Inspection on 16/02/06 for Kinloch Tay

This inspection was carried out on 16th February 2006.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Good. The way we rate inspection reports is consistent for all houses, though please be aware that this may be different from an official CSCI judgement.

The inspector made no statutory requirements on the home as a result of this inspection and there were no outstanding actions from the previous inspection report.

Other inspections for this house

Kinloch Tay 07/03/07

Kinloch Tay 08/09/05

Kinloch Tay 08/02/05

Kinloch Tay 16/09/04

Similar services:

St Vincents

The Cotswold Home

Newbeech House

Winton House

Rush Court

Hillyfield Rest Home

The Maypole Nursing Centre

The Briars

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

CARE HOMES FOR OLDER PEOPLE Kinloch Tay Granville Road Totland Isle Of Wight PO39 0AX Lead Inspector Neil Kingman Unannounced Inspection 16th February 2006 10:40 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 Kinloch Tay DS0000012504.V281141.R01.S.doc Version 5.1 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. Kinloch Tay DS0000012504.V281141.R01.S.doc Version 5.1 Page 3 SERVICE INFORMATION Name of service Kinloch Tay Address Granville Road Totland Isle Of Wight PO39 0AX 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) 01983 756096 01983 756096 Mrs Maureen Fuller Mrs Terri Lynn Harris Care Home 16 Category(ies) of Dementia - over 65 years of age (15), Old age, registration, with number not falling within any other category (16), of places Physical disability over 65 years of age (1) Kinloch Tay DS0000012504.V281141.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 8th September 2005 Brief Description of the Service: Kinloch Tay is a home providing care and accommodation for up to sixteen older people and is registered with the local authority to provide up to four day-care places. It is a detached two-storey property centrally located in Totland. A convenience store is sited opposite the home and the main bus service runs past the end of Granville Road with a bus stop a short distance away. The accommodation comprises a range of single and shared rooms on both levels. The home has no passenger or stair lift; therefore it is important that only those service users who are fully ambulant occupy the rooms on the first floor. There is limited off-road parking to the front of the property and level access into the home. A reasonable sized garden at the rear is available for use by the residents. Kinloch Tay DS0000012504.V281141.R01.S.doc Version 5.1 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was the second of two unannounced inspections for the year at Kinloch Tay and took place over 4½ hours. The inspector toured the building and examined a selection of records. The manager, proprietor and staff were spoken with. Due to the cognitive impairments of the residents it was difficult to obtain informed views about life in the home but all seemed relaxed and quite happy. One visiting relative was very complimentary about the service. On the day of the inspection the manager had a personal commitment away from the home. However, the proprietor was available to assist. The inspector returned to the home on 23 February 2006 to debrief the manager on the results of the inspection and to clarify some issues. What the service does well: What has improved since the last inspection? What they could do better: • • • Staff, especially new staff would benefit from some input in dementia awareness and the management of challenging behaviour. Whoever cooks the food for the residents must have the appropriate food hygiene qualification. The manager needs to confirm in writing the arrangements for achieving the NVQ at level 4 in care. Kinloch Tay DS0000012504.V281141.R01.S.doc Version 5.1 Page 6 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. Kinloch Tay DS0000012504.V281141.R01.S.doc Version 5.1 Page 7 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 Kinloch Tay DS0000012504.V281141.R01.S.doc Version 5.1 Page 8 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 4 and 6 Although care staff generally have the skills and experience to deliver the services and care which the home offers to provide, they would benefit from an additional input in dementia awareness and the management of challenging behaviour. The home does not provide dedicated accommodation for short-term intermediate care or specialised facilities for rehabilitation. EVIDENCE: The home provides long and short-term care and accommodation for older people with illness associated with dementia. It was clear that a core group of staff who are generally long-standing have experience with the resident group. Indeed the manager confirmed that dementia awareness training had been provided in the past. However, the home has recruited new staff and there had been several recent incidents of them having to cope with some difficult behaviour with one resident. While the manager said that liaison had taken place with the Kinloch Tay DS0000012504.V281141.R01.S.doc Version 5.1 Page 9 Community Psychiatric Nursing Service to arrange some input in dementia awareness it is recommended that this take place at the earliest opportunity. Most residents at Kinloch Tay are long term. The home does not provide dedicated accommodation for short-term intermediate care or specialised facilities for rehabilitation. However, short stay or respite care is offered where accommodation is available. There was no evidence that the provision of this service has a negative impact on the resident group. Kinloch Tay DS0000012504.V281141.R01.S.doc Version 5.1 Page 10 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 8 and 10 The home promotes and maintains residents’ health and ensures that health care services are accessed for them as and when required. The home ensures that staff respect residents’ privacy and dignity at all times, especially with regard to the arrangements for health and personal care. EVIDENCE: The proprietor said that there was one resident with a pressure sore, which was healing well with good continence and pressure area management by staff. The inspector looked at a sample of care plans, which included one for this resident. They were seen to include risk assessments for those at risk with pressure areas due to lack of mobility etc. There were charts and guidance for staff to demonstrate how pressure areas were being managed. The inspector spoke at length with one member of staff who showed a good understanding of the needs of the more vulnerable residents. Kinloch Tay DS0000012504.V281141.R01.S.doc Version 5.1 Page 11 Residents are assisted to register with a GP of choice, although the reality is that most are registered with the local Brookside medical centre where several GPs practice. The home uses the Brookside dental practice and staff support residents to attend. The optician and chiropodist make domiciliary visits. All details of residents’ healthcare are contained in their individual care plans. The home has a policy in respect of residents’ dignity and privacy. The subject is covered in the induction programme for newly appointed staff. During the inspection the inspector noted that staff at all times treated residents with respect and addressed them by their preferred name. A portable phone is available for residents’ use and allows for privacy if required. The proprietor said that an installation could be arranged for those who wished a telephone in their room. Residents’ rooms generally have space in which to receive personal care, consultations and examinations by health and social care professionals. Shared rooms have screens to ensure residents’ privacy is not compromised. Kinloch Tay DS0000012504.V281141.R01.S.doc Version 5.1 Page 12 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 12 and 13 Daily routines and activities at Kinloch Tay are flexibly arranged to meet the needs and wishes of residents. Visitors are welcome at any time and are able to meet with residents in private. EVIDENCE: Routines are as flexible as possible within the constraints of group living. While there are time slots for meals the proprietor said that mealtimes could be flexible to suit individual needs. On the day of the inspection residents took their lunch variously in the dining room, lounge and bedrooms. Activities vary according to residents’ individual abilities and among those provided daily by the home are jigsaws, games, exercises and music, all of which are provided in-house by staff in the afternoons. The inspector noted a good level of interaction between staff and residents during the day. The proprietor said that there were no organised outings but staff and relatives take residents out for walks and excursions on an individual basis. The home encourages residents to maintain contact with family and friends. Visitors are always welcome. Details of visiting arrangements can be found in the home’s service user’s guide and are generally unrestricted. Residents have choice as to when and where they would like to see their visitors, which can be Kinloch Tay DS0000012504.V281141.R01.S.doc Version 5.1 Page 13 in their own rooms or the lounge or dining area. The inspector spoke with one visitor who was very happy to sit with the resident in the lounge. The proprietor confirmed that additional facilities for visits are included in development plans for the home. Kinloch Tay DS0000012504.V281141.R01.S.doc Version 5.1 Page 14 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 inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 18 The home’s policies, procedures and practices ensure that residents are safeguarded from abuse. Procedures for responding to suspicion or evidence of abuse are robust. EVIDENCE: The home has its own adult protection policy, which links with the policy guidance provided by Isle of Wight Social Services. Staff spoken with during the inspection showed an understanding of how to recognise abuse and were very clear about reporting issues of concern without delay. Recent issues arising in the home have been met with a positive response and have demonstrated the robustness of the home’s procedures. Kinloch Tay DS0000012504.V281141.R01.S.doc Version 5.1 Page 15 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 21 and 26 Toilet, washing and bathing facilities are provided in sufficient numbers to meet the needs of the residents. On the day of the inspection all areas of the home were noted to be clean and tidy and free from unpleasant odours. Kinloch Tay DS0000012504.V281141.R01.S.doc Version 5.1 Page 16 EVIDENCE: The inspector toured the building with the proprietor and noted adequate toilet, bathing and washing facilities to meet the needs of residents. Three rooms have en-suite facilities. There is an assisted bath on the first floor and a walk-in shower on the ground floor. There are two WCs in the home, both in need of upgrading. The proprietor confirmed that further bathing facilities are planned for the new build and also an upgrade of existing facilities. The WC on the ground floor is close to the lounge and dining areas. During the tour of the building a discussion was held with the proprietor about the sleep-in arrangements for night staff, which were considered unsuitable. It was understood that the issue would be resolved in the new build. Kinloch Tay DS0000012504.V281141.R01.S.doc Version 5.1 Page 17 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 27, 28 and 29 Staff are deployed in adequate numbers to meet the needs of the people who live at Kinloch Tay. The home provides an ongoing programme of NVQ training for staff to ensure service users are in safe hands at all times A robust recruitment procedure ensures residents are protected. EVIDENCE: On the day of the inspection there were fifteen residents in the home, and a full complement of staff on duty. Staffing rotas showed a minimum of two care staff is on duty at all times through the day with an extra carer brought in for the peak evening period. On the day of the inspection the cook was not available and an extra carer who had catering experience was cooking the residents’ lunch. This individual did not have a current food hygiene certificate. The manager and proprietor work in the home supernumerary to care staff. The proprietor said and records confirmed that 20 of care staff had achieved the NVQ at level 2 or 3; two are qualified at level 4. Four more staff are either registered for or undertaking the training. Kinloch Tay DS0000012504.V281141.R01.S.doc Version 5.1 Page 18 One new carer had been recruited to the home since the standard was last assessed. All recruitment records were in order, including the required security checks, which had been an issue at the last inspection. Kinloch Tay DS0000012504.V281141.R01.S.doc Version 5.1 Page 19 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 31 and 33 The registered manager has the experience to run the home and meet its stated purpose, aims and objectives. She has the appropriate management qualification but needs to ensure that she achieves the NVQ in care by September 2007. The home has effective quality assurance systems for measuring its performance based on seeking the views of residents. EVIDENCE: The manager Mrs Harris has managed the home for the past six years. She is currently qualified at NVQ level 3 in care and 4 in management. She has confirmed that she will undertake the training to achieve the NVQ level 4 in care but needs to confirm in writing the steps taken to ensure this is achieved by September 2007. Kinloch Tay DS0000012504.V281141.R01.S.doc Version 5.1 Page 20 Although the inspector did not see it the proprietor confirmed that she had a development plan that included a major refurbishment of the home. As at previous inspections there was evidence of feedback having been sought from service user, visitor, healthcare professional and staff satisfaction surveys. The inspector was shown the home’s yearly quality audit. The manager and staff are committed to learning and development. Although at this stage 20 of care staff have achieved NVQ at Level 2 or above, further training is on course to bring the ratio up to 50 . Policies and procedures are regularly reviewed and updated through a specialist-training provider. Kinloch Tay DS0000012504.V281141.R01.S.doc Version 5.1 Page 21 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 x x x 2 x N/A HEALTH AND PERSONAL CARE Standard No Score 7 x 8 3 9 x 10 3 11 x DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 x 15 x COMPLAINTS AND PROTECTION Standard No Score 16 x 17 x 18 3 x x 3 x x x x 3 STAFFING Standard No Score 27 2 28 3 29 3 30 x MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 2 x 3 x x x x x Kinloch Tay DS0000012504.V281141.R01.S.doc Version 5.1 Page 22 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 OP27 Regulation 19 Requirement Person’s preparing/cooking highrisk foods must have achieved the appropriate food hygiene qualification. Timescale for action 30/04/06 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 Refer to Standard OP4 OP31 Good Practice Recommendations To implement a training package for staff in dementia awareness and managing challenging behaviour. The registered manager to confirm in writing to the Commission the arrangements made to ensure that the NVQ at level 4 in care will be achieved by September 2007. Kinloch Tay DS0000012504.V281141.R01.S.doc Version 5.1 Page 23 Commission for Social Care Inspection Southampton, Portsmouth and Isle of Wight Ground Floor Mill Court Furrlongs Newport, IOW PO30 2AA National Enquiry Line: 0845 015 0120 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk © This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI Kinloch Tay DS0000012504.V281141.R01.S.doc Version 5.1 Page 24 - 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. 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