Inspection on 08/09/05 for Kinloch Tay

This inspection was carried out on 8th September 2005.

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 16/02/06

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 8 September 2005 th 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 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 H55-H04 S12504 Kinloch Tay V218044 080905 stage 4.doc Version 1.40 Page 3 SERVICE INFORMATION Name of service Kinloch Tay Address Granville Road, Totland, Isle of Wight, PO39 0AX Telephone number Fax number Email 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 (10), Old age registration, with number not falling within any other category (16), of places Physical disability over 65 years of age (1). Kinloch Tay H55-H04 S12504 Kinloch Tay V218044 080905 stage 4.doc Version 1.40 Page 4 SERVICE INFORMATION Conditions of registration: None Date of last inspection 8th february 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 H55-H04 S12504 Kinloch Tay V218044 080905 stage 4.doc Version 1.40 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The inspection took place unannounced over nearly 5 hours. Only two residents have the cognitive ability to give informed views about the service and both were very complimentary about all aspects of life in the home. Three comment cards were received from relatives and four from residents who had been helped by their relatives. There was an opportunity during the day to speak with a visitor who praised the staff and their kind and caring approach to the residents. The atmosphere was relaxed and friendly and staff were cheerful and attentive to residents throughout the day. What the service does well: What has improved since the last inspection? What they could do better: Three requirements were identified during the inspection: • • The carpet tiles in the first floor bathroom are in need of replacement. The proprietor confirmed that a misunderstanding of the procedure led to new care staff commencing work before appropriate clearance had been obtained, even though the criminal record checks had been sent off as required. H55-H04 S12504 Kinloch Tay V218044 080905 stage 4.doc Version 1.40 Page 6 Kinloch Tay • Statutory training for new care staff must be scheduled as soon as reasonably practicable after appointment. 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 H55-H04 S12504 Kinloch Tay V218044 080905 stage 4.doc Version 1.40 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 Standards Statutory Requirements Identified During the Inspection Kinloch Tay H55-H04 S12504 Kinloch Tay V218044 080905 stage 4.doc Version 1.40 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 standard(s) 3 The manager ensures that the care needs of the people who live at Kinloch Tay will be met by undertaking a proper assessment prior to them moving into the home. EVIDENCE: The most recent admission took place in November 2004. The proprietor said that she herself undertook the pre-admission assessment together with a senior member of staff. They visited the prospective resident at a hospital on the mainland where the assessment took place. The written assessment was available for inspection. It was found to be comprehensive and had recently been reviewed. Kinloch Tay H55-H04 S12504 Kinloch Tay V218044 080905 stage 4.doc Version 1.40 Page 9 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 standard(s) 7 and 9 The home has a system of care planning with an individual plan for each resident. Plans clearly identify residents’ health, personal and social needs and how they will be met. Medication is securely held and appropriate records are maintained. EVIDENCE: A sample of individual care plans for new and long term residents showed that needs were identified and a plan of care developed to include guidance for staff on how the care was to be provided. The identification of needs and preferences was very clear. Staff recorded significant events regularly and clearly and reviews were current. There was clear identification of risks, with guidance for staff. The inspector looked at a new care planning model, which the manager was about to introduce. It was seen as a more ‘user friendly’ system for staff to operate. Records showed that medication is administered only by staff deemed competent by the manager. Medication was stored securely and administration records were found to be in good order. Kinloch Tay H55-H04 S12504 Kinloch Tay V218044 080905 stage 4.doc Version 1.40 Page 10 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 standard(s) 14 and 15 Residents are supported to manage their own financial affairs for as long as they are able. Where this is not possible family or advocacy are brought in to assist. The promotion of choice extends to all aspects of daily living including personalisation of rooms, and meals. EVIDENCE: The manager said that due to the assessed needs of the residents only two have the capacity to manage small amounts of their own monies. All residents have family to assist. The manager knows how to access the advocacy service where it is appropriate to do so and the home carries information about the process. Residents are encouraged to bring some of their own possessions with them when they come into the home and the inspector noted some personal pictures, ornaments and pieces of furniture etc., in some of the rooms. The home operates a four week menu that showed meals to be varied and nutritious. On the day of the inspection residents ate a roast dinner with both fresh and frozen vegetables. Those spoken with said they very much enjoyed it. Most residents eat in the dining room with staff available to assist them where needed. Others have meals on a tray in the lounge or in their own rooms. The home does not have a dedicated cook and care staff take turns to Kinloch Tay H55-H04 S12504 Kinloch Tay V218044 080905 stage 4.doc Version 1.40 Page 11 do the cooking. From comments made by staff and residents the arrangement seems to be satisfactory. Kinloch Tay H55-H04 S12504 Kinloch Tay V218044 080905 stage 4.doc Version 1.40 Page 12 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 standard(s) 16 The home treats residents’ and their representatives’ complaints seriously and responds appropriately. EVIDENCE: The home has a formal complaints procedure that is included in the statement of purpose. A complaints register showed three complaints about the service recorded in the last year and detailed the actions taken by the home to resolve them. Three very positive comment cards received from relatives of residents confirmed an awareness of the home’s complaints procedure. Kinloch Tay H55-H04 S12504 Kinloch Tay V218044 080905 stage 4.doc Version 1.40 Page 13 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 standard(s) 19, 24 and 26 The location of the home makes it accessible for public transport and visitors. There is level access into the home and out to the garden at the rear. With no lift to the first floor residents occupying rooms on that level must be ambulant. While the home is generally well maintained the first floor bathroom carpet is in need of replacement. The home provides seven single and four shared rooms, one of which is currently occupied by only one resident. Rooms are decorated to an acceptable standard and equipped with furniture and possessions to ensure residents general comfort. At the time of the inspection the home was generally clean, hygienic and for the most part odour free. EVIDENCE: Kinloch Tay H55-H04 S12504 Kinloch Tay V218044 080905 stage 4.doc Version 1.40 Page 14 The inspector toured the building with the manager. All rooms were seen to be furnished with a bed, minimum 900mm wide and equipped with curtains, mirror, adequate storage space and seating to meet residents’ needs. Three of the shared rooms have en-suite facilities and all other rooms have wash hand basins. Rooms are decorated to an acceptable standard. It was noted that one had been redecorated since the last inspection as part of the home’s maintenance and redecoration programme. Most rooms contained sets of new replacement furniture. While the inspector noted most areas to be clean, hygienic and free from unpleasant odours there was a slight smell of urine on the ground floor. The proprietor said that carpets undergo regular industrial cleaning where continence has been an issue. Laundry facilities are located next to the kitchen and there is no sluicing facility. New laundry and sluicing facilities are included in plans for the future development of the home. Meanwhile, it was understood that soiled articles are brought out of the front of the home and round to the laundry via the side of the building. A commercial grade washing machine and tumble drier were in evidence. During the tour of the building the inspector noted carpet tiles in the first floor bathroom were old, rucked and in need of replacement. Kinloch Tay H55-H04 S12504 Kinloch Tay V218044 080905 stage 4.doc Version 1.40 Page 15 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 considers Standards 27, 29, and 30 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 29 and 30 While the procedures for the recruitment of staff are generally robust safety checks (POVA First checks) must be carried out before new staff commence work, to ensure the proper safeguards that offer protection to people living in the home. Staff at Kinloch Tay generally have the necessary skills and experience to meet the needs of the people who live there. However, statutory training for new staff must be scheduled as soon after appointment as reasonably practicable. EVIDENCE: The home has a staff recruitment policy that includes an application form, employment interview and declaration of criminal background form. A minimum of two written references is taken up and criminal record checks carried out on all newly appointed staff. Records of all four staff recruited since this standard was last checked were generally in order. However, while the forms used to check for criminal records had been sent off POVA clearance had not been obtained before they commenced work in the home. This was discussed with the proprietor who confirmed that there had been a misunderstanding of the procedure and resolved to rectify the problem without delay. Staff working at Kinloch Tay receive statutory training in first aid, manual handling, infection control, food hygiene and health and safety. The inspector looked at a selection of individual training profiles and achievement certificates which evidenced the training given. New staff undertake a comprehensive Kinloch Tay H55-H04 S12504 Kinloch Tay V218044 080905 stage 4.doc Version 1.40 Page 16 induction programme supervised by the manager. The programme of induction entitled ‘Competence in Care’ has been sourced from a specialist training provider and was seen to confirm to National Training Organisation Workforce standards. However, none of the four new staff recruited this year had undertaken any statutory training including one who commenced work in February 2005. The manager said that she had organised some training for staff which had to be cancelled due to the short notice she had been given by the training provider. 50 of care staff have achieved the NVQ at level 2 or above and four more staff are currently undertaking the training. . Kinloch Tay H55-H04 S12504 Kinloch Tay V218044 080905 stage 4.doc Version 1.40 Page 17 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 33, 35 and 38 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 35 and 38 The home provides a sound system to ensure residents’ finances are safeguarded. While policies and procedures are in place to ensure so far as is reasonably practicable the health, safety and welfare of residents and staff, statutory training for new staff must be scheduled as soon after appointment as reasonably practicable. EVIDENCE: The manager does not act as appointee for any of the residents who are encouraged and supported by relatives to manage their own financial affairs. Currently the home has no involvement with service users’ finances although there is a facility in place to safeguard service users’ money or valuables on request. Additional, a locked facility is available for residents’ rooms. Kinloch Tay H55-H04 S12504 Kinloch Tay V218044 080905 stage 4.doc Version 1.40 Page 18 There are policies and procedures in place to ensure safe working practices in the home. A sample of records was viewed including accidents, fire alarm tests and fire risk assessments, public liability insurance and TOPSS induction training. All were found to be in good order. The issue of statutory training for new staff has been covered in standard 30. Kinloch Tay H55-H04 S12504 Kinloch Tay V218044 080905 stage 4.doc Version 1.40 Page 19 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 ENVIRONMENT Standard No 1 2 3 4 5 6 Score Standard No 19 20 21 22 23 24 25 26 Score x x 3 x x x HEALTH AND PERSONAL CARE Standard No Score 7 3 8 x 9 3 10 x 11 x DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 x 13 x 14 3 15 3 COMPLAINTS AND PROTECTION 2 x x x x 3 x 3 STAFFING Standard No Score 27 x 28 x 29 2 30 2 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score Standard No 16 17 18 Score 3 x x x x x x 3 x x 2 Kinloch Tay H55-H04 S12504 Kinloch Tay V218044 080905 stage 4.doc Version 1.40 Page 20 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. 1. 2. Standard 19 29 Regulation 13 and 23 19 Sch 2 Requirement To replace old and rucked carpet tiles in the first floor bathroom. To ensure that no person commences work in a care position in the home without the POVA First list having been checked. Statutory training for new staff must be scheduled as soon after appointment as reasonably practicable. Timescale for action 6/10/05 30/9/05 3. 30 18 6/10/05 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 Good Practice Recommendations Kinloch Tay H55-H04 S12504 Kinloch Tay V218044 080905 stage 4.doc Version 1.40 Page 21 Commission for Social Care Inspection Mill Court, Furrlongs Newport Isle of Wight 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 H55-H04 S12504 Kinloch Tay V218044 080905 stage 4.doc Version 1.40 Page 22 - 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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