Inspection on 25/02/09 for Kingswood House

This inspection was carried out on 25th February 2009.

CSCI found this care home to be providing an Good service.

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 House 28/12/06

Kingswood House 07/11/05

Kingswood House 04/05/05

Kingswood House 17/02/05

Kingswood House 29/09/04

Similar services:

Byars Care Home

St Marys Nursing Home

Bramble Lodge

Parkmanor Residential Home

Thornham Grove

Hunter`s Lodge

London Road Neurological and Specialist Care Unit

Carlton Care Home

Extracts from inspection reports are licensed from CQC, this page was updated on 19/06/2009.

Inspecting for better lives Key inspection report Care homes for older people Name: Address: Kingswood House Hollington Road Raunds Northants NN9 6NH     The quality rating for this care home is:   two star good service A quality rating is our assessment of how well a care home, agency or scheme is meeting the needs of the people who use it. We give a quality rating following a full assessment of the service. We call this a ‘key’ inspection. Lead inspector: Catherine Perrins     Date: 2 5 0 2 2 0 0 9 This is a report of an inspection where we looked at how well this care home is meeting the needs of people who use it. There is a summary of what we think this service does well, what they have improved on and, where it applies, what they need to do better. We use the national minimum standards to describe the outcomes that people should experience. National minimum standards are written by the Department of Health for each type of care service. After the summary there is more detail about our findings. The following table explains what you will see under each outcome area. Outcome area (for example Choice of home) These are the outcomes that people staying in care homes should experience. that people have said are important to them: They reflect the things This box tells you the outcomes that we will always inspect against when we do a key inspection. This box tells you any additional outcomes that we may inspect against when we do a key inspection. This is what people staying in this care home experience: Judgement: This box tells you our opinion of what we have looked at in this outcome area. We will say whether it is excellent, good, adequate or poor. Evidence: This box describes the information we used to come to our judgement. Copies of the National Minimum Standards – Care Homes for Older People can be found at www.dh.gov.uk or bought from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering from the Stationery Office is also available: www.tso.co.uk/bookshop 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 Our duty to regulate social care services is set out in the Care Standards Act 2000. Care Homes for Older People Page 2 of 25 Reader Information Document Purpose Author Audience Further copies from Copyright Inspection report CSCI General public 0870 240 7535 (telephone order line) Copyright © (2009) Commission for Social Care Inspection (CSCI). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CSCI copyright, with the title and date of publication of the document specified. www.cqc.org.uk Internet address Care Homes for Older People Page 3 of 25 Information about the care home Name of care home: Address: Kingswood House Hollington Road Raunds Northants NN9 6NH 01933624298 01933626871 Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Type of registration: Number of places registered: Conditions of registration: Category(ies) : Kingswood Home Limited care home 21 Number of places (if applicable): Under 65 Over 65 8 21 2 dementia old age, not falling within any other category physical disability Additional conditions: 0 0 0 No one falling within the category of (DE(E) may be admitted to the home where there are 8 persons of category (DE(E) already cared for within the home. No one falling within the category of (PD(E) may be admitted to the home where there are 2 persons of category (PD(E) already cared for within the home No one falling within the category of OP may be admitted to the home where there are 21 persons of category OP already cared for within the home. The number of service users must not exceed a total of 21. Date of last inspection Brief description of the care home Kingswood House is a care home providing personal care and accommodation for twenty-one older people over the age of 65 years, who may have associated conditions, which may include dementia and physical disabilities. Kingswood House offers seventeen single bedrooms of which fourteen have an en-suite consisting of a wash hand basin and toilet, the two shared bedrooms, without en-suite Care Homes for Older People Page 4 of 25 Brief description of the care home facilities. Communal areas are made up of a dining room and seating areas. Bedrooms are located on the ground and first floor; access to the first floor is via the stairwell, which has a stair lift. The home has a large well maintained garden. Information is located on site detailing the range of services offered, which includes the Statement of Purpose, Service User Guide and a copy of the Commission for Social Care Inspections, Inspection Reports, which are located in the entrance foyer. The range of weekly fees is between 420 and 440 pounds per week. There are additional costs for individual expenditure such as Chiropody, Optician and hairdressing services, and the fee will depend on the services received. Care Homes for Older People Page 5 of 25 Summary This is an overview of what we found during the inspection. The quality rating for this care home is: Our judgement for each outcome: two star good service Choice of home Health and personal care Daily life and social activities Complaints and protection Environment Staffing Management and administration peterchart Poor Adequate Good Excellent How we did our inspection: The quality rating for this service is two star. This means the people who use this service experience good quality outcomes. This was an unannounced key inspection which means that we focussed on the key national standards. The key standards are those considered by the Commission to have the most impact on outcomes for residents. As part of the preparation for this inspection a period of three hours was spent reviewing previous inspection reports the other information that CSCI has received about this service. Care Homes for Older People Page 6 of 25 The inspection visit lasted five hours during the morning and afternoon of a weekday. During the inspection three people were case tracked. This involves looking in detail at all aspects of their care and experiences at Kingswood, including looking as their individual plans of care and other records, talking to them and talking to their care staff. Because people with dementia are not always able to tell us about their experiences we also used observations of peoples state of well being and how they interacted with staff members and others. A sample of staff files were also viewed as part of the inspection. Some surveys were given out to the people who live at the home, their relatives and staff during the inspection. Four were returned by relatives and three by staff members. Comments made in the surveys have been incorperated into the report. The registered manager was present during the duration of the visit. What the care home does well: What has improved since the last inspection? What they could do better: If you want to know what action the person responsible for this care home is taking following this report, you can contact them using the details set out on page 4. Care Homes for Older People Page 8 of 25 The report of this inspection is available from our website www.cqc.org.uk. You can get printed copies from enquiries@cqc.org.uk or by telephoning our order line –0870 240 7535. Care Homes for Older People Page 9 of 25 Details of our 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) Outstanding statutory requirements Requirements and recommendations from this inspection Care Homes for Older People Page 10 of 25 Choice of home These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People are confident that the care home can support them. This is because there is an accurate assessment of their needs that they, or people close to them, have been involved in. This tells the home all about them and the support they need. People who stay at the home only for intermediate care, have a clear assessment that includes a plan on what they hope for and want to achieve when they return home. People can decide whether the care home can meet their support and accommodation needs. This is because they, or people close to them, have been able to visit the home and have got full, clear, accurate and up to date information about the home. If they decide to stay in the home they know about their rights and responsibilities because there is an easy to understand contract or statement of terms and conditions between them and the care home that includes how much they will pay and what the home provides for the money. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People are given good information about the home and their needs are assessed so that they can be confident that it is the right choice for them. Evidence: The home has a brochure, statement of purpose and service user guide which give good information about the home and what it is like to live there. All are available in the entrance hall of the home so can be easily accessed by the people who currently live at the home as well as anyone who maybe interested in moving in. Records show that before they move in people have their needs assessed by the home and they are able to visit. This ensures that people can be confident that the home is right for them and can meet their needs. Care Homes for Older People Page 11 of 25 Health and personal care These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People’s health, personal and social care needs are met. The home has a plan of care that the person, or someone close to them, has been involved in making. If they take medicine, they manage it themselves if they can. If they cannot manage their medicine, the care home supports them with it, in a safe way. People’s right to privacy is respected and the support they get from staff is given in a way that maintains their dignity. If people are approaching the end of their life, the care home will respect their choices and help them feel comfortable and secure. They, and people close to them, are reassured that their death will be handled with sensitivity, dignity and respect, and take account of their spiritual and cultural wishes. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People have their health and personal care needs very well met and their individual wishes and preferences respected. Evidence: Each person who lives at Kingswood has an individual plan of care which sets out how they want and need to be cared for. Individual plans of care give a lot of detail about each person individual needs, preferences and aspirations. They also contain information about each persons past occupation, pastimes and hobbies and important life experiences. Records show that people have their health care needs well met and that health care professionals such as general practitioners, hospital consultants, district nurses, dentists, chiropodists and opticians were all involved as required to ensure that people are getting the care that they need. Peoples needs in relation to mobility, nutrition, pressure area care and falling have been assessed and where risks have been identified measures have been put in place to reduce those risks. Individual plans of care are reviewed and updated on a regular basis. Staff explained Care Homes for Older People Page 12 of 25 Evidence: that they were given time to familiarise themselves with peoples individual plans of care and staff spoken to had a good knowledge of peoples needs and how they liked to be cared for. Individual plans of care contained positive information about how peoples health and well being had improved since moving to Kingwood. A relative commented in the compliments book that, .... is looking a different man........the transformation is remarkable. The administration of medication appears to be well managed. Tablets checked were all accounted for and staff had signed to show that people were receiving their medication as prescribed. The medication is stored in a lockable medication trolley, the home does not currently have the facility to store controlled drugs. Controlled drugs are prescribed medicines which some people abuse them by taking them when they have not been prescribed. There are laws and regulations about how these drugs should be stored and administered. Care Homes for Older People Page 13 of 25 Daily life and social activities These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: Each person is treated as an individual and the care home is responsive to his or her race, culture, religion, age, disability, gender and sexual orientation. They are part of their local community. The care home supports people to follow personal interests and activities. People are able to keep in touch with family, friends and representatives. They are as independent as they can be, lead their chosen lifestyle and have the opportunity to make the most of their abilities. People have nutritious and attractive meals and snacks, at a time and place to suit them. There are no additional outcomes. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People enjoy a good quality of life and have a range of activities and interests that they can pursue within the home. Evidence: People told us that they were very happy living at Kingswood. One person told us its a happy home. A relative also spoke highly of the home explaining that he had enjoyed going out on a boat trip with everyone from the home last summer. One member of staff told us that she would be very happy for her mum to live at the home. People were observed in lounge reading books and newspapers. Staff were seen spending time sitting and chatting to people and giving them hand massages and manicures. Another person enjoyed playing the organ in the dining room. On the afternoon of the inspection people were seen enjoying a reminiscence session which was led by a person who comes to the home with a range of props and memorabilia to stimulate discussion. Staff explained that other outside entertainers such as singers and someone to do gentle exercises also visited the home. People also Care Homes for Older People Page 14 of 25 Evidence: have access to a mobile library. Staff told us that they do activities such as quizzes, games and floor activities with people and that the home holds fundraising events to raise money for activities. People told us that they had enjoyed a bonfire night celebration. Staff told us that they had also had a Christmas party and garden parties and bar-b-ques, in summer. Lunch on the day of inspection was sausage casserole with fresh vegetables followed by egg custard. An alternative of fish cakes was also available. The meal looked appetising and people were observed enjoying it. The cook explained that people chose their meals the previous day and that where necessary people are helped to choose things that they like. Menus are discussed at the residents meetings so that peoples suggestions can be incorporated into the menu. People spoken to said that the food was very good. Menus seen were varied and contained plenty of fresh vegetables. The cook was seen making a birthday cake for someone who was celebrating their birthday the following day. She explained that they always make a fuss of people when it is their birthday to ensure that they feel special. One relative told us in a survey I do appreciate the little extras like a birthday cake and the birthday hat. Care Homes for Older People Page 15 of 25 Complaints and protection These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: If people have concerns with their care, they or people close to them know how to complain. Any concern is looked into and action taken to put things right. The care home safeguards people from abuse and neglect and takes action to follow up any allegations. People’s legal rights are protected, including being able to vote in elections. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People are protected by the homes policies, procedures and day to day practice. Evidence: The home has a complaints policy which was seen. It gives good information about how people should raise concerns and how their concerns will be responded to and includes timescales and contact details of the Commission for Social Care Inspection. The home has received one complaint which was fully investigated in line with procedures and all matters resolved. One safeguarding adults referral has been made by the home in line with locally agreed protocols. Staff spoken to knew how to raise concerns. Staff had either received training on how to keep people safe or they were booked onto a forthcoming course. The home has a compliments file which is kept in the entrance hall. A recent comment from a relative stated that Kingswood is A superb home, one of the best. Another comment describes the home as a warm and friendly household. Care Homes for Older People Page 16 of 25 Environment These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People stay in a safe and well-maintained home that is homely, clean, pleasant and hygienic. People stay in a home that has enough space and facilities for them to lead the life they choose and to meet their needs. The home makes sure they have the right specialist equipment that encourages and promotes their independence. Their room feels like their own, it is comfortable and they feel safe when they use it. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People enjoy a warm, clean and well-maintained environment which is comfortable and homely. Evidence: Kingswood consists of a large extended period house with a small self contained bungalow referred to as the Lodge. One person currently lives in the Lodge although it can accommodate up to three people. The majority of bedrooms are single and have an en suite wash basin and WC. Two bedrooms are shared. Bedrooms seen had been made personal with pictures, ornaments and personal effects. The home was clean and well maintained throughout. Communal areas consist of a television lounge, a large lounge / conservatory and a dining room. These areas were all spacious and comfortable and had been made homely with plants, pictures, ornaments and bowls of fresh fruit. There were also framed poems on the wall written by a former resident. One relative told us in a survey I particularly like the homely atmosphere. The home employs a handy person who was observed carrying out routine maintenance and redecoration. Care Homes for Older People Page 17 of 25 Evidence: There were no hazards observed in the home. Radiators were all covered to ensure that no-one could burn themselves and the manager had completed assessments of any other potential areas of risk within the building. The home enjoys a large garden which people told us that they can sit in in the warm weather. Care Homes for Older People Page 18 of 25 Staffing These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have safe and appropriate support as there are enough competent staff on duty at all times. They have confidence in the staff at the home because checks have been done to make sure that they are suitable to care for them. Their needs are met and they are cared for by staff who get the relevant training and support from their managers. There are no additional outcomes. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People benefit from a sensitive, caring and responsive staff team who receive the training and support to enable them to care for people in the right way. Evidence: Staff were observed caring for people sensitive and responsive manner. Conversation and interactions showed that staff had good relationships with the people who lived at the home and were aware of their needs and preferences. A relative told us in a survey that The staff at Kingswood give constant good care. The recruitment of staff appears well managed with staff having all the necessary pre employment checks to make sure that they are suitable to work with older people. The registered manager explained that she has never experienced any difficulty recruiting staff and has people approaching her who want to work at the home. The staff team is well established with many of the staff having worked at the home for a number of years. The home has never had to use any temporary cover from an agency and covers any staff sickness or leave within the staff team. New staff undergo an induction period which comprises of shadowing an experienced colleague and going spending time going through information with the manager. Care Homes for Older People Page 19 of 25 Evidence: Staff benefit from a comprehensive programme of training including first aid, fire safety, bereavement, moving and handling, safeguarding adults, medication, health and safety, food hygiene and dementia. Staff also have access to national vocational training in care (NVQ). Staff told us that they receive regular supervision with the registered manager. Care Homes for Older People Page 20 of 25 Management and administration These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have confidence in the care home because it is led and managed appropriately. People control their own money and choose how they spend it. If they or someone close to them cannot manage their money, it is managed by the care home in their best interests. The environment is safe for people and staff because appropriate health and safety practices are carried out. People get the right support from the care home because the manager runs it appropriately with an open approach that makes them feel valued and respected. The people staying at the home are safeguarded because it follows clear financial and accounting procedures, keeps records appropriately and ensures their staff understand the way things should be done. They get the right care because the staff are supervised and supported by their managers. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The home is well managed in the best interests of the people who live there. Evidence: The registered manager has worked at the home since August 1996 firstly as a carer then deputy and in May 2004 she became the manager. The registered manager told us that the owner of the home is very supportive, visits the home on a regular basis and spends time talking to people to make sure that they are happy with everything at the home. The home sends out questionnaires to the people who live there every six months. The results of these are evaluated and discussed at residents meetings. Questionnaires viewed showed a good level of satisfaction. Records show that fire checks and other health and safety checks are all up to date. Care Homes for Older People Page 21 of 25 Care Homes for Older People Page 22 of 25 Are there any outstanding requirements from the last inspection? Yes £ No R Outstanding statutory requirements These are requirements that were set at the previous inspection, but have still not been met. They say what the registered person had to do to meet the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. No. Standard Regulation Requirement Timescale for action Care Homes for Older People Page 23 of 25 Requirements and recommendations from this inspection: Immediate requirements: These are immediate requirements that were set on the day we visited this care home. The registered person had to meet these within 48 hours. No. Standard Regulation Requirement Timescale for action Statutory requirements These requirements set out what the registered person must do to meet the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The registered person(s) must do this within the timescales we have set. No. Standard Regulation Requirement Timescale for action 1 9 13 The storage of medication must be reviewed to ensure that it complies with the latest requirements of the Misuse of Drugs Act Amendment 2007. This is necessary to ensure that all medication, including controlled drugs can be stored safely. 15/06/2009 Recommendations These recommendations are taken from the best practice described in the National Minimum Standards and the registered person(s) should consider them as a way of improving their service. No. Refer to Standard Good Practice Recommendations Care Homes for Older People Page 24 of 25 Helpline: Telephone: 03000 616161 or Textphone: or Email: enquiries@cqc.org.uk Web: www.cqc.org.uk We want people to be able to access this information. If you would like a summary in a different format or language please contact our helpline or go to our website. Copyright © (2009) Commission for Social Care Inspection (CSCI). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CSCI copyright, with the title and date of publication of the document specified. Care Homes for Older People Page 25 of 25 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. 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