Inspection on 21/04/05 for Kirkgate House

This inspection was carried out on 21st April 2005.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Poor. 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

Kirkgate House 05/04/07

Kirkgate House 03/11/05

Kirkgate House 11/11/04

Kirkgate House 07/07/04

Kirkgate House 19/02/04

Similar services:

Larch Avenue

Alderson Road 12

Cranworth Close Registered Care Home

The Cornerstone

John Street Nursing Home

Pennine Camphill

Whitwood House

Whitwood Hall

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

CARE HOME ADULTS 18-65 Kirkgate House Kirkgate Bridlington East Yorkshire YO16 7JU Lead Inspector Ros Sanderson Unannounced 21 April 2005 09:00 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 Adults 18-65. They can be found at www.dh.gov.uk or obtained from The Stationary 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. Kirkgate House J53_J04_S19686_Kirkgate_V221261_210405_Stage 4.doc Version 1.20 Page 3 SERVICE INFORMATION Name of service Kirkgate House Address Kirkgate, Bridlington, East Yorkshire, YO16 7JU 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) 01262 671185 01262 401735 Humberside Independent Care Association Limited Mrs Julie Elizabeth Wood CRH 28 Category(ies) of Learning disability (28) registration, with number of places Kirkgate House J53_J04_S19686_Kirkgate_V221261_210405_Stage 4.doc Version 1.20 Page 4 SERVICE INFORMATION Conditions of registration: None Date of last inspection 10th November 2004 Brief Description of the Service: Kirkgate House provides personal care and accommodation for up to 28 younger adults who have a learning disability. It is owned and operated by Humberside Independent Care Association which is a not for profit organisation. The home is situated on the outskirts of the town of Bridlington. The people who use this service have easy access to a variety of local shops, pubs and transport. The house is laid out over two floors with access to the second floor by a passenger lift. All the bedrooms are single rooms and two of them are arranged as a bed-sit with a seating area, kitchen area and private toilet facilities. There are also two small kitchen units for the sole use of the residents who are able to use this facility. The residents have the use of a number of small seating and dining areas and also a communal lounge area. Outside there is a small enclosed private garden with a patio area and greenhouse. Kirkgate House J53_J04_S19686_Kirkgate_V221261_210405_Stage 4.doc Version 1.20 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This inspection was unannounced and was the first annual inspection of this year. Six residents and four staff were spoken with. The homes manager was present throughout the inspection. The inspection involved looking at resident’s assessments and care plans, medication procedures and looking around the home. Staff training records were inspected and training was discussed with the manager. What the service does well: What has improved since the last inspection? What they could do better: The wishes of people using this service regarding terminal care and care following death must be discussed and recorded to ensure that their wishes and feelings will be respected at that time. A requirement was made that the home addresses this. The organisation should give consideration to including within the contract price a weeks annual holiday for people who use the service long term. The people who use the service should be involved in choosing and preparing for the holiday. The requirement for the storage of temazepam has been changed and the home must make sure that it is stored correctly. Kirkgate House J53_J04_S19686_Kirkgate_V221261_210405_Stage 4.doc Version 1.20 Page 6 Please contact the provider for advice of actions taken in response to this inspection. The full report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. Kirkgate House J53_J04_S19686_Kirkgate_V221261_210405_Stage 4.doc Version 1.20 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 Standards Statutory Requirements Identified During the Inspection Kirkgate House J53_J04_S19686_Kirkgate_V221261_210405_Stage 4.doc Version 1.20 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 2 Prospective residents can be assured that their needs will be met at Kirkgate house. EVIDENCE: All people wishing to use this service have a full and comprehensive needs assessment carried out. The needs assessment carried out by the home is in addition to any generated from the care management team. The document is in a pictorial format so that they can easily understand it. Details of all people involved in the assessment are recorded. The needs assessment is used to develop personal care plans for the person, once they are admitted. The resident or their representative signs the document to indicate their involvement and agreement with the assessment. Kirkgate House J53_J04_S19686_Kirkgate_V221261_210405_Stage 4.doc Version 1.20 Page 9 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 6 & 9 Residents are able to exercise choice and risk in their lives through their involvement and participation in the care planning process. EVIDENCE: All care plans were completed in detail with involvement from the service user and/or their families. The home operates a key worker system and service users are aware of who their key worker is. Everybody involved with the residents care are detailed in the care plan and their contact details recorded so the resident is aware how to contact them if they wish. Reviews are carried out six monthly and residents and their representatives are invited to these to ensure their continued participation in the care planning. One resident confirmed this was the case. Residents’ wishes regarding what activities they want to participate in are documented and appropriate risk assessments are carried out in relation to these if required ensuring individual choice is exercised. All the residents have a timetable of activities and hobbies that they have chosen to take part in. To make sure that health needs are met residents have access to other health professionals when required. Care plans are in a pictorial format for the benefit of people using the service. People who use this service are given the choice of having their own bedroom Kirkgate House J53_J04_S19686_Kirkgate_V221261_210405_Stage 4.doc Version 1.20 Page 10 key if they wish and within a risk assessment framework to ensure their privacy. The home has an effective procedure for any resident missing from the home and this had been followed with success on a previous occasion. The care plans did not contain information about residents wishes regarding terminal care and care after death. Kirkgate House J53_J04_S19686_Kirkgate_V221261_210405_Stage 4.doc Version 1.20 Page 11 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 12,13,14 Residents live fulfilling lives both in the home and in the community. EVIDENCE: The care plans showed that the residents are involved in a wide variety of their chosen activities. On the day of inspection many residents had gone to the local college. One of the residents said ‘I really enjoy the gardening that we do at college’. They also stated that they enjoyed cooking and at Kirkgate House there are small kitchen units where the residents are able to prepare and cook their own meals if they wish. Another resident said ‘There is no time to be bored here, I really enjoy going out and joining in with things.’ A recent weekend away had been to London and four people living at Kirkgate House had taken part in this with support from staff. One person who had gone said she had thoroughly enjoyed it and not least the train journey. The organisation does not contribute to the cost of any holidays for the people who use this service. Kirkgate House J53_J04_S19686_Kirkgate_V221261_210405_Stage 4.doc Version 1.20 Page 12 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 20 The policies and procedures in place ensure the safe handling administration of medication for the people who use the service. EVIDENCE: To help maintain residents independence the home gives people who use this service the opportunity to look after and administer their own medication if they wish and following a risk assessment. The home provides lockable space in the bedrooms to enable safe storage of their medicines if the resident chooses to do this. The residents who choose not to self-administer can be assured that they are safe as only staff that have received training in this area administer the medicines. Further safeguards to ensure safety are in place including photographs of residents who receive the medication and specimen signatures of staff administering them. The manager stated that GP’s review medication, ensuring it remains relevant, at least six monthly and more often if required. She was able to give examples of this in relation to current residents. Recent changes in the classification of temazepam mean that this drug must be stored as a controlled drug. and Kirkgate House J53_J04_S19686_Kirkgate_V221261_210405_Stage 4.doc Version 1.20 Page 13 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 23 People who use this service are safeguarded and their well being protected. EVIDENCE: There are policies and procedures that are in place to inform residents and staff of the homes stance on dealing with complaints and allegations of abuse. Regular residents meetings are held when residents have the chance to voice concerns. The manager has an open door policy and the residents are free to see her when they please. This was observed at the inspection when residents present freely approached her. All staff receive induction training when they are first employed and during this time have training on policies relating to recognising and reporting incidents. The manager was very clear on how she would deal with allegations and had instigated the procedure recently following a complaint. This was ongoing at the time of the inspection. Recruitment policies at Kirkgate House ensure that the staff employed are suitable to care for the people who use this service. Kirkgate House J53_J04_S19686_Kirkgate_V221261_210405_Stage 4.doc Version 1.20 Page 14 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 24 & 30 Kirkgate House is a safe, pleasant place in which to live. EVIDENCE: Kirkgate House is a purpose built building with wide corridors and doorways and so can cater for people with a disability who may need to use equipment to aid mobility. There are various adaptations around the home to promote peoples independence. Furnishings are domestic in nature and well maintained. The home is well decorated in bright, vibrant colours which residents stated they really liked. One resident was delighted to show off his room that had recently been decorated in colours of his choice. Staff receive training in infection control during induction and policies in place reduce any possibility of spread of infection. The home provides personal protective equipment for the use of staff and residents. There are no bad smells in the home. Laundry is carried out on-site and the facilities meet the specified requirements. Kirkgate House J53_J04_S19686_Kirkgate_V221261_210405_Stage 4.doc Version 1.20 Page 15 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 35 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 35 The residents are supported by enthusiastic and well trained staff. EVIDENCE: Every member of staff has an annual training and development plan and training is planned in for the whole year. All mandatory health and safety training is complete. Staff receive appropriate induction and foundation training from the organisation to equip them with the skills required to work in this area. New members of staff undertake the LDAF training and use the knowledge gained to progress to NVQ training. The home has work based NVQ support workers and assessors. The home currently has 34 of staff with an NVQ qualification. Kirkgate House J53_J04_S19686_Kirkgate_V221261_210405_Stage 4.doc Version 1.20 Page 16 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 39, and 42 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 39 The home is run in the best interest of the client group. EVIDENCE: To ensure that the home is run to the best interests of the people who use the service quality assurance systems are in place. The manager seeks the views of all people involved in the home through regular user questionnaires . The manager collates the results from these and people who use the service are informed of the results. The results form the basis of the annual development plan. These procedures ensure that the home continues to meet the needs of the people who use the service and that their opinions matter and are taken into account. Kirkgate House J53_J04_S19686_Kirkgate_V221261_210405_Stage 4.doc Version 1.20 Page 17 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. Where there is no score against a standard it has not been looked at during this inspection. 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 CONCERNS AND COMPLAINTS Standard No 1 2 3 4 5 Score x 2 x x x Standard No 22 23 ENVIRONMENT Score x 3 INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 LIFESTYLES Score 1 x x 3 x Score Standard No 24 25 26 27 28 29 30 STAFFING Score 3 x x x x x 3 Standard No 11 12 13 14 15 Kirkgate House x 3 3 2 x Standard No 31 32 33 34 35 36 Score x x x x 3 x Version 1.20 Page 18 J53_J04_S19686_Kirkgate_V221261_210405_Stage 4.doc 16 17 x x CONDUCT AND MANAGEMENT OF THE HOME PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score x x 1 x Standard No 37 38 39 40 41 42 43 Score x x 3 x x x x Kirkgate House J53_J04_S19686_Kirkgate_V221261_210405_Stage 4.doc Version 1.20 Page 19 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. Standard 6 Regulation 12(2&3) Requirement Timescale for action 21/5/05 2. 20 13(2) The wishes of people using the service regarding terminal care and care following death must be discussed and recorded in their careplans. Temazepam must be stored as a 21/7/05 controlled drug 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 2 14 Good Practice Recommendations The manager should obtain residents or their relatives signature on pre admission assessments to indicate their agreement and participation in the assessment. People who use this service long term should have the option within the contract price of a 7 day annual holiday which they have helped to choose and plan. Kirkgate House J53_J04_S19686_Kirkgate_V221261_210405_Stage 4.doc Version 1.20 Page 20 Commission for Social Care Inspection York Area Office Unit 4, Triune Court Monks Cross York, YO32 9GZ 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 Kirkgate House J53_J04_S19686_Kirkgate_V221261_210405_Stage 4.doc Version 1.20 Page 21 - 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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