Inspection on 06/06/05 for Kite Hill Nursing Home

This inspection was carried out on 6th June 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

Kite Hill Nursing Home 23/05/06

Kite Hill Nursing Home 12/01/06

Kite Hill Nursing Home 19/01/05

Kite Hill Nursing Home 07/07/04

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 Kite Hill Nursing Home Kite Hill Wootton Bridge Isle of Wight PO33 4LE Lead Inspector Mark Sims Unannounced 6th June 2005 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. Kite Hill Nursing Home H55H04_S12562_Kite Hill_V218188_060605 Stage 4.doc Version 1.30 Page 3 SERVICE INFORMATION Name of service Kite Hill Nursing Home Address Kite Hill, Wootton Bridge, Isle of Wight, PO33 4LE 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 882874 001983 883059 Colville Care Ltd Margaret Groves Care Home 31 Category(ies) of Dementia - over 65 years of age (2), Old age, registration, with number not falling within any other category (31), of places Physical disability over 65 years of age (10), Terminally ill over 65 years of age (5) Kite Hill Nursing Home H55H04_S12562_Kite Hill_V218188_060605 Stage 4.doc Version 1.30 Page 4 SERVICE INFORMATION Conditions of registration: The home is also registered for two places for people under 65 years of age, within the categories of TI, PD and DE. Date of last inspection 19/01/2005 Brief Description of the Service: Kite Hill Nursing Home is situated on the main Newport to Ryde road and can be located fractionally beyond Wootton Bridge, as you head from Wootton to Ryde. Access to the home can be achieved via public transport, the local bus company running a scheduled service that passes the home or private transportation, with car parking available to both the front and side aspects of the home. The premises is a large period property that has been extended and adapted to provide residential accommodation across two floors, all floors accessible via a combination of passenger lift and platform lift, ensuring all rooms are accessible to service users and visitors. The accommodation provided at Kite Hill is exclusively single occupancy, a large proportion of the rooms containing open plan en-suite facilities that are screened off from the rooms via curtains/screening. Kite Hill Nursing Home H55H04_S12562_Kite Hill_V218188_060605 Stage 4.doc Version 1.30 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The inspection was conducted unannounced and lasted approximately 4.5 hours, considering a number of issues including records, tour of the premises, discussions with service users, observations of practice, views of visitors. At the conclusion of the inspection no member of the senior management team was available to receive feedback and so the inspector left a feedback sheet with the nurse in charge summarising areas which the inspector would contact the matron/manager about to discuss. Contact was made with the matron/manager following the inspection and feedback was provided, based on the evidence found during the visit and as per the feedback document. What the service does well: What has improved since the last inspection? The matron/manager and the nursing team have started to review and replace all existing pre-printed care plans, opting instead for hand-written more personalised plans, which are more representative of the service users’ needs and wishes. Kite Hill Nursing Home H55H04_S12562_Kite Hill_V218188_060605 Stage 4.doc Version 1.30 Page 6 The first floor kitchenette has been refurbished and refitted and provides an area of the home where teas and coffees, etc. can be made away from the busy main kitchen if required. 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. Kite Hill Nursing Home H55H04_S12562_Kite Hill_V218188_060605 Stage 4.doc Version 1.30 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 Kite Hill Nursing Home H55H04_S12562_Kite Hill_V218188_060605 Stage 4.doc Version 1.30 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) St 1, St 2, St, 4. The home provides service users and their representatives with access to up to date information in sufficient detail as to ensure an informed decision is made about where they live. Part of the documentation provided to all prospective service users is a specimen terms and conditions of residency contract. Service users and their representatives confirmed that they entered the home only after establishing that it would meet their needs. EVIDENCE: On entering the home visitors are required to make their way to the nurses’ offices, which is situated to the left of the entrance hallway and off of the waiting area/reception. Within this waiting area is a multitude of information relating to the home and the services offered, including copies of the statement of purpose and service users’ guide (the management deciding to create a combination document), leaflets about the home, sample copies of the contract / terms and conditions document, copies of the previous inspection report and copies (including back Kite Hill Nursing Home H55H04_S12562_Kite Hill_V218188_060605 Stage 4.doc Version 1.30 Page 9 copies) of the home’s in-house magazine, which is produced monthly and contains useful information about forthcoming events, birthdays and historically significant dates. On perusing these documents it was evident that the information was useful and covered most aspects of the services provided at the home, although the statement of purpose – service users’ guide had not been reviewed since September 2003 and some of the listed entertainments would appear to have changed. The contract / terms and conditions document, as specified is available as a specimen document, within the statement of purpose – service users’ guide information and contains information relating to fees, periods of notice, trial stays and rooms to be occupied whilst accommodated at Kite Hill. It is important for the management to note that this particular document should be used in conjunction with private, local authority and NHS funded service users, including those on respite, as the NHS clients appeared to have little knowledge of such information, although this could be due to a lack of awareness, associated to the swiftness with which they are often transferred. The particular issue of choice appears to have escaped the NHS, whose patients seem to have had no options as to where they are transferred, which is a completely different scenario to that experienced by both private and local authority funded service users who seemed happy that they had options and that their care managers actively fought for them to come to the home of their choice. One service user, in on respite, discussed how she had opted to come into Kite Hill as her relative was in the home and would not have conceived of going anywhere else, which had resulted in her care manager working hard to meet this wish. A second person also described how prior knowledge of the home and the quality of the service had influenced their decision when coming into care and what they would accept as a placement, Kite Hill being the primary choice. It should be clarified that the issue of choice being provided to NHS funded clients is not one the home can influence directly, as their contract is directly with St Mary’s Hospital and not the individual being transferred. Kite Hill Nursing Home H55H04_S12562_Kite Hill_V218188_060605 Stage 4.doc Version 1.30 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 standard(s) St 7, St 9. Efforts are being made to revise and refresh the care planning process, which had become stale and uninspiring with pre-printed plans portraying everyone’s needs as the same. The home is failing to take proper precautions when managing service users’ medications. EVIDENCE: It had been the intention of the inspector to make recommendations around the home’s approach to care planning and the production of suitable service users’ plans, based on the dip-sampling of care plans during the tour of the premises. However, during a telephone conversation with the matron / manager she explained how she, and the staff team, had just entered into a process of care plan revision, which would see all existing pre-printed care plans replaced with service user specific (hand-written) care plans. It was this statement, which convinced the inspector not to make any recommendations at this time, as during the tour of the premises one handwritten care plan had been seen amongst the pre-printed service user plans Kite Hill Nursing Home H55H04_S12562_Kite Hill_V218188_060605 Stage 4.doc Version 1.30 Page 11 and if the quality of that particular plan is to be repeated throughout the home, it will only benefit the residents. The hand-written plan inspected gave the inspector a good insight into the particular needs of the resident and included some personal touches which are important when trying to reflect that the service users are individuals. It was also pleasing to discuss with the person, subject of the plan, her involvement in the process and her opinion that the plan reflected both her needs and wishes and the wishes of the staff and how they saw meeting her needs. Unfortunately much of the home’s good work with regards the care planning process was undone by some poor practice in respect of service users’ medications, the inspector finding a medications fridge left unlocked and unattended during the tour of the premises, the fridge containing insulins, eye drops and epipens. This initial oversight was later compounded when the inspector found prescription medicines left unattended within the nurses’ office and the door open to anyone passing, although it is accepted that the pharmacist’s courier could have left these medications. If the latter is the case the management of the home will need to discuss this with the pharmacy, as leaving medications in such a way is not acceptable and irresponsible. One aspect of good practice with regards the management of medications was noted in the documenting of the medication fridge’s temperatures, which all indicated the fridge was operating within prescribed parameters. Kite Hill Nursing Home H55H04_S12562_Kite Hill_V218188_060605 Stage 4.doc Version 1.30 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 standard(s) St 12, St 14, St 15. People’s experiences of living at Kite Hill vary with some people satisfied with the level of activity provided, whilst others felt a little restricted by some aspects of the home’s policies. The food / meals provided at the home are of good quality and offer choice and variety to service users. EVIDENCE: The information available within the front reception lounge includes details of various activities and entertainments programmes provided at the home, although this may require some updating, as some activities appeared to be no longer available. Whilst perusing the documentation within the reception lounge the inspector met with an activities provider from ‘Independent Arts’ who was preparing to deliver an arts workshop. The person discussed how these sessions are a little hit or miss, with the numbers of people attending varying quite dramatically. She also commented on the size of the lounge and the limitations the available space placed on activities and the numbers who might attend and participate. Later whilst on the tour of the premises the inspector noted that four people Kite Hill Nursing Home H55H04_S12562_Kite Hill_V218188_060605 Stage 4.doc Version 1.30 Page 13 were involved in the activity organised, which was a little above the average attendance of two to three people. In conversation with service users, it became apparent that people’s lack of mobility or general health and wellbeing were barriers to their participation in organised activities and events, one person clearly stating he was bored but that this was due to mobility issues and not the fault of the home or the staff. Another couple found socialising easier if they kept their interactions down to a one-to-one basis, the result of speech and hearing difficulties, as well as mobility issues, which restricted one of the individual’s abilities to leave their bedroom. Again the couple felt this was not the fault of the home but was rather a result of circumstance and old age. Other issues discussed with service users during the tour of the premises included options for undertaking activities etc., not part of the home’s entertainments process, with one person especially concerned with the director(s)’ decision to make the home a no-smoking environment, which he felt was infringing on his right to smoke. This issue however, when discussed with the matron was not as straightforward as it seemed, with the person in question afforded the opportunity to smoke outside of the home, although this service was restricted due to him requiring assistance from staff or visitors, who needed to be prepared to sit with him, exposure to smoke being a politically and socially sensitive issue. Concerns were also raised during the tour of the premises of the home’s use of second-hand clothing, by second-hand the inspector is referring to the practice of passing on clothes donated by families of deceased service users to current service users with limited wardrobes. Ideally people should have access to their own clothes and not require clothing to be passed on to them in this fashion. If there are concerns with people’s wardrobes, this should be brought to the attention of relatives or care managers, who have a responsibility to support service users in purchasing appropriate clothing items. One person clearly upset by this practice and having to wear items of clothing labelled as belonging to people no longer residing at the home. A widely praised aspect of the home’s service was the food, which is always popular and normally receives positive comments from service users and relatives alike, this visit proving no exception. All service users spoken with praised the cook and her team for providing consistently good meals, which were wholesome, nutritious and appetising. Kite Hill Nursing Home H55H04_S12562_Kite Hill_V218188_060605 Stage 4.doc Version 1.30 Page 14 The varied menu was felt to contain a wide selection of meals and provided ample choice for service users, some of whom found that even the soft and pureed meals were sensitively and attractively served. One individual, who had not resided at the home for long stated that the meals provided were better than anything he had eaten at St Mary’s Hospital or The Adelaide day centre. Another person went to lengths to inform the inspector of how much she enjoyed the food served and stated she had written twice to the cook praising her meal and thanked the catering team for their efforts. Kite Hill Nursing Home H55H04_S12562_Kite Hill_V218188_060605 Stage 4.doc Version 1.30 Page 15 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) St 16. The home has a proven record of addressing concerns and complaints appropriately over recent years. EVIDENCE: Over the past number of visits it has become apparent that the home’s management and the company director(s) take the complaints process seriously and expect staff to follow the process appropriately, including documenting the complaint, any actions taken and providing complainants with details of investigations and outcomes, where appropriate. At this visit it was ascertained that service users had little in the way of complaints about the service, although aspects of their care beyond the control of the home did give rise to irritations and concerns. Namely these issues revolved around the hospital and people being given no choice of where to receive care or being given sufficient information about where they were being transferred too. One individual did explain to the inspector that she had raised some concerns with the matron about the general environment within which she was living, this being mainly around accessibility to en-suites, etc where the door was slightly too narrow or obstructed by items of furniture. She stated this had not been a complaint, rather more of a conversation, which the matron had taken on board and had discussed possibly moving to another more appropriate room when one became available, which the service user felt was an appropriate response to her concerns. Kite Hill Nursing Home H55H04_S12562_Kite Hill_V218188_060605 Stage 4.doc Version 1.30 Page 16 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) St 19, St 22, St 24, St 26. The premises is in a good state of repair and there was evidence, in the shape of a maintenance log, of work carried out to maintain the core fabric of the home. Prior to the inspection an issue arose which resulted in the inspector visiting the home and raising issues with the company regards height adjustable beds and appropriately fitted bedrails. This visit established a number of beds still require replacing to ensure service users’ safety is maintained. Tables provided to service users requiring bed rest, etc. were not appropriate and were noted to be tables more commonly used with service users sat out in chairs. Service users’ bedrooms were pleasant, tidy environments, although concerns around uncovered radiators persist. The home was clean, tidy and free from offensive odours. Staff have access to appropriate protective clothing and equipment and arrangements for the management of cross infection appear appropriate. Kite Hill Nursing Home H55H04_S12562_Kite Hill_V218188_060605 Stage 4.doc Version 1.30 Page 17 EVIDENCE: The general fabric of building is sound, with both internal and external areas of the property well maintained and decorated. Since the last inspection work on the upgrading of the kitchenette has been concluded and this area now provides a useful addition to the home’s facilities. Staff have access to a maintenance person, who apart from responding to routine property issues, also attends to urgent issues raised through a maintenance logging system, each job signed off by the maintenance person on completion. The maintenance log was inspected during the visit and jobs were indeed logged by staff and signed off by the maintenance person once addressed. Shortly before the inspection was due the inspector was required to respond to an incident, involving a bedrail slipping, which necessitated a visit to the home. In response to this visit the company agreed to bring forward its bed replacement programme, which was to include replacing all non-height adjustable beds, with equipment that included integral bedrails. At the inspection it was determined that 15 beds still required replacing, a number the inspector felt to be considerable if only 3 to 4 beds per year were to be replaced, especially given the increasing dependent levels of clients; and a high proportion of service users requiring care whilst on bed rest. However, prior to the inspection report being published the inspector was contacted by the home, informing him that all non-height-adjustable beds, following the visit were to be replaced, a process completed on the 05 August 2005. Given the prompt action taken by the home, following the inspector’s visit that he feels it unreasonable to make a requirement of the home, regarding this issue and therefore this requirement has been removed. However, consideration should still be given to purchasing bed tables, as the inspector noticed during the tour of the premises that service users in bed were required to use tables more commonly used with chairs and which failed to rise to a comfortable height or reach far enough across the bed to make it convenient for the person trying to eat. Several people were witnessed leaning to one side in an attempt to feed themselves and having to transfer the food a considerable distance from the Kite Hill Nursing Home H55H04_S12562_Kite Hill_V218188_060605 Stage 4.doc Version 1.30 Page 18 plate to their mouths, an activity which appeared difficult given the precarious positions people were required to adopt. Generally people’s bedrooms met their needs, although as previously mentioned one person stated that they had spoken to the matron regards the accessibility of their en-suite, which could be increased by taking a small section of wall away on the outside aspect of the door frame closest to the external wall. Other people spoken with during the visit raised no concerns regards their bedrooms and were more than satisfied with their accommodation, some people having brought personal items into the home in order to give their environment some character and create a sense of familiarity, etc. Throughout the tour of the premises the inspector identified no issues of concern with regards to cleanliness or hygiene, the domestic staff team keeping the property clean, tidy and free from any odours. It was also pleasing to notice that staff had access to gloves and aprons and that hand washing facilities were equipped with liquid soaps and paper towels. Staff also had access to policies on infection control and information posters on hand washing techniques, etc. Kite Hill Nursing Home H55H04_S12562_Kite Hill_V218188_060605 Stage 4.doc Version 1.30 Page 19 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) St 27, St 30. Sufficient staff are available to meet the needs of the service users. Staff training programmes are available and address the educational needs of both qualified and care staff. EVIDENCE: As part of the inspection process providers are requested to complete and return annual performance assessments, which provide inspectors with information pertinent to the regulatory process. Included within the Kite Hill Nursing Home information returned was details of the home’s staffing arrangements, across a three-week cycle. This data when compared to previous pre-inspection summaries indicates that the home’s staffing levels have on average increased by one person per shift, from 7.00 a.m. staff to 8 and from 4.00 p.m. staff to 5, which is to be commended. Although this increase did not stop one service user stating that they felt staffing levels were insufficient, as the staff were always on the go and on one occasion she had been left unattended on a commode for ¾ of an hour, this statement was unsubstantiated during the visit and would appear at odds with other residents’ experiences. Staff active around the home, as observed by the inspector, would also support the evidence of the duty rosters, as staff appeared to be deployed in sufficient numbers across or throughout the home and included additional administration and catering staff. Kite Hill Nursing Home H55H04_S12562_Kite Hill_V218188_060605 Stage 4.doc Version 1.30 Page 20 Details of staff training events were also documented within the annual returns, both forthcoming courses and those completed, although the courses completed did seem to favour the unqualified care staff, as opposed to addressing the educational needs of both qualified and unqualified staff equally. However, on making this statement it must be pointed out that several training events booked for later in the year were aimed at meeting the training needs of the qualified staff including Venepuncture and care pathway planning. Information relating to additional educational events were also noted to be advertised within the nurses’ office/staff room, with notices pinned to the boards provided, although caution should be given to using this approach to raising staff awareness, as information can become lost or hidden as additional circulars are affixed over the top of original documents. Evidence provided within the home’s annual returns statement indicates that presently 60 of the care staff possess National Vocational Qualifications at Level 2 or above. Kite Hill Nursing Home H55H04_S12562_Kite Hill_V218188_060605 Stage 4.doc Version 1.30 Page 21 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) St 33, St 38. The home’s quality auditing system includes a service users’ questionnaire, used to gather feedback from the service users about their experiences of residing at the home. The home’s general approach to health and safety is reasonable, although some areas of the home’s practice require attention. EVIDENCE: During the tour of the premises the inspector, as previously highlighted, spoke with a number of service users. During one such interaction the person clearly described the home’s internal auditing process and being asked to participate in the process by completing a questionnaire. In addition to the comments provided by this individual the inspector also established that copies of the home’s questionnaire are available to both service users and relatives on request and that the matron/manager normally arranges surveys within the home, two or three times a year. Kite Hill Nursing Home H55H04_S12562_Kite Hill_V218188_060605 Stage 4.doc Version 1.30 Page 22 Whilst this process is clearly carried out, the inspector has reservations as to how the information gathered is used, as at previous inspections it had been highlighted that staff were not made aware of outcomes from such surveys, a vital component of any QA system. As mentioned within the environmental section of this report the general fabric of the premises is good, with both internal and external areas of the home well maintained. A positive consequence of the property being well looked after is that it automatically reduces any obvious health and safety concerns, as most issues are immediately attended to, however less obvious issues still remain, such as COSHH controls, which require chemicals hazardous to health to be appropriately stored. During the tour of the premises the inspector located several chemicals stored inappropriately around the home including paints and thinners, etc. within the kitchenette, Sterident within bathrooms and antibacterial cleaning agents. Other issues of concern for the inspector included those raised earlier with regards to height adjustable beds and appropriately fitting bedrails and storage of medication issues, all of which require attention from the management team, as soon as possible. Kite Hill Nursing Home H55H04_S12562_Kite Hill_V218188_060605 Stage 4.doc Version 1.30 Page 23 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 3 3 x 3 x x HEALTH AND PERSONAL CARE Standard No Score 7 3 8 x 9 2 10 x 11 x DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 x 14 2 15 3 COMPLAINTS AND PROTECTION 3 x x 2 x 2 x 3 STAFFING Standard No Score 27 3 28 x 29 x 30 3 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 3 x x x x 2 Kite Hill Nursing Home H55H04_S12562_Kite Hill_V218188_060605 Stage 4.doc Version 1.30 Page 24 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 Standard 9 Regulation Requirement Timescale for action 11.08.05 Regulation The management must take 12 action to ensure all medications received into the home are appropriately and immediately stored. All medication held on behalf of service users must be appropriately secured at all times. 2. Standard 38 Regulation Chemicals covered by COSHH 12 regulations should be properly stored at all times. Issues identified within this report, where service users and staff health and safety has the potential to be compromised must be addressed (radiator covers, height-adjustable beds, bed table, etc). 11.08.05 3. RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. Kite Hill Nursing Home H55H04_S12562_Kite Hill_V218188_060605 Stage 4.doc Version 1.30 Page 25 No. 1. 2. Refer to Standard Standard 14 Standard 22 Good Practice Recommendations The practice of passing on service users clothes should cease, with staff taking action to support people purchasing their own more appropriate clothing. Radiator covers, identified as low risk via the risk assessment process, should be included within the homes business plan for attention (although as a low priority it is accepted more urgent environmental issues may take precedent). Kite Hill Nursing Home H55H04_S12562_Kite Hill_V218188_060605 Stage 4.doc Version 1.30 Page 26 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 Kite Hill Nursing Home H55H04_S12562_Kite Hill_V218188_060605 Stage 4.doc Version 1.30 Page 27 - 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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