Inspection on 22/06/07 for Knyveton Hall

This inspection was carried out on 22nd June 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 found there to be outstanding requirements from the previous inspection report but made no statutory requirements on the home.

Other inspections for this house

Knyveton Hall 04/10/06

Knyveton Hall 15/06/06

Knyveton Hall 01/03/06

Knyveton Hall 18/07/05

Knyveton Hall 25/10/04

Knyveton Hall 08/06/04

Similar services:

Fairfields Country Rest Home

Poldhu

Queensmount

Trevaylor Manor

Didsbury Court Rest Home

Belma

Hunters Care Centre

Manor Lodge

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

CARE HOMES FOR OLDER PEOPLE Knyveton Hall 34 Knyveton Road East Cliff Bournemouth Dorset BH1 3QR Lead Inspector Carole Payne Key Unannounced Inspection 22nd June 2007 09:30 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 Knyveton Hall DS0000003952.V343198.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. Knyveton Hall DS0000003952.V343198.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Knyveton Hall Address 34 Knyveton Road East Cliff Bournemouth Dorset BH1 3QR 01202 557671 NO FAX 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) Alan Coggins Limited Mrs Elaine Margaret Coggins Care Home 39 Category(ies) of Old age, not falling within any other category registration, with number (39) of places Knyveton Hall DS0000003952.V343198.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 4th October 2006 Brief Description of the Service: Knyveton Hall is situated between Bournemouth and Boscombe close to Boscombe town centre and a short drive from the sea front. Bournemouth town is approximately two miles away from the home. There is parking at the front of the premises, street parking is also available. Knyveton Hall is a family run care home for older people who need the support of residential care. Services include personal care, meals, laundry, domestic services and recreational activities. Knyveton Hall is registered to accommodate up to a maximum of 39 older people (aged 65 and over), both male and female. In June 2007 the fee levels were between £350 to £475 per week, for new residents moving into the home. See the following website for further guidance on fees and contracts: http:/www.csci.org.uk/about_csci/press_releases/better_advice_for_people_ choos.aspx The proprietors are Alan and Elaine Coggins who live on the premises. The home is run by Mrs Coggins, she is supported by her sister who is the deputy manager and a care manager. Knyveton Hall is run as a Limited Company, Alan Coggins Limited. The home is arranged over four floors containing 35 single rooms and 2 shared rooms, all floors can be accessed by a passenger lift. Communal areas include three lounges, two on the ground floor and one in the basement and a dining room. The basement lounge gives direct access to the level back garden. Knyveton Hall DS0000003952.V343198.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The unannounced inspection was carried out on the 22nd and 25th June 2007 and took a total of 13 hours, including time spent in preparation for the visit. The inspectors, Carole Payne and Chris Main were made to feel welcome in the home during the visits. The registered manager, Mrs Coggins, the care manager and the deputy manager were present throughout the inspection. This was a statutory inspection and was carried out to ensure that the thirtyfive residents who are living at Knyveton Hall were safe and properly cared for. Requirements and recommendations made as a result of the last inspection visit were reviewed. The premises were inspected and records examined. Time was spent in discussion with people living at the home, the management team and staff members on duty. Seven residents were spoken with and residents were observed enjoying the communal areas and spending time in individual rooms. Eleven resident survey forms were returned, sixteen relative / visitor comment cards, three comment cards from General Practitioners. What the service does well: Comments included in resident survey forms returned said: ‘I hope to stay here while it is a happy home, the care level is very good.’ One person said that they feel that they are treated like ‘a queen.’ Another resident said that the home ‘has a very happy feel about it.’ ‘I feel safe and secure.’ All General Practitioners returning comment cards said that they are satisfied with the overall care in the home. Good assessments, which include an invitation to spend time at the home, ensure that no resident moves into Knyveton Hall without having their needs assessed and being assured that these are met. The audit trail for medicines was good, changes to medication were clearly recorded and there were safe arrangements for transporting medicines in the home. Knyveton Hall DS0000003952.V343198.R01.S.doc Version 5.2 Page 6 Thorough assessments and care planning support the delivery of care and support at Knyveton Hall, meeting residents’ physical, health and social care needs. What has improved since the last inspection? Staff no longer test blood sugar levels so the risk of using unapproved equipment has been addressed and this requirement met. The home has introduced a record for recording residents’ participation in events. Since the inspection this has been adopted within individual records so that people’s needs can be monitored and identified. In the home’s Quality Assurance Audit (AQAA), the service has confirmed that the large and small lounge have been arranged to improve the quality of activities available to residents. In addition all rooms have had new televisions installed. The home has confirmed that all radiators have been boxed in, where applicable, to reduce the risk of scalding. At the last inspection it was required that a photograph be obtained and placed on individual files. Three files were seen and all had photographs, for identification purposes in place. The home no longer holds residents’ personal monies in an account, in order to support residents who do not have an advocate or representative close by, who can organise residents’ finances. Since the last inspection the home has improved the organisation of the service, with clear-delegated responsibilities for areas of practice in the home. Key workers have defined roles and further training, particularly in regard to National Vocational Qualifications on Care (NVQ) ensure that staff are equipped with the skills that they need to provide care and support to meet residents’ needs. Documentation, including assessments and care planning, support the provision of good care. The commitment of the service to continuously improve the service is reflected in the quality of service observed and praised in comment cards received from people involved with the life of the home. Knyveton Hall DS0000003952.V343198.R01.S.doc Version 5.2 Page 7 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. Knyveton Hall DS0000003952.V343198.R01.S.doc Version 5.2 Page 8 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 Knyveton Hall DS0000003952.V343198.R01.S.doc Version 5.2 Page 9 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, 5, Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Good assessments, which include an invitation to spend time at the home, ensure that no resident moves into Knyveton Hall without having their needs assessed and being assured that these are met. EVIDENCE: Pre-admission assessment forms were viewed for two residents who have recently moved into the home. The forms were completed satisfactorily and included reference to the prospective residents’ physical, social and psychological needs and their personal choices. The assessments had been carried out by the care manager. She possesses relevant care and managerial qualifications to ensure that she is able to carry Knyveton Hall DS0000003952.V343198.R01.S.doc Version 5.2 Page 10 out an assessment of people’s needs. From assessments seen the home does not consider admission until after an assessment has been completed. From feedback from resident survey forms the home makes every effort to enable prospective residents to come and visit the service and experience what it is like to live at Knyveton Hall. One resident returning a survey form said that the owners had come and picked them up so that they had the opportunity to visit the home. ‘I had a long discussion with the owners and was reassured that all my needs would be met.’ ‘Made and kept all promises.’ One person returning a survey form said that they had had no choice about where they live. The home has an information pack that is given to prospective residents and their families. This includes the statement of purpose and service users’ guide. People considering moving in are invited to come and spend time in the home and share a meal or spend the day, so that they can feel confident about the decision that they make. In the home’s Annual Quality Assurance Audit (AQAA) it is stated that both the prospective resident and their family and friends are invited to spend time in the home and particularly in the room that they have chosen, to ensure that the service is right for them. Key workers are allocated to residents and from records seen this supports people, when they first move in. One of the residents who had just moved in said that they like the home. They were very settled; busy and enjoying sitting outside the home and watching the world go by. A prompt assessment and care plan had been drawn up for both residents when they had moved into the home. Knyveton Hall DS0000003952.V343198.R01.S.doc Version 5.2 Page 11 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, 10, Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Thorough assessments and care planning support the delivery of care and support at Knyveton Hall, meeting residents’ physical, health and social care needs. The home is working hard to improve the management of medication to safeguard resident’s health and well being. EVIDENCE: Since the last inspection the home has worked hard to ensure that assessments and care plans are reflective of people’s current and changing needs. Five care plans were reviewed during the visit, all were supported by detailed assessments of needs, and included reference to the choices and wishes of residents living in the home, providing staff members with clear information regarding care giving. Where possible, the resident had been consulted about the care plan. Knyveton Hall DS0000003952.V343198.R01.S.doc Version 5.2 Page 12 From resident survey forms returned five people said that they usually receive the care and support that they need, eight people said that this was always the case. Plans include reference to the meeting of residents’ healthcare needs. The inspector discussed ensuring that should a resident have a particular healthcare need such as diabetes or epilepsy that there is a clear individual plan in place, which includes management and how to recognise and respond in an emergency situation. The management team had recognised in relation to one resident, that they need external health and social care support and has appropriately responded to their changed needs. Residents responding in survey forms expressed satisfaction with medical support. ‘ When I need medical attention I usually get it on the same day.’ One resident described how they had been very unwell and the manager had ensured that she received external medical support. Assessments completed included manual handling, pressure sore risk and nutritional risk assessments. As appropriate the home monitors healthcare needs such as food and fluid intake and weights. The home may need to consider acquiring sit on scales, given the increasing dependency of some residents. One resident explained that if someone needs to go to the doctors or hospital the owner always ensures that there is someone to accompany them. The home’s medication policy had been improved and was easily available to staff. The pharmacist was told that eight staff who give medicines have done a medication course and 3 certificates were seen. Three residents were selfmedicating and one seen kept her medicines safely. Seven residents’ medicines were checked. There was one tablet less than expected for two medicines and one more than expected for another indicating occasional errors in the recording and/or administration of medicines. The audit trail was good and for all other medicines checked the number remaining indicated that they were given as prescribed and correctly recorded. There were records of administering two resident’s creams. The reason for not giving one medicine was not recorded and there was nothing on the MAR chart or in the person’s notes about contact with the GP. This was followed up promptly and the medicine stopped by the GP. When medicines were being administered they were taken round the home safely. There was no Controlled Drugs (CDs) cupboard but no CDs were in use on the day of the visit. Refrigerated medicines were not stored securely but Knyveton Hall DS0000003952.V343198.R01.S.doc Version 5.2 Page 13 arrangements were made to correct this promptly. Actual rather than maximum and minimum refrigerator temperatures were monitored. The temperatures recorded were in the correct range. Staff no longer test blood sugar levels so the risk of using unapproved equipment has been addressed and this requirement met. Throughout the inspection visit care staff were observed giving sensitive support to residents in mobilising around the home. One resident praised their ‘kindness.’ The home has a detailed induction programme, which includes exploring the core values of care giving, such as the protection of privacy and dignity. One resident said that they hold a key to their door and like to keep their room locked when they go out. They said that they enjoy the privacy that the home upholds. Knyveton Hall DS0000003952.V343198.R01.S.doc Version 5.2 Page 14 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, 15, Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home provides choices, social opportunities and good food enabling residents to enjoy a good quality of life, which includes relatives and friends. EVIDENCE: On the day of the inspection some residents were on their way out to a local coffee morning. One resident said that that they enjoy the opportunity to go out and meet other people. In the home’s AQAA it is stated that there is a range of activities including singers, pianists, accordionists and dance groups. There are also exercise sessions, skittles and film shows. However, it is also evident from speaking to residents that if they wish to stay in their rooms, sit outside, or have time to themselves, wishes are respected. Knyveton Hall DS0000003952.V343198.R01.S.doc Version 5.2 Page 15 A record of participation in activities has been started. It was advised that this record is individually maintained so that personal needs can be tracked, and social needs monitored, identified and responded to. The deputy manager confirmed that this is now in place the day following the inspection. Residents made some positive comments about the social opportunities available in the survey forms returned: ‘I am always taken to my place of worship.’ ‘Entertainment is provided for us and I do enjoy those afternoons.’ ‘I get all the help to be taken to any activities I wish to attend.’ A relative returning a comment card said that they are able to visit their relative at any time. Twelve relatives returning survey forms said that the home supports them to stay in touch, one said that this is sometimes the case. In the home’s Quality Assurance Audit, the service has confirmed that the large and small lounge have been arranged to improve the quality of activities available to residents. In addition all rooms have had new televisions installed. Respect for residents’ choices was evident in care plans seen and in the daily routine observed. During the day some residents were in the lounge, others sat outside; some were in their own rooms. Other residents had gone out for the morning. People make choices about their meals. One resident said that they go and see the chef to see what is on the menu and if it is not suitable chef provides an alternative. Residents responding in survey forms said that: ‘All my meals are very good.’ ‘Meals are good at all times.’ ‘Meals hardly warm. Potatoes are always overcooked.’ On the day of the visit lunch looked well presented and residents in the dining room were enjoying their meal. One resident was visited in their own room and said that they usually prefer to eat alone, and this is always accommodated. Knyveton Hall DS0000003952.V343198.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): Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. An effective complaint’s and adult protection policy supports people living at Knyveton Hall to feel that they can raise any concerns they have; that they will be responded to and they will feel safe and protected at the home. EVIDENCE: Comments from residents returning survey forms included; ‘the management are all approachable and anxious to put matters right.’ Another resident said that they would ‘speak to someone in charge if I had a problem.’ One resident said that they felt that they could say if there was something of concern. The home has a complaints procedure, which is displayed in the reception area. There is a complaint’s log in place. Since the last inspection, the manager confirmed that no complaints have been received. The service has adult protection policies in place. From records seen staff undertake training in the protection of people living in the home from abuse. Knyveton Hall DS0000003952.V343198.R01.S.doc Version 5.2 Page 17 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): Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. A clean and pleasant environment provides residents with warm, comfortable and homely surroundings. EVIDENCE: All areas visited during the inspection were homely and maintained to a satisfactory standard of decoration and repair. Communal areas are warm and welcoming. One resident responding in a survey form said that they are ‘very happy with the home.’ In the home’s Quality Assurance Audit the home has confirmed that there are continuing improvements to the environment. The small and large lounge have been arranged to improve facilities available for residents to share and engage in activities. Knyveton Hall DS0000003952.V343198.R01.S.doc Version 5.2 Page 18 One person living in the home said that they were very satisfied with the personal accommodation. Their room overlooks the home’s gardens and they said that they had been able to bring their own furniture, pictures and ornaments, which made the room feel like home. The home has confirmed that all radiators have been boxed in, where applicable to reduce the risk of scalding. All areas of the home visited were clean and hygienic. It is recommended that the laundry flooring be replaced, as it is in need of repair, to provide an impermeable and easily cleanable surface. Knyveton Hall DS0000003952.V343198.R01.S.doc Version 5.2 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 consider all the above are key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 27, 28, 29, 30, Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home has continuity in the staff team, a good training programme and effective organisation in terms of roles and responsibilities, ensuring that staff members have the skills and competencies to meet residents’ needs. EVIDENCE: There were sufficient members of staff on duty at the time of the inspection, including staff working in the laundry and kitchen. Staff members carrying out their daily routine were clear about their roles and responsibilities. The manager said that there are normally eight care staff members in the morning and seven in the afternoon. This does not include members of the management team on duty. There are also members of domestic staff. One member of the domestic team was busy cleaning individual rooms. A resident said that their room is cleaned to a good standard and they enjoy having a chat with the person who comes to clean their room. Staff are also allocated to the laundry. A key worker system is in place and is developing. There is documentation of the help and support given by the key worker in care records. Knyveton Hall DS0000003952.V343198.R01.S.doc Version 5.2 Page 20 Rosters are maintained of staff working in the home. It was advised that the times that staff members are working should be recorded on the rota. This was completed at the time of the inspection. Staff members and managers clearly worked according to the needs of residents; for example in ensuring that there are sufficient staff members to accompany any people living in the home who have appointments outside the home. Resident survey forms returned included these comments: ‘Messages sent to staff downstairs are rarely either delivered or acted upon.’ ‘The carers really care.’ No new staff members have started work in the home, which reflects the continuity of care and support received by people living at the home. Survey forms were returned from relatives and advocates. Eight people said that care staff members usually have the right skills and experience to look after people properly. Six people said that this is always the case. At the time of the inspection eleven members of care staff had a National Vocational Qualification in Care (NVQ) at level 2; four care staff possess an NVQ at level 3. In addition to this three members of staff have an NVQ at level 4. Staff members are also in the process of enrolling on additional courses. Twenty members of care staff were working in the home at the time of the visit. At the time of the inspection no new members of staff had started work in the home since the last inspection. There was concern that recruitment files required organisation and some files had omissions. The manager undertook to ensure that recruitment records are well organised and the deputy manager has already reported since the visit that this work is underway. At the last inspection it was required that a photograph be obtained and placed on individual files. Three files were seen and all had photographs, for identification purposes in place. The deputy manager has compiled a personalised induction programme. The programme is relevant to general, practical care giving, engaging the person completing the induction in gaining an awareness of good care practice. Written feedback is completed in the pack and the new member of staff is supported to demonstrate their understanding of key aspects of safe, sensitive care giving. The personal way, in which a carer is introduced to the work of Knyveton Hall, reflects the caring ethos of the home. A completed programme was seen for a member of staff working in the home. Although from individual records of training and copies of certificates held on file, staff members maintain the skills that they need to provide effective care Knyveton Hall DS0000003952.V343198.R01.S.doc Version 5.2 Page 21 to residents; it was advised that the home should ensure that a summary record of training is maintained so that training needs can be easily identified and responded to. From the home’s AQAA, the training programme has been expanded to include specific specialist care requirements, such as dementia care. From the individual record cards maintained and copies of certificates seen on files, staff members are encouraged and supported to undertake training and achieve professional development, equipping them to meet the needs of residents living at Knyveton Hall. Knyveton Hall DS0000003952.V343198.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, 36, 38, Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home has a strong management team ensuring that the home is well run, and people living in the home are kept safe and the service is run in residents’ best interests. The management team supported actions needed to support the protection of residents. EVIDENCE: The home benefits from a strong management team. In addition to the registered manager, there is a deputy manager and manager. There are cleardelegated areas of responsibility and the team clearly works well. The Knyveton Hall DS0000003952.V343198.R01.S.doc Version 5.2 Page 23 registered manager is at present undertaking the Registered Manager’s Award. All three benefit from many years of experience in care and management. The deputy manager is in the process of undertaking a quality assurance audit of the home and intends to collate feedback from people involved with the life of the home to compile an internal improvement plan for the year ahead. Regular meetings are held in the home. One resident said that they feel that they are consulted about the service and are able to help out to support the provision of a good quality of life for people living at the service. The manager no longer holds any monies in an account on behalf of residents. Two residents’ monies are held in the home on behalf of the resident. The amount held corresponded with the amount detailed in individual records. It was advised that two members of staff check and sign to verify the amount held, rather than one person. From records seen regular supervision takes place in the home, which includes discussion regarding all aspects of the member of staff’s role, the running of the home and personal development. A written record is also completed by the member of staff enabling them to comment upon the support they receive and their work in the home. People who work at Knyveton Hall have often worked there for a long time. This reflects the way in which the home values their work, which continues to improve and be reflected in the positive outcomes for residents. It is advised that the person completing supervision maintains a summary record. The fire log was seen and had been regularly maintained, detailing routine checks. It was advised that the home’s hoist should be serviced as this had expired. Records of accidents are maintained. In the last inspection report there was concern that a resident had bumped their head and there had been no follow up to this in terms of medical consultation. During this visit it was observed that it had been recorded that a resident had fallen and sustained a blow to the base of the head. Although the report stated that the person’s condition had been monitored, this was not clear and it was reported the following day that they were sleepy. The manager intended to address this with staff ensuring that medical attention is sought as necessary. The manager confirmed that routine checks of portable electrical appliances as recommended in the last inspection report will be initiated. As there was not an up to date summary of training available at the time of the visit it was not possible to verify that all staff members working in the home have received appropriate training in all aspects of health and safety. The manager confirmed that this would be updated and maintained. Knyveton Hall DS0000003952.V343198.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 X 3 X 4 X 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 3 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 3 X X X X X X 2 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 2 X 3 X 3 3 X 2 Knyveton Hall DS0000003952.V343198.R01.S.doc Version 5.2 Page 25 Are there any outstanding requirements from the last inspection? YES 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 OP9 Regulation 13 Requirement The registered person must make arrangements for the recording and safe administration of medicines received in the care home so that medicines are given as prescribed and accurately recorded to safeguard residents’ health and wellbeing. Progress has been made and this requirement was almost met. 2. OP31 9 The registered manager must undertake and complete the Registered Manager’s Award so that she is able to fully discharge her responsibilities ensuring that the home is managed and organised in the best interests of residents. Progress is being made in meeting this requirement. The timescale for compliance has not lapsed. 01/01/08 Timescale for action 15/08/07 Knyveton Hall DS0000003952.V343198.R01.S.doc Version 5.2 Page 26 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 OP9 Good Practice Recommendations The home should follow guidance from the Royal Pharmaceutical Society including: Monitoring and recording the maximum and minimum temperatures (normal range 2-8°C) of the refrigerator used to store medicines daily when in use. Having a Controlled Drugs (CD) to store CDs. 2. OP26 The home should consider replacing the laundry flooring, to ensure that it provides an easily cleanable, impermeable surface. The home should ensure that a summary record of training is maintained so that training needs can be easily identified and responded to, ensuring that staff members maintain the skills to appropriately provide care and support to residents. Any accident that occurs where a resident sustains a blow to the head should be followed up by consultation with a medical practitioner. This recommendation was included in the last inspection report. 3. OP30 4. OP38 5. OP38 An annual programme of portable electrical appliance testing should be drawn up to ensure the safety of electrical equipment in the home and protecting residents from harm. This recommendation was included in the last inspection report. 6. OP38 The home’s hoist should be serviced, ensuring that residents requiring hoisting are protected by the use of safe equipment. DS0000003952.V343198.R01.S.doc Version 5.2 Page 27 Knyveton Hall Commission for Social Care Inspection Poole Office Unit 4 New Fields Business Park Stinsford Road Poole BH17 0NF 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 Knyveton Hall DS0000003952.V343198.R01.S.doc Version 5.2 Page 28 - 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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