Inspection on 12/12/05 for Kingswood

This inspection was carried out on 12th December 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 made no statutory requirements on the home as a result of this inspection and there were no outstanding actions from the previous inspection report.

Other inspections for this house

Kingswood 20/07/06

Similar services:

Hillside

Applegarth

122 Scorer Street

Jubilee Villa Care Home

Thornham Grove

Beech Lodge

8 Thorndale Road (Homefield College)

Hunter`s Lodge

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

CARE HOME ADULTS 18-65 Kingswood Kingswood 15a Whitehills Cresent Northampton Northants NN2 8RP Lead Inspector Mrs Sara Morrison Unannounced Inspection 12th December 2005 14:00 Kingswood DS0000066284.V272758.R01.S.doc Version 5.0 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 Kingswood DS0000066284.V272758.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 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. Kingswood DS0000066284.V272758.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service Kingswood Address Kingswood 15a Whitehills Cresent Northampton Northants NN2 8RP 01604 847403 01604 847403 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) www.northamptonshire.gov.uk Northamptonshire County Council Katie Brown Care Home 5 Category(ies) of Learning disability (5) registration, with number of places Kingswood DS0000066284.V272758.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection Brief Description of the Service: Kingswood is a converted bungalow that is set back in a residential area close to local shops and public transport. The house is accessed via an alleyway at the rear of some shops on a small crescent. The home is registered to offer short stay accommodation to 5 people with a learning disability. All bedrooms are single. Kingswood DS0000066284.V272758.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The inspection took place over three hours during the afternoon and early evening, was carried out as part of the regular inspection visits required by law and was unannounced. Prior to the inspection time was taken to review the information and plan this inspection visit. Although the home has been running for some time under the ownership of the North Warwickshire Healthcare Trust this was the first inspection since the home was transferred to the ownership of the Local Authority. The inspection included a tour of the building, discussion with three of the staff and the manager, discussion with several service users and a relative and observation of the life of the home. The method of inspection was to track the lives of several service users. This was achieved by speaking to them and their relatives about the service they receive talking to staff that provide their care and observing how everyone interacted. What the service does well: What has improved since the last inspection? This was the first inspection since the home transferred to the ownership of the Local authority therefore it is difficult to say what has improved. However staff and service users did say that they had not noticed any changes to the previous good outcomes for service users and their families and were pleased that the running of the home had not been disrupted. Kingswood DS0000066284.V272758.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. Kingswood DS0000066284.V272758.R01.S.doc Version 5.0 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 Kingswood DS0000066284.V272758.R01.S.doc Version 5.0 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): Standards in this section were not reviewed at this inspection. EVIDENCE: Kingswood DS0000066284.V272758.R01.S.doc Version 5.0 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 7,8 & 9 Service users are supported to take risks, make decisions about their lives and can be confident that staff know their needs and goals. EVIDENCE: It was evident through observation and discussion with service users and staff that people are enabled to make their own decisions. Service users said they are able to make decisions about their lives and are supported to take risks. Staff discussed the needs of the service users and explained how these are met. It was evident through observation that staff endeavour to enable service users to make choices and encourage them to be as independent as possible. Kingswood DS0000066284.V272758.R01.S.doc Version 5.0 Page 10 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 12,13 & 16 There is a range of day and leisure activities available that enable service users to lead full and active lives. EVIDENCE: Through discussion with staff and service users it is evident that there are opportunities to participate in a variety of activities. Staff said that service users enjoy trips to the cinema and local pub. One service user said that he enjoys going into town shopping. Another service user said that he uses the home as a day placement for two days a week. His relative said that he is very pleased with the service his son receives, he was not happy in his last placement however has thrived in the smaller environment of Kingswood. He said that staff are very supportive and are sensitive to his son’s needs. Kingswood DS0000066284.V272758.R01.S.doc Version 5.0 Page 11 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): Standards in this section were not reviewed at this inspection. EVIDENCE: Kingswood DS0000066284.V272758.R01.S.doc Version 5.0 Page 12 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 22 & 23 Service users are protected from abuse and their views listened to, they can feel confident that they are safe and any concerns they have will be dealt with. EVIDENCE: Staff said they have received training in the protection of vulnerable adults and robust procedures for what to do if an incident is alleged are in place. Staff gave a good account of what they would do if they witnessed a service user being abused. Service users said they would speak to the staff or the manager if they had any concerns. The relative of one service user said that whenever he had raised any problems with the staff or manager they had always been promptly dealt with and resolved. He said he had every confidence in the staff team. Kingswood DS0000066284.V272758.R01.S.doc Version 5.0 Page 13 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 24 & 30 In general the state of the building is satisfactory although it has been agreed that some work will take place in part of the building before service users are accommodated. EVIDENCE: The home was previously registered as two separate homes one long stay the other short stay. The two service users who lived in the long stay part of the building have since moved out. It has been agreed that before this area is used to accommodate service users it will be re-decorated and re-furbished. Some areas in the rest of the building are in need of improvement and the Local Authority agreed at the time of registration that this would carried out in the near future. The home is situated at the end of a long drive leading from an alleyway behind some shops. There are gates at the end of the drive which were open and a line of lights leading up the drive and several sited around the outside of the building. Staff said that with one exception these lights are currently not working and believe this is due to vandalism. Staff said they feel very vulnerable late at night and one person who is taken home by a taxi that picks her up at the end of the drive said that she gets the member of staff who is sleeping in to watch her as she walks down the drive. It was dark when the Kingswood DS0000066284.V272758.R01.S.doc Version 5.0 Page 14 Inspector left the home and although the one security light came on it was very dark going down the drive and it is understandable that the staff feel at risk. The local authority is strongly advised to fix the lights and improve the security. Kingswood DS0000066284.V272758.R01.S.doc Version 5.0 Page 15 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 32 & 35 There is a good staff team who are knowledgeable and competent and meet the needs of service users in an effective and supportive way. EVIDENCE: Through observation and discussion with service users and a relative it is evident that there are positive relationships between service users and staff. Service users appeared relaxed and at ease with staff, staff were seen to encourage and enable service users. The manager explained that there have been no changes in the staff team for some time and everyone works well together as a team. Staff confirmed this to be the case. Staff were clear about their roles and responsibilities and the organisational structure of the team. Staff were pleased to have met the service manager who they said was very supportive. Staff said that they were pleased with the training that has been offered to them by the County Council and had booked themselves onto several courses. Kingswood DS0000066284.V272758.R01.S.doc Version 5.0 Page 16 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): Standards in this section were not reviewed at this inspection. EVIDENCE: Kingswood DS0000066284.V272758.R01.S.doc Version 5.0 Page 17 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 CONCERNS AND COMPLAINTS Standard No 1 2 3 4 5 Score X X X X X Standard No 22 23 Score 3 3 ENVIRONMENT INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score X 3 3 3 X Standard No 24 25 26 27 28 29 30 STAFFING Score 2 X X X X X 3 LIFESTYLES Standard No Score 11 X 12 3 13 3 14 X 15 X 16 3 17 Standard No 31 32 33 34 35 36 Score X 3 X X 3 X CONDUCT AND MANAGEMENT OF THE HOME X PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Kingswood Score X X X X Standard No 37 38 39 40 41 42 43 Score X X X X X X X DS0000066284.V272758.R01.S.doc Version 5.0 Page 18 No 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. Standard Regulation Requirement Timescale for action 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 Kingswood DS0000066284.V272758.R01.S.doc Version 5.0 Page 19 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. 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