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Inspection on 20/10/06 for Kynaston Court

Also see our care home review for Kynaston Court for more information

This inspection was carried out on 20th October 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.

What follows are excerpts from this inspection report. For more information read the full report on the next tab.

What the care home does well

There is written information for service users about the home, which all new service users are given. The manager meets service users before they move in to check the home is suitable and could give them the care they need. The home looks after service users well. The help that each person wants and needs is written in a care plan so that staff know their needs. Staff also check any risks to help to keep them as safe as possible. Service users are involved in making their own plan and say they can make everyday decisions. They like living at the home and say that staff treat them well. One wrote in a survey about the home "I get wonderful care all the time". Service users can choose what they do and can go out if and when they wish. Staff help them to keep in touch with their families and friends and make them welcome in the home. They choose meals and say they really like the food. Staff support service users to stay well and to have health care checks and go for medical appointments. They also look after their medicines safely. Service users feel they can talk to staff and say they always listen and know they would sort out any problems. Staff know what to do if there is a concern. The home is clean, fresh, well kept and comfortable. Service users like their bedrooms and the lovely gardens. They can have their own things in their bedroom and there are aids to help them move around the home easier. Staff receive training to help them care for service users better and keep them safe. They have good support from the manager. The home checks out new staff before they start work at the home to make sure they are suitable. The manager is experienced and qualified and the home is well run. The manager and staff work together for the benefit of service users and there is an open management approach, which service users and staff like.

What has improved since the last inspection?

The home has changed since the last inspection and now offers care only to people with learning disabilities. Staff have had relevant training and there are policies and guidance in the home to help them provide good care and support. The bedrooms are now all single and there are only ten. Some bedrooms have had an en-suite toilet fitted. Parts of the home are being re decorated to make them brighter and look nicer for service users.

What the care home could do better:

The manager and provider should continue to regularly check how all aspects of the home are run and what service users and other people want from the home. They must use this information to make a plan about how the service will develop and become better for service users.

CARE HOME ADULTS 18-65 Kynaston Court Kynaston Court Hentland Ross-on-wye Herefordshire HR9 6LP Lead Inspector Christina Lavelle Unannounced Inspection 20th October 2006 1:30 Kynaston Court DS0000024720.V308375.R01.S.doc Version 5.2 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 Kynaston Court DS0000024720.V308375.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 Adults 18-65. 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. Kynaston Court DS0000024720.V308375.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Kynaston Court Address Kynaston Court Hentland Ross-on-wye Herefordshire HR9 6LP 01989 730678 01989 730664 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) Mrs Monika Maria Swaine Mrs Brenda Carole Wetton Care Home 10 Category(ies) of Learning disability (10) registration, with number of places Kynaston Court DS0000024720.V308375.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. Service users should be at least thirty, and may be over sixty-five years of age. N/A Date of last inspection Brief Description of the Service: Kynaston Court was built as a college of theology and was first registered as a care home in 1984. The provider is Mrs Monika Swaine who has been a registered person in respect of the home since 1987. In April this year the service provided was changed from caring for mostly older people to offering accommodation with personal care to people with learning disabilities. The home is now registered for ten adults (men and women) who must require care due to learning disabilities. The home’s statement of purpose specifies that the home’s layout and facilities would be more suitable for people aged at least thirty, who were previously living independently or with their family. Also that service users will not display very aggressive or disruptive behaviours. The home is in a rural location in the village of Kynaston, which is six miles from the market town of Ross-on Wye. There are no village facilities close by, although a main bus route, a shop/post office and two pubs are within about half a mile. The property is a large, detached period house, which has had a modern annexe built on. The home is in a lane and has about an acre of mature and well-maintained gardens, with lovely views over open countryside. The accommodation available for service users is on the ground and first floor, and there is a chair lift to access the upper floor. Service users all have single bedrooms (five on each floor) and six of them have en-suite facilities. There are two sitting rooms, a dining room, several bathrooms/WCs and a substantial conservatory for everyone to use. The gardens are accessible and have a large patio area, providing a suitable, safe and pleasant area for service users. Information about the home is provided for prospective service users within a service user’s guide and a scrapbook with photographs of the home and staff. The current scale of charges for the service ranges from £950.00 to £1275.00, depending on each service users’ needs and as agreed by the home and their funding authority. Additional costs include for private chiropody, newspapers & magazines, personal toiletries, clothes and sweets. Kynaston Court DS0000024720.V308375.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This visit is part of a key inspection of Kynaston Court. This means that the inspector checked all the Standards which can have the most effect on service users. There were two people living at the home at this time and so the visit only took about four hours and was made unannounced on a Friday afternoon. The inspector met both service users in private to find out what they think of the home. Time was spent with the manager to discuss how the home is run and with two care staff individually. They were asked about working at the home, about service users’ care, and their training and the support they get. Everyone was very welcoming and helpful and gave very useful information. Some relevant records kept by the home and parts of the building that service users live in were looked at. All information received by the Commission about the home since the service changed in April is also considered. This includes any events that had affected service users and a questionnaire the manager had completed before the inspection with details of the current service. One service user had also filled in a survey with their comments about the home. What the service does well: There is written information for service users about the home, which all new service users are given. The manager meets service users before they move in to check the home is suitable and could give them the care they need. The home looks after service users well. The help that each person wants and needs is written in a care plan so that staff know their needs. Staff also check any risks to help to keep them as safe as possible. Service users are involved in making their own plan and say they can make everyday decisions. They like living at the home and say that staff treat them well. One wrote in a survey about the home “I get wonderful care all the time”. Service users can choose what they do and can go out if and when they wish. Staff help them to keep in touch with their families and friends and make them welcome in the home. They choose meals and say they really like the food. Staff support service users to stay well and to have health care checks and go for medical appointments. They also look after their medicines safely. Service users feel they can talk to staff and say they always listen and know they would sort out any problems. Staff know what to do if there is a concern. The home is clean, fresh, well kept and comfortable. Service users like their bedrooms and the lovely gardens. They can have their own things in their bedroom and there are aids to help them move around the home easier. Kynaston Court DS0000024720.V308375.R01.S.doc Version 5.2 Page 6 Staff receive training to help them care for service users better and keep them safe. They have good support from the manager. The home checks out new staff before they start work at the home to make sure they are suitable. The manager is experienced and qualified and the home is well run. The manager and staff work together for the benefit of service users and there is an open management approach, which service users and staff like. What has improved since the last inspection? What they could do better: Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. Kynaston Court DS0000024720.V308375.R01.S.doc Version 5.2 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–5) Individual Needs and Choices (Standards 6-10) Lifestyle (Standards 11-17) Personal and Healthcare Support (Standards 18-21) Concerns, Complaints and Protection (Standards 22-23) Environment (Standards 24-30) Staffing (Standards 31-36) Conduct and Management of the Home (Standards 37 – 43) Scoring of Outcomes Statutory Requirements Identified During the Inspection Kynaston Court DS0000024720.V308375.R01.S.doc Version 5.2 Page 8 Choice of Home The intended outcomes for Standards 1 – 5 are: 1. 2. 3. 4. 5. Prospective service users have the information they need to make an informed choice about where to live. Prospective users’ individual aspirations and needs are assessed. Prospective service users know that the home that they will choose will meet their needs and aspirations. Prospective service users have an opportunity to visit and to “test drive” the home. Each service user has an individual written contract or statement of terms and conditions with the home. The Commission consider Standard 2 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 1&2 Quality in this outcome area is good. This judgement has made using available evidence, including this visit to the service. Information is provided to help prospective service users decide if they might like to live at Kynaston Court and if the home could suitably meet their needs. Thorough assessment and admission procedures are followed to make sure the home would be able to meet the needs and goals of new service users. EVIDENCE: The home provided an appropriate statement of purpose and a service users’ guide when the change in service was agreed. Service users confirmed they had been given these documents when the manager visited them before they moved in. As one person was not able to travel to visit the home the manager made up a scrapbook, with photographs of the home and staff to show him. Their relative (who they previously lived with) and a social worker also visited the home to look around and meet staff on their behalf. The manager described the referral, assessment and admission processes followed for the new service users. One person had been living independently, but this had broken down, which meets with the eligibility criteria specified in the statement of purpose. Information about the prospective service users Kynaston Court DS0000024720.V308375.R01.S.doc Version 5.2 Page 9 and their care needs had been obtained from their current placement. copies of the community care assessments made by their social workers. Also The manager made several visits to meet them at their current residence and to carry out a full needs assessment for the home. Staff confirmed they had seen all the relevant information so they knew about their background and needs before they visited the home. In view that one service user lived a long way from Kynaston a weekend introductory stay was arranged at the home, however he decided he wanted to stay at the home and this was agreed. Service users’ individual and diverse needs are clearly recognised by the home. As one person also has physical difficulties an Occupational Therapist (OT) visited the home before they moved in to assess the environment’s suitability. Although this person does have their own mobility aids and the home already provided a bath hoist, as the OT recommended additional grab rails were fitted in their bedroom before they were admitted to help them move about easier. Following their assessment service users had agreed with the home that their first twelve weeks would be considered as a trial stay. This is included in the terms & conditions document signed by the home and service users and that were seen in their care records. At the end of the three months trial period review meetings have been arranged to discuss if the home is suitable and so if the placements will continue. These reviews will involve the home, service users, their social workers and one person’s relative and if confirmed contracts will then also be agreed with their funding authorities. It is good that both service users say they are happy at the home and they hope to be able to stay living there. Also that staff report they have settled in well and how much they have improved physically since their admission, and are being encouraged to do as much for themselves as they can. Kynaston Court DS0000024720.V308375.R01.S.doc Version 5.2 Page 10 Individual Needs and Choices The intended outcomes for Standards 6 – 10 are: 6. 7. 8. 9. 10. Service users know their assessed and changing needs and personal goals are reflected in their individual Plan. Service users make decisions about their lives with assistance as needed. Service users are consulted on, and participate in, all aspects of life in the home. Service users are supported to take risks as part of an independent lifestyle. Service users know that information about them is handled appropriately, and that their confidences are kept. The Commission considers Standards 6, 7 and 9 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 6, 7 & 9 Quality in this outcome area is good. This judgement has made using available evidence, including this visit to the service. Service users each have a care plan they are involved in, which show all their needs and wishes and any action and help they need from staff to meet them. Service users are able to make choices and decisions in their daily lives and routines. Staff encourage their independence and also consider any risks to minimise possible risks to their safety. EVIDENCE: Both service users’ care records were checked. They include a full assessment of each person’s care needs at the time of their admission. Also details of their social and family history, a personal profile and a care plan. The plans cover all relevant areas of need, including personal care, health, mobility, social/cultural, daily living skills and relationships. They detail their needs, objectives and any action needed from staff to meet them. Service Kynaston Court DS0000024720.V308375.R01.S.doc Version 5.2 Page 11 users confirmed their needs, aims and wishes have been discussed with them when their plans were drawn up. They have also signed each part of the plan. The manager and staff discussed (and the plan format shows) that plans will be regularly reviewed and updated and this will include recording any progress made to meet their objectives and goals. Staff also keep detailed reports of all significant events in service users’ lives, and have accident, incident, body and behavioural analysis forms to complete when necessary. This all provides information about service users’ progress and lives at the home. The home has also carried out relevant risk assessments in respect of each service user, such as smoking, road safety, management of their finances and moving & handling. They appropriately identify any risks to themselves and other people, whilst promoting their independence as much as possible. Service users have chosen a member of staff to be their keyworker and they have also been allocated a second person as co-worker. Keyworkers will take a lead role in care planning and reviews. Service users clearly get on well with them and all the staff team and say they are always consulted and decide what to do, when to get up and go to bed, what to eat etc. Questionnaires are also given to service users monthly for them to make comments and suggestions about the home. The manager plans to arrange monthly service users meetings when the home has more residents, to give them an opportunity to express their views and make decisions about the day to day running of the home. Kynaston Court DS0000024720.V308375.R01.S.doc Version 5.2 Page 12 Lifestyle The intended outcomes for Standards 11 - 17 are: 11. 12. 13. 14. 15. 16. 17. Service users have opportunities for personal development. Service users are able to take part in age, peer and culturally appropriate activities. Service users are part of the local community. Service users engage in appropriate leisure activities. Service users have appropriate personal, family and sexual relationships. Service users’ rights are respected and responsibilities recognised in their daily lives. Service users are offered a healthy diet and enjoy their meals and mealtimes. The Commission considers Standards 12, 13, 15, 16 and 17 the 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, 15, 16 & 17 Quality in this outcome area is good. This judgement has made using available evidence, including this visit to the service. It is difficult for service users to become part of the local community due to the home’s location. However they are offered the opportunity to go out and take part in activities if they want to and staff respect their chosen daily lifestyles. Staff support service users to keep in touch with their families and friends and ensure they have wholesome and healthy meals, which they choose and like. EVIDENCE: Both service users are aged well into their seventies and one person also has physical health and mobility problems. This clearly affects their ability and wish to take part in activities and go out within the wider community. Also work placements and college courses would not be appropriate. However the more active service user has been to visit a day service in Ross-on-Wye for older people with learning disabilities and is waiting for confirmation of a place. Kynaston Court DS0000024720.V308375.R01.S.doc Version 5.2 Page 13 The home provides a weekly activities chart for service users, although only one was completed. This shows he visits Ross-on-Wye three times a week and takes a daily newspaper. The service user said he likes this arrangement and spends the time in town shopping with staff and at the bookmakers, where he is now known and has made friends. Service users both said they are happy with the activities they take part in and they can do what they like and get on well with each other. They appreciate that staff have the time to sit and talk with them or play games, and that they would support them to go out for a walk or to the local pub or a car ride any time on request. When there are more service users the provider plans to purchase a people carrier vehicle. In the meanwhile staff use their cars to take service users on outings and to town. An adapted taxi has been hired for one person, although he can get into an ordinary car with assistance, but says he prefers to stay in. Service users say they spend time at home watching television, listening to the radio and reading and/or playing games and talking with staff. One person loves the garden and is looking forward to helping the gardener plant bulbs and also likes to feed the home’s cats. One service user’s plan includes that staff will transport him to visit his family and friends once a month. They live quite a distance away but he says he has agreed and is happy with this arrangement. He also telephones his social worker and friends regularly and staff escort him to the post office with letters. The other service user receives regular calls from a relative and they are made welcome when they visit. Recently the home made a special lunch for them and the other service users and staff on his birthday. Regarding food provided by the home an individual record of the meals service users receive is kept and a daily menu board is displayed. They indicate a good variety of mostly traditional and wholesome meals. Service users are able to choose their meals and both say the food is very good, one describing it as fantastic and that he can have whatever and whenever he wants. One person has a cooked breakfast every day and is able to make his own hot drinks in the kitchen when he wants to. Mealtimes are flexible, according to service users’ routines, although they usually eat their main meals together. Kynaston Court DS0000024720.V308375.R01.S.doc Version 5.2 Page 14 Personal and Healthcare Support The intended outcomes for Standards 18 - 21 are: 18. 19. 20. 21. Service users receive personal support in the way they prefer and require. Service users’ physical and emotional health needs are met. Service users retain, administer and control their own medication where appropriate, and are protected by the home’s policies and procedures for dealing with medicines. The ageing, illness and death of a service user are handled with respect and as the individual would wish. The Commission considers Standards 18, 19, and 20 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 18, 19 & 20 Quality in this outcome area is good. This judgement has been made using available evidence, including this visit to the service. Service users’ personal and health care needs are being met by staff and in a way that is respectful to them. Medicines are managed safely in the home. EVIDENCE: Service users’ care records detail their medical history and any current health problems. The home had appropriately arranged an introductory visit to the local GP practice for service users when they first moved to the home. Their care records show that staff are now supporting them with routine health care checks, such as the chiropodist and dentist and they have had a flu injection. One person also had a continence assessment carried out by a district nurse. Records are kept by the home of all health care input and of any physical checks carried out by staff when needed, such as a weight record. Plans also include the assistance each person needs with their personal care and service users say they receive any support they need and staff respect their privacy. Kynaston Court DS0000024720.V308375.R01.S.doc Version 5.2 Page 15 The home provides appropriate policies & procedures for the management of service users’ medicines. There is additional guidance on the use of homely medicines and when medicines may be given “as required”. All staff designated to administer medication in the home have undertaken a safe handling of medicines training session as required. Medicines were seen to be stored safely in the home and staff are keeping appropriate records of medicines kept, administered, received and when no longer required. Kynaston Court DS0000024720.V308375.R01.S.doc Version 5.2 Page 16 Concerns, Complaints and Protection The intended outcomes for Standards 22 – 23 are: 22. 23. Service users feel their views are listened to and acted on. Service users are protected from abuse, neglect and self-harm. The Commission considers Standards 22, and 23 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 22 & 23 Quality in this outcome area is good. This judgement has made using available evidence, including this visit to the service. Service users feel able to express their views and know any concerns would be dealt with. Appropriate steps are being taken by the home for their protection. EVIDENCE: The home has a suitable written complaints procedure, a copy of which service users have been given and confirm they understand. They also say they would feel able to talk to the manager and staff and be confident their views and any concerns would be listened to and dealt with properly. There are policies & procedures relating to abuse and adult protection including a copy of Herefordshire multi-agency procedures for protection of vulnerable adults (POVA). Staff interviewed are clear about their responsibility for the safety and protection of service users. The home must ensure however that all staff are familiar with the POVA procedures, as one staff member was unsure about them. This is so that staff know where and how to refer any incidence or suspicion of abuse or neglect of service users outside the home if necessary. The manager is trying to arrange a training session for the staff team from the local POVA co-ordinator, which will be beneficial and so the sooner the better. One service user manages their personal allowance and has a bank account and cash card. The other’s person’s finances are managed by a relative, with their agreement, and when they need money the home requests it. Records kept were checked and show all cheques received are receipted and any cash spent on service users behalf is signed by the service users and the home, with receipts kept. This is all regularly audited by the home’s accountant. Kynaston Court DS0000024720.V308375.R01.S.doc Version 5.2 Page 17 Environment The intended outcomes for Standards 24 – 30 are: 24. 25. 26. 27. 28. 29. 30. Service users live in a homely, comfortable and safe environment. Service users’ bedrooms suit their needs and lifestyles. Service users’ bedrooms promote their independence. Service users’ toilets and bathrooms provide sufficient privacy and meet their individual needs. Shared spaces complement and supplement service users’ individual rooms. Service users have the specialist equipment they require to maximise their independence. The home is clean and hygienic. The Commission considers Standards 24, and 30 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 24 & 30 Quality in this outcome area is good. This judgement has made using available evidence, including this visit to the service. Kynaston Court offers service users a well maintained and comfortable home, which suitably meets their needs. Staff make sure the accommodation is kept clean (for good infection control) and safe for service users’ health and welfare. EVIDENCE: Kynaton Court is in a fairly isolated rural location, however service users say this suits them and one person enthused about the lovely scenery and garden. The lanes around the home are nice and quiet and there is a local shop/post office, Church and pubs within half a mile for those able to walk or wheelchair. The impression overall of the home is bright, fresh and comfortable and service users say it is always warm, clean and tidy, which was found during this visit. The home is suitably furnished, fitted and equipped. Work is ongoing to maintain and improve the premises and the dining room is being redecorated currently. There are grab rails fitted, a chair lift, bath hoist and other aids and a call bell system provided to assist service users with physical difficulties. Kynaston Court DS0000024720.V308375.R01.S.doc Version 5.2 Page 18 Service users are encouraged to personalise and furnish their bedrooms. One person brought his own television and music centre and appreciates having ensuite facilities. The home provides policies & procedures for infection control and protective gloves for staff. There are suitable arrangements in place for the disposal of clinical waste. Kynaston Court DS0000024720.V308375.R01.S.doc Version 5.2 Page 19 Staffing The intended outcomes for Standards 31 – 36 are: 31. 32. 33. 34. 35. 36. Service users benefit from clarity of staff roles and responsibilities. Service users are supported by competent and qualified staff. Service users are supported by an effective staff team. Service users are supported and protected by the home’s recruitment policy and practices. Service users’ individual and joint needs are met by appropriately trained staff. Service users benefit from well supported and supervised staff. The Commission considers Standards 32, 34 and 35 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 & 35 Quality in this outcome area is good. This judgement has made using available evidence, including this visit to the service. Service users are supported by sufficient staff who have the experience and/or receive training and support to help them know, understand and meet their needs. Staff are clear about their role and work as a team to provide good care The home follows a thorough recruitment process and undertakes necessary checks to make sure new staff are suitable, for the protection of service users. EVIDENCE: Rotas show there are two staff on duty between 7.00am & 9.00pm, with one staff on waking duty during the night, when the manager is on call. This is considered to be an appropriate level to meet the two service users needs, which staff and service users confirmed. There is scope for staffing to increase as new service users are admitted, because the team comprises the manager, seven care staff and a former staff member available to provide relief cover. Staff interviewed understand their role and responsibilities and are committed to providing good care and responding to individual’s needs and wishes. One service user thinks the staff are wonderful and said they always listen and are respectful, such as knocking on his bedroom door. Staff feel they all work well Kynaston Court DS0000024720.V308375.R01.S.doc Version 5.2 Page 20 together and communication is good, through daily reports, a communication book and having regular staff meetings. Staff receive individual supervision and say there is always the manager or a senior to check things out with. A new staff member described their recruitment. This appropriately included completing an application form and attending for interview. A police check and two written references were then taken up, before they started an induction at the home. Their appointment will not be confirmed until they have undertaken a six-month probationary period. Records kept at the home were checked and relevant documents and checks are available as required and an induction and supervision/appraisal checklists. The manager said it is planned to set up an individual training profile for the new staff member once they are appointed. Induction included the new staff member meeting with service users and being shown fire and health & safety procedures. The home provides an induction checklist, which the manager went through with them. This included reading all the home’s policies & procedures, service users’ plans and risk assessments and guidance relevant to people with learning disabilities. They then had to work shadow shifts with staff and still always work with contracted staff. The new staff member is soon to undertake the LDAF induction programme (as the Standards specify), which is accredited especially for staff working in care with people who have learning disabilities. She plans to go on to NVQ. Since starting at the home she has attended an infection control course, taken part in a fire drill and received basic instruction about food hygiene and first aid. Until all the core training is completed she will continue to work with other staff Regarding training four staff recently completed a LDAF induction programme and three care staff have an NVQ qualification in care. Two other staff are now doing NVQ and all but the new staff member have completed first aid and safe medicines handling training. In respect of specialist training the manager has provided relevant guidance and will arrange any training that is needed and relates to service users individual needs. A training session for management of challenging behaviour is planned for the staff team in November. Kynaston Court DS0000024720.V308375.R01.S.doc Version 5.2 Page 21 Conduct and Management of the Home The intended outcomes for Standards 37 – 43 are: 37. 38. 39. 40. 41. 42. 43. Service users benefit from a well run home. Service users benefit from the ethos, leadership and management approach of the home. Service users are confident their views underpin all self-monitoring, review and development by the home. Service users’ rights and best interests are safeguarded by the home’s policies and procedures. 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 are promoted and protected. Service users benefit from competent and accountable management of the service. The Commission considers Standards 37, 39, and 42 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 37, 39 & 42 Quality in this outcome area is good. This judgement has made using available evidence, including this visit to the service. The home is well run by a suitably experienced and qualified manager. There is an open and positive management and staff approach, which helps to ensure service users’ individual rights are respected and they receive a good service. Systems are in place to monitor and review the home, which should result in a plan for the continual development of the service, based on what service users and other relevant people want. Appropriate steps are being taken to keep the home safe and protect service users and staff. EVIDENCE: The manager (Mrs Brenda Wetton) has more than twelve years experience working with people who have learning disabilities and has been a registered manger in three other care homes. Mrs Wetton has undertaken appropriate Kynaston Court DS0000024720.V308375.R01.S.doc Version 5.2 Page 22 training and has an NVQ 4 qualification. She has also attended many and varied training sessions relevant to the role. These include supervision and development, dementia, a Certificate in Safety, effective customer care, adult protection, epilepsy and the management of challenging behaviour. She is also an NVQ assessor and a moving & handling trainer and has a positive attitude to continuing her training and personal development. The home has a format for reviewing and monitoring relevant aspects of the service through monthly checks and questionnaires given to service users monthly asking their views of the home. The manager plans to extend this and for the service to be discussed in care reviews with relevant other people and regular service users meetings. This should provide the information necessary for monitoring and assuring the quality of the service, which must result in a plan for the continual development of the home that is based on the views of service users and other stakeholders. As the purpose of the service changed earlier this year the manager agreed that an annual plan would be produced and a copy made available to the Commission by next April. Regarding the way that the home is kept safe the information received before the inspection, some of which was cross checked showed the following: • The fire safety system is serviced annually as required. • A fire log is kept and the required tests and checks on the fire safety system and equipment were recorded as having being carried out at the specified intervals. • Fire drills are being arranged regularly. • Checks on water temperatures are carried out regularly. • Radiators are now all covered. • The home has COSHH risk assessments. • Accident and incident records are maintained There were no safety hazards seen in the environment during this visit and the evidence overall indicates due attention is paid to maintaining health & safety in the home, to protect and promote the welfare of service users and staff. Kynaston Court DS0000024720.V308375.R01.S.doc Version 5.2 Page 23 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Adults 18-65 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 3 2 3 3 X 4 X 5 X INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 3 23 3 ENVIRONMENT Standard No Score 24 3 25 X 26 X 27 X 28 X 29 X 30 3 STAFFING Standard No Score 31 X 32 3 33 X 34 3 35 3 36 X CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 3 3 X 3 X LIFESTYLES Standard No Score 11 X 12 3 13 3 14 X 15 3 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 X 3 3 X 2 X X 3 X Kynaston Court DS0000024720.V308375.R01.S.doc Version 5.2 Page 24 Are there any outstanding requirements from the last inspection? N/A STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider 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 to consider carrying out. No. 1 Refer to Standard YA39 Good Practice Recommendations The home should fully implement a quality assurance and reviewing system for the home. This should be based on the views of service users and other stakeholders and result in an annual plan for the continual development of the service. A copy of this plan should be submitted to the Commission by April 2007. Kynaston Court DS0000024720.V308375.R01.S.doc Version 5.2 Page 25 Commission for Social Care Inspection Worcester Local Office Commission for Social Care Inspection The Coach House John Comyn Drive Perdiswell Park, Droitwich Road Worcester WR3 7NW 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 Kynaston Court DS0000024720.V308375.R01.S.doc Version 5.2 Page 26 - 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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