Inspection on 12/06/05 for Kingswood House

This inspection was carried out on 12th June 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 House 21/10/08

Kingswood House 23/10/06

Kingswood House 13/12/05

Kingswood House 10/11/04

Kingswood House 15/06/04

Kingswood House 16/07/02

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

CARE HOME ADULTS 18-65 Kingswood House 21 - 23 Chapel Park Road St Leonards-on-sea East Sussex TN37 7HR Lead Inspector Jason Denny Unannounced 12 June 2005 11:20 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 Adults 18-65. They can be found at www.dh.gov.uk or obtained from The Stationary 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 House H59-H10 S14007 Kingswood House V230373 120605 Stage 4.doc Version 1.30 Page 3 SERVICE INFORMATION Name of service Kingswood House Address 21 - 23 Chapel Park Road St Leonards-on-sea East Sussex TN37 7HR 01424 716303 01424 423737 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) Mrs Deirdre Hogan Mrs Deirdre Hogan Care Home 23 Category(ies) of Mental disorder, excluding learning disability or registration, with number dementia (MD) 23 of places Kingswood House H59-H10 S14007 Kingswood House V230373 120605 Stage 4.doc Version 1.30 Page 4 SERVICE INFORMATION Conditions of registration: 1. That the service adheres to the staffing levels set down 2. The service is for users 35 years and over with continuing mental health care needs 3. That the home is able to accommodate one, named, adult aged 32 years of age Date of last inspection 10 November 2004 Brief Description of the Service: Kingswood house is a 23 bedded home in a residential area in the centre of St Leonards-on -Sea. The home is approximately a quarter of a mile from both the railway station and the seafront. The home specialises in supporting people with enduring mental health problems who require 24 hour nursing care. The home admits people from the age of 35 and upward. There is a range of shops within easy walking distance and a nearby drop-in support centre for people with mental health problems. The home supports people to have a community profile. A number of the service users are referred by forensic social workers due to the homes ability to cater for diverse needs under a approach based on promoting a normal lifestyle. A manager is always on shift during the day with nursing expertise, along with an additonal qualified nurse at all times. The home does not currently have its own vehicle but is actively exploring this area. The home has a lift, and accessible wheelchair entrance to both, the front, and rear, of the home. The home has a mixture of shared and single rooms all of which meet the space requirements laid down in the National Minimum Standard. Kingswood House H59-H10 S14007 Kingswood House V230373 120605 Stage 4.doc Version 1.30 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was an Unannounced routine inspection [first of two planned before April1st 2006], which took place on a Sunday between 11.20am and 3.45pm. The Inspection found that of the 18 National Minimum Standards inspected, that 15 of these standards had been met; with the 3 others, half met. The overall focus of the inspection was on Residents’ involvement in the home, which included discussions and examination of a range of records. The inspector started the inspection by speaking with Residents [6 in total] and staff [3] and touring the rest of home to inspect the building including some bedrooms, communal areas and the kitchen. A discussion with the manager and co-owners took place around progress since the last inspection. Care and staff records, along with safety documentation were inspected. What the service does well: What has improved since the last inspection? The home has further developed staff training with a number completing a range of courses such as health and safety, first aid, mental disorders, food hygiene and dealing with challenging behaviour and dementia. Some staff are due to shortly finish their National Vocational Qualifications. Policies and procedures have further improved to meet the standard. The home also reports all necessary incidents to the Commission. The home has replaced flooring in one bedroom to positive effects making it easier to clean and ensuring that is protected from cigarette burns. The manager/owners outlined plans to further enhance the home’s environment with an order made for purpose built curtains and the future replacement of the ineffective carpets. Kingswood House H59-H10 S14007 Kingswood House V230373 120605 Stage 4.doc Version 1.30 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 House H59-H10 S14007 Kingswood House V230373 120605 Stage 4.doc Version 1.30 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 Standards Statutory Requirements Identified During the Inspection Kingswood House H59-H10 S14007 Kingswood House V230373 120605 Stage 4.doc Version 1.30 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 standard(s) 2, 4, & 5 Assessment information in relation to Residents was of a good standard presenting a full and clear picture of each person needs. The home ensures that prospective new Residents have a number of extended trial visits to ensure they are making an informed choice and to ensure that existing Residents have a chance to meet them and pass a view. This part of the home’s practice was found to be exceptional. Residents contracts/agreements are well written, explained, and agreed by all, before a permanent place is offered. EVIDENCE: The Home manager undertakes pre-admission assessments. Relatives and Residents are consulted with; there are social services care assessments available and discussions with Social Services in every case. This was all clearly recorded for the newest resident, and another prospective resident who is looking to move in to the home. Kingswood House H59-H10 S14007 Kingswood House V230373 120605 Stage 4.doc Version 1.30 Page 9 The Inspector found through discussion with management and looking at records that a prospective new resident had visited for several extended overnight stays in the home. Two took place in April with one in May. This person was found to have a detailed and wide ranging brief history with a range of information from social services professionals and specialist nurses. It was evident when looking at a newly admitted resident that there had been a reduction in this person’s addictive behaviour since moving into the home. The resident concerned was observed to be comfortable with the homes arrangements and interacted well with the homes management during the inspection. The person was found to have signed their contract. A visiting psychiatric nurse was found to have made positive comments to the management about how the home was meeting the complex needs of someone who had moved in shortly before the last inspection in November 2004. The inspector observed compatibility of Residents with 15 of the 23 Residents choosing to seat with each other at the lunchtime meal. For each service user there is a Social Services contract, additionally a form of service user agreement has been produced by the home that outlines the rights and responsibilities, terms and conditions, the plan for personal support and the facilities and services to be provided. This is also signed. The fee level is set at around £850 per week as was the case of the contract inspected, with this funded fully by social services. Any shortfall from what the local authority pays comes from the Resident’s other social services disability allowances with the home having no involvement in this. On those contracts inspected none indicated that the resident has to top this up. Each resident has his or her own personal allowance, which is his or hers to spend. The contract includes rules around behaviour. The home has previously shown how they promptly support Residents to move on if there behaviour becomes disruptive to others. Kingswood House H59-H10 S14007 Kingswood House V230373 120605 Stage 4.doc Version 1.30 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 standard(s) 6, 8, & 9. Care-Plans were found to contain good information subject to regular review with all relevant people. Care-plans showed evidence of being put into action and were found to be highly relevant to the needs of the individuals concerned. Staff showed a good understanding of guidelines and the need for an individual approach to each person. Risk assessments were found to be relevant and thorough. Residents are all supported to be as independent as is practically possible. A variety of choice is available to Residents who confirmed in discussion how they are supported to develop skills. Residents have a good level of involvement in how the home is run. Kingswood House H59-H10 S14007 Kingswood House V230373 120605 Stage 4.doc Version 1.30 Page 11 EVIDENCE: The Inspectors sampled 3 care-plans. The manager together with the resident carries out care planning. Residents have access to their plans and choose who is to attend their review meetings. The care plan includes an assessment of all aspects of personal, social support, and healthcare needs. Health records were particularly detailed in respect of those care-pans examined on persons with epilepsy. The manager and staff confirmed through discussions the contents of these plans. The care-plans examined which included the newest resident showed how identified needs are met in practice, with a set of clear guidelines. Senior staff indicated how new staff work through these plans during their induction. The care-plan of someone who moved in shortly before the last inspection showed progress made and was found to be reviewed on a monthly basis with the last review on 11/06/05. Daily notes and risk assessments also form part of the care planning process. Residents are encouraged to exercise responsibility and make choices about their day-to-day living. Risk assessments were found to be personalised depending on the issues relevant to the individual. Some Residents are permitted to consume alcohol in their rooms subject to a risk assessment. Other Residents have community independence subject to a risk assessment, which has an individual missing persons procedure based on the ability and risk relevant to the Individual. Two Residents since the last inspection were found to have moved on to greater independence. One moved back home with his Mother and the other to an independent flat. These goals had been written into their care-plans and through a gradual process of several years they both developed sufficient skills to make this possible. The inspector found a record of some Residents visiting one of the persons concerned who also received support from the home during his adjustment to living in his own flat. One of these Residents who had moved out of the home was the chairperson of resident meetings. This was found to have interrupted the frequency of these meetings although the home was found to have nominated a new chairperson. The inspector saw records, which indicated how the Residents are consulted on changes to the home. Residents entered the managers open office throughout the inspection to ask questions and discuss any issues. Residents confirmed in discussions how their views are sought and responded to. Kingswood House H59-H10 S14007 Kingswood House V230373 120605 Stage 4.doc Version 1.30 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 standard(s) 12, & 17. It is evident that the home needs to take more steps to ensure that it provides activities, which meet the aspirations and choices of Residents Residents are carefully supported to progress to a level of independence that they are comfortable with. The home provides healthy meals at flexible times with Residents choosing the food that is cooked. Kingswood House H59-H10 S14007 Kingswood House V230373 120605 Stage 4.doc Version 1.30 Page 13 EVIDENCE: A number of Residents informed the Inspector that they would like to have some outings organised by the home. The Management of the home were open to this idea and stated that they have made a car available but are not sure why Residents do no take up this option with the staff driver who is insured to drive the managers car? The home was therefore advised to update their records by asking all Residents as to their activity interests. A timetable of structured activities based on resident’s views should also be published in the home including outings especially in Summer Months. By doing this the home can measure what the take up rate is. On the day of the Inspection no organised activities were taking place although some Residents went out for walks. Some residents such as a wheelchair user are supported occasionally to visit a local park. The home also has games such as chess sets which some play. Organised activities will take some planning due to the mental disorders of the Residents and will take the form of small compatible groups. The home showed that they do periodically survey residents views although the questionnaire does not make mention of activity interests and views on whether this could improve. One resident stated that he attends a drop-in centre and an Art class. Two Residents have been supported to move out and live more independently. Care-plans show what Residents can do for themselves such as in the area of personal care. Residents treat the home as their own, freely coming and going, or spending time in the privacy of their own room, as they wish. This was observed during the inspection. T he present cook employed by the home confirmed that he has abandoned the use of menus previously in use and prepares his own plan on a weekly basis. The lack of published menus in the home did not affect outcomes. Observation of the meals served, showed choice. All Residents spoken too indicated that they liked the food and have a choice. A range of fresh vegetables and fruit were found. Food stocks showed a varied diet and range of meals. The home was advised to publish a monthly menu in advance of meals served and record any variations to a standard menu. Residents have until 10.30am to state an alternative to the meal advertised daily on the notice board. Most Residents were seen to eat together in a suitable dinning room. Some Residents choose to have their main hot meal in the evening as confirmed in discussions. The cook meets with all new Residents to discuss dietary needs and preferences. Kingswood House H59-H10 S14007 Kingswood House V230373 120605 Stage 4.doc Version 1.30 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 standard(s) EVIDENCE: None of these standards were assessed. Standards 18, 19, and 20 will be assessed at the next inspection. Kingswood House H59-H10 S14007 Kingswood House V230373 120605 Stage 4.doc Version 1.30 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 22,& 23. Complaints continue to be rare with issues promptly dealt with informally. Staff continue to demonstrate a sound understanding on how to prevent and, report abuse. Staff continue to benefit from adult protection training. Staff were found to be aware of the homes complaints recording policy and procedure. All staff follow a consistent approach when dealing with Residents distress. EVIDENCE: The complaints file showed no entries for the year. All Residents spoken with confirmed that felt listened to by the home and were confident about approaching management and staff. This was observed throughout the Inspection. The home’s practice in managing occasional conflicts was praised by social services during an investigation, which took place last November following an allegation by a new Resident. Due to accurate and prompt reporting of the incident and the view form the new resident that he was happy with the home, no further action was needed. The Inspector again found written and verbal evidence to show how occasional issues are promptly dealt with in order to avoid crisis situations. Staff are trained to respond to service user’s wishes, suggestions, or concerns. All staff have received training in the protection of vulnerable adults as confirmed I staffing records. There is policy guidance for staff to adhere to. Staff interviewed indicated a sound knowledge of all the issues involved. The home keeps accurate records of all monies, managed on behalf of Residents. Staff do not handle resident’s monies Kingswood House H59-H10 S14007 Kingswood House V230373 120605 Stage 4.doc Version 1.30 Page 16 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 standard(s) 24, 26, & 30. Resident’s benefit from living in a safe and comfortable home. The appearance of the home needs to improve with more suitable flooring installed, redecoration, and a more personalised feel to the environment. The front entrance hallway does not create a good impression. The management of the home were found to have plans to improve the environment as far as possible whilst recognising the needs of people with mental disorders, which limits how homely the building can look. The home was found to be clean and free from offensive odour in both communal areas and bedrooms. EVIDENCE: The homes communal areas were toured along with some bedrooms and bathrooms. It was evident that Residents are harsh on their environment partly due to some of the mental disorders, which are experienced. An example is the observation of some Residents discarding cigarette ash on to the floor. The home provides shared and private rooms that meet space requirements. There are two lounge’s one of which is for smokers and a goodsized dinning room. Kingswood House H59-H10 S14007 Kingswood House V230373 120605 Stage 4.doc Version 1.30 Page 17 There is a disabled access courtyard along with a well-maintained garden only accessible by climbing a slight slope. The rest of the home has wide disabled access both around the home and to the front and rear entrance, suitable for occasional wheelchair users. The home has a working passenger lift giving access to all floors. The whole home was re- carpeted 18 months ago. The management of the home agreed that it already needed replacing due to heavy staining mainly from discarded cigarettes from Residents and also because of its light colouring. The home has experimented with one bedroom since the last inspection by laying a quality laminated wood flooring. This flooring was found to have coped well with the smoking behaviour of residents and was easy to clean whilst being homely and popular with Residents. The owner and manager of the home was found to be motivated to shortly replace all flooring with this material. Some bedrooms and communal areas were found to need updating and redecorating. The Owner and Manager agreed to send the commission a plan to show when all this work will take place. The owner showed the Inspector evidence of making an order for new curtains for all rooms which are difficult to pull down due to a alternative design. The order was for Four Thousand pounds. The home was found to be tidy and kept clean by a regular cleaner. Some rooms were not personalised which the Manager said was based on the preferences of some residents. All bedrooms had a suitable amount of equipment such as wardrobes and chairs some of which are in the process of being replaced. The kitchen was found to be clean and fit for purpose. The non-smoking lounge was found to be homely. The manager and/or staff carry out and record routine health and safety checks around the home and in its grounds; fire safety training is delivered regularly to staff and Residents. Staff record bath temperatures. A tour of the communal areas of the home showed that all fire safety measures have been implemented. Some Residents have chosen to bring items of their own furniture. The laundry service is sited in its own dedicated room, which was found to be clean and tidy. Kingswood House H59-H10 S14007 Kingswood House V230373 120605 Stage 4.doc Version 1.30 Page 18 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 35 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 35. Training arrangements were found to be good and subject to continuous improvement. By being well trained and experienced, the staff team is able to understand and meet, Residents needs. EVIDENCE: The Inspector sampled 2 of the staff’s training files along with interviewing the manager as to all staff members training achievements. The inspector also spoke to the two staff whose records were examined in more detail. Both staff was found to have covered all compulsory training areas including Food hygiene certification,. Moving and handling, fire, health and safety, and first aid. In addition both staff had completed a basic foundation course in care, which covers some units of the National Vocational Qualification, which they had both signed up to. Staff’s progress on this course was found to have been interrupted by college delays. Kingswood House H59-H10 S14007 Kingswood House V230373 120605 Stage 4.doc Version 1.30 Page 19 The home has also been using its own training package, which it purchased last year. A number of staff were found to have done additional training leading to passing examinations in managing aggression, dementia, protection of vulnerable people, and mental health, for example. The organisation of training has improved in order to be more structured and predictable for all staff. Induction training is now according to a tailored package, which systematically covers a comprehensive range of areas and is signed by both the manager and trainee. This also includes TOPPS induction workbook training. A new staff member interviewed at the last inspection testified to the thoroughness and supportive induction she was receiving, with some training courses already outlined. The inspector saw a signed copy of an induction. A senior member of staff confirmed that how she supervises new staff now she has had supervisory training. Her record of two-month supervision was also seen. Three other staff were found to be registered nurses with a range of training already undertaken. Kingswood House H59-H10 S14007 Kingswood House V230373 120605 Stage 4.doc Version 1.30 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 39, and 42 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 37,39,40,& 42. Resident’s benefit from a home that is well managed in their best interests. The manager’s skills, input, experience and qualifications, exceed the normal standard and has been essential in delivering positive outcomes. Residents are supported to be fully involved in the running of the home and are consulted on any changes. Residents have open access to management and have regular opportunities to air their views. Health and Safety maintenance was found to be satisfactory. EVIDENCE: The manager is currently undertaking her NVQ 4 and Registered managers award following delays created by a trainer resulting in her having to change college. The Manager is now due to complete this in 2006. This standard will be exceeded once this minimum qualification is gained. The registered manager in partnership with the joint owner has been managing the home for 9 years. The Manager [Matron] has extensive experience of the needs of people with Mental Health issues and is a registered nurse. Kingswood House H59-H10 S14007 Kingswood House V230373 120605 Stage 4.doc Version 1.30 Page 21 Visiting professionals continue to testify to the skills of the home’s management. The manager demonstrated her knowledge of Residents through an extended discussion and examination of care records. The care records showed how Residents had improved their behaviours since moving into the home. The homes management is particularly skilled as seen in records and discussions at monitoring behaviour and adjusting medication where necessary. A range of satisfied views were expressed to the inspector from residents in relation to the management of the home. The inspector saw 12 Questionnaires filled in by Residents the week before the Inspection in a regular survey carried out by the home. These views are subsequently written into a short report, which is put in the homes Service User guide. The inspector advised an additional question on activities. Care plans, policies and procedures are regularly reviewed and updated. A commitment to service user involvement is demonstrated in the planning and delivery of services. Both the owner and the Manager work in the home full time and were seen to adopt an open door approach to both staff and Residents The home has since the last inspection improved its written policy on the use of Alcohol, which is strictly risk assessed depending on the behaviour and ability of the residents, and is limited to private consumption. The manager is also transferring this detailed policy to the Residents general contract and statement of purpose. All incidents and accidents were found to be well managed by the home and promptly reported to the Commission. Health and safety records were found to be complete. The Gas boiler was serviced in January 05, Fire systems May 05, Emergency lighting February 05, Portable appliances September 04 for example. The manager carries out and records risk assessments for safe working practices, including a fire risk assessment. Monthly health and safety checks are carried out and recorded. . Radiator guards and water temperature controls are fitted, wherever there may be risks to Residents. The home was found to be safe during a tour. Kingswood House H59-H10 S14007 Kingswood House V230373 120605 Stage 4.doc Version 1.30 Page 22 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 3 x 4 3 Standard No 22 23 ENVIRONMENT Score 3 3 INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 LIFESTYLES Score 3 x 3 3 x Score Standard No 24 25 26 27 28 29 30 STAFFING Score 2 x 3 x x x 3 Standard No 11 12 13 14 15 16 17 x 2 x x x x 2 Standard No 31 32 33 34 35 36 Score x x x x 3 x CONDUCT AND MANAGEMENT OF THE HOME PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Kingswood House Score x x x x Standard No 37 38 39 40 41 42 43 Score 3 x 3 3 x 3 x H59-H10 S14007 Kingswood House V230373 120605 Stage 4.doc Version 1.30 Page 23 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 12 Regulation 16[m[n] Requirement Timescale for action 12/09/05 2. 24 23 That all Service users[Residents] are consulted as to their Activtity Interests with an action plan produced. That a timetable of regular outings is introduced with particpation levels recorded. That the Registered Person must 12/09/05 send the Commission a plan of when work will commence on the following areas:The redecoration, renewal and refurbishment of the Home. To include the replacement of existing carpets, curtains, some bedding, bedroom sinks, and some furniture. that plan is sent to the Commission by the date shown. 12/09/05 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 17 Good Practice Recommendations That a monthly menu is printed out and published within the home. That a record of alternative meals served to this menu is produced. H59-H10 S14007 Kingswood House V230373 120605 Stage 4.doc Version 1.30 Page 24 Kingswood House Kingswood House H59-H10 S14007 Kingswood House V230373 120605 Stage 4.doc Version 1.30 Page 25 Commission for Social Care Inspection Ivy House, 3 Ivy Terrace Eastbourne East Sussex BN21 4QT 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 House H59-H10 S14007 Kingswood House V230373 120605 Stage 4.doc Version 1.30 Page 26 - 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. The policy of www.bestcarehome.co.uk is to use all legal avenues to pursue such offenders, including recovery of costs. You have been warned!