Inspecting for better lives Random inspection report
Care homes for older people
Name: Address: Kington Court Health and Social Care Centre Victoria Road Kington Herefordshire HR5 3BX The quality rating for this care home is: The rating was made on: 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. This is a report of a random inspection of this care home. A random inspection is a short, focussed inspection. Details of how to get other inspection reports for this care home, including the last key inspection report, can be found on the last page of this report. Lead inspector: Christina Lavelle Date: 1 3 0 1 2 0 0 9 Information about the care home
Name of care home: Address: Kington Court Health and Social Care Centre Victoria Road Kington Herefordshire HR5 3BX 01544232333 01453544218 suzanne.line@blanchworth.co.uk Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Type of registration: Number of places registered: Blanchworth Care Ltd care home 48 Conditions of registration: Category(ies) : Number of places (if applicable): Under 65 dementia old age, not falling within any other category physical disability terminally ill 0 0 0 1 Over 65 6 37 3 1 Conditions of registration: The Registered Manager`s span of management control is limited to the registered care home facility only. The minimum staffing levels to be maintained for Unit 1 (Eardisley), with 16 places for older persons requiring personal care to include a maximum of 6 dementia places (DE/E) must be 360 separately rostered care hours per week. The minimum staffing levels to be maintained for Unit 2 (Logan Jack & Staunton Wings), with 32 places for care with nursing to include a maximum of 3 physical disability (PD), 1 terminal illness (TI) , 1 terminal illness (TI/E) and 27 older persons (OP) must be 981 separately rostered care hours per week. All care staff employed to provide care for service users, with dementia and as part of the Home`s mandatory training, must begin NVQ Level 2, Unit CLI & W2 within the Care Homes for Older People
Page 2 of 8 first 6 months of employment. Date of last inspection Brief description of the care home Kington Court can provide personal care and accommodation for 16 older people, 12 intermediate care places, which includes two social services re-ablement beds, eight for older people and four for people under the age of 65, as well as 20 nursing places for older people. In total it is registered to accommodate 48 residents. The home is owned by Blanchworth Care Ltd and is located on the outskirts of the small market town of Kington. It is close to shops, and other amenities. The home was purpose built and opened in June 2003. It consists of a two-storey building, which was built to provide a Health and Social Care centre for the town and surrounding rural area. The homes facilities are entirely situated on the first floor of the building. They are divided into three units; Eardisley (personal care), Logan Jack (intermediate) and Staunton Wing (nursing). The home offers 46 single rooms and one double room, all with ensuite toilet and shower facilities. There is a passenger and a service lift provided. The home has gardens at the rear and to the side of the building that are accessible via the ground floor lounge/dining area or outside via an entrance off the car parking area. The home is accessible throughout by people with a physical disability who require the use of a wheelchair. A range of equipment is also provided for residents with physical disabilities. There is no information in the statement of purpose and service users guide about the range of fees charged by this service; fee levels are available on request. A copy of the homes statement of purpose and service users guide is on display in the home, including a copy of the most recent inspection report. Reports for key inspections are also available on our website at www.csci.org.uk. Reports for random inspections are available upon request from our regional office via email at enquiries.westmidlands@csci.gsi.gov.uk or telephone number 0121 600 5300. Care Homes for Older People Page 3 of 8 What we found:
We, the Commission, carried out this random inspection of Kington Court to check the current management arrangements for the service. This involved us making an unannounced visit and spending just over two hours at the home. During this time five staff were interviewed, staffing rotas were checked and an overall impression was obtained of the home. There were twenty seven people using the service on this day. The last key inspection of the service, which was undertaken on the 4th of June 2008, found that there were good quality outcomes for people using the service. There had previously been issues at the home however that had resulted in poor outcomes for some residents and also related to staffing levels and training. This had resulted in referrals being made under local authority safeguarding procedures and to the service being closely monitored by the Commission. We had subsequently issued four statutory requirements notices and a notice of proposal to withdraw the homes registration. Having recognised that significant improvements were made it was subsequently decided to withdraw the notice of proposal for cancellation. Information has recently been brought to our attention however indicating that the service may be vulnerable again due to management arrangements and because the home is now operating at a much higher capacity than it was at the last key inspection. What the care home does well:
The manager Mrs Nicola Warman was registered in respect of the service on the 22nd of August 2008. Mrs Warman is supported in the management role of the home by the deputy manager, six qualified nurses and two senior care staff. Although there is currently one vacancy for a qualified nurse staffing rotas show, and staff interviewed confirm, that management and senior staff are able to cover the home. Mrs Warman normally works four days a week with her hours supernumerary to those of the nursing and care staff teams. Staff report that they feel well supported by Mrs Warman and the deputy manager who they say are approachable and always available to give them advice and support, both when they are at the home and on-call. Staff also say that the providers area manager visits the home regularly and provides good on call support to the home. Whilst Mrs Warman and the deputy manager normally work the same shifts, and have holidays at the same time, the senior nurse who provides cover in their absence says that additional visits and support are provided by the area manager when they are not available. The evidence obtained indicates that the home is appropriately staffed, having at least seven staff on duty between 7.00am and 7.00pm; four between 7.00 and 10.00pm and three waking night staff. Whilst some agency staff are being deployed to cover shifts, this is usually no more than one person a day during the day time and one person covering a night shift two or three times a week. The same agency staff are also working regularly who know the home and residents well, which is good and should help to promote consistency of care provided. Care Homes for Older People
Page 4 of 8 Those areas of the home visited are well maintained, decorated and furnished. They were all also found to be warm, clean and fresh. There was a calm and relaxed atmosphere throughout the home and staff did not appear to be rushed. Staff were observed to interact respectfully and in a friendly way with residents. Relatives and professionals who were visiting were made welcome by staff and seemed to be comfortable at the home. 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 2. Care Homes for Older People Page 5 of 8 Are there any outstanding requirements from the last inspection? Yes £ No R Outstanding statutory requirements These requirements were set at the last inspection. They may not have been looked at during this inspection, as a random inspection is short and focussed. The registered person must take the necessary action to comply with these requirements within the timescales set.
No. Standard Regulation Requirement Timescale for action Care Homes for Older People Page 6 of 8 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 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 7 of 8 Reader Information
Document Purpose: Author: Audience: Further copies from: Inspection Report CSCI General Public 0870 240 7535 (telephone order line) Our duty to regulate social care services is set out in the Care Standards Act 2000. Copies of the National Minimum Standards –Care Homes for Older People can be found at www.dh.gov.uk or got 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 Helpline: 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 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 8 of 8 - 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!
