Inspection on 10/07/06 for Koinonia

This inspection was carried out on 10th July 2006.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Good. The way we rate inspection reports is consistent for all houses, though please be aware that this may be different from an official CSCI judgement.

The inspector made no statutory requirements on the home as a result of this inspection and there were no outstanding actions from the previous inspection report.

Other inspections for this house

Koinonia 04/12/08

Koinonia 07/12/05

Koinonia 11/08/05

Koinonia 06/01/05

Koinonia 31/08/04

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 Koinonia 2-4 Winchester Road Worthing West Sussex BN11 4DJ Lead Inspector Ms B Tye Key Unannounced Inspection 10th July 2006 09:00 X10015.doc Version 1.40 Page 1 The Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Reader Information Document Purpose Author Audience Further copies from Copyright Inspection Report CSCI General Public 0870 240 7535 (telephone order line) This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI www.csci.org.uk Internet address Koinonia DS0000014597.V303548.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. Koinonia DS0000014597.V303548.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Koinonia Address 2-4 Winchester Road Worthing West Sussex BN11 4DJ 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) 01903 237764 office@koinonia4.fsnet.co.uk Koinonia (Sussex) Limited Mr John Antony Royston Care Home 24 Category(ies) of Old age, not falling within any other category registration, with number (24) of places Koinonia DS0000014597.V303548.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. Up to 24 male and/or female service users- age over 65 years- in the category of old age, not falling within any other category may be accommodated Only service users aged over 65 years may be admitted. Date of last inspection 7th December 2005 Brief Description of the Service: Koinonia is a care establishment registered with the Commission For Social Care Inspection to accommodate twenty-four service users in the registration category OP Old Age, not falling within into any other category. Koinonia (Sussex) Limited is a registered charity, which exists to provide accommodation and care for elderly Christians from churches linked with the Fellowship of Independent Evangelical Churches. The establishment is situated in Worthing close to the town centre. Koinonia is a converted premise. Accommodation is provided on ground and first floor levels. All rooms are single and have en-suite facilities. There is a passenger lift. The home has attractive gardens that are well maintained and easily assessable. Koinoina Sussex Ltd privately owns the service. The Registered Manager is Mr J A Royston who manages the home on a daily basis, supported by his wife Mrs C Royston care manager. The responsible individual is Reverend John Billett. Koinonia DS0000014597.V303548.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. A visit to the home took place on the 2006. Prior to the inspection, information held on file was examined including any official documentation relating to the home. On the morning of the inspection, most residents were dressed and socialising with staff in the lounge and conservatory area. During the day the inspector spoke privately to the residents, interviewed three staff and spent some time discussing the service with the manager, John Billett. Five residents care files were case tracked. Three staff personnel records were examined, alongside Policies and Procedures, Risk assessments, Training files, Medication records and all Health and Safety Records. In addition, a tour of the premises was undertaken and five residents were spoken to at length. Overall quality of care was found to be very good. This was supported by comprehensive administration systems and a committed staff team. This is the first inspection of 2006/2007. This is called a key inspection and will determine the frequency of visits/inspections hereafter. What the service does well: What has improved since the last inspection? What they could do better: Koinonia DS0000014597.V303548.R01.S.doc Version 5.2 Page 6 A high level of satisfaction expressed by the residents and staff team. However the frequency of staff supervision in the home does not meet the National Minimum Standards of six times annually. A requirement has been made for the manager to address this. 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. Koinonia DS0000014597.V303548.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 Koinonia DS0000014597.V303548.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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 3&6 The manager, to ensure residents needs can be met appropriately by the home, carries out a full assessment prior to admission. Each resident is provided with a written contract of terms and conditions, which is signed by all involved parties. This ensures residents are clear about their rights within the home. The quality of this outcome area is good. This judgement was made from available evidence including a visit to the service. EVIDENCE: All residents spoken to state they had received a copy of their Terms and Conditions for the home, which they had signed following admission. Copies of these are held on their files. Pre-admission assessments are completed by the manager or care manager prior to admission. This outlines relevant areas of need including: diet, communication, health, social and cultural needs. Additional information and correspondence by community based professionals is collated to form the basis Koinonia DS0000014597.V303548.R01.S.doc Version 5.2 Page 9 of an on going care plan. This information is kept in residents’ files in a locked cabinet only accessible by care staff to ensure confidentiality. Risk assessments were in place for specific residents. They contain information relating to their specific needs and identified areas of risk. This promotes independence for residents in all aspects of daily living. Two service users stated they knew about the home and had visited prior to admission, following positive recommendations. All residents stated they received information about the home including a Service Users guide. This information enabled them to make an informed decision about moving to the home and what to expect. Koinonia does not offer intermediate care. Koinonia DS0000014597.V303548.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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 7 - 10 All residents have a comprehensive care plan in place, ensuring healthcare needs are met appropriately by staff in the home. Medication procedures are adhered to and staff had received dispensing medication training as part of their induction by the local pharmacy. This promotes good practice when dealing with medication. The quality of this outcome area is good. This judgement was made from available evidence including a visit to the service. EVIDENCE: All residents spoken to stated they felt the standard of care at Koinonia, in respect of health and personal care was ‘excellent’ and that ‘staff knew just what was needed’ and were ‘very caring in their approach’. Five care plans were case tracked and all contained detailed information relating to health and personal care needs of residents. Staff stated this information informed them of individual needs and how to respond to them appropriately. Koinonia DS0000014597.V303548.R01.S.doc Version 5.2 Page 11 In relation to health and personal care needs, observation and feedback from residents reflected that they are treated with respect by staff, and their privacy and dignity is upheld. Reviews of care plans occur on a three monthly basis, or more frequently according to residents changing needs. Review dates and changes are documented on residents’ files as they occur. Staff handover at each of the shift changes during the day ensures each staff member is fully aware of the immediate needs of each resident. This information is transferred to daily records in the care plans. Information is colour coded for easier access by staff. All care records seen were all up to date and in good order. Any specialist health needs are referred to community-based professionals via the GP’s. Correspondence held in individual files supported this. During the visit the Chiropodist (who visits every six weeks) was spoken to. She stated the ‘home was really lovely and the residents all get on very well’ The home has an up to date policy, procedure and code of practice relating to dispensing medication. Medication charts and storage of medicines within the home was examined. These were all completed correctly, demonstrating the staff adhered to the procedures within the home. Staff receive regular medication training from a local chemist, who audits the homes medicines on an annual basis. Koinonia DS0000014597.V303548.R01.S.doc Version 5.2 Page 12 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 12 - 15 People living at Koinonia are able to make the day-to-day decisions about how they want to live their life. There is a range of activities for those who wish to participate and residents are encouraged to maintain contact with all their old friends and family, wherever possible. The food is of a good standard and offers a choice of menu. The quality of this outcome area is excellent. This judgement was made from available evidence including a visit to the service. EVIDENCE: Residents’ visitors are welcomed to the home and feedback from residents confirmed that contact with family and friends are encouraged. Residents stated they are supported to actively pursue areas of interests in the wider community. Most residents at the home lead independent lives and maintain established links in the wider community. Activities are organised at the home on a regular basis, offering stimulation to those residents who are less able to explore interests outside the home. Residents spoken to praised the monthly outings organised by the manager. A coach is hired so everyone at the home can attend. All residents stated what ‘wonderful days out’ they were. Koinonia DS0000014597.V303548.R01.S.doc Version 5.2 Page 13 Prayer meetings are held in the home every evening to meet denominational needs and most residents also regularly attend church in the community. Forthcoming activities and events are displayed on the community pin boards throughout the home. Staff were observed chatting with some of the residents and the interaction between them was relaxed and respectful. Residents attend 3 monthly meetings where they have the opportunity to feedback issues and make suggestions about issues as they arise. Residents spoken to stated the food is of a good standard and offers a choice of menu. People are able to eat either with other residents or in their own room, should they prefer. A recent visit by the Environmental Health officer raised two minor recommendations, which are currently being addressed by the home. Koinonia DS0000014597.V303548.R01.S.doc Version 5.2 Page 14 Complaints and Protection The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 16 & 18 The home has provided residents with information in respect of complaints. Residents spoken to were aware of their rights and how to complain. Staff have received abuse training, and those spoken to be clear about appropriate action if they suspected abuse within the home. The quality of this outcome area is good. This judgement was made from available evidence including a visit to the service. EVIDENCE: The Commission has received no complaints in respect of Koinonia. A complaints’ procedure is made available to residents and their representatives. All residents stated that they would not hesitate to approach senior staff, if they had any concerns. One complaint has been logged since the last inspection this was dealt with appropriately by the manager with no further action required. Residents meetings are held 3 monthly. Residents are encouraged to voice their opinions, either in person or collectively. Committee members and the Responsible Individual visit the home regularly to report on practice issues and establish whether residents are satisfied. Residents commented ‘they had no complaints. It was like home from home’ Koinonia DS0000014597.V303548.R01.S.doc Version 5.2 Page 15 The manager is aware of Protection Of Vulnerable Adults and how necessary it is to ensure that staffs working in the home are suitable to work with vulnerable people. He is due to attend training in the new West Sussex County procedures for Adult Protection. This will inform his future in house training of staff. The staff files seen contained the relevant documentation, including Criminal Records Bureau enhanced checks and relevant references. Koinonia DS0000014597.V303548.R01.S.doc Version 5.2 Page 16 Environment The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 19 - 26 Residents live in a safe, well-maintained environment and have access to safe and comfortable indoor and outdoor communal facilities. Standards of hygiene and cleanliness are high throughout the home. The quality of this outcome area is good. This judgement was made from available evidence including a visit to the service. EVIDENCE: Following a tour of the premises and examination of health and safety records it is evident the home provides a homely, well-maintained and safe environment. Standards of hygiene and cleanliness are high throughout the home. Staff and residents were spoken to, to gain an insight into what it was like to live in the home. It was evident that residents felt the position of the home added to their quality of life as they were close to amenities and local contacts. Many commented on the ‘lovely environment’ Koinonia DS0000014597.V303548.R01.S.doc Version 5.2 Page 17 The manager confirmed that the home meets the requirements of the local Fire Service and Environmental Health Officer department. Residents’ rooms were attractively presented, with a private en-suite toilet and basin. Several rooms were visited by the Inspector to ensure that the environment was safe and comfortable for residents, and all stated how pleased they were with their bedrooms. Bedrooms were furnished with personal possessions and the option is given to bring furniture from home, giving each resident a sense of ownership in their private space. There are two passenger lifts for residents with limited mobility to access all floors of the house. Provision of a bath-slide, grab rails and raised seating in toilets provide individuals with limited mobility more independence. A call bell is provided in every room so staff are aware and can attend an emergency situation should it arise. Records showed all fire, health and safety checks are regularly undertaken and up to date. All equipment is regularly serviced and certificates held on file. Radiators have been risk assessed and covered as appropriate to avoid burns from surface temperatures. The Registered Providers continue to seek ways to improve the facilities for residents. Koinonia DS0000014597.V303548.R01.S.doc Version 5.2 Page 18 Staffing The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users’ needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission consider all the above are key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 27 - 30 The staff numbers are sufficient to meet the assessed needs of residents. Recruitment procedures and record keeping are robust to ensure that residents are in safe hands at all times. The quality of this outcome area is good. This judgement was made from available evidence including a visit to the service. EVIDENCE: The duty rotas showed an adequate number of staff are on duty at all times. A senior staff member leads each shift. Domestic staff are employed in sufficient numbers to ensure that the standards relating to good food and cleanliness are adhered to. Staff members, who were spoken with in private, said that they found the manager to be ‘supportive and helpful’. All commented the ‘team worked really well together’. 63 of the care staff have now obtained training in National Vocational Qualification level 2, to ensure they have the skills and knowledge to do their job in a professional manner. Records and certificates were available in respect of mandatory training in Manual Handling, Basic First Aid, Food Hygiene, Fire and Health and Safety. In addition, all staff members, who administer medication, have received the appropriate training through the local pharmacist. Koinonia DS0000014597.V303548.R01.S.doc Version 5.2 Page 19 Recruitment policies and procedures are in place to ensure staff employed by the home, have the necessary skills and experience to fulfil their roles. CRB checks, terms and conditions and job descriptions were seen on file for staff members. This ensures residents are protected by appropriate recruitment systems. Koinonia DS0000014597.V303548.R01.S.doc Version 5.2 Page 20 Management and Administration The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. Service users’ rights and best interests are safeguarded by the home’s record keeping, policies and procedures. The health, safety and welfare of service users and staff are promoted and protected. The Commission considers Standards 31, 33, 35 and 38 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 31, 33, 35 & 38 Residents and staff benefit from the leadership and management approach within the home. Quality assurance and monitoring systems are in place to measure stated aims and objectives. Overall the residents’ welfare is a priority within the home, and this is supported by efficient administration systems. The quality of this outcome area is good. This judgement was made from available evidence including a visit to the service. EVIDENCE: Staff feedback reflected that the manager provides a clear sense of leadership and direction. Staff spoken to stated he was ‘supportive and easy to get along with’, enabling them to seek guidance as it was needed to ensure residents needs were met appropriately. Koinonia DS0000014597.V303548.R01.S.doc Version 5.2 Page 21 Mr Royston (Manager) has obtained National Vocational Qualification level 4 in Care Management and Mrs Royston (Care Manager) is a qualified nurse and National Vocational Qualification Assessor. The home has insurance cover is in place and there is a business and financial plan for the home, which would be available upon request. Policies and procedures are in place and kept up to date in line with changing legislation. Residents’ finances are protected by policies, procedures and record keeping. Residents have their own bank accounts and all financial transactions are recorded and signed for. An annual quality assurance report is underway, which includes contributions from service users and their families. Feedback contained in the homes ‘satisfaction questionnaire’ from residents and their families was complimentary and praised the quality of service provided. Regular staff and resident meetings allow participants of the home to be kept up to date with changes and able to give their views about how the home is run. The inspector examined record keeping for all aspects of health and safety, risk assessments and policies. Those seen were in good order and up to date. This practice ensures the occupants of the home are safeguarded and protected. Most staff spoken to stated they received regular supervision and support from the manager. Some records were evidenced on staff files, however not all records reflected staff supervision was occurring on a two monthly basis. The manager was aware of this and intends to formalise future supervision sessions, in line with the National Care Standards requirements. A requirement has been made in respect of this, to ensure staff supervision occurs no less than six times a year and is recorded appropriately. The Responsible Individual of the home undertakes monthly Regulation 26 visits. Copies of reports are sent to the Commission on a monthly basis. Koinonia DS0000014597.V303548.R01.S.doc Version 5.2 Page 22 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 3 X 3 X X 3 HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 3 10 3 11 x DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 4 13 4 14 4 15 4 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 3 3 3 3 3 3 3 3 STAFFING Standard No Score 27 3 28 3 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X 3 X 3 X X 3 Koinonia DS0000014597.V303548.R01.S.doc Version 5.2 Page 23 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. 1. Standard Regulation OP18 Requirement For the registered person to ensure all staff are appropriately supervised no less than 6x a year. Timescale for action 10/09/06 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. Refer to Standard Good Practice Recommendations Koinonia DS0000014597.V303548.R01.S.doc Version 5.2 Page 24 Commission for Social Care Inspection Worthing LO 2nd Floor, Ridgeworth House Liverpool Gardens Worthing West Sussex BN11 1RY 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 Koinonia DS0000014597.V303548.R01.S.doc Version 5.2 Page 25 - 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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