Inspection on 26/10/05 for Kingsthorpe Grange

This inspection was carried out on 26th October 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 but made no statutory requirements on the home.

Other inspections for this house

Kingsthorpe Grange 21/01/10

Kingsthorpe Grange 21/05/07

Kingsthorpe Grange 09/05/05

Similar services:

Byars Care Home

St Marys Nursing Home

Bramble Lodge

Parkmanor Residential Home

Thornham Grove

Hunter`s Lodge

London Road Neurological and Specialist Care Unit

Carlton Care Home

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

CARE HOMES FOR OLDER PEOPLE Kingsthorpe Grange Kingsthorpe Grange 296 Harborough Road Kingsthorpe Northampton NN2 8LT Lead Inspector Unannounced Inspection 26th October 2005 09:30 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 Kingsthorpe Grange DS0000064133.V260971.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. 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. Kingsthorpe Grange DS0000064133.V260971.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service Kingsthorpe Grange Address Kingsthorpe Grange 296 Harborough Road Kingsthorpe Northampton NN2 8LT 01604 821000 01604 821492 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) St Matthews Limited Ms Katrina Elizabeth Shaw Care Home 50 Category(ies) of Dementia - over 65 years of age (13), Old age, registration, with number not falling within any other category (37) of places Kingsthorpe Grange DS0000064133.V260971.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. 3. No further Service Users in the category of OP may be admitted when there are already a total of 37 Service Users accommodated in this category No further Service Users in the category of DE(E) may be admitted when there are already 13 Service Users accommodated in this category A total of 50 service users. Date of last inspection 9th May 2005 Brief Description of the Service: Kingsthorpe Grange is a home situated in Kingsthorpe, a suburb of Northampton. The home is within walking distance of community resources, which include churches, shops, pubs and restaurants. The home has recently changed ownership, and is registered to provide Nursing care for service users with a variety of needs over 65 years of age. Accommodation is provided across two floors, there are 48 single rooms and 1 double room with 26 rooms providing en suite facilities. The home consists of a large older house, which has been extended to form 4 house groups, each area consisting of bedrooms, and lounge/dining facilities. Access to the first floor of the home is by passenger lift. The home has a rear garden which is accessible to service users, and has car parking to the front and rear. Kingsthorpe Grange DS0000064133.V260971.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. One hour was spent prior to the inspection reviewing previous requirements and recommendations, comments from residents and relatives and collating information provided by the service. The inspection took place over a period of three and three quarter hours as part of the statutory inspection programme. Two residents were chosen in order that their experience in the home could be monitored. This included looking at their records, talking to them and also to the staff concerning the care received. In addition to this staff rotas and staff records were seen. A limited tour of the environment was undertaken. What the service does well: What has improved since the last inspection? The newly developed Dementia unit has been commissioned and a new group of residents accommodated. An on going programme of redecorating and refurbishment is in progress to ensure that the home is a pleasant place in which to live. A new system of assessment and care planning has been introduced to ensure that all residents assessed needs may be addressed. Kingsthorpe Grange DS0000064133.V260971.R01.S.doc Version 5.0 Page 6 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. Kingsthorpe Grange DS0000064133.V260971.R01.S.doc Version 5.0 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 Kingsthorpe Grange DS0000064133.V260971.R01.S.doc Version 5.0 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 Resident’s needs are assessed prior to admission in order to determine that they may be met in the home. EVIDENCE: Comprehensive pre admission assessments were available for the residents chosen to case track. These were enhanced by further assessments made over the initial few weeks within the home to ensure that all needs were identified. Kingsthorpe Grange DS0000064133.V260971.R01.S.doc Version 5.0 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 and 9 Service users health and personal care needs are met. EVIDENCE: The care plans were written to a high standard, giving very thorough information to the reader, and were reviewed. A new system of recording care plans has been introduced since the last inspection and gives detailed advice to staff concerning resident needs. Risk assessments are available for moving and handling, Nutrition, pressure ulcers and falls. Appropriate action had been taken where a risk was identified. Residents spoken to were complimentary concerning the care and attention received and one resident commented that the Registered Provider regularly came round and took the trouble to speak to them and that she felt confident that he would address any concerns raised. All residents seen appeared well groomed and well cared for. Residents diagnosed with a dementia related illness are nursed in a separate unit. This unit had a very happy relaxed atmosphere and residents obviously had good relationships with the staff. A recent pharmacy inspection had been carried out and the new refrigerator thermometers recommended had been purchased. Kingsthorpe Grange DS0000064133.V260971.R01.S.doc Version 5.0 Page 10 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 Activities and meals are both well managed, creative and provide daily interest and variation for people living in the home. EVIDENCE: The home has a very active volunteer group which organise a wide variety of activities. Such things as a gardening club, pottery club, carpet bowls, Bingo and quizzes are on offer. One resident spoken to stated that she enjoyed the Bingo but liked to watch her own television or read. Residents in the dementia unit were enjoying a music session with simple instruments so they could join in. Staff were observed to be making sure that all residents were included and stimulated by this activity, with brightly coloured sensual objects available as well as the musical instruments. One lady in this area was knitting which she said she enjoyed. Appropriate risk assessments were in place for this activity. Residents spoken to said that the standard of food was good and that choice was offered. Residents were enjoying a cooked breakfast at the beginning of the inspection, an option that is available twice a week. Recent theme days have been enjoyed where food and activities from different cultures have been sampled. Members of staff from different areas of the world have dressed up in their traditional costumes appropriate to the chosen topic. One lady stated that she had a limited diet and that the home made every effort to provide food to Kingsthorpe Grange DS0000064133.V260971.R01.S.doc Version 5.0 Page 11 tempt her. She was supplied with a supplementary nourishing drink in order to ensure she had an adequate nutritional intake. Kingsthorpe Grange DS0000064133.V260971.R01.S.doc Version 5.0 Page 12 Complaints and Protection The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 16, 17 and 18 Residents may be confidant that their concerns will be addressed and that they will be protected from abuse. EVIDENCE: A complaints procedure is on display in the home and records of complaints were found to be in good order. The Registered Manager stated that residents are registered for postal votes at political elections. Staff have undergone training in the Protection of Vulnerable Adults and are aware of their responsibility in reporting any actual or suspicion of abuse to the relevant parties. Kingsthorpe Grange DS0000064133.V260971.R01.S.doc Version 5.0 Page 13 Environment The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 19, 20, 23,24, 25 and 26 Residents live in homely surroundings, which are well maintained and clean. EVIDENCE: An ongoing programme of redecoration and refurbishment is in progress to improve the environment in which residents live. Corridors, communal lounges and some resident bedrooms have been redecorated since the last inspection. Resident’s rooms showed evidence of personalisation, with small items of furniture, pictures and ornaments on display. The home was bright and airy and comfortably warm. Separate cleaning staff are employed to ensure that the home is kept clean and tidy at all times. A new automated dosing system has been introduced to the laundry that allows clothing to be washed at lower temperatures whilst still disinfecting them. This has obvious advantages, as clothing is not shrunk in the wash. A new procedure for the care of urinary catheters has been instigated since the last inspection following requirements being made about the storage of night drainage bags during the day. Unfortunately this procedure is not being followed by the staff and a drainage bag was once again found with an Kingsthorpe Grange DS0000064133.V260971.R01.S.doc Version 5.0 Page 14 uncovered end, leaving the resident at risk from infection when this was reconnected. This requirement therefore remains outstanding. Kingsthorpe Grange DS0000064133.V260971.R01.S.doc Version 5.0 Page 15 Staffing The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users’ needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission 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 Procedures for the recruitment of staff provide safeguards necessary to offer protection to the people living in the home. Staff are provided with training and are in sufficient numbers to meet the needs of the residents. EVIDENCE: A selection of staff files was seen and these demonstrated that the required information and checks are in place in order to protect residents from potential harm. A new system of appraisal and formal supervision is currently being introduced in the home. A staff training matrix is available to demonstrate that statutory training and updates are provided for all staff members. The company employs its own tutor to provide in house training. 20 staff currently hold a National Vocational Qualification level 2, 2 staff hold level 3 and 2 staff level 4. In addition, 7 more staff are working towards level 2. In addition 15 Registered nurses and a physiotherapist are employed. This ensures a high level of care to the residents. Four Registered Nurses and twelve carers staff the home in the daytime and two Registered Nurses with four carers at night. No agency staff are being used currently, which gives continuity of care to the residents. Kingsthorpe Grange DS0000064133.V260971.R01.S.doc Version 5.0 Page 16 Management and Administration The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. Service users’ rights and best interests are safeguarded by the home’s record keeping, policies and procedures. The health, safety and welfare of service users and staff are promoted and protected. The Commission considers Standards 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, 32, 33, 35, 37 and 38 The Registered Manager ensures that the home is run efficiently, in a way that serves the best interests of the residents. EVIDENCE: The Registered Manager is a First Level Registered Nurse who holds the Registered Managers Award. She has several years experience in caring for this resident group and is ably assisted by her deputy manager who is a First Level Registered Mental Nurse. Systems are in place to audit the standard of care and the environment to ensure that standards are maintained. Staff and residents approached the manager freely during the inspection and residents spoken to confirmed that she was approachable and dealt with their concerns in a timely manner. Kingsthorpe Grange DS0000064133.V260971.R01.S.doc Version 5.0 Page 17 A commitment to resident’s choice was observed both in the records reviewed and in observations made during the inspection. Residents spoken to confirmed that they are able to choose where to spend their day, what activities and food they would like and the time of rising and retiring. Resident monies are not handled in the home. The resident or their advocate is invoiced for extras such as hairdressing and chiropody, every three months. As stated earlier, risk assessments are available for all potentially hazardous areas in order to protect the residents from harm. Radiators are covered to prevent residents burning themselves and windows above the ground floor have their opening restricted in order to reduce the risk of residents falling out. Health and Safety information is on display in the home. Kingsthorpe Grange DS0000064133.V260971.R01.S.doc Version 5.0 Page 18 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME 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 X 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 4 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 3 18 3 3 3 X X 3 3 3 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 3 3 X 3 X 3 3 Kingsthorpe Grange DS0000064133.V260971.R01.S.doc Version 5.0 Page 19 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 OP26 Regulation 13(3) Requirement Measures must be taken to prevent cross infection. Ref: catheter bags. Previous timescale of 15/6/05 not met Timescale for action 14/11/05 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 Kingsthorpe Grange DS0000064133.V260971.R01.S.doc Version 5.0 Page 20 Commission for Social Care Inspection Northamptonshire Area Office 1st Floor Newland House Campbell Square Northampton NN1 3EB 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 Kingsthorpe Grange DS0000064133.V260971.R01.S.doc Version 5.0 Page 21 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. The policy of www.bestcarehome.co.uk is to use all legal avenues to pursue such offenders, including recovery of costs. You have been warned!