Random inspection report
Care homes for older people
Name: Address: Kingston Court Care Home Newtown Road Carlisle Cumbria CA2 7JH two star good service The quality rating for this care home is: The rating was made on: A quality rating is our assessment of how well a care home, agency or scheme is meeting the needs of the people who use it. We give a quality rating following a full review of the service. We call this review a ‘key’ inspection. This is a report of a random inspection of this care home. A random inspection is a short, focussed review of the service. Details of how to get other inspection reports for this care home, including the last key inspection report, can be found on the last page of this report. Lead inspector: Margaret Drury Date: 0 1 0 9 2 0 0 9 Information about the care home
Name of care home: Address: Kingston Court Care Home Newtown Road Carlisle Cumbria CA2 7JH 01228528542 01228528638 Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Type of registration: Number of places registered: Conditions of registration: Category(ies) : Express Care (Guest Services) Ltd care home 80 Number of places (if applicable): Under 65 Over 65 0 53 dementia old age, not falling within any other category Conditions of registration: 27 0 The registered person may provide the following category of service only. Care home with Nursing - Code N To service users of the following gender: Either Whose primary care needs on admission to the home are within the following categories: Old age not falling within any other category - Code OP,(maximum number of places: 53) Dementia - Code DE (maximum number of places: 27) The maximum number of service users who can be accommodated is: 80 Date of last inspection Brief description of the care home Kingston Court is a modern purpose built home that provides nursing care for older people and for up to 27 people with dementia. The home is arranged over three floors with the top floor accommodating people with dementia.
Care Homes for Older People Page 2 of 9 Brief description of the care home Express Care owns the home. They have other homes in England - including one other home in Cumbria. Mrs Jean Walker manages the home on their behalf. The home has been registered since spring of 2007. The home is situated in central Carlisle near to the Cumberland Infirmary. It is within easy travelling distance of the centre of town and its amenities. It is also within walking distance of local shops and amenities. There is a car park to the front of the home and a small garden area for residents at the front of the home. The home has its own grounds and accommodation is in single occupancy rooms. Information about the service is available in the Statement of Purpose that includes a copy of the last report. There is also a colour brochure. The cost of care ranges from #389.00 to #525.00 per week depending on need. Further information about the costs can be obtained from the manager or the company. Care Homes for Older People Page 3 of 9 What we found:
We made this random visit as a result of concerns raised about the provision of health and personal care in Kingston Court. Two inspectors, Margaret Drury and Diane Jinks made an unannounced visit and were in the home for over 5 hours. During our time in the home we looked at a sample of health and personal care documents relating to various people living in the home. We found that whilst all residents had a plan of care the documentation and recording of incidents was not always up to date and there were some discrepancies and missing information. One residents care plan showed a body chart for pressure area care and entries documenting a grade 2 pressure sore to be referred to the tissue viability nurse on her next visit some 4-5 days later. There was not always records of professional healthcare visits even though visits from the doctor had been requested. We found that a turning chart for 2 hourly turns was introduced but turns were not always recorded at the correct intervals. The chart was written on a piece of paper covered in tea and coffee stains and just left on the bedside cabinet even though the resident was in hospital. One resident has special nursing needs and is cared for accordingly, with family agreement, as he was in danger of falling. We were unable to trace a risk assessment in respect manual handling even though it was necessary for staff to move this gentleman to his chair for meals.. We found that the room of one resident was left open for anyone to enter even though he had been admitted to hospital. This meant that anyone had access to all the personal and private possessions in the bedroom. What the care home does well: What they could do better: If you want to know what action the person responsible for this care home is taking following this report, you can contact them using the details set out on page 2. Care Homes for Older People Page 4 of 9 Are there any outstanding requirements from the last inspection? Yes R No £ Outstanding statutory requirements
These are requirements that were set at the previous inspection, but have still not been met. They say what the registered person had to do to meet the Care Standards Act 2000, Regulations 2001 and the National Minimum Standards.
No. Standard Regulation Requirement Timescale for action 1 20 23 (2) Action must be taken to 30/08/2008 assess the risk to people using the patio doors into the garden area from the large frame they must step over to use the garden and action must be taken to minimise any risks from this. Call systems to summon 10/08/2008 assistance must be easily accessible in toilets and en suite bathrooms at all times to people living in the home. The manager must ensure 10/08/2008 that there are easily accessible clinical waste bins in toilets and bathrooms and protective clothing for staff to use and so follow infection control procedures and prevent the spread of infection. Staff working in the home with people who have dementia must have appropriate training in dementia care and awareness to ensure they are competent to fulfil their roles and support the specialist needs of people 30/09/2008 2 22 16(2) 3 26 13(3) 4 30 18(1) Care Homes for Older People Page 5 of 9 Outstanding statutory requirements
These are requirements that were set at the previous inspection, but have still not been met. They say what the registered person had to do to meet the Care Standards Act 2000, Regulations 2001 and the National Minimum Standards.
No. Standard Regulation Requirement Timescale for action with dementia. Care Homes for Older People Page 6 of 9 Requirements and recommendations from this inspection:
Immediate requirements: These are immediate requirements that were set on the day we visited this care home. The registered person had to meet these within 48 hours.
No. Standard Regulation Requirement Timescale for action Statutory requirements These requirements set out what the registered person must do to meet the Care Standards Act 2000, Regulations 2001 and the National Minimum Standards. The registered person(s) must do this within the timescales we have set.
No. Standard Regulation Requirement Timescale for action 1 7 10 All bedrooms must be msecurely locked when residents are away from the home. To ensure privacy and safety at all times. 14/09/2009 2 7 12 All care plans must be completely up to date and contain details of all healthcare professional visits. To ensure all health and personal needs are met. 30/09/2009 3 7 12 All risk assessments for moving and handling must be in place and recorded on care plans. To ensure the health and safety of all those living in the home. 30/09/2009 Care Homes for Older People Page 7 of 9 Recommendations These recommendations are taken from the best practice described in the National Minimum Standards and the registered person(s) should consider them as a way of improving their service.
No Refer to Standard Good Practice Recommendations Care Homes for Older People Page 8 of 9 Reader Information
Document Purpose: Author: Audience: Further copies from: Inspection Report Care Quality Commission General Public 0870 240 7535 (telephone order line) Our duty to regulate social care services is set out in the Care Standards Act 2000. Copies of the National Minimum Standards –Care Homes for Older People can be found at www.dh.gov.uk or got from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering from the Stationery Office is also available: www.tso.co.uk/bookshop Helpline: Telephone: 03000 616161 Email: enquiries@cqc.org.uk Web: www.cqc.org.uk We want people to be able to access this information. If you would like a summary in a different format or language please contact our helpline or go to our website. Copyright © (2009) Care Quality Commission (CQC). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CQC copyright, with the title and date of publication of the document specified. Care Homes for Older People Page 9 of 9 - 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!
