Inspection on 18/08/05 for Knellwood

This inspection was carried out on 18th August 2005.

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

Knellwood 31/07/08

Knellwood 01/08/07

Knellwood 29/11/06

Knellwood 30/01/06

Knellwood 27/09/04

Knellwood 06/04/04

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 Knellwood 83 Canterbury Road Farnborough Hampshire GU14 6QN Lead Inspector Debbie Hawkins Unannounced 18 August 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. Knellwood H54 S12340 Knellwood V229659 180805.doc Version 1.40 Page 3 SERVICE INFORMATION Name of service Knellwood Address 83 Canterbury Road Farnborough Hampshire GU14 6QN 01252 542169 01252 541153 Knellwood@aol.com Farnborough (War Memorial) Housing Society Ltd Ms Janet Gover CRH 52 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) Category(ies) of OP Old age - 52 registration, with number DE(E) Dementia - 10 of places Knellwood H54 S12340 Knellwood V229659 180805.doc Version 1.40 Page 4 SERVICE INFORMATION Conditions of registration: None Date of last inspection 27th September 2004 Brief Description of the Service: Knellwood is a large home situated in its own extensive grounds located in Farnborough and within easy access to shops, local amenities, railway station, bus routes and the M3 motorway. The home is under the management of a non profit making charity and provides accommodation for up to 52 service users over the age of 65. Responsibility of the day to day running of the home is with the registered manager who is responsible to the homes board of management. Knellwood H54 S12340 Knellwood V229659 180805.doc Version 1.40 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The inspection took place over six hours and during the visit the manager, the service users and the staff on duty assisted the inspector. An opportunity was taken to look around parts of the home, view some records and talk to staff and services users. The inspector spoke with one staff member and eight service users. There were no other visitors in the home on the day of the inspection. What the service does well: What has improved since the last inspection? What they could do better: There should be more detail on some care plans so staff are always fully aware on how to support service users appropriately. To use a risk assessment form as part of the initial assessment to determine risks and ensure service users are safe. Knellwood H54 S12340 Knellwood V229659 180805.doc Version 1.40 Page 6 Service users need to be more involved in the organising of activities so they can enable staff to ensure they are appropriate. All staff need to be fire trained to ensure they are competent at keeping service users safe. 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. Knellwood H54 S12340 Knellwood V229659 180805.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 Knellwood H54 S12340 Knellwood V229659 180805.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 and 6 The home has a system of assessment, which identifies prospective service user’s needs and how they will be met. EVIDENCE: The manager confirmed each service user coming in to the home has a detailed assessment and the inspector viewed two of these. This information is then transferred to the care plans allowing staff to see how each service user should be supported. The home’s manager completes the assessment and social services send an assessment prior to admission if the service user is not self funding. The home does not offer intermediate care. Knellwood H54 S12340 Knellwood V229659 180805.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 8 Service user’s health, personal and social care needs are set out in an individual plan of care to adequately provide staff with the information they need to satisfactorily meet service user’s needs but these plans need to be kept updated to ensure the information is current. EVIDENCE: Individual plans of care are available and give detailed information to ensure all aspects of health, personal and social care needs are met. These were all up to date with regular reviews taking place and it was noted that as long as regular reviews are in place this does not need to necessarily happen on a monthly basis. It was discussed with the manager that more information is needed in some plans such as detailing exactly what support a person needs rather than saying ‘needs help in the bathroom’ and to include that a hoist is used for all service users. It was also discussed the plans need to be dated with service user’s signatures if appropriate. It was agreed with the manager that a risk assessment form is used as part of the initial assessment to determine risks and if there is a significant risk this will be documented in the form of a risk assessment. Knellwood H54 S12340 Knellwood V229659 180805.doc Version 1.40 Page 10 The staff member spoken to said the care plans are useful in understanding individuals’ needs. Service users’ health needs are also fully met with it being noted in plans that service users receive visits from their doctor. Service users spoken to said their doctor visits as needed. They also have access to opticians and district nurses as needed. One service user also had restrictions in place and the relevant documentation needs to be available and the manager agreed this would happen. One service user spoken to staff are there to help them in any areas where they need support. Knellwood H54 S12340 Knellwood V229659 180805.doc Version 1.40 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 standard(s) 13 and 14 Service users experience a stimulating and varied life at the home with visitors encouraged but more informal activities within the service would further benefit individuals. EVIDENCE: Some service users spoken to and in some questionnaires it was said although the home provides activities they would benefit from more such as quizzes, exercises, knitting group and a music appreciation group. They also said they need to know when activities are available. This was discussed with the manager and was agreed activities will be prominently displayed on the notice board. One service user spoken to said they felt the activities to be adequate. A staff member spoken to said activities are offered but many service users decline them. It was agreed with the service users spoken to they can also take responsibility for organising activities and staff spoken to said any support for this would be available as needed. All service users spoken to said family and friends come to visit regularly. Knellwood H54 S12340 Knellwood V229659 180805.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 and 18 Arrangements for protecting service users and responding to their concerns are satisfactory. EVIDENCE: The home has a detailed and relevant complaints procedure and a copy is given to service users as part of their handbook. Staff spoken to had a clear understanding on what to do if a service user complained to them. Service users also said they would know who to go to if they were unhappy with anything. One service user spoken to said they requested a more comfortable chair and this happened immediately. The complaints log was seen and it was suggested the name of the person who took the complaint should also be included. The manager confirmed all staff have received training in abuse and would know what to do in the event of an allegation of abuse being reported to them. The home also has the relevant policies and procedures on adult protection such as the ‘no secrets’ guidance and a whistle blowing procedure. Knellwood H54 S12340 Knellwood V229659 180805.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 A comfortable and safe standard of accommodation is provided for the service users, which meet their needs. EVIDENCE: The inspector toured the home and it is well maintained and suited to the service user’s needs. It is decorated to a standard that creates a comfortable and homely ambience. Since the last inspection the redecoration of the dining room has been completed and the steps have been removed, the stairwell has been decorated, the main lounge has been decorated and the hallway is in the process of being redecorated. The home has also re-routed the fire escape and it is no longer in a service user’s bedroom. The four bedrooms detailed in the last inspection have also been redecorated. The manager confirmed that all radiators have now been covered and this was seen as part of the tour. A new assisted bath has also been ordered and this will be fitted in nine weeks. Knellwood H54 S12340 Knellwood V229659 180805.doc Version 1.40 Page 14 Service users spoken to said they are happy with their surroundings and one service user said they especially like their bedroom as they can have their own furniture and personal belongings. Service users also said the current redecoration has caused little disruption and it will be worth it in the end. Knellwood H54 S12340 Knellwood V229659 180805.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) 30 The home ensures that staff are trained to meet service user’s individual and joint needs. EVIDENCE: Service users spoken to said staff are very nice and can meet their needs. One service user spoken to said ‘staff know how to support me and help is always at hand’. Many of the staff team have worked in the home for many years with lots of experience supporting older people. Staff have attended varied training relevant to the needs of the service users including an exercise course for the elderly, infection control and first aid and it was agreed the records will be looked at during the next inspection. Many staff have either completed or in the process of completing their National Vocational Qualifications. Knellwood H54 S12340 Knellwood V229659 180805.doc Version 1.40 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 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) 33 and 38 The health, safety and welfare of service users is fully promoted with staff being well trained and showing a sound knowledge within the areas of health and safety. The home is run in the best interests of service users. EVIDENCE: The manager confirmed quality assurance questionnaires are sent out on a monthly basis to various service users, staff and families. The manager would be informed if there were issues and would act on them as needed. Service users spoken to said they are fully informed but some said they would benefit from regular service user meetings. All policies and procedures relating to health and safety are available in the home and the staff spoken to knew where and how to access them and had a satisfactory understanding of health and safety. Staff spoken to said they feel health and safety is adhered to and the environment is safe and secure. Knellwood H54 S12340 Knellwood V229659 180805.doc Version 1.40 Page 17 All staff have been fire trained but it was made clear to the manager that this needs to happen twice in a twelve month period and be documented. The manager confirmed there are the relevant records and certificates in place to ensure the environment is safe and secure, this includes portable appliance testing and gas checks. On the day of the visit the home was safe and free from any hazards. Knellwood H54 S12340 Knellwood V229659 180805.doc Version 1.40 Page 18 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 N/A HEALTH AND PERSONAL CARE Standard No Score 7 2 8 2 9 x 10 x 11 x DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 x 13 3 14 3 15 x COMPLAINTS AND PROTECTION 3 x x x x x x x STAFFING Standard No Score 27 x 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 3 x x 3 x x x x 2 Knellwood H54 S12340 Knellwood V229659 180805.doc Version 1.40 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 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. 1. Refer to Standard Good Practice Recommendations Knellwood H54 S12340 Knellwood V229659 180805.doc Version 1.40 Page 20 Commission for Social Care Inspection 4th Floor, Overline House Blechynden Terrace Southampton SO15 1GW 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 Knellwood H54 S12340 Knellwood V229659 180805.doc Version 1.40 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. 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!