints procedure is available in the foyer and in the service users guide. Staff spoken to were able to state the correct procedures for reporting suspected abuse and the local procedure was available in the foyer. Training relating to the protection of vulnerable adults is available. The Commission investigated an anonymous allegation relating to abuse, in conjunction with the Swindon Vulnerable Adults Unit, during March 2006, which was not proven. This involved several visits to the home to interview staff and management; the manager felt that this had resulted in an increased awareness amongst staff regarding abuse issues and procedures. Appropriate checks are carried out on all new staff and there are adequate systems in place for the handling of residents’ money. Kingsmead Care Home DS0000015923.V307920.R01.S.doc Version 5.2 Page 14 Environment The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 19 and 26 The home is well maintained and there is a commitment to enhance the environment for residents, however improvement is required to ensure all areas are adequately cleaned. The quality in this outcome area is adequate. This judgement has been made from evidence gathered before, during and after the visit to this service. EVIDENCE: A tour of the building indicated that there had been an improvement in the decoration of the home and new carpets had been provided in corridors and communal areas. The home was generally clean and odour free, apart from a stale smell in part of the nursing unit by the front door of the home. There were some areas that would benefit from better cleaning; mainly the bathrooms and sluice areas and this were discussed with the manager. Mrs Whiter stated that there were plans to refurbish bathrooms next year. The home employs a maintenance person and staff record any work required in a maintenance request log. A record of routine maintenance tasks is also Kingsmead Care Home DS0000015923.V307920.R01.S.doc Version 5.2 Page 15 completed. Records also indicated that all essential equipment and services had been regularly serviced. Infection control procedures were in place in the laundry to ensure soiled items are dealt with appropriately. The areas behind the washing machines and the tumble dryers needed tidying and cleaning and the tops of tumble dryers needed wiping. The kitchen was found to be generally clean however chopping boards were worn and stained and a large pot required replacing. The milk-dispensing machine required cleaning. Food and fridge temperatures were being recorded, however there were occasional gaps in the record. Kingsmead Care Home DS0000015923.V307920.R01.S.doc Version 5.2 Page 16 Staffing The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users’ needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission consider all the above are key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 27, 28, 29 and 30. Residents needs appear to be met by the staff, but some comments received indicate that a review of care staff levels at certain times of the day may be required. Recruitment practice protects the residents and staff training, including NVQ, is provided. The quality in this outcome area is good. This judgement has been made from evidence gathered before, during and after the visit to this service. EVIDENCE: On each day of the inspection, there were two nurses and three care assistants on duty on the dementia unit and one nurse and three care assistants covering the nursing/residential unit. At night there are two nurses and three care assistants to cover all units. Call bells were answered promptly and staff appeared to be meeting residents’ needs without undue delay. A review of staffing rotas indicated that, apart from occasional daytime shifts, the homes minimum staffing notice is being adhered to. The inspector spoke with six members of staff who all spoke positively about the home and felt that staffing levels were appropriate but that they were often busy. Also, they had occasionally had to undertake kitchen duties in the evening, which had made them feel “pushed”. This may be a reflection on the comment card received from a relative on which they indicated that they felt there was not always sufficient staff on duty when they visit. The efficiency of the laundry, meals and maintenance service would indicate that the number of support staff is appropriate. Kingsmead Care Home DS0000015923.V307920.R01.S.doc Version 5.2 Page 17 The recruitment records of four staff members were reviewed. Criminal Records Bureau checks had been obtained and references and POVA checks had been obtained prior to the person starting employment in all cases. Other documentation required was in place. Training records recorded that staff received mandatory training in food hygiene, moving and handling, fire safety and first aid. Other training has included abuse awareness, dementia care and continence awareness. A training plan was available and individual records are kept. A monthly training ‘return’ detailing training provided is sent to the company’s training manager. Records indicated that new staff received induction training and the manager stated that this was currently being updated to relate to the Skills for Care common induction standards. Sixteen of thirty-one care assistants have an NVQ qualification and a further six are currently working towards achieving one. One new member of staff confirmed that that they had received induction training, which included manual handling, two others confirmed that they were undertaking NVQ. A recommendation of the previous inspection was that staff receive training in dealing with challenging behaviour. Mrs Whiter stated that this has yet to be achieved however a training pack was being developed by the company’s training department. The company also provide equality and diversity training, although records indicate that no staff had undertaken this. Kingsmead Care Home DS0000015923.V307920.R01.S.doc Version 5.2 Page 18 Management and Administration The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. Service users’ rights and best interests are safeguarded by the home’s record keeping, policies and procedures. The health, safety and welfare of service users and staff are promoted and protected. The Commission considers Standards 31, 33, 35 and 38 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 31, 33, 35 and 38 The manager is qualified and competent to run the home and quality assurance systems have improved. Some aspects of health and safety management present a risk to residents and staff. The quality in this outcome area is adequate. This judgement has been made from evidence gathered before, during and after the visit to this service. EVIDENCE: Mrs Whiter is a registered nurse and was appointed as manager in April 2003. She was previously employed as the homes deputy manager and has worked at Kingsmead since 1998 and has completed the Registered Managers Award. A deputy supports Mrs Whiter in her role, and she is line managed by a regional manager. Quality assurance measures consist of an annual questionnaire, which the manager reported had been sent to a sample of five residents and relatives in Kingsmead Care Home DS0000015923.V307920.R01.S.doc Version 5.2 Page 19 October. Since the previous inspection, Mrs Whiter has introduced a monthly audit, which is carried out by staff whereby they ask individual residents their opinions of the home. Other audits undertaken have included infection control and medication procedures. Not all monthly visits by a representative of the providers, Four Seasons Health Care, have been undertaken. Procedures for the handling of residents’ monies are in place and money is kept in a safe but the current system of paying all monies received for service users’ personal use into one non interest accruing bank account does not meet regulation 20(1)(a)(b) of The Care Homes Regulations 2001. However the Commission recognises that the procedure is in place for the benefit of the residents and is well regulated and monitored to ensure probity. The home has a health and safety committee consisting of representatives from each department with the manager as the chairperson. Records had been produced for meetings held in June and November. Accidents are recorded and audited every month. Inspection of the fire log indicated that fire safety checks were undertaken at the required intervals. A list of staff trained in first aid is available in each care office. As recorded at previous inspections back to January 2005, there are not enough variable height beds in the home. This is putting residents who have complex manual handling needs and the staff who handle them at risk. Of the beds in use in the home 32 were divans and 9 were old style hospital beds. Mrs Whiter stated at the last inspection that two adjustable beds had been ordered and that agreement had reached with the providers, Four Seasons Health Care, to provide more. Mrs Whiter stated that she had requested two beds per month since that last inspection, however none had been received. Due to non-compliance with this requirement, the Commission will consider enforcement action should this issue not be addressed within the given timescale detailed in the requirement section of this report. Kingsmead Care Home DS0000015923.V307920.R01.S.doc Version 5.2 Page 20 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 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 2 17 X 18 3 3 X X X X X X 2 STAFFING Standard No Score 27 3 28 3 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X 3 X 3 X X 2 Kingsmead Care Home DS0000015923.V307920.R01.S.doc Version 5.2 Page 21 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 OP7 Regulation 15 (1) 12 (2,3) Requirement Timescale for action 01/01/07 2 OP16 17 (2) Schedule 4 (11) 3 4 OP19 OP26 23 (2,b) 13 (3) The registered manager is required to ensure that, where appropriate, service users wishes concerning terminal care are set out in a care plan. The registered manager is 17/11/06 required to ensure that a record is kept of all complaints made and includes details of investigation and any action taken The registered person is required 01/02/07 to ensure that the flooring in the ground floor sluice is replaced The registered person shall make 01/01/07 suitable arrangements to prevent infection, toxic conditions and the spread of infection at the care home and should ensure: • that stained toilet seats are replaced. • that bath hoist seats are cleaned and lime-scale deposits removed. • that sluice rooms and the equipment within be kept clean at all times. • that the laundry and the equipment within be kept DS0000015923.V307920.R01.S.doc Version 5.2 Kingsmead Care Home Page 22 5 OP26 13 (3) 6 OP33 26 (2,3,4) 7 OP38 13 (4,c,5) 16(1,2,c) clean at all times. the milk-dispensing machine is kept clean at all times. The registered manager is 22/12/06 required to ensure that the kitchen equipment detailed in the report be replaced The registered provider is 01/01/07 required to ensure that a representative of the Company carries out monthlyunannounced visits. The registered manager and 01/03/07 provider are required to ensure that, unless at the request of the service user, adjustable beds are available for all service users who are in receipt of nursing care. (This requirement was first set at the inspection held in January 2005 and had not been met by the compliance date set then and at subsequent inspections. The Commission will consider enforcement action should this latest requirement not be met within the given timescale.). • Kingsmead Care Home DS0000015923.V307920.R01.S.doc Version 5.2 Page 23 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1 2 3 4 5 6 Refer to Standard OP7 OP12 OP27 OP30 OP30 OP35 Good Practice Recommendations It is recommended that social needs assessments are completed where possible It is recommended that a review is held of the activities available to residents on the dementia unit. It is recommended that a review of staffing levels be undertaken. It is recommended that staff receive training in the management of challenging behaviour. It is recommended that staff receive diversity and equality training. It is recommended that the registered provider consider introducing a system for handling service users money that meets regulation 20(1)(a)(b) of The Care Homes Regulations 2001. Kingsmead Care Home DS0000015923.V307920.R01.S.doc Version 5.2 Page 24 Commission for Social Care Inspection Chippenham Area Office Avonbridge House Bath Road Chippenham SN15 2BB 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 Care Home DS0000015923.V307920.R01.S.doc Version 5.2 Page 25 - 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. 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