Inspection on 11/08/05 for Koinonia

This inspection was carried out on 11th August 2005.

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

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

Other inspections for this house

Koinonia 04/12/08

Koinonia 10/07/06

Koinonia 07/12/05

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 Mrs Veronica Gay Unannounced 11 August 2005, 12:00 The Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Reader Information Document Purpose Author Audience Further copies from Copyright Inspection Report CSCI General Public 0870 240 7535 (telephone order line) This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI www.csci.org.uk Internet address This is a report of an inspection to assess whether services are meeting the needs of people who use them. The legal basis for conducting inspections is the Care Standards Act 2000 and the relevant National Minimum Standards for this establishment are those for Care Homes for Older People. They can be found at www.dh.gov.uk or obtained from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering: www.tso.co.uk/bookshop This report is a public document. Extracts may not be used or reproduced without the prior permission of the Commission for Social Care Inspection. Koinonia H60-H11 S14597 Koinonia V242927 110805 Stage 4.doc Version 1.40 Page 3 SERVICE INFORMATION Name of service Koinonia Address 2-4 Winchester Road, Worthing, West Sussex, BN11 4DJ Telephone number Fax number Email address Name of registered provider(s)/company (if applicable) Name of registered manager (if applicable) Type of registration No. of places registered (if applicable) 01903 237764 www.koinonia4.fsnet.co.uk Koinonia (Sussex) Ltd Mr John Antony Royston CRH(PC) - Care home only 24 Category(ies) of OP- Old Age, 24 places registration, with number of places Koinonia H60-H11 S14597 Koinonia V242927 110805 Stage 4.doc Version 1.40 Page 4 SERVICE INFORMATION Conditions of registration: 1. 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. 2. Only service users aged over 65 years may be admitted. Date of last inspection 6 January 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 all have ensuite 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 H60-H11 S14597 Koinonia V242927 110805 Stage 4.doc Version 1.40 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was the first of a minimum of two statutory visits that an inspector must make to each care home during the course of a year. This was an unannounced inspection, made at 12 o’clock and lasted four hours. During this inspection the Inspector toured the building, visited several bedrooms, and joined the residents for coffee after lunch. As well as talking to the Manager and five of the staff members, the Inspector spoke at length to 10 of the 24 residents, plus a Chairperson of the committee. The Inspector examined records about care being provided to residents; as well as records of any accidents, or concerns or complaints, to make sure that the residents at Koinonia are being taken care of. During the course of the day the Inspector was very ably assisted by the Mrs Royston the Registered Manager and Mr Royston Care Manager and the inspector would like to thank both them, and everyone else who cooperated with her at this inspection. What the service does well: What has improved since the last inspection? Since the last inspection the kitchen has been completely refurbished with new stainless steel units and worktops. Koinonia H60-H11 S14597 Koinonia V242927 110805 Stage 4.doc Version 1.40 Page 6 All outstanding fireworks are now complete and a Fire Officer inspected the premises on the day of inspection. A bedroom has been re- carpeted for a new resident. An extra bedroom has been refurbished with en-suite facility to increase the number of residents being accommodated from twenty-three to twenty four. 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. Koinonia H60-H11 S14597 Koinonia V242927 110805 Stage 4.doc Version 1.40 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–6) Health and Personal Care (Standards 7-11) Daily Life and Social Activities (Standards 12-15) Complaints and Protection (Standards 16-18) Environment (Standards 19-26) Staffing (Standards 27-30) Management and Administration (Standards 31-38) Scoring of Standards Statutory Requirements Identified During the Inspection Koinonia H60-H11 S14597 Koinonia V242927 110805 Stage 4.doc Version 1.40 Page 8 Choice of Home The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 1,3, Prior to moving into Koinonia people are given sufficient information about what the home offers, to enable them to make a choice as to whether or not they want to live there. In addition before moving into the home, people are assessed, by a member of staff, in their own home or hospital whenever possible, to make sure they are suitable, and invited for a trial period. People know exactly what they can expect from Koinonia and what is expected from them. EVIDENCE: Residents said they had known of Koinonia through the church, as a home for retired Christians. Each resident and / or their representative received a Statement of Purpose and Service Users Guide before being admitted to e ensure they have full details about the service. All residents said their needs were being met “couldn’t fault the place” said two residents. The inspector saw samples of assessments, and all contained information with regard to their health, personal preferences and social contacts. Details of resident’s individual daily needs are also kept which includes any district nurse input. One resident said, “ I like everything about the home, they are so helpful…my room was re carpeted before I came in… I was encouraged Koinonia H60-H11 S14597 Koinonia V242927 110805 Stage 4.doc Version 1.40 Page 9 to bring some of my own furniture with me”. Another resident said, “Although it is very difficult moving from your own home, we receive spiritual guidance as we are all dedicated Christians here which helps” Koinonia H60-H11 S14597 Koinonia V242927 110805 Stage 4.doc Version 1.40 Page 10 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 7,8,9 Residents health, personal and social cares needs are recorded in an individual plan of care. Medication was being safely stored and suitably recorded. Residents said staff members treat them with respect at all times. EVIDENCE: Samples of care plans seen by the inspector were detailed and reviewed monthly with the resident. Residents said they could see the GP when they wished and the district nurse called as required to attend to dressings. Residents who wish to retain responsibility for their own medication can do so following a risk assessment. Comments from residents included “ I like everything about the home… staff are wonderfully kind and caring… The staff are very kind to us …and the manager is very approachable”. Koinonia H60-H11 S14597 Koinonia V242927 110805 Stage 4.doc Version 1.40 Page 11 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 14,15 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 high standard, and offers a choice of menu, with people are able to eat either with other residents or in their own room should they prefer. EVIDENCE: Koinonia H60-H11 S14597 Koinonia V242927 110805 Stage 4.doc Version 1.40 Page 12 There is a programme of activities on offer, which seems to meet with the resident’s approval. The majority of residents told the Inspector that they felt they were free to choose, no restrictions were placed upon them. One resident said she enjoyed knitting for charity another resident said she enjoyed the special celebratory parties the home provided. Outings to various places of interest are available often, for the residents. There is no charge for this service. A boat trip, a visit to the wild fowl trust followed by a cream tea and a trip to devils dyke have all proved popular of late. One resident said” I enjoy reading, the staff are so kind and bring me several large print books for me to choose from” Another resident said” I like it here because it is a Christian home and we have epilogue every night which is lovely” The inspector noted that the meal was served on hot plates and in a way to encourage appetites. One resident told the Inspector that “the food was good” and another said that she “enjoyed the mixture of vegetables that were available” One resident said “ I had minced chicken and vegetables because I don’t like fish” “ Another resident said it is my favourite bread and butter pudding today” From direct observation, the Inspector noted that the mealtime appeared to be unhurried, with residents being afforded sufficient time to eat their meal. Fresh cakes were available for the resident’s tea. The Cook has worked at the home for sometime and therefore knew the likes and dislikes of the residents. Koinonia H60-H11 S14597 Koinonia V242927 110805 Stage 4.doc Version 1.40 Page 13 Complaints and Protection The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 16,18 Residents said the management team listens to them. Training sessions for staff, a complaints book, plus policies and procedures regarding abuse, ensure that, as far as is possible, the people who live at Koinonia are protected from bad practice. EVIDENCE: The Commission has received no complaints since the previous inspection. Resident told the inspector that they knew who was in charge and that they would not hesitate to approach them if they had any concerns. Residents meetings are held where residents are encouraged to voice their opinions either in person or collectively. No complaints have been made to the Commission for Social Care Inspection Several residents said, “ There is nothing to complain about” The manager confirmed his understanding of Protection Of Vulnerable Adults and how necessary it was to ensure staff working in the home, were suitable to work with vulnerable people. Staff files contained the relevant documentation, including Criminal Records Bureau enhanced checks. Koinonia H60-H11 S14597 Koinonia V242927 110805 Stage 4.doc Version 1.40 Page 14 Environment The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 19,26 Residents live in a safe, well-maintained environment Standards of hygiene and cleanliness are high throughout the home. EVIDENCE: The inspector toured the building and spoke to staff and residents to gain an insight into what it was like to live in the home. All residents said they enjoy the “setting “ of the home, which provides an opportunity to visit the town centre town or the seafront. It was evident that residents felt the position of the home added to their quality of life. The manager confirmed that the home meets the requirements of the local Fire Service and Environmental Health Officer department. Radiator guards have been fitted as appropriate throughout the home to prevent residents burning themselves. A programme of decorating continues to improve the facilities available to the residents. A resident said, “ They are so good the friendliness is like home from home” Koinonia H60-H11 S14597 Koinonia V242927 110805 Stage 4.doc Version 1.40 Page 15 Staffing The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission considers Standards 27, 29, and 30 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 27,28,30 Koinonia is adequately staffed with employees who appear competent to care for older people. National Vocational Qualification is on going and further development training is expected. All training is recorded on staff member’s files. EVIDENCE: The duty rota seen showed which staff members are on duty during the day and night. Domestic staff are employed in sufficient numbers to ensure that the standards relating to good food and cleanliness is adhered to. Three staff, members were spoken with in private and they all said that they enjoyed caring for the residents and that Koinonia is a nice place to work. Comments included” I feel supported by the manager and I have no complaints”… We all care for on another.” A new care assistant said, “ I have received induction training and support and guidance” 59 of the care staff have obtained training in National Vocational Qualification level 2 and 3, to ensure they have the skills and knowledge to do their job in a professional manner. The inspector was shown the training budget for this year. Records and certificates were available in respect of mandatory training in Manual Handling, Basic First Aid, Food Hygiene, Fire and Health and Safety. Koinonia H60-H11 S14597 Koinonia V242927 110805 Stage 4.doc Version 1.40 Page 16 Management and Administration The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. Service users’ rights and best interests are safeguarded by the home’s record keeping, policies and procedures. The health, safety and welfare of service users and staff are promoted and protected. The Commission considers Standards 33, 35 and 38 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 31,32,33,37 Mr Royston, the Registered Manager, is experienced in working with older people. Records needed for the safe running of a care home are kept up to date. Policies and procedures are available for staff members to refer to, to ensure the safety of the people who live and work at Koinonia. EVIDENCE: All the residents confirmed to the Inspector, that Mr Royston is extremely approachable and supportive. The staff members that the Inspector spoke to echoed this. Residents told the Inspector that they liked the way Koinonia was run. Mr Royston has obtained National Vocational Qualification level 4 in Care management and Mrs Royston is a qualified nurse and National Vocational Qualification Assessor. Koinonia H60-H11 S14597 Koinonia V242927 110805 Stage 4.doc Version 1.40 Page 17 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME ENVIRONMENT Standard No 1 2 3 4 5 6 Score Standard No 19 20 21 22 23 24 25 26 Score 3 x 3 x x x HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 3 10 x 11 x DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 x 13 x 14 3 15 4 COMPLAINTS AND PROTECTION 3 x x x x x x 3 STAFFING Standard No Score 27 3 28 4 29 x 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score Standard No 16 17 18 Score 3 x 3 3 3 3 x x x 3 x Koinonia H60-H11 S14597 Koinonia V242927 110805 Stage 4.doc Version 1.40 Page 18 Are there any outstanding requirements from the last inspection? STATUTORY REQUIREMENTS This section sets out the actions which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1. Standard Regulation Requirement Timescale for action RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1. Refer to Standard Good Practice Recommendations Koinonia H60-H11 S14597 Koinonia V242927 110805 Stage 4.doc Version 1.40 Page 19 Commission for Social Care Inspection 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. 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