Inspection on 22/11/07 for Knowle Park Nursing Home

This inspection was carried out on 22nd November 2007.

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

Knowle Park Nursing Home 30/01/07

Knowle Park Nursing Home 04/10/05

Knowle Park Nursing Home 07/04/05

Knowle Park Nursing Home 01/07/04

Knowle Park Nursing Home 10/05/04

Knowle Park Nursing Home 05/01/04

Similar services:

The Shelley

Springfield House

Sutton Lodge Nursing Home

St Helier`s Residential Hotel

St Joseph`s

Ridgemount

Wingham Court

Old Hastings House

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

CARE HOMES FOR OLDER PEOPLE Knowle Park Nursing Home Knowle Lane Cranleigh Surrey GU6 8JL Lead Inspector Sandra Holland Unannounced Inspection 22nd November 2007 10:30 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 Knowle Park Nursing Home DS0000017621.V349659.R01.S.doc Version 5.2 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. Knowle Park Nursing Home DS0000017621.V349659.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Knowle Park Nursing Home Address Knowle Lane Cranleigh Surrey GU6 8JL 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) 01483 275432 01483 267342 netra.longhurst@slnh.co.uk www.slnh.co.uk South London Nursing Homes Limited Mrs Netra Louise Longhurst Care Home 49 Category(ies) of Dementia - over 65 years of age (9), Old age, registration, with number not falling within any other category (49), of places Physical disability (4) Knowle Park Nursing Home DS0000017621.V349659.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. 3. Up to 4 service users from the age of 50 years within the category of Physical Disability (PD). Up to 2 service users may be between 40-50 years within the category of Physical Disability (PD). Up to 9 service users may be within the category of Dementia (DE(E)). Date of last inspection 30th January 2007 Brief Description of the Service: Knowle Park is a large country house surrounded by extensive grounds on the outskirts of Cranleigh. The home was owned by South London Nursing Homes Limited, but was acquired by the Caring Homes Group in September 2007. The home will continue to operate under the title of South London Nursing Homes Limited, and this will continue to be the name of the Registered Provider. The home provides accommodation and nursing care for up to forty-nine people, the majority of whom are over the age of 65 years. Up to four people living at the home may have a physical disability and up to nine people may have dementia. The house has been adapted to provide good-sized en-suite bedrooms and a number of spacious communal areas. The home is approached via a long driveway and there is a small parking area for visitors to the front of the home. A larger parking area is available to the side and rear of the property. The fees at the home range from £95.00 per day to £160.00 per day. Knowle Park Nursing Home DS0000017621.V349659.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This unannounced key inspection site visit was carried out by the Commission for Social Care Inspection (CSCI), under the Inspecting for Better Lives process. A full analysis of all the information held about the home, was carried out before the visit took place. Mrs Sandra Holland, Regulatory Inspector carried out the visit over seven hours. Mrs Netra Longhurst, Registered Manager was present representing the service. A tour of the home was carried out and a number of records and documents were sampled including resident’s care plans, staff recruitment and training files and medication administration records. Ten residents and eight members of staff were spoken with during the course of the visit. An Annual Quality Assurance Assessment (AQAA) was supplied to the home and this was completed and returned. Information supplied in the AQAA will be referred to in this report. The AQAA stated that equality and diversity is promoted in the home. All areas of the home are wheelchair friendly and accessible transport is available for outings and appointments. Special diets can be catered for and ministers from a number of local churches visit the home. Services will be provided for a more diverse ethnic resident group if, or when, they move into the home. The people living at the home prefer to be known as residents so that is the term that will be used throughout this report. The inspector would like to thank residents and staff for their hospitality, time and assistance. What the service does well: The needs of all prospective residents have been assessed to ensure these can be met by the home. Staff are happy to visit prospective residents at their place of residence, including in hospital if needed, or prospective residents are welcomed to visit the home. Full information about each resident is gathered into a detailed, written plan of care, to ensure staff are aware of the care and support that is required. Residents’ healthcare needs are very well met and staff take prompt action if a change in the health of a resident is noted. Knowle Park Nursing Home DS0000017621.V349659.R01.S.doc Version 5.2 Page 6 A varied programme of social and leisure events is provided, in addition to day to day activities. A number of local church’s hold regular services in the home. The home is attractively decorated and furnished to a very high standard and is very well maintained. All areas of the home are wheelchair friendly and equipment is available and adaptations have been made, to enable residents to maintain their independence. Residents are supported by staff who have been appropriately recruited and are well trained. A number of residents commented positively about the staff saying “they are very nice”, “I get the help that I need” and staff are “ friendly and cheerful”. The home is effectively managed in an open way and is run in the best interests of those living there. What has improved since the last inspection? 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. The summary of this inspection report can be made available in other formats on request. Knowle Park Nursing Home DS0000017621.V349659.R01.S.doc Version 5.2 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 Knowle Park Nursing Home DS0000017621.V349659.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 3 and 6. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents are supplied with a contract detailing the terms and conditions for living at the home. The needs of prospective residents have been assessed to ensure these can be met in the home. EVIDENCE: The files of a number of residents were seen, including those of residents who had recently moved into the home. Each resident had been supplied with a contract, which specified the terms and conditions for living at the home and the obligations of the resident and the home. Where residents receive financial support from a local authority, a copy of the contract with the local authority was held. Assessments of the needs of residents had been carried out before they moved into the home, to ensure the home could provide an appropriate service to meet those needs. The manager, or a member of the senior staff, had carried Knowle Park Nursing Home DS0000017621.V349659.R01.S.doc Version 5.2 Page 9 out the assessments and these had been recorded. It was noted that two people who had recently moved into the home had been assessed whilst they were in hospital, and another resident had been assessed at their own home. The manager advised that where possible, prospective residents are invited to visit the home for a meal or to join in with a social activity, so that they can see if it suits them. For residents who receive support from a local authority, an assessment had also been carried out under the care management process, and a copy of the assessment had been obtained. Knowle Park Nursing Home DS0000017621.V349659.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 7, 8, 9 and 10. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Detailed plans of care have been drawn up to guide staff to the needs of residents and these include assessments of risk to residents. Residents’ healthcare needs are very well met and staff treat residents with respect and maintain their dignity. One shortfall in the standard of the administration of medication has been addressed by the manager. EVIDENCE: As previously mentioned the files of a number of residents were sampled, and it was noted that a comprehensive plan of the care and support needs of each resident had been drawn up, to guide staff to meeting these needs. The information gathered from the pre-admission assessment and a detailed, “long term needs assessment”, were used a basis for the care plan. The care plan identified residents’ needs relating to all aspects of their daily lives, including mobility, personal care, pain management, communication, life skills and social activities. The care plan also stated the expected outcome for Knowle Park Nursing Home DS0000017621.V349659.R01.S.doc Version 5.2 Page 11 the resident, and the actions staff need to take to achieve these outcomes. Each care plan had been regularly reviewed to ensure they accurately reflected any changes in the needs of residents. Risks to residents had also been assessed and these included the risks associated with mobility, falling, developing pressure sores, the use of bed rails and nutritional risks. It was clear from the records and documents seen, that the healthcare needs of residents are well met, and that a number of health care professionals are involved in the support of residents. These include general practitioners (GP’s), physiotherapist, chiropodist, dentist and optician. The involvement of other healthcare specialists, such as dieticians, continence advisor and speech and language therapists are requested through the GP service as required. The manager stated that a GP visits the home regularly each week, but also visits as required, in between the weekly visits. Residents moving into the home are welcomed to keep their existing GP, if they are near enough to visit when required and the GP is agreeable to do so, the manager advised. Medication is supplied to the home in “blister” packs, by a national pharmacy chain. Each blister contains an individual dose of medication and is designed to increase the safety of administration and monitoring of the stock of medication. Medication was noted to be stored securely and appropriately. A locked medication fridge was available for items requiring chilled storage, and the temperature of the fridge is checked daily to ensure is it maintains the correct temperature. Only qualified nurses working in the home are involved in the administration of medication the manager stated, and the manager carries out a monthly check of all aspects of medication administration. The amounts held of a number of medications were randomly sampled and these were checked against the records held. It was noted that for three medications, the amounts held did not accurately match the records held. This included a medication that was being handled as a controlled medication, which requires two staff to manage and record each administration. It appeared that one dose of this medication was missing. The manager confirmed in writing before this report was written, that the medication being handled as a controlled medication was present, but had slipped from view in the blister pack. For another of the medications, the resident’s doctor had reduced the prescribed dose from two tablets to one. The medication had already been supplied with two tablets in each blister, and staff had continued to use this supply but were only administering one tablet as prescribed. In some of the blisters, one tablet was still present, although not secured, but a number of Knowle Park Nursing Home DS0000017621.V349659.R01.S.doc Version 5.2 Page 12 blisters did not contain any medication, so it was not clear what had happened to the medication. The manager stated in her letter that in future, if medication dosages are adjusted a new supply will be requested, and the checking of medication stocks will include checking the amounts held with the records held. An immediate requirement was made at the time of the inspection visit that the amounts of medication in the home must accurately match the records held, and records must be maintained in a way that enables an audit trail to be followed. It was positive to note that all staff were observed to treat residents with respect and spoke to residents in a friendly, but appropriate manner. Staff respected residents privacy and were seen to knock on residents’ bedroom doors and wait for a response before entering. Staff offered assistance with personal care in a discreet way and ensured that bedroom and bathroom doors were closed, to maintain the resident’s dignity and privacy. Knowle Park Nursing Home DS0000017621.V349659.R01.S.doc Version 5.2 Page 13 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. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 14 and 15. Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. A wide range of social and leisure activities are offered to residents, and they are supported to maintain their links with their families, friends and the community. A varied and well balanced diet is provided and is served in a very attractive, communal dining room. EVIDENCE: An attractive, seasonal, programme of events is regularly produced and supplied to residents, to inform them of the varied social and leisure events that have been arranged. Most of these take place in the home, including musical concerts, visiting clothing shops, coffee mornings and theatrical productions. Other events take place in the community, such as trips to local theatres and pub and lunch outings. In a recent survey into the quality of the service provided at the home, the question “Do you participate in activities ?” was asked. There was an “excellent to very good” response as 94 of residents indicated they take part. Knowle Park Nursing Home DS0000017621.V349659.R01.S.doc Version 5.2 Page 14 A clothing shop was visiting on the day of the inspection and offered a wide range of items, which a number of residents were looking though. A large notice on the board outside the dining room advertised the visit, to ensure that residents were aware that it was taking place. In addition to the published programme of events, other activities are arranged each day, for those residents who wish to take part. These include quizzes, arts and crafts, manicures and visits from a PAT (Pets As Therapy) dog. A resident who chooses to spend quite a lot of time in their room, spoke of taking part in the quizzes that are organised, as “these are very enjoyable”. An in-house shop is available, selling a selection of toiletries and confectionery items and manicures are available if requested. A number of residents were observed to have well manicured and attractively polished nails, and one resident spoke of choosing the colour of the nail polish. Three different local churches visit the home to carry out services, and these were listed on the programme of events, to ensure that residents knew when they were taking place. Alternatively, residents can be taken to attend local places of worship, staff advised. One resident was spoken with as they returned from a walk in the extensive gardens and grounds. Benches are situated in a number of places, to enable residents and their visitors to enjoy the well-maintained gardens and the views of the local countryside. Information supplied in the AQAA advised that links are maintained with the local community. Children from local schools visit the home and there is a community library service. Residents are supported to go shopping locally if they wish to. The AQAA advised that three part time recreational therapists are employed at the home to organise events and assist residents with their social and leisure interests. Residents are encouraged and supported to maintain contact with their families and friends. Open visiting is welcomed, and one visitor was arranging with the manager to come to lunch the day after the inspection. A post box is available in the entrance hall to enable residents to send any post, and there is a telephone in all bedrooms, the manager stated. Most of these are linked through to the home’s switchboard, for the ease of residents, although a number of residents have a direct line telephone in their rooms. From speaking to residents, it was clear that they are supported to make their own decisions and choices wherever possible. Residents’ preferences, such as whether they prefer a bath or a shower, their likes and dislikes and their social interests have been recorded in their care plan. This provides guidance to staff if residents are not able to make their own choices, due to ill-health for example. Knowle Park Nursing Home DS0000017621.V349659.R01.S.doc Version 5.2 Page 15 Residents were spoken to as they enjoyed their lunch-time meal in the spacious dining room. The room was furnished with tables of varying sizes, accommodating different numbers of residents. Each table was set with colourful table linen and small vases of flowers. It was positive to note that wine was available to those residents who wished it, and residents said that it was available every day. Residents’ comments indicated that they enjoy their meals, although occasionally the meat is tougher than they would like. A resident advised that the sausage supplier had been changed following a discussion at a residents’ meeting. Information supplied in the AQAA stated that a five-week menu plan is followed and residents are encouraged to submit their ideas for meals. Menus are circulated each day to enable residents to select their meals for the following day. The menus offered a choice for each course and staff advised that other options were available on request, if the planned meals were not liked. A number of staff were observed to sit with residents to discreetly assist them with their meal, and other residents had been supplied with adapted china or cutlery to enable them to eat their meal independently. Meals were taken to residents in their rooms if preferred or needed. Knowle Park Nursing Home DS0000017621.V349659.R01.S.doc Version 5.2 Page 16 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. JUDGEMENT – we looked at outcomes for the following standard(s): 16 and 18. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents are aware of the complaints procedure, but only a small number of complaints have been received and these were appropriately managed. Staff are aware of their role in the safeguarding of residents. EVIDENCE: Information supplied in the AQAA indicated that only a small number of complaints had been received in the last year. The manager was able to advise of these and of any action taken. The manager stated that a complaints record is maintained and any complaint or dissatisfaction is dealt with promptly, and often informally, to prevent it developing into a more formal complaint. No information has been provided to CSCI regarding any complaint made to the home. A clear complaints procedure is provided to residents in their room and is included in the service user’s guide, which is provided to residents. Residents who were spoken with said they would speak to the manager or person in charge if they were unhappy in any way. The manager advised that in the event of a suspicion or allegation of abuse, the home would follow the Surrey Multi-Agency Safeguarding Adults procedure. An up to date copy of the procedure is held in the home for staff to refer to if needed. The homes own policy and procedure regarding abuse was Knowle Park Nursing Home DS0000017621.V349659.R01.S.doc Version 5.2 Page 17 seen and it was noted that this linked to the Surrey Multi-Agency procedure. The policy and procedure also linked to the home’s whistle-blowing procedure, which enables staff to raise any concerns anonymously if needed. From the records seen it was evident that most of the staff working in the home have received training in safeguarding adults during the last two years. Staff spoken to stated that they would inform the manager or person in charge if they had any concerns about residents and would not hesitate to do so. The manager was openly accessible to residents, staff and visitors during the course of the inspection. Knowle Park Nursing Home DS0000017621.V349659.R01.S.doc Version 5.2 Page 18 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. JUDGEMENT – we looked at outcomes for the following standard(s): 19, 22 and 26. Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. The home presents as a very comfortable, attractive place to live and is kept very clean and freshly aired. EVIDENCE: The home is a very large detached property standing in its own gardens and extensive grounds. It is attractively decorated and furnished to a very high “country house” standard and is very well maintained. The spacious communal areas include a large lounge, dining room and conservatory. There are further small sitting areas in a number of areas of the home, which enable residents and their visitors to meet more privately. A tour of the home was carried out and all areas that were seen were very clean and freshly aired which was positive to note, given the high needs of a number of residents. Knowle Park Nursing Home DS0000017621.V349659.R01.S.doc Version 5.2 Page 19 Information supplied in the AQAA stated that all areas of the home are wheelchair friendly and accessible transport is available. It was noted that adaptations have been discreetly made to the home and equipment has been provided, to enable residents to maintain their independence or to assist staff in supporting residents safely. A passenger lift enables residents and staff to move freely between the two floors of the home. Handrails have recently been fitted in corridors to enable residents to steady themselves when walking around the home. Raised toilet seats and grab rails have also been fitted in toilets and bathrooms to enable residents to be more independent. Easy access baths and wheelchair accessible showers are provided to give residents a choice of these facilities. Fixed, ceiling “tracking” hoists and mobile hoists are provided to ensure residents are moved as safely as possible, and to safeguard staff from injury. Hand-washing facilities, including liquid soap and paper towels are provided in all appropriate places to maintain hygiene. Staff advised that personal protective equipment, including gloves and aprons are provided and used to prevent infection or the spread of infection. A spacious laundry room is well equipped with large washing machines and dryers, which have the appropriate settings, staff stated. The home currently launders residents’ personal clothing, and household linens are sent to an external laundry, the manager advised. Knowle Park Nursing Home DS0000017621.V349659.R01.S.doc Version 5.2 Page 20 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. JUDGEMENT – we looked at outcomes for the following standard(s): 27, 28, 29 and 30. Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. Residents are supported by a full team of staff who have been appropriately recruited. Staff receive the required training and are provided with opportunities to develop their knowledge and skills, to enable them to provide effective care and support to residents. EVIDENCE: It was evident from the information supplied in the AQAA and at the time of the inspection visit, that a full team of staff are employed at the home to meet residents’ needs. There is a large team of nursing and care staff, but residents are also supported by catering staff, housekeeping staff, gardeners, activities co-ordinators, a maintenance worker and a receptionist. It was positive to note that many staff, including ancilliary staff, have been given the opportunity to undertake a National Vocational Qualification (NVQ), to develop their knowledge and skills. The National Minimum Standards (NMS) for Older People recommends that at least 50 of care staff are trained to NVQ level 2 or above in care, and this is exceeded in the home. Information supplied in the AQAA stated that five staff have qualified as NVQ assessors in order to support staff undertaking this training. The home has recently been awarded the status of NVQ Assessment Centre, the manager advised. Knowle Park Nursing Home DS0000017621.V349659.R01.S.doc Version 5.2 Page 21 A number of staff files were randomly selected for review and the required information and documents had been obtained in each case. From the records seen, it was clear that staff have been appropriately recruited and the required checks have been carried out, in order to protect residents. These included Criminal Record Bureau (CRB) disclosures and two written references. Staff receive an induction into their role to ensure that they are aware of their role and responsibilities, the manager stated. Staff are also informed of the home’s policies and procedures during their induction, including emergency procedures such as fire safety. Records of staff induction are maintained, but at the time of inspection two of these were not available as required. These were provided before this report was written, and confirmed that an appropriate induction had been carried out. Staff training records were reviewed and these indicated that staff have received mandatory training, which is required by law, including fire safety, first aid and food hygiene. Staff have also received other training to develop their knowledge and skills, including NVQ’s, infection control and dementia awareness. Training that is specific to staff roles has also been carried out. Housekeeping staff for instance, have received training in the Control Of Substances Hazardous to Health (COSHH), as they are using these substances in their day to day work. Staff who were spoken with advised of the training courses they had undertaken and were appreciative of the opportunities for training that are provided. A number of residents made positive comments about the staff saying “they are very nice”, “I get the help that I need” and staff are “ friendly and cheerful”. Knowle Park Nursing Home DS0000017621.V349659.R01.S.doc Version 5.2 Page 22 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. JUDGEMENT – we looked at outcomes for the following standard(s): 31, 33, 35 and 38. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home is effectively managed in an open way and provides good outcomes for the people living there. The health and safety of residents and staff is promoted and protected. EVIDENCE: Information supplied in the AQAA advised that the manager is a qualified nurse, has nineteen years experience of caring for elderly people and has achieved the NVQ Registered Manager’s Award (RMA). A deputy manager who is also a qualified nurse and has achieved the NVQ RMA supports the manager. It was clear during the inspection visit, that the manager had an “open door” policy and was available to residents, visitors and staff as required. Knowle Park Nursing Home DS0000017621.V349659.R01.S.doc Version 5.2 Page 23 The number of good and excellent outcomes for residents, as assessed at this key inspection, indicates that the home is being effectively managed and is run in the best interests of those living there. It was positive to note that management action has been taken very promptly to address the only requirement made. A survey of the quality of the service provided was carried out recently the manager advised. This was arranged by Caring Homes, following their takeover of Knowle Park. A copy of the summary of the results was provided at the inspection visit and this recorded a high level of “excellent” and “very good” responses. These included excellent responses to the questions “Do staff address you in the manner that you would like them to ?”, and “Do you feel that your decisions and choices are respected and upheld ?”. Very good to good responses were received to the questions “Have you been involved in drawing up your care plan ?” and “Do you or a relative fully understand your care plan ?” The two weakest responses related to meals, with the question “Are your meals tasty?” scored as between good and average, and “Are your meals appealing? scored between good and poor. The manager advised that she is drawing up an action plan on how the meals can be improved to increase resident satisfaction. A recommendation was made following the last inspection, that the home should seek the views of visiting healthcare professionals, as to how the home is meting residents’ needs. As the recent survey only involved residents in the home, the recommendation has been continued. The manager advised that money could be held for safekeeping on behalf of residents if required. Records are maintained of any monies or valuables held and receipts are provided for anything deposited. The amounts held were randomly checked with the records held and these accurately matched. Information supplied in AQAA indicated that the systems and equipment in the home have been serviced and maintained as recommended, to promote and protect the health and safety of residents and staff. The home’s Health and Safety At Work poster was displayed as required. The information supplied in the AQAA also indicated that the home’s policies and procedures had all been reviewed in 2007, although that the home is now adopting the policies and procedures of the Caring Homes organisation, the manager stated. Knowle Park Nursing Home DS0000017621.V349659.R01.S.doc Version 5.2 Page 24 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 3 3 X X N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 2 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 4 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 4 X X 3 X X X 3 STAFFING Standard No Score 27 3 28 4 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X 2 X 3 X X 3 Knowle Park Nursing Home DS0000017621.V349659.R01.S.doc Version 5.2 Page 25 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. 1. Refer to Standard OP33 Good Practice Recommendations It is recommended that the manager seek the views of other visiting professionals to the home to improve the quality monitoring within the home. Knowle Park Nursing Home DS0000017621.V349659.R01.S.doc Version 5.2 Page 26 Commission for Social Care Inspection Maidstone Office The Oast Hermitage Court Hermitage Lane Kent ME16 9NT National Enquiry Line: Telephone: 0845 015 0120 or 0191 233 3323 Textphone: 0845 015 2255 or 0191 233 3588 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 Knowle Park Nursing Home DS0000017621.V349659.R01.S.doc Version 5.2 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. 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