Inspection on 23/03/06 for Kirklands

This inspection was carried out on 23rd March 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

Kirklands 04/06/09

Kirklands 25/02/09

Kirklands 04/03/08

Kirklands 07/03/07

Kirklands 28/06/05

Kirklands 14/03/05

Kirklands 09/09/04

Similar services:

Chirnside House

Keer Sands Residential Home

Ruskin Lodge

Bushell House

Clover House

Langrigg House

Parkside

Dystlegh Grange

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

CARE HOMES FOR OLDER PEOPLE Kirklands Sullart Street Cockermouth Cumbria CA13 0EE Lead Inspector Cath Wilson Unannounced Inspection 23rd March 2006 01:00 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 Kirklands DS0000022641.V283530.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. Kirklands DS0000022641.V283530.R01.S.doc Version 5.1 Page 3 SERVICE INFORMATION Name of service Kirklands Address Sullart Street Cockermouth Cumbria CA13 0EE 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) 01900 822364 Anchor Trust Mrs Maureen MacColl Care Home 40 Category(ies) of Dementia - over 65 years of age (30), Learning registration, with number disability over 65 years of age (2), Mental of places Disorder, excluding learning disability or dementia - over 65 years of age (1), Old age, not falling within any other category (7) Kirklands DS0000022641.V283530.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. The service should at all times employ a suitably qualified and experienced manager who is registered with the Commission for Social Care Inspection. The home is registered for a maximum of 40 service users to include: - up to 30 service users in the category of DE(E) (Dementia over 65 years of age) - up to 7 service users in the category of OP (Older people not falling within any other category One named service user in the category of MD(E) (Mental disorder, excluding learning disability or dementia over 65 years of age) may be accommodated within the overall number of registered places Two service users in the category of LD(E) (Learning disability over 65 years of age) may be accommodated within the overall number of registered place 28th June 2005 3. 4. Date of last inspection Brief Description of the Service: Kirklands is a modern, purpose built home situated in a residential area of Cockermouth. It is within walking distance of all the local amenities in the town centre. The home is operated by the Anchor Trust and managed by Mrs. Maureen MacColl. The home provides accommodation and care for up to forty older people, thirty of whom may have dementia. The accommodation is on two floors, and is divided into four living units. Each unit has a lounge/dining room, with bedrooms, toilets and bathrooms close by. The home has a passenger lift and a range of other equipment to assist people in their day-to day-lives. There are garden areas that are provided with safe and secure seating areas. There is a car park to the front of the home. Kirklands DS0000022641.V283530.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 unannounced inspection visit of the inspection year and was carried out by inspectors, Cath Wilson and Liz Kelley. Service users and two relatives were spoken with as well as the assistant manager and four care staff. A tour of the premises took place, and administration records and service users files were assessed. What the service does well: What has improved since the last inspection? The home has implemented the requirements made at the previous inspection. Work is underway to complete one of the requirements made regarding medicines management. Kirklands DS0000022641.V283530.R01.S.doc Version 5.1 Page 6 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. Kirklands DS0000022641.V283530.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 Kirklands DS0000022641.V283530.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): The Standards were assessed at the previous inspection. EVIDENCE: Kirklands DS0000022641.V283530.R01.S.doc Version 5.1 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 the following standard(s): 7 and 8 The home is developing individual plans of care that promote the health and social care needs of people in the home. Care is provided in a sensitive and caring manner and respects people’s privacy and dignity. EVIDENCE: People’s care plans are of a very good standard, and daily notes are used to regularly review and update these. Staff had current and relevant information to assist them in meeting the needs of service users. Good communication and interaction was observed during the inspection between staff and service users. One carer spoken to demonstrated a genuine interest in the past lives of service users and found this helped her to relate to people. The information on individual service users life history and pen pictures are an example of good practice in this field. Nutritional assessments are carried out to high standards, and a risk assessment guide is used to identify any concerns. These concerns are then attended to with appropriate interventions, such as more regular weighing and specialist nutritional supplements. Kirklands DS0000022641.V283530.R01.S.doc Version 5.1 Page 10 Records and systems are in place to monitor service user’s health care needs including specialist health care matters. Service users have access to Primary Health care personnel. Medication reviews are taking place and the systems have been developed following the previous inspection to ensure the safe handling and dispensing of medicines in the home. Kirklands DS0000022641.V283530.R01.S.doc Version 5.1 Page 11 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, 13 and 14 Service users are assisted to have a good quality of life and access to a variety of life experiences through a skilled and committed staff team. EVIDENCE: The home has two activity co-ordinators, one of whom was interviewed and described a range of group and individual activities that enhance the lives of people living in the home. A good deal of these was one-to-one as people responded best and enjoyed these sessions the most. For exampled manicure and hand massage was being offered to a number of people the afternoon of this inspection. One service user who met with an inspector said she was ‘well looked after, liked the carers’ and ‘talked with them very easily’. There was an obvious warmth and friendly rapport between residents and staff. One relative spoken to was very complimentary about the ‘high standards of care’ offered by the home. They felt that staff team had good skills in caring for people with dementia and their relative had successfully settled into the home. Another relative felt the environment was always pleasant and appreciated the homely touches such as fresh flowers and the two cats. Kirklands DS0000022641.V283530.R01.S.doc Version 5.1 Page 12 Relatives did feel that one area that staff could develop is the care and awareness of a person with dementia with hearing impairment. In discussion with the assistant manager it was felt that this would be included in future staff training. In particular, the care and proper use of hearing aids, and appropriate communication skills. Relatives also felt that communication could be improved with staff displaying clearer name tags. The manager and assistant manager had also recently identified this as a difficulty and were looking alternatives. Kirklands DS0000022641.V283530.R01.S.doc Version 5.1 Page 13 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): These Standards were assessed at the previous inspection. No formal complaints have been received since that inspection. Relatives did however, describe the carers and the manager as being approachable and concerns are always resolved to their satisfaction. EVIDENCE: Kirklands DS0000022641.V283530.R01.S.doc Version 5.1 Page 14 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): 26 The home is maintained to good standards of cleanliness and hygiene making for a pleasant living environment for service users. EVIDENCE: The home is clean and hygienic, and the gardens are attractive and well maintained. Kirklands DS0000022641.V283530.R01.S.doc Version 5.1 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 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 and 30 People in the home are attended to and supported by a staff group that places people’s needs first and have the skills and abilities to see to them. EVIDENCE: The home had good staffing levels with eight care staff, one senior and two general assistants on each shift. In addition two activity co-ordinators are employed equivalent to a full-time post. Staff spoke of numerous training courses they had attended recently and this area obviously has a high profile in the home. One new member of staff described their induction into the home and this had included, fire safety, first aid, health and safety and moving and handling. They thought they had been well prepared to work with residents and had received regular supervision. Some staff had not received training in dementia care for sometime and it was felt that an up-date would be beneficial to ensure that the latest good practice guidelines are adopted. Kirklands DS0000022641.V283530.R01.S.doc Version 5.1 Page 16 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): 38 The systems to protect the finances, health, safety and welfare of service users are effective and well managed. EVIDENCE: The records inspected ensure that people’s rights and best interests are safeguarded and promoted. The home is well maintained with no obvious hazards to people’s welfare and records show that fire drills and instructions had taken place regularly. Kirklands DS0000022641.V283530.R01.S.doc Version 5.1 Page 17 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 X X X HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 X 10 X 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 2 13 3 14 3 15 X COMPLAINTS AND PROTECTION Standard No Score 16 X 17 X 18 X X X X X X X X 3 STAFFING Standard No Score 27 3 28 X 29 X 30 2 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score X X X X X X X 3 Kirklands DS0000022641.V283530.R01.S.doc Version 5.1 Page 18 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. 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. Refer to Standard Good Practice Recommendations Kirklands DS0000022641.V283530.R01.S.doc Version 5.1 Page 19 Commission for Social Care Inspection Eamont House Penrith 40 Business Park Gillan Way Penrith Cumbria CA11 9BP 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 Kirklands DS0000022641.V283530.R01.S.doc Version 5.1 Page 20 - 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!