Inspection on 22/11/07 for Kingswood Lodge

This inspection was carried out on 22nd November 2007.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is (sorry - unknown). 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 Lodge 30/01/09

Kingswood Lodge 08/09/08

Kingswood Lodge 16/03/07

Kingswood Lodge 14/02/06

Kingswood Lodge 06/09/05

Kingswood Lodge 02/04/04

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

CARE HOME ADULTS 18-65 Kingswood Lodge 25 Railway Street Gillingham Kent ME7 1XH Lead Inspector G. Senior Unannounced Inspection 22nd November 2007 10:00 Kingswood Lodge DS0000028918.V352609.R01.S.doc Version 5.2 Page 1 The Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Reader Information Document Purpose Author Audience Further copies from Copyright Inspection Report CSCI General Public 0870 240 7535 (telephone order line) This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI www.csci.org.uk Internet address Kingswood Lodge DS0000028918.V352609.R01.S.doc Version 5.2 Page 2 This is a report of an inspection to assess whether services are meeting the needs of people who use them. The legal basis for conducting inspections is the Care Standards Act 2000 and the relevant National Minimum Standards for this establishment are those for Care Homes for Adults 18-65. They can be found at www.dh.gov.uk or obtained from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering: www.tso.co.uk/bookshop This report is a public document. Extracts may not be used or reproduced without the prior permission of the Commission for Social Care Inspection. Kingswood Lodge DS0000028918.V352609.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Kingswood Lodge Address 25 Railway Street Gillingham Kent ME7 1XH 01634 580797 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) blossomlee001@aol.com Doson Limited Mrs Delores Celene Lee Care Home 18 Category(ies) of Learning disability (18) registration, with number of places Kingswood Lodge DS0000028918.V352609.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. 16 single rooms and one double room Over 39 years, 18 people with learning disabilities Over 65 years, 18 people with learning disabilities One service user with a physical disability One service user with dementia whose date of birth is 24.02.1934. 16th March 2007 Date of last inspection Brief Description of the Service: Kingswood Lodge is located in the centre of Gillingham and is close to the main railway station and other local transport. It is a short walk from the high street and other amenities. There is car parking to the rear of the property and the garden is attractively laid out with raised flowerbeds, a lawn and seating area. The home provides accommodation on three floors with sixteen single rooms and one shared room. There is a lift to the first floor. There is a games room and a choice of sitting rooms. There is a spacious dining area with a conservatory attached. Information relating to the fees and other charges may be obtained from the provider. Kingswood Lodge DS0000028918.V352609.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. An unannounced visit was made to the premises on 22nd November 2007 as part of the Key inspection of Kingswood Lodge. Time was spent talking with the staff on duty and some of the service users. The opportunity to discuss with all the service users, their experiences and opinions of the home was limited by their involvement in activities and their inclination and ability to communicate or not. Observations indicated that they were settled in the home, were comfortable in the company of staff and had plenty to do. Throughout the visit, the staff’s attention to the service users’ needs, their patient, friendly and respectful manner and their treatment of each service user as an individual were observed and noted. A range of documentation and records was viewed and an accompanied tour of the premises was undertaken. Additional information and detail was supplied by the organisation in the Annual Quality Assurance Assessment. Survey/comment forms were distributed prior to the visit. Eleven service user, five relative and one care manager forms were completed and returned. The comments were generally positive and included: “ X is very happy there” “The staff genuinely care “ “It’s a happy environment” “Staff are pleasant and helpful but I feel they are overworked” “ X is cared for excellently and has a good life at the home” Suggestions for improvement included: a few more varied activities; health update reports to parents. Not all NMS were inspected at this visit. Unless noted, only the core standards were inspected in each outcome group. What the service does well: There is a well thought out range of activities available based on the individual needs of the service users. These include activities at home, trips out and attendance at the local centres. The staff work positively with the service users helping them to communicate their needs and develop their skills. Service users’ views and opinions are sought and considered wherever possible Kingswood Lodge DS0000028918.V352609.R01.S.doc Version 5.2 Page 6 The home aims to be inclusive and enables service users to maintain appropriate links with families, friends and significant others What has improved since the last inspection? What they could do better: Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. The summary of this inspection report can be made available in other formats on request. Kingswood Lodge DS0000028918.V352609.R01.S.doc Version 5.2 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–5) Individual Needs and Choices (Standards 6-10) Lifestyle (Standards 11-17) Personal and Healthcare Support (Standards 18-21) Concerns, Complaints and Protection (Standards 22-23) Environment (Standards 24-30) Staffing (Standards 31-36) Conduct and Management of the Home (Standards 37 – 43) Scoring of Outcomes Statutory Requirements Identified During the Inspection Kingswood Lodge DS0000028918.V352609.R01.S.doc Version 5.2 Page 8 Choice of Home The intended outcomes for Standards 1 – 5 are: 1. 2. 3. 4. 5. Prospective service users have the information they need to make an informed choice about where to live. Prospective users’ individual aspirations and needs are assessed. Prospective service users know that the home that they will choose will meet their needs and aspirations. Prospective service users have an opportunity to visit and to “test drive” the home. Each service user has an individual written contract or statement of terms and conditions with the home. The Commission consider Standard 2 the key standard to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 2&4 Quality in this outcome area good. Prospective service users and their representatives may visit the home before admission and are provided with information to help them make a decision about moving in. Assessments are undertaken to ensure that the Home can support service user’s needs This judgement has been made using available evidence including a visit to this service. EVIDENCE: Staff spoken with confirmed that prospective service users and their representatives are invited to visit the home prior to admission. They may use the opportunity to meet and spend time with the existing service users and staff, view the accommodation and find out about the routine and lifestyle they could expect to experience at Kingswood. Assessments are undertaken prior to, and subsequent to admission as part of the care planning process. Senior staff may visit the prospective client in their current accommodation as part of the assessment. Input is welcomed from the service users and families and from relevant agencies and Kingswood Lodge DS0000028918.V352609.R01.S.doc Version 5.2 Page 9 professionals. Only service users whose needs can be met are offered a place at the care home. Kingswood Lodge DS0000028918.V352609.R01.S.doc Version 5.2 Page 10 Individual Needs and Choices The intended outcomes for Standards 6 – 10 are: 6. 7. 8. 9. 10. Service users know their assessed and changing needs and personal goals are reflected in their individual Plan. Service users make decisions about their lives with assistance as needed. Service users are consulted on, and participate in, all aspects of life in the home. Service users are supported to take risks as part of an independent lifestyle. Service users know that information about them is handled appropriately, and that their confidences are kept. The Commission considers Standards 6, 7 and 9 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 6,7,9. Quality in this outcome area is good The care planning system is generally clear and consistent and provides staff with information and guidance when supporting residents. Risk assessments are undertaken in order that service users can participate in activities with the appropriate level of support and supervision This judgement has been made using available evidence including a visit to this service. EVIDENCE: The home has developed reasonably well-structured and informative client files. The content and detail provided enables new and existing staff to better understand and effectively support the needs of service users. The Manager reported that the emphasis in the care plan documentation is moving towards ‘person centred’ information, and guidelines will relate less to physical care of the individuals and more to supporting social, educational and therapeutic goals and aspirations. Kingswood Lodge DS0000028918.V352609.R01.S.doc Version 5.2 Page 11 Service users and family members are invited to contribute to the planning process and their views are positively considered and acted upon. Service users are helped, as far as possible to make day-to-day decisions affecting their lives with regard to activities, outings, routines and food choices amongst other things. Service users were directly observed expressing preferences and making choices prior to going out with staff to the shops and when discussing the evening meal. Risks are viewed positively by the home and assessments are undertaken in order that service users can participate in activities with the appropriate level of support and supervision. Kingswood Lodge DS0000028918.V352609.R01.S.doc Version 5.2 Page 12 Lifestyle The intended outcomes for Standards 11 - 17 are: 11. 12. 13. 14. 15. 16. 17. Service users have opportunities for personal development. Service users are able to take part in age, peer and culturally appropriate activities. Service users are part of the local community. Service users engage in appropriate leisure activities. Service users have appropriate personal, family and sexual relationships. Service users’ rights are respected and responsibilities recognised in their daily lives. Service users are offered a healthy diet and enjoy their meals and mealtimes. The Commission considers Standards 12, 13, 15, 16 and 17 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 12,13,15,16,17. Quality in this outcome area is good The home provides a range of leisure and social activities based on personal needs, wishes and interests. Family and friends are welcomed to the home and contact with the local community is maintained. Service users enjoy a varied and balanced diet. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Staff in the home appear to have worked positively with the service users to establish likes, dislikes and interests. They are supported by the home to provide, and help service users access, a range of activities and events for both recreational and therapeutic purposes. At the time of the visit a number of service users were with staff, visiting shops and having lunch out. Two Kingswood Lodge DS0000028918.V352609.R01.S.doc Version 5.2 Page 13 service users make use of local college facilities for computer skills and for pottery. The Manager reported that she has endeavoured to foster a positive and active culture within the home, one that respects an individuals own needs, inclination and abilities. Regular bi-monthly house meetings are held where it is hoped that every one will contribute to the topics discussed and to the decision making process. In response to the last inspection report particular attention was paid to determining service user preference for activities and holidays. As a result some will go as a group to a holiday centre whilst others are more comfortable remaining closer to home and having special days out. The home has also provided computing facilities for one service user in particular and for others to use as well. Family and friends are welcome to visit. Service users confirmed that they enjoy their meals. Three meals are provided every day, one of which is a cooked meal. Snacks and drinks are available at all times. Service users also enjoy meals out on days out and pub trips. Kingswood Lodge DS0000028918.V352609.R01.S.doc Version 5.2 Page 14 Personal and Healthcare Support The intended outcomes for Standards 18 - 21 are: 18. 19. 20. 21. Service users receive personal support in the way they prefer and require. Service users’ physical and emotional health needs are met. Service users retain, administer and control their own medication where appropriate, and are protected by the home’s policies and procedures for dealing with medicines. The ageing, illness and death of a service user are handled with respect and as the individual would wish. The Commission considers Standards 18, 19, and 20 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 18,19,20. Quality in this outcome area is good Service users are treated with respect and their privacy respected. Healthcare monitoring and medication systems are in place to promote the well being of service users. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Service users are treated with dignity and respect and levels of privacy are maintained. The service users require assistance with aspects of personal hygiene and care. The manager endeavours to ensure that staff are instructed and supervised to provide this thoughtfully and sensitively. The healthcare needs of service users are monitored and addressed. The home has developed positive relationships with the local healthcare agencies that provide support and advice. Specialist staff are consulted as required and the outcome of visits noted in case files. Kingswood Lodge DS0000028918.V352609.R01.S.doc Version 5.2 Page 15 Medication storage and records are adequate for the needs of the home. Medication administration records were clear and up to date. The home has procedures in place for dealing with medicines. It was reported that the Manager deems staff that currently administer medication, competent by experience and qualification. Kingswood Lodge DS0000028918.V352609.R01.S.doc Version 5.2 Page 16 Concerns, Complaints and Protection The intended outcomes for Standards 22 – 23 are: 22. 23. Service users feel their views are listened to and acted on. Service users are protected from abuse, neglect and self-harm. The Commission considers Standards 22, and 23 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 22,23. Quality in this outcome area is good. Systems are in place to protect service users, as far as possible, from the risks of harm or abuse This judgement has been made using available evidence including a visit to this service. EVIDENCE: It was reported that protection of vulnerable adults training is offered by the Organisation. Staff spoken to indicated an understanding of issues relating to the protection of vulnerable people. They are aware of their role in ensuring people living in the home are protected from abuse in all its forms and that they are the service users main key to having their views heard. It was confirmed, verbally and in comment forms that service users had been made aware of the appropriate procedures and would happily approach staff and management if they had any concerns or complaints. Kingswood Lodge DS0000028918.V352609.R01.S.doc Version 5.2 Page 17 Environment The intended outcomes for Standards 24 – 30 are: 24. 25. 26. 27. 28. 29. 30. Service users live in a homely, comfortable and safe environment. Service users’ bedrooms suit their needs and lifestyles. Service users’ bedrooms promote their independence. Service users’ toilets and bathrooms provide sufficient privacy and meet their individual needs. Shared spaces complement and supplement service users’ individual rooms. Service users have the specialist equipment they require to maximise their independence. The home is clean and hygienic. The Commission considers Standards 24, and 30 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 24,30. Quality in this outcome area is good. Service users at live in homely, comfortable and seemingly well-maintained environment. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Kingswood Lodge is located in the centre of Gillingham and is close to the main railway station. Local amenities are within walking distance, as is public transport. The home does however have it’s own transport. The home provides accommodation on three floors with sixteen single rooms and one shared room. Service users’ private space may be decorated and personalised according to taste. Kingswood Lodge DS0000028918.V352609.R01.S.doc Version 5.2 Page 18 There is a lift to the first floor. The choice of sitting rooms, a spacious dining area with a conservatory attached and first floor provide for relaxation, activities and mealtimes. There is car parking to the rear of the property and the enclosed garden is attractively laid out with raised flowerbeds, a lawn and seating area. The home presents as a comfortable, varied, clean, and well-maintained environment in which to live and work. Written confirmation was received that maintenance checks and certification are satisfactory and up to date. Kingswood Lodge DS0000028918.V352609.R01.S.doc Version 5.2 Page 19 Staffing The intended outcomes for Standards 31 – 36 are: 31. 32. 33. 34. 35. 36. Service users benefit from clarity of staff roles and responsibilities. Service users are supported by competent and qualified staff. Service users are supported by an effective staff team. Service users are supported and protected by the home’s recruitment policy and practices. Service users’ individual and joint needs are met by appropriately trained staff. Service users benefit from well supported and supervised staff. The Commission considers Standards 32, 34 and 35 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 32,34,35. Quality in this outcome area is good. There are sufficient staff on duty to support the service users. Staff are clear about their roles and responsibilities and are offered good training opportunities to develop skills and expertise Staff are encouraged and supported to attend induction and statutory training courses. The management indicated a good awareness of the need to ensure adequate checks are made on all potential staff to determine suitability and protect the Service Users. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Staff were observed interacting with the service users in a friendly and non-patronising manner. They indicated an understanding of the service users’ needs and managed behaviours in a patient, calm friendly manner. Service Kingswood Lodge DS0000028918.V352609.R01.S.doc Version 5.2 Page 20 users spoken with said the staff are friendly and support them with everything they need. It was reported that day time staffing levels of four per shift plus the Manager are adequate for the demands of the current group. This would be reviewed and revised should the need arise or the size of the group change. According to information received 10 of the 16 staff have completed or are working toward their NVQ award level 2 or above. The home provides induction, ongoing mandatory and client specific training. The manager reported that the induction programme embraces the Common Induction Standards from Skills for Care. The training matrix indicates the completion or due date of training identified as being; statutory; essential or developmental. The only areas showing low attendance were COSHH and Dementia awareness. Staff records were viewed and indicated that the recruitment procedures are thorough and include interviews, acquiring of references and Criminal Record Bureau checks. Kingswood Lodge DS0000028918.V352609.R01.S.doc Version 5.2 Page 21 Conduct and Management of the Home The intended outcomes for Standards 37 – 43 are: 37. 38. 39. 40. 41. 42. 43. Service users benefit from a well run home. Service users benefit from the ethos, leadership and management approach of the home. Service users are confident their views underpin all self-monitoring, review and development by the home. Service users’ rights and best interests are safeguarded by the home’s policies and procedures. Service users’ rights and best interests are safeguarded by the home’s record keeping policies and procedures. The health, safety and welfare of service users are promoted and protected. Service users benefit from competent and accountable management of the service. The Commission considers Standards 37, 39, and 42 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 37,39.42. Quality in this outcome area is good. The home appears to be well run in an inclusive manner that allows for service users and staff to contribute to the daily life and routine. The home is supportive, encouraging the ongoing development of the service users. There are systems in place to promote the well-being and safety of the service users and staff This judgement has been made using available evidence including a visit to this service. EVIDENCE: Kingswood Lodge DS0000028918.V352609.R01.S.doc Version 5.2 Page 22 The Manager appears to be a well-informed, experienced and well-organised individual who ensures that service users are consulted as appropriate. Staff seem aware of their roles and responsibilities and are encouraged to contribute to the development of the service. It appears from discussion and observation that the Management is approachable and supportive. She operates an open door policy and frequently meets with staff individually and collectively on a formal and informal basis. An open and inclusive atmosphere appears to have been established within the Home. A representative of the organisation regularly visits the home to monitor the standard of care and relevant documentation and ensure the premises are in good order. Quality assurance surveys are sent to service users and their relatives annually and the owner produces a report for the home of the findings of this exercise. It was reported that relatives are fully informed, involved and consulted on any matters that impact upon the experience and quality of life for their relative. The health, safety and welfare of service users, staff and visitors is addressed in induction and training and through written guidance. Information in the pre inspection questionnaire indicates that the maintenance checks and certification are satisfactory and up to date. Kingswood Lodge DS0000028918.V352609.R01.S.doc Version 5.2 Page 23 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Adults 18-65 have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 x 2 3 3 x 4 3 5 x INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 3 23 3 ENVIRONMENT Standard No Score 24 3 25 x 26 x 27 x 28 x 29 x 30 3 STAFFING Standard No Score 31 x 32 3 33 x 34 3 35 3 36 3 CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 3 3 x 3 x LIFESTYLES Standard No Score 11 x 12 3 13 3 14 x 15 3 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 3 x 3 x 3 x x 3 x Kingswood Lodge DS0000028918.V352609.R01.S.doc Version 5.2 Page 24 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. Standard Regulation Requirement Timescale for action 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 YA6 Good Practice Recommendations It is recommended that Person centred planning continues to be further developed to include supporting service users to plan for their futures. It is recommended that the Manager ensures all staff attend training in Person centred planning. Kingswood Lodge DS0000028918.V352609.R01.S.doc Version 5.2 Page 25 Commission for Social Care Inspection Maidstone Local Office The Oast Hermitage Court Hermitage Lane Maidstone ME16 9NT 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 Lodge DS0000028918.V352609.R01.S.doc Version 5.2 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. 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