Inspection on 17/05/05 for Kingswood

This inspection was carried out on 17th May 2005.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Adequate. 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 08/05/08

Kingswood 10/05/07

Kingswood 31/08/06

Kingswood 18/01/06

Kingswood 30/09/04

Kingswood 28/04/04

Similar services:

Snydale Care Home

Abbey The

Hawkhills

Larchfield Manor

Beeches The - North Yorkshire County Council

The Grove Waltham

Carentan House

Ravensworth Lodge

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

CARE HOMES FOR OLDER PEOPLE Kingswood 48 West Street Scarborough North Yorkshire YO11 2QP Lead Inspector Gill Sample Unannounced 17 May 2005 11:15 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. Kingswood v224773 j53_j04_s7653_kingswood_v224773_120505_stage 4.doc Version 1.30 Page 3 SERVICE INFORMATION Name of service Kingswood Address 48 West Street Scarborough YO11 2QP 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) 01723 363263 01723 363263 Brenda.Devine@NTLWorld.COM Mr Robert Devine and Mrs Brenda Devine Care Home 18 Category(ies) of Old Age, not falling within any other category registration, with number (18) of places Kingswood v224773 j53_j04_s7653_kingswood_v224773_120505_stage 4.doc Version 1.30 Page 4 SERVICE INFORMATION Conditions of registration: Registered for 18 Elderly Service Users 5 of whom may also have dementia. Date of last inspection 29th and 30th September 2004 Kingswood v224773 j53_j04_s7653_kingswood_v224773_120505_stage 4.doc Version 1.30 Page 5 Brief Description of the Service: Kingswood provides personal care and accommodation for a maximum of eighteen older people up to five of whom may also have been assessed as having a significant dementia. The home does not provide nursing care. The home is located in the South Cliff area of Scarborough and is conveniently situated for all of the main community facilities and the public transport network. The registered provider operates Kingswood and Continental Lodge which are located almost opposite each other. Kingswood is built on three floors with a passenger lift serving all floors. The communal space consists of two lounges and a dining room all situated on the ground floor. The home has limited outdoor space. There is a garden area with seating at the front of the building. Unrestricted parking is available on West Street. Kingswood v224773 j53_j04_s7653_kingswood_v224773_120505_stage 4.doc Version 1.30 Page 6 SUMMARY This is an overview of what the inspector found during the inspection. This report gives the findings of an unannounced inspection which was made on 17th May 2005. The inspection focussed on a number of the key standards and those requirements and recommendations made at the last inspection. There were eleven residents living at the home, three of whom had a degree of dementia Some of the premises were inspected including a number of bedrooms, bathrooms and living areas. A number of written records were also examined. Three users of the service at Kingswood were spoken with and these service users’ records were examined. Discussions were held with the manager and staff on duty while the inspection was being done. The Certificate of Registration showed the name of the previous Registered Manager and did not accurately reflect the service provided at the home. This is to be dealt with by the Commission for Social Care Inspection in discussion with the owner. What the service does well: The service provided accommodates people’s individual wishes by enabling them to furnish their room to their own liking. Recognition of individual lifestyle choices is reflected in residents’ own rooms and is respected by staff. Care plans detailed the needs, wishes and choices of residents and gave details to care workers for them to be able to care properly for residents. Service users spoken with were complimentary about the staff at the home. Comments made were “All these girls are lovely.” “This is my family.” “Staff are very kind”. Visitors said they had always been made welcome and “staff are very friendly, they’ve always been polite.” Residents also expressed satisfaction with the food served at the home. One resident said they have an opportunity to meet prospective members of care staff during the recruitment and selection process. Kingswood v224773 j53_j04_s7653_kingswood_v224773_120505_stage 4.doc Version 1.30 Page 7 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. Kingswood v224773 j53_j04_s7653_kingswood_v224773_120505_stage 4.doc Version 1.30 Page 8 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 Kingswood v224773 j53_j04_s7653_kingswood_v224773_120505_stage 4.doc Version 1.30 Page 9 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) 3. Standard 6 does not apply. Information about service users gathered before admission to the home ensure that their needs can be met. EVIDENCE: The records of five service users were examined. Written assessments were seen detailing the physical and social care needs of prospective residents at the home including any risks associated with the person and their care. The recording of this information had been required following the last inspection of the service. Where prospective service users had been referred to the service by the local authority, care plans prepared by the care manager were also on file. A visitor said that her relative had brought furniture from her own flat to the home on admission, and had been able to set out her room in the same way as it had been there. She said this had been a comfort to her relative and had been welcomed by the owner. Kingswood v224773 j53_j04_s7653_kingswood_v224773_120505_stage 4.doc Version 1.30 Page 10 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, 8 and 10 The health social and personal care needs of service users are recognised and addressed so that service users can be sure they are being looked after. EVIDENCE: Case files examined showed comprehensive details of individual service users and their needs and included their wishes and choices. Background information gathered from relatives and professionals were noted. A specific care worker is appointed to each resident to provide individual support. Records showed that weight is monitored periodically. The food served at each meal is noted to enable an assessment to be made, if necessary, of appetite or weight fluctuation. Any health care needs are noted before and after admission. One resident described a recent acute health problem and the support given by staff in ensuring that medical help was called. Records noted visits and appointments for dental and foot care. Kingswood v224773 j53_j04_s7653_kingswood_v224773_120505_stage 4.doc Version 1.30 Page 11 Residents said that they were given privacy when being helped to bath. “I have a towel for when I get in and out”. Staff were observed speaking with residents respectfully. Kingswood v224773 j53_j04_s7653_kingswood_v224773_120505_stage 4.doc Version 1.30 Page 12 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) 12,13,14,15 Individual service users are able to make choices about their lives and lifestyles while living at the home. EVIDENCE: Residents at the home have a range of needs and dependency. Several residents are more independent and have continued the lifestyle they experienced prior to their admission. Residents described their day to day activities and occupations. “I like to take a walk every day if I can”. One resident described a routine which included keeping in contact with his nearest relative by a daily visit. Several residents had furnished their rooms and had their own television and telephone. The bedrooms seen contained items of furniture, pictures and personal belongings of each occupant. Records detailed the belongings of residents. Staff were seen spending time with less able residents and were responsive to their requests. Social and leisure activities offered were recorded. Service users said they had enjoyed a visit to a restaurant for the birthday celebration of one resident. Kingswood v224773 j53_j04_s7653_kingswood_v224773_120505_stage 4.doc Version 1.30 Page 13 Lunch was being prepared and served during the inspection. A menu for lunch was posted in the hallway of the home. Fresh ingredients and vegetables were included in the main course and followed with a home made pudding. Residents said they were happy with the food at the home. “We’ve always have had good food here”. “The food’s perfect for me”. Choices are offered at breakfast and teatime, lunch being to a set menu. One resident said “If you don’t like what’s on offer, we can choose what we want.” A record is kept of food provided for each service user which was seen, which was a requirement made at the last inspection. Kingswood v224773 j53_j04_s7653_kingswood_v224773_120505_stage 4.doc Version 1.30 Page 14 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) None of these standards were assessed. EVIDENCE: Kingswood v224773 j53_j04_s7653_kingswood_v224773_120505_stage 4.doc Version 1.30 Page 15 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 and 26 The people using this service live in a clean and well maintained environment. EVIDENCE: The premises were in good structural and good decorative order. Those parts of the premises seen were warm and free from unpleasant odours. Several bedrooms were seen as part of the inspection. Three residents accompanied the inspector to show their own rooms which reflected the occupants interests hobbies and pastimes. One resident said “I was given the choice to move into this room from another one. It’s a bit smaller, but I like it better”. All rooms seen were in good decorative order. The kitchen was seen which was maintained in a hygienic way. Food was stored properly to reduce any food related risks to service users. Kingswood v224773 j53_j04_s7653_kingswood_v224773_120505_stage 4.doc Version 1.30 Page 16 Bathroom and toilet facilities are available on each floor of the home. Hot water temperatures checked were at a safe temperature. A signed agreement to share a room was in place for two residents, which was a requirement made at the last inspection. Kingswood v224773 j53_j04_s7653_kingswood_v224773_120505_stage 4.doc Version 1.30 Page 17 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) 27, 29 and 30 Service users’ needs may not be met if staffing hours fall below the minimum level required. Recruitment practice does not ensure that only suitable people are appointed. EVIDENCE: Records and observation showed residents at the home have a range of physical and mental abilities. Those residents who are less able required the attention of staff on a one to one basis, for instance when walking, while others were independent of staff other than needing support when bathing. The manager works alongside other staff on duty providing care to residents. Four staff rotas were supplied at the inspection and were analysed. Based on 11 service users at the home, three of whom have dementia, the required minimum day staffing levels required are 269 hours per week. Two of the four rotas analysed showed a shortfall of 9 and 7 hours respectively. These rotas did not detail the time spent at the home by the owner. On the day of inspection the manager, one member of care staff and a cook were on duty. A requirement was made at the last inspection that a minimum of three care staff are on duty during the day. Of the eleven care staff employed three have NVQ 2 qualification and a further two staff are undertaking an NVQ 2 course. Staff files seen had copies of certificated training covering health and safety topics. There was no overall Kingswood v224773 j53_j04_s7653_kingswood_v224773_120505_stage 4.doc Version 1.30 Page 18 record of the training staff had undertaken to enable the manager to identify training needs. Not all staff files had two written references in place. The manager said that she had undertaken a review of all staff files since her appointment which had identified the missing documents and information required. She said her intention was to complete the staff records by asking staff to provide the missing information. Kingswood v224773 j53_j04_s7653_kingswood_v224773_120505_stage 4.doc Version 1.30 Page 19 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 and 38 People living at the home can be assured that their health and safety is being addressed. EVIDENCE: Since the Registered Manager for Kingswood left, a manager has been employed since September 2004. The manager has a background in the provision of residential care for older people and has experience of caring for older people with mental illness or frailty. The manager is working alongside staff in the provision of care to residents. There is no application for the manager to become registered in respect of the home. A range of policies, procedures and records were seen in relation to health and safety legislation. These included checks on fire prevention and detection equipment, passenger lift checks and servicing. A current certificate of insurance was seen covering the owners’ employees and public liabilities. The Kingswood v224773 j53_j04_s7653_kingswood_v224773_120505_stage 4.doc Version 1.30 Page 20 last inspection required the owner to provide evidence of the safety of the electrical system by 31st May 2005. Kingswood v224773 j53_j04_s7653_kingswood_v224773_120505_stage 4.doc Version 1.30 Page 21 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 ENVIRONMENT Standard No 1 2 3 4 5 6 Score Standard No 19 20 21 22 23 24 25 26 Score x x 3 x x N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 x 10 3 11 x DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 3 COMPLAINTS AND PROTECTION 3 x x x x x x 3 STAFFING Standard No Score 27 1 28 2 29 1 30 x MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score Standard No 16 17 18 Score x x x 1 x x x x x x 3 Kingswood v224773 j53_j04_s7653_kingswood_v224773_120505_stage 4.doc Version 1.30 Page 22 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. 1. Standard 27 Regulation 18(1)(a) Requirement The number of staffing hours must be monitored by the owner to ensure that these do not fall below the minimum hours required by the previous regulatory authority. Staffing levels should be based on the assessed needs of service users. Documentation must be obtained on all staff to ensure that they are suitable to work with vulnerable people. A registered manager must be appointed to manage the care home. Timescale for action 17th May 2005 2. 29 19 & Sch 2 8(1)(iii) 31st August 2005 30th November 2005 3. 31 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. 2. Refer to Standard 28 28 Good Practice Recommendations 50 of care staff should obtain a National Vocational Qualification at Level 2 or above by 2005. An overall training record should be developed for all staff to enable the manager to identify training needs. Kingswood v224773 j53_j04_s7653_kingswood_v224773_120505_stage 4.doc Version 1.30 Page 23 Commission for Social Care Inspection Unit 4 Triune Court Monks Cross York YO32 9GZ 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 Kingswood v224773 j53_j04_s7653_kingswood_v224773_120505_stage 4.doc Version 1.30 Page 24 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. 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