Inspection on 28/12/06 for Kingswood House

This inspection was carried out on 28th December 2006.

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 House 25/02/09

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 09/07/2008.

CARE HOMES FOR OLDER PEOPLE Kingswood House Hollington Road Raunds Northants NN9 6NH Lead Inspector Mrs Linda Clarke Key Unannounced Inspection 28th December 2006 9:15 X10015.doc Version 1.40 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 House DS0000060028.V319000.R02.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 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 House DS0000060028.V319000.R02.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Kingswood House Address Hollington Road Raunds Northants NN9 6NH 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) 01933 624298 01933 626871 Kingswood Home Limited Claire Suzanne Swailes Care Home 21 Category(ies) of Dementia - over 65 years of age (8), Old age, registration, with number not falling within any other category (21), of places Physical disability over 65 years of age (2) Kingswood House DS0000060028.V319000.R02.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. 3. 4. The number of service users must not exceed a total of 21. 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. 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 (DE(E) may be admitted to the home where there are 8 persons of category (DE(E) already cared for within the home. 7th November 2005 Date of last inspection Brief Description of the Service: 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 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 £340 and £360, which were provided in documentation submitted by the Registered Manager prior to the Inspection. There are additional costs for individual expenditure such as Chiropody, Optician and hairdressing services, and the fee will depend on the services received. Kingswood House DS0000060028.V319000.R02.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The inspection process consisted of pre-planning the inspection, reviewing the last inspection report and the reviewing of the Pre-Inspection Questionnaire and Comment Cards/Surveys distributed to service users, relatives/visitors and General Practitioners by the Commission for Social Care Inspection (CSCI) along with the reviewing of significant events. Eight Comment Cards were sent out to service users, twenty-one to relatives/friends and three to General Practitioners. The unannounced site visit commenced on the 28th December 2006 and lasted 1 day. The focus of the inspection is based upon the outcomes for the service users. The method of inspection was ‘case tracking’. This involved identifying service users with varying levels of care needs and looking at how these are being met by the staff at Kingswood House. Four service users were selected and discussions were held with one of them along with three service users who were not part of the ‘case tracking’ process. Two groups of visiting relatives were also spoken with. The method of case tracking included the review of service users’ individual care records, discussions with staff of various delegated responsibilities within the home and reviewing the records, training records and the minutes of service user and team meetings. Of the Comment Cards sent out to service users, 63 were returned. The comments received were complimentary about the care. Comments incorporated within Service User Comment Cards included: • • • I like it here, I’m very happy here. I’ve been here a long time. I like the staff they are good to be with. I’m very satisfied and happy with present conditions. I enjoy living her and am satisfied with the care and attention I receive. The boat trip outing was very enjoyable. Of the Comment Cards sent out to relatives/visitors, 24 were returned. The comments received were complimentary about the care. • • Staff are always very kind. A very warm and friendly home. Of the Comment Cards sent out go General Practitioners 100 were received. The comments received were complimentary about the care. • Although I speak to carers on occasions regarding those patients with diabetes and see these patients in the diabetic clinic at the surgery, I feel Kingswood House DS0000060028.V319000.R02.S.doc Version 5.2 Page 6 unable to answer the questions as I am purely practice based and do not visit patients in their own homes/residential home. What the service does well: What has improved since the last inspection? Information contained within the Statement of Purpose and Service User Guide has been reviewed, providing up to date information as to the services and facilities of Kingswood House. Care plans have been further developed, encompassing greater detail as to service users health and personal care needs. Environmental improvements have taken place, which includes the guarding of radiators and restrictors being placed on all first floor windows further promoting the health and safety of service users. Kingswood House DS0000060028.V319000.R02.S.doc Version 5.2 Page 7 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. The summary of this inspection report can be made available in other formats on request. Kingswood House DS0000060028.V319000.R02.S.doc Version 5.2 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 Outcomes Statutory Requirements Identified During the Inspection Kingswood House DS0000060028.V319000.R02.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 1 and 3. Standard 6 is not applicable. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Detailed information is available as to the services offered by the home, and prospective residents care needs are well assessed before they move into the home to ensure their needs can be met. EVIDENCE: Individuals considering residential care at Kingswood House are provided with detailed information in documents referred to as The Statement of Purpose and Service User Guide, the documents provide a brief description of the services provided, including the accommodation, information as to the number of staff employed and there qualifications and training. The documents also detail the number of places provided and relevant information as to the quality assurance process and complaints procedure. Kingswood House DS0000060028.V319000.R02.S.doc Version 5.2 Page 10 The Statement of Purpose and Service User Guide are available upon request; copies of documents are located in the reception foyer, in addition service users are given a copy of the Service User Guide. The records of four service users were viewed, all contained a comprehensive assessment undertaken by the Registered Manager, and the assessment is then developed to form a care plan, outlining the needs of service users. A visitor was spoken with regarding the admission of his relative, he advised that he had moved his mother to this home a short while ago, and was very happy with the care and attention his relative received. The home does not provide intermediate care. Kingswood House DS0000060028.V319000.R02.S.doc Version 5.2 Page 11 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. JUDGEMENT – we looked at outcomes for the following standard(s): 7, 8, 9 and 10. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Service users are well cared for having their tailored health and daily care needs met, additional information within care plans would promote a holistic approach to care, and improvements as to the recording of information would promote continuity of care. EVIDENCE: The care plans and records of four service users were viewed, care plans were well written and were presented to a good standard. Service users could benefit from additional information being incorporated into a care plan, with regards to night care arrangements and their hobbies, interests and recreational preferences. The care plans seen were personal to the service users, setting out the level of assistance required. Care plans detailed information as to service users health care needs, daily living arrangements, which outline service users, preferred Kingswood House DS0000060028.V319000.R02.S.doc Version 5.2 Page 12 daily routine and the impact of cognitive skills such as mental health on the individual. Care plans gave information in relation to identified risks and how these should be minimised. All service users have a named care staff known, as a ‘key worker’ to support their needs, daily routines, help keep their bedroom and clothes tidy. Care records showed the key workers produce a monthly précis of events for service users, in some instances these was not completed. Daily records recorded significant events in service users daily lives, discussions with the Registered Manager as to how records could be used with greater effect took place, in addition it was noted that more than one system for the recording of service user information is operational, as staff are recording events differently a clear audit trail is not always available, further discussions took place as to ways in which the recording of information could be simplified, and improve efficiency. The visitors of one relative advised that they were confident that their relatives care needs were being met, and had no areas of concern. The visitors went onto say that they attend an annual review of their relative’s needs, which is organised by the Registered Manager and incorporates the views of their relative. Comments received directly from service users included: “Very flexible” “It’s lovely here, you can come and go as you please.” “Staff are always polite and courteous.” “I have good access to healthcare.” All the care files viewed contained good evidence of the involvement of General Practitioners, District Nurses, Chiropodists and Opticians. The medication and medication records of the four service users ‘case tracked’ were viewed, all were found to be in good order. It was noted that the medication for one service user included a sedative; it is recommended that the Medication Administration Record, records an ongoing total of medication within the home, providing a clear audit trail. Service user records evidenced that General Practitioners are involved in the reviewing of service users medication, and that the Registered Manager contacts the General Practitioner when they identify changing needs of service users. Kingswood House DS0000060028.V319000.R02.S.doc Version 5.2 Page 13 On the day of the site visit, staff were observed speaking with service users in a supportive and courteous manner, staff knocked on service user bedroom doors before entering, and were observed supporting service users with personal care sensitively. Kingswood House DS0000060028.V319000.R02.S.doc Version 5.2 Page 14 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. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 14 and 15. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Service users continue to make choices about daily living and are offered a variety of meals and social activities of interest. EVIDENCE: A record of activities to which service users participate is kept, the information is stored separately from that of other records, it was discussed with the Registered Manager, as to the simplification of records, which would ensure that records are completed and if kept in one location, and would enable staff to access information readily. Service users spoken with said they enjoyed the activities organised by the home, particularly the musicians and singers and the boat trips which took place during the summer period. The visitors for one service user said that their relative took part in the quizzes. Whilst a member of staff spoken with said that the service users had particularly enjoyed the entertainer who focuses on reminiscence work, which Kingswood House DS0000060028.V319000.R02.S.doc Version 5.2 Page 15 involves picking topics of events or objects, and discussing them supported by role play. A member of staff works part time as the Entertainments Co-ordinator and is responsible for the organising of activities and events. A masseur and hairdresser visit weekly, whilst fortnightly a musician/singer and the person responsible for reminiscence work visit. In addition seasonal events are organised and include an Easter raffle, Bonfire and Fireworks evening and Christmas Party and buffet for service users and their relatives. The initial assessment undertaken of prospective service users identifies the interests with regards to hobbies and contains information as to their lifestyle; this information is not used to develop a care plan reflecting service users hobbies, interests and recreational preferences, this was discussed with the Registered Manager. Service users were asked as to their views as to the meals, all said they were happy with the meals, and were made from fresh ingredients with meals being ‘homemade’. The Inspector sat with service users during the lunchtime meal, the meal was relaxed and unhurried, and service users requiring assistance were supported sensitively. Two religious services are held within Kingswood House, the services being Methodist and Church of England. Kingswood House DS0000060028.V319000.R02.S.doc Version 5.2 Page 16 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. JUDGEMENT – we looked at outcomes for the following standard(s): 16 and 18. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Service users are protected by a robust and accessible complaint procedure, protection of service users could be further promoted through appropriate training of care staff. EVIDENCE: Service users when asked were confident that should they have any concerns, whom they should speak with, in addition there is a written complaints procedure, and information as to how to contact advocacy services. Visitors of service users were aware of how to raise concerns, and advised should they have any concerns they would not hesitate in discussing them with the Registered Manager. Care staff and managers spoken with had a good understanding of their responsibility and procedures to follow in relation to safeguarding adults and were confident to whistle blow on poor or bad care practices. The Complaints Record was viewed, which evidenced that the home has not received any complaints since the last inspection; the Commission for Social Care Inspection has not received any expressions of concern with regards to Kingswood House. Kingswood House DS0000060028.V319000.R02.S.doc Version 5.2 Page 17 Staff training records did not evidence that care staff receive training in safe guarding adult protocols, there it is recommended that all staff receive training in this area, for those staff who undertake a National Vocational Qualification in Care, adult protection is part of the award. Kingswood House DS0000060028.V319000.R02.S.doc Version 5.2 Page 18 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. JUDGEMENT – we looked at outcomes for the following standard(s): 19 and 26. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Service users are provided with a warm, safe, clean, comfortable and wellmaintained environment suitable for their needs. EVIDENCE: Kingswood House accommodation is provided over the ground and first floor, communal areas are located on the ground floor, whilst bathing and toilet facilities and bedrooms are housed on the ground and first floor. Kingswood House has a car park to the front of the home, and the home is surrounded by a mature garden, which provides areas for service users to sit. The bedrooms of two service users were viewed, as were all communal areas. The home was clean, and tidy and reflected a homely environment. Visitors said that the homeliness and relaxed environment of the Kingswood House was Kingswood House DS0000060028.V319000.R02.S.doc Version 5.2 Page 19 one of the reasons why they’d chosen Kingswood House as a home for their relatives. The previous inspection identified areas of concern, which included the undertaking of a risk assessment with regards to the surface temperature of a radiator, a discussion with the Registered Manager confirmed that this had been undertaken, and that protective radiator covers had been provided. The Registered Manager advised that all windows on the first floor are now restricted as to how far they open. Staff have received training in Infection Control, and policies and procedures are in place to ensure the welfare of service users. Kingswood House DS0000060028.V319000.R02.S.doc Version 5.2 Page 20 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 consider all the above are key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 27, 28, 29 and 30. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Trained and qualified staff are employed following robust recruitment checks and are employed in sufficient numbers to meet the care needs of service users. EVIDENCE: Kingswood House employs sufficient staff to meet the needs of service users. Kingswood House has undertaken an audit of staff training, and found that 55 of staff have attained a National Vocational Qualification in Care, other training includes infection control, moving and handling, fire awareness, health and safety, first aid and dementia care. The recruitment and selection procedure in place is robust, the file of the member of staff recruited since the last inspection was viewed, and was found to contact thorough pre-employment checks including the obtaining of a Criminal Record Bureau (CRB) disclosure. The files viewed of two members of staff employed at Kingswood House prior to the appointment of the current Registered Manager did not contain two written references. Kingswood House DS0000060028.V319000.R02.S.doc Version 5.2 Page 21 The Inspector spoke with a member of staff recruited since the last Inspection, who confirmed that she had undertaken and completed the ‘Mulberry’ Induction training process. Kingswood House DS0000060028.V319000.R02.S.doc Version 5.2 Page 22 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 31, 33, 35 and 38 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 31, 33, 35, 36 and 38. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The Registered Manager offers a clear sense of leadership, ensuring service user health and welfare are promoted, although service users and staff would benefit from additional opportunities to share their views. EVIDENCE: The Registered Manager has been in her current post for two years and eight months, and has attained the Registered Managers Awards and level 4 National Vocational Qualification in Care. A quality assurance process is in place for Kingswood House, the auditing of service user views through questionnaires take place bi-annually. The Kingswood House DS0000060028.V319000.R02.S.doc Version 5.2 Page 23 Registered Manager collates the information, and puts together a response as to how issues raised will be addressed; this is published within the monthly newsletter. The monthly newsletter provides service users and relatives with information as to events happening within the home, service user birthdays, and contains quizzes and competitions. In addition the Responsible Individual (owner) of Kingswood House, visits monthly unannounced to undertake monitoring visit, which includes speaking with staff, service users and visitors, viewing records with regards to service users, staff and maintenance of the home. A report is then produced which details any action to be taken by the Registered Manager. A questionnaire for seeking the views of visitors, including health care professionals has been developed and will be distributed in the near future, as advised by the Registered Manager. The Registered Manager advised that in the past service user meetings had not been successful, with service users not being interested in participating. A service user spoken with did say they would be interested in attending service user meetings, as prior to her residence as Kingswood House, she was involved in various committees, this was discussed with the Registered Manager, who advised she would discuss amongst the service users. The reviewing of documentation and discussions with the Registered Manager and two care staff, identified that care staff meetings are held infrequently, as part of quality assurance it is recommended that staff meetings are held, providing care staff with opportunities to discuss care practice issues. The Registered Manager advised that action has been taken with regards to the signing of service user financial transactions, as highlighted at the previous inspection, where practicably two staff are involved and both sign the relevant documentation. Discussions with the Registered Manager and two care staff identified that supervisions of staff (one to one meetings) are not taking place. In order to promote good care practice, and to identify training needs and any issues of concern, staff should be given the opportunity to discuss these within a formal supervision, which is recorded. The Pre Inspection Questionnaire submitted to the CSCI prior to the site visit detailed the regular maintenance of health and safety systems within the home, including fire systems and equipment, environmental health visits, central heating systems and emergency call systems. Kingswood House DS0000060028.V319000.R02.S.doc Version 5.2 Page 24 The safety of service users with regards to the banister on the first floor stairwell was discussed, it was required that a risk assessment be carried out, which gives consideration to individual services users, and any issues identified are acted upon to ensure the health and welfare of service users. Kingswood House DS0000060028.V319000.R02.S.doc Version 5.2 Page 25 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 Standard No Score 1 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 3 X 3 X X N/A HEALTH AND PERSONAL CARE Standard No Score 7 2 8 3 9 2 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 3 X X X X X X 3 STAFFING Standard No Score 27 3 28 3 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X 2 X 3 2 X 2 Kingswood House DS0000060028.V319000.R02.S.doc Version 5.2 Page 26 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 OP38 Regulation 13(4) Requirement The Registered Manager to undertake a risk assessment of the stairwell banister on the first floor, with consideration being given to the risk individual services users may be exposed to. Timescale for action 31/01/07 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. 3. Refer to Standard OP7 OP9 OP12 Good Practice Recommendations It is recommended that care plans be devised, which reflect the care service users required during the night. It is recommended that medication administration records, record the amount of medication on the premises with regards to Temazepam medication. It is recommended that care plans be devised, which reflect the service users choices, preferences and interests with regards to activities and recreation. It is recommended that care staff undertake training in safe guarding adult issues. DS0000060028.V319000.R02.S.doc Version 5.2 Page 27 4. OP18 Kingswood House 5. 6. OP33 OP33 7. OP36 It is recommended that as part of the Quality Assurance process, regular staff meetings are held. It is recommended that as part of the Quality Assurance process, service users be given the opportunity to attend organised meetings providing them with the opportunity to comment and effect the day to day running of Kingswood House. It is recommended that as part of the Quality Assurance process, staff receive regular supervision sessions, enabling them to reflect on their care practices and review training needs. Kingswood House DS0000060028.V319000.R02.S.doc Version 5.2 Page 28 Commission for Social Care Inspection Northamptonshire Area Office 1st Floor Newland House Campbell Square Northampton NN1 3EB National Enquiry Line: Telephone: 0845 015 0120 or 0191 233 3323 Textphone: 0845 015 2255 or 0191 233 3588 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 DS0000060028.V319000.R02.S.doc Version 5.2 Page 29 - 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. 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