Inspection on 20/07/06 for Kingswood

This inspection was carried out on 20th July 2006.

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 no outstanding requirements from the previous inspection report, but made 1 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

Kingswood 12/12/05

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 15A Whitehills Crescent Northampton Northants NN2 8EP Lead Inspector Judith Roan Unannounced Inspection 20th July 2006 2:00 Kingswood DS0000066284.V304930.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 Kingswood DS0000066284.V304930.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. Kingswood DS0000066284.V304930.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Kingswood Address 15A Whitehills Crescent Northampton Northants NN2 8EP 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.V304930.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 12th December 2005 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 bungalow is accessed via a driveway at the rear of the shops on Whitehills crescent. The home is registered to offer short stay accommodation to 5 people with a learning disability. The home provides all single bedrooms with a communal lounge, kitchen/dining room and fully equipped bathroom/shower. Kingswood DS0000066284.V304930.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The focus of inspections undertaken by the Commission for Social Care Inspection (CSCI) is upon outcomes for Service Users and their views of the service provided. This process considers the home’s capacity to meet regulatory requirements, minimum standards of practice; and focuses on aspects of service provisions that need further development. The inspection consisted of reviewing the information sent to the CSCI since the last visit including correspondence, concerns and notifications of serious incidents. This was followed by a visit to the service on the 20th July 2006. The primary method of inspection used was ‘case tracking’ which involved selecting two service users and tracking the care they receive through review of their records, discussion with them, the care staff and observation of care practices. What the service does well: What has improved since the last inspection? What they could do better: The registered manager should review the medication policy to ensure that it is in line with the Royal Pharmaceutical Societies guidelines. Kingswood DS0000066284.V304930.R01.S.doc Version 5.2 Page 6 The registered manager must limit the number to three service users until the refurbishment work agreed on registration has been completed. 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.V304930.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 Kingswood DS0000066284.V304930.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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 1.2.3.4.5 Quality in this outcome area is good. The admission process ensures that needs are assessed and that service users are fully involved within the process. This judgement has been made using available evidence including a visit to the service. EVIDENCE: There is a current statement of purpose that clearly sets out the service to be provided. Within the document you can find the aims and objectives of the service, information about the Registered Manager, the staff and important policies that service users, relatives and commissioners of the service need to know. Prior to admission all new service users a full is carried out. Community care assessments completed by care managers with supporting healthcare information were found on all the files reviewed. The assessment process includes a visit to service users in their own homes to discuss their needs this is then followed by an introductory visit to the home. As the service provides for service users on a short stay basis who use it several times within the year, all information is rechecked prior to each period of stay. The registered manager ensures that all medication profiles are checked prior to admission. GP approval is sort in relation to any change in prescribed medications. The manager also gains GP approval for any homely medication e.g. paracetamol for each service user prior to admission. Kingswood DS0000066284.V304930.R01.S.doc Version 5.2 Page 9 Service users and they representatives are given a service users guide that informs readers about the about the service provided at the home. Kingswood DS0000066284.V304930.R01.S.doc Version 5.2 Page 10 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): 6,7,9 Quality in this outcome area is good. Informative care plans ensure that service users needs and choices are met. This judgement has been made using available evidence including a visit to the service. EVIDENCE: After the initial assessment of care needs a care plan is developed jointly with the service users and their representatives. As many of the service users attend social services day care centres joint reviews take place on how service users needs are met by all supporting partners. Any changes in needs are also checked out at each admission into the home. Service user can and do attend their reviews. Their views and those of their representatives are gained. A service user spoken with said that they were happy coming to the home for a short stay and confirmed that they were well supported by staff. Two of the service users could not verbally communicate but in observation it was noted that they were being consulted by staff and enabled to make decisions. In discussion with support workers they explained that they used Kingswood DS0000066284.V304930.R01.S.doc Version 5.2 Page 11 various communication methods to assist service users to make choices i.e. picture cards, makaton system and photographs. Service users care plans were supported by risk assessments both general and specific to the activities service users undertook whilst in the home and the community. Kingswood DS0000066284.V304930.R01.S.doc Version 5.2 Page 12 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): 12,13,14,15,16,17 Quality in this outcome area is good. Service users lifestyles are positively maintained during the duration of their stay within the home. This judgement has been made using available evidence including a visit to the service. EVIDENCE: Service users using the short stay service are supported to maintain any outside activities that they normally attend whilst living at home. The care plans contain information about activities service users like to do in an evening and at weekends. The majority of service users attend local day care centres and continue to do this during their stay at the home. One service user told the inspector about their day and how they enjoyed the evening watching a DVD of their choice from the local Video store with which they have membership. Other activities included going to the cinema, for drink at the local public house and for walks. Kingswood DS0000066284.V304930.R01.S.doc Version 5.2 Page 13 In the transfer of the home to Northamptonshire County Council the service lost the use of a Mini bus. Trips out have not been affected, as support workers have been willing to use their own cars as long as they have the verified insurance cover. Kingswood DS0000066284.V304930.R01.S.doc Version 5.2 Page 14 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): 18,19,20 Quality in this outcome area is good. Support workers ensure that service users personal and health care needs are met by using good information and communication systems within the home. This judgement has been made using available evidence including a visit to the service. EVIDENCE: Service users are supported as appropriate to attend healthcare appointments if these coincide with their short stay in the home. There are good communication systems in place with families. Personal support is provided in a discreet manner, with service users preferences being a top priority. Medical profiles for service users are clear with information any service users needs of how they prefer the medication to be given. All support workers are trained in medication administration. There is a good recording system for medicines that demonstrates the pathway of medication coming into the home with safe administration and disposal. The registered manager did express their concern about the Northamptonshire County Council Medication policy and she has been asked to review their concerns with the author of the policy. Kingswood DS0000066284.V304930.R01.S.doc Version 5.2 Page 15 All incidents and accidents are recorded on file to show how support workers have reviewed practice to minimise future risks. Records of incidents and accidents are kept according to data protection guidelines. Kingswood DS0000066284.V304930.R01.S.doc Version 5.2 Page 16 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 Quality in this outcome area is good. Service users are protected by the robust policies and practices used by staff. This judgement has been made using available evidence including a visit to the service. EVIDENCE: There are comprehensive policies and procedures in relation to handling any concerns and complaints made. As the service user group has limited communication staff are trained to observe changes in behaviour that may indicate that a service user is unhappy with the support they receive. Support workers undertake abuse awareness training as part of their induction/ foundation training. The inspector was able to check out their understanding during the inspection. The open approach of the registered manager enables families to feel comfortable if there was a need to make a complaint or express a concern. There have been no complaints since the last inspection Kingswood DS0000066284.V304930.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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 24,25,26,27,28,29,30 Quality in this outcome area is adequate. The home is clean and hygienic but in need of refurbishment and renewal of systems. This judgement has been made using available evidence including a visit to the service. EVIDENCE: There are adequate rooms to enable everyone to have their own personal space in the large converted dwelling. Service user rooms are comfortable and well maintained. Service users are supported in maintaining their rooms to a high standard of cleanliness and safety. Service users bring small items from home to make their rooms more personalised during their stay. The home is maintained but in need of refurbishment. The part of the home previously known as 15a Whitehill’s has not been re-decorated as required at the transfer of the home to Northamptonshire County Council. This part of the home is therefore not fit for purpose and not being used. The Registered Manager must restrict the number of service user present in the home to three until the refurbishment has been completed. A requirement is therefore made The accommodation at present can only provide a service for three service users and not five. The present kitchen diner and communal area are not large Kingswood DS0000066284.V304930.R01.S.doc Version 5.2 Page 18 enough for all service users if the home was at capacity. Plans to re-model the bungalow into one unit are being discussed at present. The present communal space provides for three service users to undertake a range of activities with support workers. There is a separate laundry area that meets the needs of service users. The garden is well maintained and provides good outside space for service users to relax. The present fire system that was acceptable when the bungalow was in two separate units is to be upgraded to meet fire requirements at the home. Kingswood DS0000066284.V304930.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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 32,34,35 Quality in this outcome area is good. Positive recruitment and training ensures that service users are safe and supported by a competent staff team. This judgement has been made using available evidence including a visit to the service. EVIDENCE: The recruitment and selection processes within the home ensure that all required employment checks are undertaken prior to support workers commencing their duties. All support workers receive induction training and complete required basic courses. The staff files checked contained all the required documentation. New support workers shadow an experienced worker until they are competent and confident in providing the level of support required. Support workers have access to a range of opportunities via the NCC training programme. Supervision is undertaken on a regular basis and staff confirmed this to be very helpful. Supervision levels at the home meet the national minimum standards. In addition to supervision there are team meetings with staff to discuss development and address issues arising within the home. Kingswood DS0000066284.V304930.R01.S.doc Version 5.2 Page 20 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): 37,39,42 Quality in this outcome area is good. Effective leadership ensures that the home is run in the best interests of service users. This judgement has been made using available evidence including a visit to the service. EVIDENCE: The Registered Manager and senior support workers manage the home in the best interests of service users. Service users and their families are invited to give their views of the service at kingwoods, which is used to continue the development of the service. Good daily recording protects service users and ensures that their needs are met. Records are kept within the office at the home and are secure. The registered manager ensures that health & safety checks are undertaken up to date. Records were available for inspection. The home has undertaken all the health and safety checks required. Kingswood DS0000066284.V304930.R01.S.doc Version 5.2 Page 21 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 3 4 3 5 3 INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 3 23 3 ENVIRONMENT Standard No Score 24 1 25 3 26 3 27 3 28 3 29 3 30 3 STAFFING Standard No Score 31 X 32 3 33 X 34 3 35 X 36 3 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 3 15 3 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 3 X 3 X 3 X X 3 X Kingswood DS0000066284.V304930.R01.S.doc Version 5.2 Page 22 Are there any outstanding requirements from the last inspection? No 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 YA24 Regulation 23 Requirement The Registered Manager must restrict the number of service users to three until the agreed refurbishment has been completed. A plan required with timescales for the work to be completed Timescale for action 31/10/06 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.V304930.R01.S.doc Version 5.2 Page 23 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. Extracts may not be used or reproduced without the express permission of CSCI Kingswood DS0000066284.V304930.R01.S.doc Version 5.2 Page 24 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. 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