Inspection on 24/02/06 for Thamesbrook

This inspection was carried out on 24th February 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

Thamesbrook 12/03/07

Thamesbrook 15/03/05

Thamesbrook 27/09/04

Similar services:

Henry Nihill House

Birchwood

The Infirmary

Orchard House Nursing Home

St Josephs Rest Home

Red Court Nursing Home

Spinney (The)

Queen Elizabeth House

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

CARE HOMES FOR OLDER PEOPLE Thamesbrook Royal Borough of Kensington & Chelsea 2 Dovehouse Street Chelsea London SW3 6LA Lead Inspector Peter Montgomery Unannounced Inspection 24th February 2006 10:30 X10015.doc Version 1.40 Page 1 The Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Reader Information Document Purpose Author Audience Further copies from Copyright Inspection Report CSCI General Public 0870 240 7535 (telephone order line) This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI www.csci.org.uk Internet address Thamesbrook DS0000033393.V285247.R01.S.doc Version 5.1 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. Thamesbrook DS0000033393.V285247.R01.S.doc Version 5.1 Page 3 SERVICE INFORMATION Name of service Thamesbrook Address Royal Borough of Kensington & Chelsea 2 Dovehouse Street Chelsea London SW3 6LA 020 7352 1004 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) Royal Borough of Kensington & Chelsea Mr Peter Donkin Care Home 56 Category(ies) of Dementia (20), Old age, not falling within any registration, with number other category (36) of places Thamesbrook DS0000033393.V285247.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION Conditions of registration: 1. Nursing beds are jointly funded with Kensington and Chelsea Primary Care Trust. 6th September 2005 Date of last inspection Brief Description of the Service: Thamesbrook is a large modern nursing home located in a residential area just off the Kings Road in Chelsea, the provider is the Royal Borough of Kensington and Chelsea. The home provides accommodation for up to 56 older people in five units over three floors. The ground floor comprises of the main reception area, the managers office, administration and ancillary areas. The five residential units are composed of a lounge and a dining area, plus a small kitchen. All bedrooms provide single accommodation, and are equipped with en- suite facilities. Specialist toilet and bathing facilities are also provided in each unit area. Externally there are very well maintained and attractive gardens to the side and rear of the home, plus a sheltered first floor patio. Limited on-site parking is available. Thamesbrook DS0000033393.V285247.R01.S.doc Version 5.1 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This unannounced inspection took place on Friday 24th. February 2006. Individual and communal areas were viewed, and both the people who live in the home and staff on duty were spoken to. In addition communal records were reviewed and were used to inform the report. What the service does well: 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. Thamesbrook DS0000033393.V285247.R01.S.doc Version 5.1 Page 6 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 Thamesbrook DS0000033393.V285247.R01.S.doc Version 5.1 Page 7 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): x EVIDENCE: This Standard was not reviewed at this inspection. Thamesbrook DS0000033393.V285247.R01.S.doc Version 5.1 Page 8 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): 7,8,9,10,11 Individual plans of care for each person are detailed and provide staff with the information need to meet individual needs. The participation of service users and their relatives is encouraged so that plans reflect as accurately as possible the needs and wishes of the individual. EVIDENCE: The records for six-service user were looked at, each containing a plan of care, describing the needs of the service user and how they were to be met by staff. There was evidence they were being reviewed regularly in consultation with appropriate care professionals, with service users changing needs re-assessed and reviewed regularly. Service users are also supported to make decisions and take risks as part of their independent lifestyle, and each person’s file contained an assessment of any areas where there was considered to be a risk and how these risks were to be addressed. Service users are involved in the development of the care plan and have agreed the objectives, and activities proposed. Thamesbrook DS0000033393.V285247.R01.S.doc Version 5.1 Page 9 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 Links with the community are good and they support and enrich service users social opportunities. Service users, particularly those with more specialised needs, benefit fully from a varied and stimulating range of activities and outings. EVIDENCE: There is evidence of a varied programme of activities, facilitated by staff and that staff accompany service users on outings where appropriate. Comments from service users confirmed that most considered activities good, particularly for those with specialised needs. The variety and quality of the meals provided are imaginative and include both vegetarian and ethnic choices, Menu planning, particularly in the variety and quality of the food available was considered very good, demonstrating that choice and individual preferences are well catered for in the home. This was evidenced by the service users spoken to, who said how much they enjoyed meals in the home. The home is commended for the quality of meals provided. Thamesbrook DS0000033393.V285247.R01.S.doc Version 5.1 Page 10 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 The home has a well-developed complaints system, there is considerable evidence that service users views are listened to and acted upon. EVIDENCE: All service users are given copies of the complaints procedure (in the service user guide) when they are admitted into the home, and a record of all complaints made in the home is retained on file by the manager. Service users spoken to are generally aware of the complaints process and some spoken tol stated they feel able to discuss concerns with staff. No complaints were recorded at the home since the last inspection. Thamesbrook DS0000033393.V285247.R01.S.doc Version 5.1 Page 11 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): 19,20,21,22,23,24,25,26 There have been significant changes to the décor and furnishings in the last year to improve facilities and services. Service users live in a pleasant environment. EVIDENCE: Facilities, furnishings, décor and standards of cleanliness throughout the home are all appropriate and well maintained. The home is modern, with accommodation arranged over the ground, first and second floors. Each unit has a lounge, dining area and small kitchen, in addition to specialist w.c. and bathing facilities. All bedrooms are single with en suite facilities and are individually decorated with personal memorabilia. Service users comments demonstrated they were satisfied with the standard of accommodation and their rooms in particular. Communal areas are all well decorated and maintained, in the last year the new laundry, treatment room and meetings rooms have been completed. In addition some communal areas have been recarpeted. Thamesbrook DS0000033393.V285247.R01.S.doc Version 5.1 Page 12 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 Service users benefit from a qualified and experienced team of staff at the home who have the skills and training to meet their needs. EVIDENCE: Staff competencies and friendliness was commented on by service users, and a number of staff have worked at the home for a number of years, building up a good level knowledge and understanding of the needs of service users. Staffing levels comprise of two registered nurses and four support workers on each of the units during the day. Support staff have undertaken training in essential areas, such as food hygiene, health and safety, and first aid, with a very good uptake in NVQ training. This commitment to staff development and training by the Authority is commended, and should ensure service users receive a good standard of support and care from the staff at the home. Thamesbrook DS0000033393.V285247.R01.S.doc Version 5.1 Page 13 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): 31,32,33,34,35,36,37,38 The manager has a development plan for the home and is well supported by senior staff. All staff are aware of their roles and responsibilities. EVIDENCE: Staff strive to achieve appropriate standards for the home and feedback from users of the service was positive. Individual competencies are enhanced by staff having a personal development plan, and completing training in essential areas, such as food hygiene, health and safety, medication administration, dementia awareness and first aid. Staff on duty stated regular meetings with residents are scheduled to determine their views, and access to external advocates is provided as required. A number of records were looked at, including care plans, risk assessments, staff rosters etc. These records were generally detailed and accurate, and record keeping overall demonstrated the home is being run responsibly with essential checks being made and acted upon. Thamesbrook DS0000033393.V285247.R01.S.doc Version 5.1 Page 14 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 3 10 3 11 3 DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 4 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 3 18 3 3 3 3 3 3 4 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 3 3 3 3 3 3 3 Thamesbrook DS0000033393.V285247.R01.S.doc Version 5.1 Page 15 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. 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 Thamesbrook DS0000033393.V285247.R01.S.doc Version 5.1 Page 16 Commission for Social Care Inspection Hammersmith Local Office 11th Floor, West Wing 26-28 Hammersmith Grove London W6 7SE 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 Thamesbrook DS0000033393.V285247.R01.S.doc Version 5.1 Page 17 - 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!