Inspection on 07/12/05 for Koinonia

This inspection was carried out on 7th December 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 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 Mrs V Gay Unannounced Inspection 7th December 2005 10:00a 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.V265159.R01.S.doc Version 5.0 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.V265159.R01.S.doc Version 5.0 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 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.V265159.R01.S.doc Version 5.0 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 11th August 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.V265159.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was the second 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 10 o’clock and lasted three hours. At this inspection the Inspector looked at standards that were not looked at during the previous inspection, as well as any outstanding issues from the last report. The reader is advised to look at the reports of both inspections for a full picture of the home. Where there have been no changes, the report remains the same. During this inspection the Inspector toured the building, visited several bedrooms and joined the residents for coffee. As well as talking to the Manager and five of the staff members, the Inspector spoke at length to 12 of the 24 residents, plus a church minister and three visitors. The Inspector examined records about the care being provided to residents; as well as records of new care staff employed since the previous inspection. Mr Royston (the Registered Manager) and his staff team were very helpful throughout the inspection. What the service does well: What has improved since the last inspection? What they could do better: Koinonia DS0000014597.V265159.R01.S.doc Version 5.0 Page 6 Due to the high level of satisfaction expressed by the residents, it is difficult to ascertain what the home could do better. The manager was advised to ensure the Quality Assurance policy, which is operational, is evidenced, and an audit done of residents and other interested parties’ feedback. The manager informed the inspector that plans had been submitted to increase the size of the dining room and to add a further two en-suite bedrooms. This would include replacing the badly worn carpeting in the dining room, which has not been replaced because of the pending building works. 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.V265159.R01.S.doc Version 5.0 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.V265159.R01.S.doc Version 5.0 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): None of these standards were assessed at this inspection, however they were all met at the previous inspection. EVIDENCE: Koinonia DS0000014597.V265159.R01.S.doc Version 5.0 Page 9 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 7,8, Residents health, personal and social cares needs are recorded in an individual plan of care. Residents have access to all health related services. EVIDENCE: Samples of care plans seen by the inspector were up to date and informative. Staff members told the inspector that they made daily entries to record any change in the residents’ well being. Handovers meetings between shifts are also done to ensure a continuity of care. Residents said they could see the GP when they wished and that they had access to other health related services. Residents who wish to retain responsibility for their own medication can do so, following a risk assessment. Comments from residents included “the staff could not be kinder…even though we have different temperaments we all get along so well…the manager is approachable at all times “ Koinonia DS0000014597.V265159.R01.S.doc Version 5.0 Page 10 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): 12,13, 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, people are able to eat either with other residents or in their own room, should they prefer. EVIDENCE: Residents said that 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. The Inspector spoke to many residents, several of whom used to live in the area and they told the Inspector that they have remained in touch with their friends, neighbours etc. A visitor spoken to on the day of inspection said that she visited her friend in the home where she once worked. Other visitors spoke highly of the home and no concerns were raised. Koinonia DS0000014597.V265159.R01.S.doc Version 5.0 Page 11 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): 16,17,18 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. Residents and their relatives or representatives are confident that their complaints will be listened to and taken seriously. EVIDENCE: The Commission has received no complaints in respect of Koionina. A complaints’ procedure is made available to everyone. A 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. Committee members and the Responsible Individual, Reverend Billett, visit the home regularly. Several residents said, “ There is nothing to complain about” The manager is aware of Protection Of Vulnerable Adults and how necessary it is to ensure that staff working in the home were suitable to work with vulnerable people. The new staff files contain the relevant documentation, including Criminal Records Bureau enhanced checks. Koinonia DS0000014597.V265159.R01.S.doc Version 5.0 Page 12 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, 20,21,22,23,24, & 25 Residents live in a safe, well-maintained environment and have access to safe and comfortable indoor and outdoor communal facilities. Residents have sufficient and suitable lavatories and washing facilities, and access to the specialist equipment, if they require to maximise their independence. Standards of hygiene and cleanliness are high throughout the home. Residents’ rooms were attractively presented, with a private en-suite toilet, which residents said they appreciated. 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. Koinonia DS0000014597.V265159.R01.S.doc Version 5.0 Page 13 Several rooms were visited by the Inspector to ensure that the environment was safe and comfortable for residents, and residents told the Inspector how pleased they were with their bedrooms. It was seen that all of the 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 to residents. Koinonia DS0000014597.V265159.R01.S.doc Version 5.0 Page 14 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): 27,28,29, &30 Koinonia is adequately staffed, with employees who appear competent to care for older people. National Vocational Qualification training is on going and further development training is expected. All training is recorded on staff members’ files. Residents are in safe hands at all times. EVIDENCE: The duty rotas 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 are adhered to. Staff members, who were spoken with in private, said that they enjoyed caring for the residents and that Koinonia is a nice place to work. Staff comments included the following: ” It is a nice home and residents are well cared for”, a new care assistant said, “ I have received induction training, support and guidance”. 61 of the care staff have 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 the Inspector was told that all staff members, who administer medication, had received the appropriate training. Koinonia DS0000014597.V265159.R01.S.doc Version 5.0 Page 15 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): 32,34,36, & 37 The Registered Manager is qualified, competent and experienced to run the home. 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. Residents are safeguarded by the accounting and financial procedures of the home. Staff are appropriately supervised. Residents’ rights and best interests are protected, by the home’s record keeping, policies and procedures. EVIDENCE: All the residents confirmed to the Inspector, that Mr Royston is available and supportive. The staff members 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 DS0000014597.V265159.R01.S.doc Version 5.0 Page 16 The inspector saw that 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 were seen to be in place and the records seen were kept up to date and secure. It was seen that staff members receive supervision on a regular basis and that they sign each supervision session. Koinonia DS0000014597.V265159.R01.S.doc Version 5.0 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 Standard No Score 1 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 X X X X X X HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 X 10 X 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 3 18 3 3 3 3 3 3 3 3 X 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 X 3 X 3 X 3 3 X Koinonia DS0000014597.V265159.R01.S.doc Version 5.0 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. 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. Refer to Standard Good Practice Recommendations Koinonia DS0000014597.V265159.R01.S.doc Version 5.0 Page 19 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.V265159.R01.S.doc Version 5.0 Page 20 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. The policy of www.bestcarehome.co.uk is to use all legal avenues to pursue such offenders, including recovery of costs. You have been warned!