Inspection on 26/06/07 for Kingston House

This inspection was carried out on 26th June 2007.

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

The inspector 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 3 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

Kingston House 04/07/06

Kingston House 22/02/06

Kingston House 21/09/05

Kingston House 15/03/05

Kingston House 09/11/04

Kingston House 29/10/03

Similar services:

Coopers Mill Ltd

Bramley Avenue (73)

Paradise Lodge

Grangewood

Upaya Ananda

Newton Court (1-2)

Kings Lane (32)

Pemdale

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

CARE HOME ADULTS 18-65 Kingston House 43 Woodfield Park Drive Leigh On Sea Essex SS9 1LN Lead Inspector Ms Vicky Dutton Unannounced Inspection 26th June 2007 09:00 Kingston House DS0000036988.V342737.R01.S.doc Version 5.2 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 Kingston House DS0000036988.V342737.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 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. Kingston House DS0000036988.V342737.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Kingston House Address 43 Woodfield Park Drive Leigh On Sea Essex SS9 1LN 01702 712022 01702 712544 kingston.house@achuk.com www.concensusupport.com Caring Homes Healthcare Group Ltd 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) Manager post vacant Care Home 9 Category(ies) of Learning disability (9) registration, with number of places Kingston House DS0000036988.V342737.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 4th July 2006 Brief Description of the Service: Kingston House is situated in a residential area of Leigh on Sea, Essex. The home is close to all the local amenities to be found in Leigh on Sea including, shops, and eating places. The sea front is not too distant. The home provides care and accommodation for up to nine residents who have a learning disability. Although registered for nine only up to eight people are generally accommodated. The house has good-sized single bedrooms spread over the three floors of the home. Four bedrooms have a full an en-suite facility available, others have an en suite toilet with a hand basin in the bedroom. The home has one communal lounge area and a separate dining area. An empty bedroom is currently used as a sensory area for residents. The home has a secure garden for residents to enjoy. The home has a Statement of Purpose and Service Users Guide available. CSCI inspection reports are referred to in the Service Users Guide. The weekly charges at the home range from £1451.00 to £1842.00. Additional charges to residents include personal requirements, chiropody and college courses. Kingston House DS0000036988.V342737.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was an unannounced ‘key’ site visit. The visit took place over a seven hour period. At this inspection all the key standards were considered and the homes compliance with previously made requirements assessed. At the site visit a tour of the premises took place, care records, staff records, medication and other documentation were selected and various elements of these assessed. A staff handover was attended. On the day of the side visit seven residents were being accommodated at Kingston House. During the site visit time was spent interacting with residents, and observing staff interactions with them. Some residents were able to speak to the inspector about their life in the home. Prior to the site visit and surveys for relatives and visiting professionals were sent to the home. At the site visit some staff were spoken with and staff surveys left for other staff who may wish to contribute to the inspection process. Pictorial surveys were also left for use with residents who were unable to express their views verbally. Only two surveys have been returned to CSCI. Some of the views expressed at the site visit and on survey responses have been incorporated into this report. The inspector was assisted at the site visit by the acting manager, who has been in post since January 2007, and other members of the staff team. Feedback on findings was given throughout the visit and summarised at the end. The opportunity for discussion or clarification was given. A feedback card about the inspection process was left at the home. The inspector would like to thank the acting manager, staff team, residents, relatives and visiting professionals for their help throughout the inspection process. What the service does well: Residents at Kingston House seemed happy and well cared for. One resident said that they were ‘very happy to live here’ and that ‘the staff were very understanding.’ The home understands the needs of individual residents, and tries and provides each resident with a lifestyle that they are happy with. Residents are encouraged to make choices about how they spend their time, and their cultural needs are recognised. Kingston House DS0000036988.V342737.R01.S.doc Version 5.2 Page 6 What has improved since the last inspection? What they could do better: Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. The summary of this inspection report can be made available in other formats on request. Kingston House DS0000036988.V342737.R01.S.doc Version 5.2 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–5) Individual Needs and Choices (Standards 6-10) Lifestyle (Standards 11-17) Personal and Healthcare Support (Standards 18-21) Concerns, Complaints and Protection (Standards 22-23) Environment (Standards 24-30) Staffing (Standards 31-36) Conduct and Management of the Home (Standards 37 – 43) Scoring of Outcomes Statutory Requirements Identified During the Inspection Kingston House DS0000036988.V342737.R01.S.doc Version 5.2 Page 8 Choice of Home The intended outcomes for Standards 1 – 5 are: 1. 2. 3. 4. 5. Prospective service users have the information they need to make an informed choice about where to live. Prospective users’ individual aspirations and needs are assessed. Prospective service users know that the home that they will choose will meet their needs and aspirations. Prospective service users have an opportunity to visit and to “test drive” the home. Each service user has an individual written contract or statement of terms and conditions with the home. The Commission consider Standard 2 the key standard to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 1, 2. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. People can expect to receive good information about the home to help them to make informed choices. People know that their needs will be assessed and that they will have the opportunity to visit and stay at the home before they move in. EVIDENCE: The home has a Statement of Purpose and a Service Users Guide in place. Both documents have been reviewed this year. The Service Users Guide was colourful and user friendly. No admissions have taken place to the home since 2004. The acting manager outlined what the process for any new admission would be. This included assessments and a phased approach, enabling people to sample life at the home before moving in. Kingston House DS0000036988.V342737.R01.S.doc Version 5.2 Page 9 Individual Needs and Choices The intended outcomes for Standards 6 – 10 are: 6. 7. 8. 9. 10. Service users know their assessed and changing needs and personal goals are reflected in their individual Plan. Service users make decisions about their lives with assistance as needed. Service users are consulted on, and participate in, all aspects of life in the home. Service users are supported to take risks as part of an independent lifestyle. Service users know that information about them is handled appropriately, and that their confidences are kept. The Commission considers Standards 6, 7 and 9 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 6, 7, 9. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents living at Kingston House can expect to receive good care and support, and can be involved in making decisions about their daily lives. They can expect to be cared for safely by having risks associated with their individual care needs assessed. EVIDENCE: As part of this inspection the care files of two residents were viewed. These showed a comprehensive and user friendly approach to care planning which included goal planning. Care plans provided a good basis for care to be delivered to residents. Residents, as far as abilities allow, are involved with the care planning process. This was confirmed by a resident who had signed their care plan and said that they contributed towards it by saying how they want things to be done. Plans are written in the first person and contained pictures to help understanding. The home has an active key worker system. Key workers work closely with residents in ensuring that care plans are carried out Kingston House DS0000036988.V342737.R01.S.doc Version 5.2 Page 10 in practice. The home has a policy in place relating to ‘involving all residents in the formulation and continuation of their care plans.’ During the site visit staff were heard and observed to offer residents choices in aspects of their lives such as activities of daily living and how they would like to occupy their time. Work in this area is ongoing. The home is starting to work towards developing better communication tools such as picture books. This will assist residents further in making choices. No residents at the home currently use advocacy services. One resident at the home has been nominated to join a ‘Parliament,’ which is a local lobby group for people with learning disabilities. Care files included risk assessments relevant to residents’ individual needs and choices. These were comprehensive and up to date. Kingston House DS0000036988.V342737.R01.S.doc Version 5.2 Page 11 Lifestyle The intended outcomes for Standards 11 - 17 are: 11. 12. 13. 14. 15. 16. 17. Service users have opportunities for personal development. Service users are able to take part in age, peer and culturally appropriate activities. Service users are part of the local community. Service users engage in appropriate leisure activities. Service users have appropriate personal, family and sexual relationships. Service users’ rights are respected and responsibilities recognised in their daily lives. Service users are offered a healthy diet and enjoy their meals and mealtimes. The Commission considers Standards 12, 13, 15, 16 and 17 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 15, 16, 17. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents know that the home will provide them with opportunities for activity and occupation. They will be supported to maintain contact with their families, and be offered food that they enjoy. EVIDENCE: Residents have the opportunities to develop skills. One resident was undertaking a voluntary job. Others attend community college courses in music, and reading and writing. All residents living at Kingston House have frequent opportunities to access the local community. The home has a vehicle available to facilitate this. Each resident has an ‘activities programme’ in place. This identified the range of opportunities available to residents each week including aromatherapy, swimming, library, music and art and craft. One resident said ‘I am taken swimming most weeks which I enjoy very much.’ Kingston House DS0000036988.V342737.R01.S.doc Version 5.2 Page 12 Residents are encouraged to maintain family contact. One resident said that they regularly go home, and that their family visit them at Kingston House. Another resident said that they cold make telephone calls to their family whenever they wanted to. Care plans and discussions with staff reflected the fact that independence is encouraged at the home. Support plans to encourage independent living skills were in place. One resident invited the inspector into their room which they kept locked ‘to stop the others getting in.’ Menus are planned on a two weekly basis in accordance with residents’ preferences. On the day of the site visit some residents, who were not out undertaking other activities, were given the opportunity to go shopping and select preferred foods which they then had for lunch. One resident enjoys eating foodstuffs from their cultural background. To meet this need they are offered regular trips to a specialist shop in their home area (they also often meet family members at the same time) to buy ingredients. Recipes are looked up on the internet, and the resident then helps in cooking these dishes. Residents weight is regularly monitored. One resident, in discussion with staff, was considering starting a weight watchers programme. Nutrition records were not being maintained but the acting manager re-established this practice with staff during the site visit. Kingston House DS0000036988.V342737.R01.S.doc Version 5.2 Page 13 Personal and Healthcare Support The intended outcomes for Standards 18 - 21 are: 18. 19. 20. 21. Service users receive personal support in the way they prefer and require. Service users’ physical and emotional health needs are met. 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. The ageing, illness and death of a service user are handled with respect and as the individual would wish. The Commission considers Standards 18, 19, and 20 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 18, 19, 20. Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. Residents can expect to receive appropriate support to make sure that their healthcare needs are met, but cannot be assured that their medication will be managed safely by the homes procedures. EVIDENCE: Care plans give staff clear guidance and instructions on how to support residents with personal care in ways that they prefer. Independence is encouraged. Staff spoken with had a good knowledge of residents needs. Most residents at Kingston House are unable to be fully responsible for managing their own healthcare needs and are supported in this by staff at the home. Care information showed that a range of different healthcare professionals are involved in providing residents’ care including behavioural specialists, speech and language therapists and a physiotherapist. Records showed that the home supports residents to attend routine appointments with these professionals. The file of one resident showed that some healthcare issues that had the potential to contribute towards their behaviour have only Kingston House DS0000036988.V342737.R01.S.doc Version 5.2 Page 14 recently been assessed and addressed. A visiting healthcare professional involved with this resident had previously expressed concerns about how the home met the residents’ needs in terms of healthcare checks to rule out a physical cause of their behaviour. When spoken with as part of this inspection, the professional felt that the home was now more proactive in this area, and was happy with the level of care given. The homes medication is mostly managed via a monitored dosage system (blister packs.) Up to date and detailed medication policies and procedures were in place. When viewed some issues that have the potential to compromise the safety of the system were noted. There were no protocols in place for medication prescribed to be taken ‘as and when required’ (PRN.) This means that such medication may not be given consistently by staff. For one such medication the hand written, and unsigned, entry on the medication administration record (MAR) was different to the pharmacy label on the box of medication. On the MAR sheet it said: (name of med) 1mg to be taken when required. The pharmacy label said of the medication: one or two tablets to be taken once or twice a day when required. Other medication (also handwritten and not signed) had not been booked in and therefore there was no audit trail being maintained. Boxed/bottled medication was not always dated when opened. The temperature in the medication storage area was not monitored to ensure that medication maintains optimum effectiveness by being stored at correct temperatures. Staff spoken with and the homes training matrix showed that some basic medication training had been undertaken. Currently there are no internal processes in place to assess and monitor staffs’ practice in the administration of medicines, or to regularly audit the system for errors. The acting manager said that two staff undertake the administration of medication to ensure safety. Kingston House DS0000036988.V342737.R01.S.doc Version 5.2 Page 15 Concerns, Complaints and Protection The intended outcomes for Standards 22 – 23 are: 22. 23. Service users feel their views are listened to and acted on. Service users are protected from abuse, neglect and self-harm. The Commission considers Standards 22, and 23 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 22, 23. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. People can be assured that they will be able to raise concerns about the service, and that residents will be protected from abuse. Residents cannot be assured that staff are sufficiently trained to assist them appropriately in managing their behaviour. EVIDENCE: The home has a clear complaints process in place. This needs some revision to include details of funding authorities who have a duty to investigate any complaints made about the service where a complaint made locally cannot be resolved, or where people do not wish to raise concerns locally. Pictorial/symbol information is available to residents to help them to understand how to raise concerns. One resident was clear about whom they would speak to if they had any concerns. Since the previous inspection the home has received on complaint which was not related to residents or care. One caller (see healthcare section) raised concerns with CSCI. The home has appropriate policies procedures and information available relating to safeguarding people from abuse. The majority of staff at the home have undertaken recent training in safeguarding adults. However two members of night staff have yet to undertake any training and two further night staff last received training in 2004. Since the previous inspection two protection of vulnerable adults (POVA) incidents have been referred by the home to the Local Authority. These incidents related to residents’ behavioural Kingston House DS0000036988.V342737.R01.S.doc Version 5.2 Page 16 issues. Many residents at the home can behave in ways that are challenging. Generally from care records this appears to be well managed and monitored by the home. On the homes training matrix only two staff are identified as having undertaken recent training in challenging behaviour. One staff file viewed identified that conflict management training had been undertaken. Some other staff have undertaken ‘securicare’ training that relates to keeping people safe in challenging situations. The need for all staff to be trained in the management of challenging behaviour was raised at the previous inspection. Kingston House DS0000036988.V342737.R01.S.doc Version 5.2 Page 17 Environment The intended outcomes for Standards 24 – 30 are: 24. 25. 26. 27. 28. 29. 30. Service users live in a homely, comfortable and safe environment. Service users’ bedrooms suit their needs and lifestyles. Service users’ bedrooms promote their independence. Service users’ toilets and bathrooms provide sufficient privacy and meet their individual needs. Shared spaces complement and supplement service users’ individual rooms. Service users have the specialist equipment they require to maximise their independence. The home is clean and hygienic. The Commission considers Standards 24, and 30 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 24, 25, 30 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. People cannot currently be assured that Kingston House will fully provide them with a clean safe and comfortable home. EVIDENCE: Kingston House is generally homely and has the potential to provide residents with a clean, comfortable and safe environment. To achieve this a number of improvements are needed. A number of issues noted at this site visit were also raised a year ago at the previous inspection. Most areas of the home would benefit from redecoration. The flooring also needs replacement in many areas, although some bedrooms have already been done. Some lounge furniture needs replacing. It was seen that an improvement plan was in place to achieve these things, but that there had already been some slippage on proposed achievement dates. The acting manager said that a new sofa for the lounge had been agreed. The organisation employs a maintenance person who is allocated two days a month to Kingston House. Kingston House DS0000036988.V342737.R01.S.doc Version 5.2 Page 18 Residents’ bedrooms were personalised and reflected their personal interests. One resident was very happy with their room and said that they ‘felt comfortable there.’ The homes laundry is not suitable as it is in an enclosed unventilated space with only a small extractor fan. As a result of this the door is mostly kept open. This poses a potential hazard to residents whose behaviour can be unpredictable, and is a situation that the fire service is not happy with. Plans are in place to extend the laundry to allow for proper ventilation. Again it is disappointing that this work has not been achieved in the year since the previous inspection. On the day of the site visit the home was superficially clean but there was evidence that deep cleaning schedules are not adequately maintained. Sticky paintwork, high cobwebs and grubby light switches were noted in some areas. The home is a large building on three floors and no domestic/housekeeping staff are employed. Cleanliness issues were also raised at the previous inspection. Day and night care staff have to undertake cleaning tasks in addition to caring for residents. Only four staff were identified as having undertaken training in infection control. Kingston House DS0000036988.V342737.R01.S.doc Version 5.2 Page 19 Staffing The intended outcomes for Standards 31 – 36 are: 31. 32. 33. 34. 35. 36. Service users benefit from clarity of staff roles and responsibilities. Service users are supported by competent and qualified staff. Service users are supported by an effective staff team. Service users are supported and protected by the home’s recruitment policy and practices. Service users’ individual and joint needs are met by appropriately trained staff. Service users benefit from well supported and supervised staff. The Commission considers Standards 32, 34 and 35 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 32, 34, 35. Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. Residents know that they are protected by staff being recruited safely. They cannot currently be assured that staff at the home receive sufficient initial and ongoing training to meet their needs. EVIDENCE: Residents and staff were observed to interact well with one another. One resident said that staff respected them and listened to them. Staff training at the home has been lacking in relevant areas such as autism and learning disability that would equip staff to deliver care based on current ideas and best practice. A number of residents at the home can use some Makaton signing as a means of communication, but most staff have limited knowledge of this, and have not received training. It was understood from the acting manager that this is an improving picture. Further training in autism is planned for the near future, and it was hoped that some Makaton training would be agreed. Seven staff have recently completed training in inclusive communication. One of these staff is now sufficiently trained to be able to cascade this information to the rest of the staff team. The home has eleven care workers. Four staff hold a National Vocational Qualification (NVQ) at level 3. A further member of staff Kingston House DS0000036988.V342737.R01.S.doc Version 5.2 Page 20 is undertaking this qualification and two staff are undertaking NVQ at level two. The files of two recently recruited members of staff were viewed. These showed that residents are protected by staff recruitment being carried out to a satisfactory standard. References had been taken up and Criminal Records Bureau checks undertaken. A resident at the home had taken part in the interview process. The acting manager said that a focus group across the organisation had been looking at recruitment practices to try and achieve consistency in things like interviewing and person specifications. It was seen that the new acting manager is in the process of reorganising staff files, so that training information is easier to access, and work towards developing staff training and development profiles can progress. The acting manager agreed that staff induction had, up to now, been weak. Those seen on files showed that induction provided a basic introduction into the home. Evidence was seen that showed that the home is in the process of introducing a Skills for Care induction workbook that will benefit existing and future staff. Kingston House DS0000036988.V342737.R01.S.doc Version 5.2 Page 21 Conduct and Management of the Home The intended outcomes for Standards 37 – 43 are: 37. 38. 39. 40. 41. 42. 43. Service users benefit from a well run home. Service users benefit from the ethos, leadership and management approach of the home. Service users are confident their views underpin all self-monitoring, review and development by the home. 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 home’s record keeping policies and procedures. The health, safety and welfare of service users are promoted and protected. Service users benefit from competent and accountable management of the service. The Commission considers Standards 37, 39, and 42 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 37, 38, 39, 42 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents know that their home is well run and that they will have the opportunity to express their views. EVIDENCE: The acting manager at the home has been in post since January this year and appears to be having a positive impact on the home. An application for registration has been made to CSCI. The acting manager is well qualified and has many years of experience in care. Residents and staff were positive about the acting manager. The manager demonstrated a good awareness of the needs of the residents and the home, and was available to support residents and staff through the day. The home had an open and inclusive atmosphere. Residents meetings are Kingston House DS0000036988.V342737.R01.S.doc Version 5.2 Page 22 held on a monthly basis to offer people the opportunity to express their views. Staff meetings are held on a regular basis and parents meetings are planned. The organisation has a number of strategies in place that contribute towards quality assurance at the home. A quality review of the organisation as a whole has recently undertaken in liaison with the British Institute of Learning Disability (BILD.) Monthly visits are undertaken (as required by regulation) by a senior member of staff in the organisation to ensure that the home is being run in accordance with standards and Regulations. These visits had included a night visit. Monthly managers reports are undertaken. A Management Action Plan is in place that incorporates ‘key areas for the next year’ is in place. These elements demonstrate a commitment to quality care. However an overall quality assurance strategy for the home, that seeks the views of all stakeholders has yet to be developed. The home’s health and safety certification and record of checks was sampled. These showed that equipment and services at the home are checked and serviced in line with recommended timescales. The home has a health and safety committee that meets on a regular basis. A fire risk assessment was in place and fire records showed that regular drills are undertaken. Residents at the home are involved in drills and have a good awareness of fire safety. Most staff have had fire safety training. A recent fire officers visit highlighted concerns about the laundry area and the side access of the home. The home are working with the ‘Safer Food, Better Business’ folder and undertaking appropriate checks. Some staff have yet to undertake food safety training. Kingston House DS0000036988.V342737.R01.S.doc Version 5.2 Page 23 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. 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 3 2 3 3 X 4 X 5 X INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 3 23 2 ENVIRONMENT Standard No Score 24 2 25 3 26 X 27 X 28 X 29 X 30 2 STAFFING Standard No Score 31 X 32 2 33 X 34 3 35 2 36 X CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 3 3 X 3 X LIFESTYLES Standard No Score 11 X 12 3 13 3 14 X 15 3 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 2 X 3 3 2 X X 2 X Kingston House DS0000036988.V342737.R01.S.doc Version 5.2 Page 24 YES Are there any outstanding requirements from the last inspection? STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1. Standard YA20 Regulation 13(2) Requirement Management at the home must ensure that residents’ medication is managed in a safe and effective way so that residents are cared for safely. The homes premises must be kept in good state of repair, reasonably decorated and refurbished to a good standard so that residents live in a safe and pleasant environment. This is repeat requirement. Timescales of 1/12/05, 01/06/06 and 01/09/06 not met. 3. YA32 18(1)(a) Residents must be cared for by staff with suitable skills to match their needs. This refers to the need for staff to have training in appropriate communication systems that are used by residents and in managing challenging behaviour. 01/12/07 Timescale for action 01/08/07 2. YA24 23(2) 01/12/07 Kingston House DS0000036988.V342737.R01.S.doc Version 5.2 Page 25 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. Refer to Standard YA22 Good Practice Recommendations The homes complaints procedure should be reviewed to reflect that Funding Authorities have a duty to investigate and concerns or complaints. Management at the home should employ domestic staff to improve cleanliness at the home. Staff at the home should receive training in infection control The home should urgently progress work to extend and improve the laundry area, so that residents are kept safe and the fire service recommendations complied with. Management at the home should continue to develop quality assurance strategies that comply with regulatory requirements. All staff should complete training in food safety. 2. YA30 3. YA30 4. YA39 5. YA42 Kingston House DS0000036988.V342737.R01.S.doc Version 5.2 Page 26 Commission for Social Care Inspection South Essex Local Office Kingswood House Baxter Avenue Southend on Sea Essex SS2 6BG National Enquiry Line: Telephone: 0845 015 0120 or 0191 233 3323 Textphone: 0845 015 2255 or 0191 233 3588 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk © This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI Kingston House DS0000036988.V342737.R01.S.doc Version 5.2 Page 27 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. 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