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Inspection on 13/04/05 for Kingsway Care Home

Also see our care home review for Kingsway Care Home for more information

This inspection was carried out on 13th April 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.

What follows are excerpts from this inspection report. For more information read the full report on the next tab.

What the care home does well

Written and verbal comments received during and following the inspection were positive towards the improvement in the care service delivery e.g. "good caring staff", "I like everything about living in the home", " I enjoy the food, no preference, enjoy it all", improved appearance internal and external enviroment, staff training relevant to role and resposibility.

What has improved since the last inspection?

Since the last inspection the layout of the upper floor dining room has been changed and an extra table put in place to provide more space and comfort for service users when dining. The uneven paved garden patio area to the rear of the building has been relaid and now provides safe accessible access to service users. Staff training has improved and staff feel more competent in carrying out their role. A relative said she can see ongoing improvements each time she visits and a more positive management approach.

CARE HOMES FOR OLDER PEOPLE KINGSWAY CARE HOME Kingsway Langley Park County Durham DH7 9TB Lead Inspector Belinda Parker Unannounced 13 April 2005 09:30 am th 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 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. KINGSWAY CARE HOME B54 S724 Kingsway V221302 130405 Stage 4.doc Version 1.20 Page 3 SERVICE INFORMATION Name of service Kingsway Care Home Address Kingsway, Langley Park, County Durham. DH7 9TB Telephone number Fax number Email address Name of registered provider(s)/company (if applicable) Name of registered manager (if applicable) Type of registration No. of places registered (if applicable) 0191 373 6167 0919 373 5945 Ancyra Health Limited Andrea Blenkinsopp Care Home 47 Category(ies) of DE (Dementia) - 10, DE (E) (Dementia - over registration, with number 65) - 47, A (Alcohol dependent - Past/present) of places 4 KINGSWAY CARE HOME B54 S724 Kingsway V221302 130405 Stage 4.doc Version 1.20 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 2nd November 2004 Brief Description of the Service: Ancyra Health Limited is the owners of Kingsway Care Home and based in Langley Park, County Durham.The home was first registered in 1992.The home is registered to provide 24hr care for 47 service users 65 and over with mental health problems, the additional category allows them to take 10 service users under 65. Accommodation is provided over two floors and all bedrooms offer single accommodation KINGSWAY CARE HOME B54 S724 Kingsway V221302 130405 Stage 4.doc Version 1.20 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This inspection took place on 13th May 2005 over 6 hours. During the inspection time was spent talking to service users, staff ad one relative. We looked around the building and a number of records were examined. This home had a change in management last summer, comments cards received and discussion with staff and a relative showed that there had been overall improvements in the management, care service delivery and environment within the home. What the service does well: What has improved since the last inspection? Since the last inspection the layout of the upper floor dining room has been changed and an extra table put in place to provide more space and comfort for service users when dining. The uneven paved garden patio area to the rear of the building has been relaid and now provides safe accessible access to service users. Staff training has improved and staff feel more competent in carrying out their role. A relative said she can see ongoing improvements each time she visits and a more positive management approach. KINGSWAY CARE HOME B54 S724 Kingsway V221302 130405 Stage 4.doc Version 1.20 Page 6 What they could do better: Please contact the provider for advice of actions taken in response to this inspection. The full report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. KINGSWAY CARE HOME B54 S724 Kingsway V221302 130405 Stage 4.doc Version 1.20 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 Standards Statutory Requirements Identified During the Inspection KINGSWAY CARE HOME B54 S724 Kingsway V221302 130405 Stage 4.doc Version 1.20 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 standard(s) 2 and 3 Each service user is provided with a Statement of Terms and Conditions at the point of moving into the home. New service users are admitted only on the basis of a full assessment undertaken by people trained to do so, and to which the prospective service user or their representative had been included in the process. This process of including and involving the service user and their representative in the admission process supports them with making the decision as to where they wish to live. EVIDENCE: Each service user has a copy of the Statement of Terms and Conditions of residency in the home. Inspection of these documents showed that they had been signed by the service user or relatives on their behalf as to their agreement. Individual records are kept for each service user and inspection of records contained a care management and home assessment carried out by the manager. KINGSWAY CARE HOME B54 S724 Kingsway V221302 130405 Stage 4.doc Version 1.20 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 standard(s) 7 and 8 The care planning system remains limited in information and undeveloped in specfic areas and may not provide staff with information to satisfactorily meet the needs of the service users. EVIDENCE: Individual care plans are available but little progress has been made on the recommendation to ensure that service users or their representative sign as to their agreement with the care plan. A general risk assessment was in place but a significant event where a service user presented aggression showed there was no record of a risk assessment in place, associated plan or what preventative measures had been taken. Evaluation of care plans showed they were inconsistent and limited in information . The manager said a new care plan format is currently being developed by the company. KINGSWAY CARE HOME B54 S724 Kingsway V221302 130405 Stage 4.doc Version 1.20 Page 10 Service users care plans contained written evidence of input from other health care professionals and each service user is registered with a General Practitioner. KINGSWAY CARE HOME B54 S724 Kingsway V221302 130405 Stage 4.doc Version 1.20 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 standard(s) 12, 13, 14 and 15 The range and choice of activities available in the home are limited, which will impact on staff workload till the appointment of a new activities co-ordinator. There has been an improvement in the layout of the dining area on the upper floor creating a more comfortable environment. Visiting arrangements and community links are good. EVIDENCE: Discussion with manager, staff and service users showed that activities in the home were limited, due to the activities co-ordinator recently resigning. Staff said they are arranging activities in the interim period but it depends on the workload in the home. The manager said a new activities co-ordinator will commence in post next week. A relative spoken to said she visits when she can due to distance and is always made welcome by the staff, she commented psoitively on the care saying “Good caring staff and communication”. A service user said he goes out daily into the community with no restriction. Since the last inspection information on advocacy services has been obtained and is now displayed in the home for service user/relative information. KINGSWAY CARE HOME B54 S724 Kingsway V221302 130405 Stage 4.doc Version 1.20 Page 12 The upper floor dining room layout has been reviewed, one extra table has been put in place to provide more comfort and space for service users when dining. KINGSWAY CARE HOME B54 S724 Kingsway V221302 130405 Stage 4.doc Version 1.20 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 standard(s) 16,17 and 18 The home has a satisfactory complaints system in place, with some evidence that relatives are aware of the process. Service users have access to information on advocacy services in the area if they wish to have someone speak on their behalf. Staff were confident in demonstrating an awareness of POVA to ensure the protection of service users living in the home. EVIDENCE: A complaints policy and procedure is in place. There have been no recorded complaints since the last inspection. A relative spoken to was aware of the complaints procedure. Information on advocacy services is available and displayed in the home for service user/relative information. A postal system of voting is in place if service users wish to participate in the electoral process. Since the last inspection a record that all staff had attended POVA (Protection of vulnerable adults) training was available. Staff during discussion were able to demonstrate an awareness of POVA. KINGSWAY CARE HOME B54 S724 Kingsway V221302 130405 Stage 4.doc Version 1.20 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 standard(s) 19 Relaying of patio area to rear of building has improved accessibility and safety for service users. EVIDENCE: Since the last inspection the paved patio area in the garden to the rear of the building has been relaid and to maintain health and safety of service users when sitting in the garden. The overall environment is gradually improving which will increse standards of comfort for service users. KINGSWAY CARE HOME B54 S724 Kingsway V221302 130405 Stage 4.doc Version 1.20 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 considers Standards 27, 29, and 30 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 28 and 30 Records viewed and discussion with staff showed that staff are trained and competent to do their job maintaining the safety and well-being of service users. EVIDENCE: The home has achieved over 50 of care staff obtaining NVQ2 in care, which enhances the skills and knowledge of the staff within their role of responsibility in delivering the care service to the service users in the home. Staff during discussion were positive towards self-development and gaining knowledge of conditions that affect older people. Individual records of training were viewed for staff, which were up to date and applicable to the skills needed to deliver the care service to the people living in the home. KINGSWAY CARE HOME B54 S724 Kingsway V221302 130405 Stage 4.doc Version 1.20 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 33, 35 and 38 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 31,35,37 and 38 The registered manager is positive towards self-development to enhance her skills and abilities to provide a good standard of care service delivery to service users. Robust procedures for the safekeeping of service users money are in place. Records in general including health and safety are up to date with the exception of care plans. EVIDENCE: The manager said since the last inspection she is nearing completion of the Registered Managers Award , which will enhance her skills in management of the home and service delivery. Individual records examined for money held in the home on behalf of service users were accurate, up to date and two signatures recorded for all transactions. KINGSWAY CARE HOME B54 S724 Kingsway V221302 130405 Stage 4.doc Version 1.20 Page 17 Reecords examined during the inspection were found to be generally up to date and current with the exception of care plans that were inconsistent in specific areas e.g. risk assessment and evaluation. The manager was able to demonstrate that as far as is reasonably practical the health and safety and welfare of service users, staff and other visitors to the home was maintained. Health and safety records inspected were current and up to date. Staff during discusion said they had completed training on lifting and handling, fire safety and first aid. KINGSWAY CARE HOME B54 S724 Kingsway V221302 130405 Stage 4.doc Version 1.20 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. Where there is no score against a standard it has not been looked at during this inspection. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME ENVIRONMENT Standard No 1 2 3 4 5 6 Score Standard No 19 20 21 22 23 24 25 26 Score x 3 3 x x x HEALTH AND PERSONAL CARE Standard No Score 7 2 8 3 9 x 10 x 11 x DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 1 13 3 14 3 15 x COMPLAINTS AND PROTECTION 3 x x x x x x x STAFFING Standard No Score 27 x 28 3 29 x 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score Standard No 16 17 18 Score 3 3 3 3 x x x 3 x 2 3 KINGSWAY CARE HOME B54 S724 Kingsway V221302 130405 Stage 4.doc Version 1.20 Page 19 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 OP7 Regulation 15 Requirement Timescale for action 1-7-05 2. OP12 16 (N) 3. OP37 17(3) The registered manager must review and ensure all areas of an individual service users care plan where a need has been identified has an appropriate care plan and risk assessment put in place The registered manager must 31-7-05 consult service users about the programme of activities arranged on their behalf by othe home The registered manager must 31-7-05y ensure all records relating to the protection of service users are up to date and complete 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 Good Practice Recommendations KINGSWAY CARE HOME B54 S724 Kingsway V221302 130405 Stage 4.doc Version 1.20 Page 20 Commission for Social Care Inspection No 1 Hopetown Studios Brinkburn Road Darlington County Durham. DL3 6DS 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 KINGSWAY CARE HOME B54 S724 Kingsway V221302 130405 Stage 4.doc Version 1.20 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. 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