Inspection on 13/01/09 for The Kensington

This inspection was carried out on 13th January 2009.

CSCI found this care home to be providing an Good service.

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

The Kensington 18/01/08

The Kensington 08/12/06

The Kensington 10/02/06

The Kensington 07/10/05

The Kensington 31/03/05

The Kensington 05/10/04

The Kensington 17/03/04

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Extracts from inspection reports are licensed from CQC, this page was updated on 19/06/2009.

Inspecting for better lives Key inspection report Care homes for older people Name: Address: The Kensington The Kensington Care Home 340 Pelham Road Immingham North East Lincs DN40 1PU     The quality rating for this care home is:   two star good service A quality rating is our assessment of how well a care home, agency or scheme is meeting the needs of the people who use it. We give a quality rating following a full assessment of the service. We call this a ‘key’ inspection. Lead inspector: Theresa Bryson     Date: 1 3 0 1 2 0 0 9 This is a report of an inspection where we looked at how well this care home is meeting the needs of people who use it. There is a summary of what we think this service does well, what they have improved on and, where it applies, what they need to do better. We use the national minimum standards to describe the outcomes that people should experience. National minimum standards are written by the Department of Health for each type of care service. After the summary there is more detail about our findings. The following table explains what you will see under each outcome area. Outcome area (for example Choice of home) These are the outcomes that people staying in care homes should experience. the things that people have said are important to them: They reflect This box tells you the outcomes that we will always inspect against when we do a key inspection. This box tells you any additional outcomes that we may inspect against when we do a key inspection. This is what people staying in this care home experience: Judgement: This box tells you our opinion of what we have looked at in this outcome area. We will say whether it is excellent, good, adequate or poor. Evidence: This box describes the information we used to come to our judgement. Copies of the National Minimum Standards – Care Homes for Older People can be found at www.dh.gov.uk or bought from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering from the Stationery Office is also available: www.tso.co.uk/bookshop 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 Our duty to regulate social care services is set out in the Care Standards Act 2000. Care Homes for Older People Page 2 of 25 Reader Information Document Purpose Author Audience Further copies from Copyright Inspection report CSCI General public 0870 240 7535 (telephone order line) Copyright © (2009) Commission for Social Care Inspection (CSCI). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CSCI copyright, with the title and date of publication of the document specified. www.csci.org.uk Internet address Care Homes for Older People Page 3 of 25 Information about the care home Name of care home: Address: The Kensington 340 Pelham Road The Kensington Care Home Immingham North East Lincs DN40 1PU 01469571298 Telephone number: Fax number: Email address: Provider web address: sheilagh_kelly@yahoo.com Name of registered provider(s): Name of registered manager (if applicable) Mrs Gurdial Kaur Kelley Type of registration: Number of places registered: care home 37 Conditions of registration: Category(ies) : Number of places (if applicable): Under 65 dementia old age, not falling within any other category Additional conditions: that the home is able to accept two service users under the age of 65 years that the lower age limit of the two service users under the age of 65 years is 60 years of age Date of last inspection Brief description of the care home The Kensington Care Home is a combination of old and new single storey buildings. The home is situated in the centre of Immingham close to local amenities, post offices, pharmacies, newsagents and public houses. The home is on a main bus route giving access to Grimsby, Cleethorpes and outlying villages. The home is registered to support and provide services to thirty-seven people who fall into the category of old age, fifteen of whom could experience problems associated with dementia. The district nursing services provide any nursing input services users need. The accommodation Care Homes for Older People Page 4 of 25 0 0 Over 65 15 37 Brief description of the care home comprises of thirty-three single rooms, sixteen of which are en-suite and two shared rooms. Eleven of the single en-suite rooms are part of a new build that was completed at the beginning of 2004. The home has six bathrooms, two of which are equipped with walk-in showers and one of them has a Jacuzzi bath facility. There are two main lounges, one of which is situated in the new build, a separate dining room and a further small lounge, that is used for service users who wish to smoke. The home also has a small seating area close to the entrance that can be utilised as a quiet area for people to see their visitors. There are gardens to the front and rear of the home. The rear garden is a raised section accessible via a ramp and steps. In addition the home has an enclosed courtyard with garden furniture and a raised pond stocked with fish. There is ample car parking space at the front. Fees are reviewed annually. Items not included in the fee are toiletries, hairdressing, chiropody and transport. This is reviewed annually and may have changed since this report was written. Information about the services the home provides is kept in each of the service users bedrooms. The Statement of Purpose and Service Users Guide are located near the front entrance and given to each prospective service user prior t Care Homes for Older People Page 5 of 25 Summary This is an overview of what we found during the inspection. The quality rating for this care home is: Our judgement for each outcome: two star good service Choice of home Health and personal care Daily life and social activities Complaints and protection Environment Staffing Management and administration peterchart Poor Adequate Good Excellent How we did our inspection: The site visit for this service took place over one day in January 2009. Prior to this a number of surveys were sent to people using the service and staff. There was a good response and the comments helped to inform the inspection visit. The history kept by CSCI was also checked prior to the visit. Some health and social care professionals ere spoken to by telephone. The Annual Quality Assessment Audit was completed and sent in on time by the home and also informed us about improvements and work undertaken since the last inspection. During the site visit a number of people resident in the home, visitors, relatives and staff were spoken to. Care Homes for Older People Page 6 of 25 The Acting Manager was present through out the visit and a senior member of the Company for part of the visit. What the care home does well: What has improved since the last inspection? What they could do better: If you want to know what action the person responsible for this care home is taking following this report, you can contact them using the details set out on page 4. The report of this inspection is available from our website www.csci.org.uk. You can get printed copies from enquiries@csci.gsi.gov.uk or by telephoning our order line –0870 240 7535. Care Homes for Older People Page 8 of 25 Details of our 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) Outstanding statutory requirements Requirements and recommendations from this inspection Care Homes for Older People Page 9 of 25 Choice of home These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People are confident that the care home can support them. This is because there is an accurate assessment of their needs that they, or people close to them, have been involved in. This tells the home all about them and the support they need. People who stay at the home only for intermediate care, have a clear assessment that includes a plan on what they hope for and want to achieve when they return home. People can decide whether the care home can meet their support and accommodation needs. This is because they, or people close to them, have been able to visit the home and have got full, clear, accurate and up to date information about the home. If they decide to stay in the home they know about their rights and responsibilities because there is an easy to understand contract or statement of terms and conditions between them and the care home that includes how much they will pay and what the home provides for the money. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People are assessed prior to admission to see whether the home can cater for their needs. Evidence: Since the last inspection the home has received some new admissions and the latest persons care plan was tracked. This proved to be a very comprehensive document. The person had received an holistic assessment prior to admission to the home and this was undertaken by a senior member of the management team. the information gathered gave staff members a good insight to the persons immediate needs on which they could develop a more detailed care program. The home does not provide intermediate care and therefore Standard 6 is not Care Homes for Older People Page 10 of 25 Evidence: applicable. Care Homes for Older People Page 11 of 25 Health and personal care These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People’s health, personal and social care needs are met. The home has a plan of care that the person, or someone close to them, has been involved in making. If they take medicine, they manage it themselves if they can. If they cannot manage their medicine, the care home supports them with it, in a safe way. People’s right to privacy is respected and the support they get from staff is given in a way that maintains their dignity. If people are approaching the end of their life, the care home will respect their choices and help them feel comfortable and secure. They, and people close to them, are reassured that their death will be handled with sensitivity, dignity and respect, and take account of their spiritual and cultural wishes. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Peoples individual needs are regularly assessed and events accurately recorded. Evidence: Prior to the site visit a number of surveys were sent out to people using the service and staff. We were also able to speak to health and social care professionals prior to the visit. Very positive comments were made about the care being delivered. Such as i am truly happy living here and excellent care, well looked after. Also from professional agencies visiting the home, much improved, I like coming here now and staff have helped one person enormously, they are so much more independent. 4 care plans were tracked in depth and showed a great improvement not only in the legible recording of events, but the actual written content of the daily reporting. The daily record sheet is divided into sections, hence making staff think about all aspects of a persons daily life from personal hygiene to diet to activities and sleeping. This gives a very holistic view of a persons life. The main records are supplemented by other documents such as dependency assessments, skills assessments, falls risk Care Homes for Older People Page 12 of 25 Evidence: assessments and nutritional risks - to name a few. The follow through from each assessment and event which has taken place is more thorough. For example an accident is assessed by senior staff, the care plan need evaluated and action recorded, along with events on a daily basis written in the notes. Any extra help for example from district nursing staff is then recorded. This ensures that a persons individual need is closely monitored. Each key workers care plan is then audited on a regular basis to ensure events are up to date and there has been accurate recording to safe guard individuals. Safe practices were seen to be in place for the administration of medication when the administration sheets were checked and the storage of medication and training records of staff. A senior member of staff assisting us in this part of the inspection appeared to be very knowledgeable about the needs of individuals and how the home is liaising with GP practices to ensure they are receiving the correct medication to suit their needs. Staff were observed during the day giving personal care to individuals and assisting relatives to know more about their loved ones. On each occasion the staff were polite and treated each person with dignity and respect. Care Homes for Older People Page 13 of 25 Daily life and social activities These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: Each person is treated as an individual and the care home is responsive to his or her race, culture, religion, age, disability, gender and sexual orientation. They are part of their local community. The care home supports people to follow personal interests and activities. People are able to keep in touch with family, friends and representatives. They are as independent as they can be, lead their chosen lifestyle and have the opportunity to make the most of their abilities. People have nutritious and attractive meals and snacks, at a time and place to suit them. There are no additional outcomes. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Peoples social, cultural and religious expectations are being met. Evidence: There is now a much better range of activities available for people through out the week.Each person has a social profile which is up dated on a regular basis. In the absence of a current full time activities person, at the moment, staff are allocated on a daily basis to ensure peoples social, cultural and religious needs are being addressed.Activates recorded included groups events such as games, quizzes and entertainment events. And also individual sessions where staff have encouraged people to reminiscence about their lives and read to them. Relatives spoken to also said how they have been involved in outings, which their loved one and themselves have throughly enjoyed. Some people living at the home said how they preferred to be on their own, which they said staff were happy for them to do and as one person said I can do what I like, when I like,even if it is just reading, chatting and watching TV. When people were spoken to and in surveys returned to us, people said how much Care Homes for Older People Page 14 of 25 Evidence: they like the meals. They commented on the variety and quantity they receive. Some commented on the good old fashioned food, we havent been able to cook for so long. Others liked the care taken to ensure food is presented nicely. A tour of the kitchen showed that food is prepared in a clean and safe environment and by staff qualified to ensure people receive a balanced diet. A recent Environmental Health Officers visit showed that the home had received a 3 star rating. Staff were observed assisting people at a meal time, which they did in a calm and relaxed manner. Encouraging people to finish their meal and explaining the need to maintain a balanced diet. The care records also identified those with special dietary needs, which staff evaluated each day. Care Homes for Older People Page 15 of 25 Complaints and protection These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: If people have concerns with their care, they or people close to them know how to complain. Any concern is looked into and action taken to put things right. The care home safeguards people from abuse and neglect and takes action to follow up any allegations. People’s legal rights are protected, including being able to vote in elections. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. There is a robust system in place to ensure people are protected from abuse. Evidence: Since the last inspection there have been no complaints or concerns raised to us about the service. People, in surveys returned and when spoken to during the site visit said they felt very comfortable in approaching the senior staff and management team about any area of concern, should the need arise. The homes own complaints log also showed no complaints received. Staff had received up dated training, according to their records, in safe guarding people, so they would now know how to recognize an abusive situation and how to refer this on to the appropriate authorities. Care Homes for Older People Page 16 of 25 Environment These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People stay in a safe and well-maintained home that is homely, clean, pleasant and hygienic. People stay in a home that has enough space and facilities for them to lead the life they choose and to meet their needs. The home makes sure they have the right specialist equipment that encourages and promotes their independence. Their room feels like their own, it is comfortable and they feel safe when they use it. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People live in a safe and comfortable environment. Evidence: Since the last inspection the home has undertaken some major refurbishment work, which has made the environment look clean and fresh. Major redecoration work was about to commence in one of the sitting room areas. One of the other sitting rooms had not long been refurbished in calming green and cream colors. People sitting there looked relaxed and happy. New door stops and door closures had also been purchased, with an on going program of buying in place, to ensure fire regulations can be met when people wish to have their doors open all day. The use of wedges in doors had ceased. The staff had also completed risk assessments for peoples safety so there were also seen to be in place special alarms.For example if a person should get out of bed, when they are unable to do so, an alarm will sound to alert the staff to immediately go to their assistance. We were given a copy of the planned maintenance program for 2009- 2010 to see, which covered all areas of the home, to ensure it is always a safe and comfortable place in which to live. Care Homes for Older People Page 17 of 25 Evidence: There is a large car park and colorful garden borders to the front of the building, which was hazard free. An inner court yard had a sitting area, pond (covered) and tubs. to the rear of the building is a large garden area, which a local college has taken on as a project. It is hoped this will be a colorful addition to the home. People spoken to said how even though the home is situated on the main thoroughfare to a small suburb, the gardens made it same like the middle of the country. A relative stated how useful it was in the summer to have access to the garden areas for someone who is wheelchair bound. Care Homes for Older People Page 18 of 25 Staffing These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have safe and appropriate support as there are enough competent staff on duty at all times. They have confidence in the staff at the home because checks have been done to make sure that they are suitable to care for them. Their needs are met and they are cared for by staff who get the relevant training and support from their managers. There are no additional outcomes. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. A robust recruitment system is in place to ensure people are looked after by suitably qualified staff. Evidence: When speaking to people resident in the home and on surveys returned they said how their care needs are being addressed at all times. Relatives remarked about the excellent care and how well looked after mum is. The rotas are carefully monitored by the management team to ensure sufficient staff are on duty at all times to meet peoples needs. Apart from the staff delegated to caring duties, the home has a large number of ancillary staff to maintain and keep the home clean and safe. This then does not detract care staff from addressing peoples current needs. To ensure staff can do their jobs the management team completes a staffing audit on all staff to ensure their training needs are kept up to date. They negotiated with outside agencies to provide training modules and also use the Skills for Care booklets. These are coupled with in house training and distance learning packages. The training records showed that all mandatory training was up to date and the home was now looking at more specific training topics such as infection control to ensure staff keep up to date to address the needs of each individual in the home. Staff also said in their survey forms and when speaking to them how various training topics had helped Care Homes for Older People Page 19 of 25 Evidence: them enhance their practice and keep up to date with new ways of caring for individuals. A robust system is in place to ensure safety checks are made on staff prior to commencement of employment and they can then safely look after people in the home. There was sufficient evidence in the 4 staff personal files seen to show this takes place. Care Homes for Older People Page 20 of 25 Management and administration These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have confidence in the care home because it is led and managed appropriately. People control their own money and choose how they spend it. If they or someone close to them cannot manage their money, it is managed by the care home in their best interests. The environment is safe for people and staff because appropriate health and safety practices are carried out. People get the right support from the care home because the manager runs it appropriately with an open approach that makes them feel valued and respected. The people staying at the home are safeguarded because it follows clear financial and accounting procedures, keeps records appropriately and ensures their staff understand the way things should be done. They get the right care because the staff are supervised and supported by their managers. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People live in a secure and comfortable environment where their views are sought at all times. Evidence: The management team ensure that all auditing processes are in place and peoples views are sought to ensure the home is being run for the benefit of people resident in the home. A full quality assurance policy and process is in place to ensure that not only people using the service, but other stakeholders such and health and social care professionals and staffs views are also sought. For example one survey completed was about laundry services and when the results were collated action taken. in this case a minor adjustment was made to the laundry provision. The personal allowance records of people resident in the home were checked and also Care Homes for Older People Page 21 of 25 Evidence: the Comfort fund, (used for social events). The records appeared accurate and these are now audited on a regular basis to ensure no fraudulent use of funds. A number of other records were also checked to ensure the home was a safe place to live and work. These included for example;- fire checks, safety certificates on equipment such as hoists and accident surveys. The home had a relaxed and calm atmosphere and people living there said how happy and secure they felt. Relatives also made such comments as we know mum is well cared for and feels safe. Health and social care professionals also stated how confident they feel that the home can deliver good care to people resident in the home. Care Homes for Older People Page 22 of 25 Are there any outstanding requirements from the last inspection? Yes £ No R Outstanding statutory requirements These are requirements that were set at the previous inspection, but have still not been met. They say what the registered person had to do to meet the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards No. Standard Regulation Requirement Timescale for action Care Homes for Older People Page 23 of 25 Requirements and recommendations from this inspection: Immediate requirements: These are immediate requirements that were set on the day we visited this care home. The registered person had to meet these within 48 hours. No. Standard Regulation Requirement Timescale for action Statutory requirements These requirements set out what the registered person must do to meet the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The registered person(s) must do this within the timescales we have set. No. Standard Regulation Requirement Timescale for action Recommendations These recommendations are taken from the best practice described in the National Minimum Standards and the registered person(s) should consider them as a way of improving their service. No. Refer to Standard Good Practice Recommendations Care Homes for Older People Page 24 of 25 Helpline: Telephone: 0845 015 0120 or 0191 233 3323 Textphone: 0845 015 2255 or 0191 233 3588 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk We want people to be able to access this information. If you would like a summary in a different format or language please contact our helpline or go to our website. Copyright © (2009) Commission for Social Care Inspection (CSCI). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CSCI copyright, with the title and date of publication of the document specified. Care Homes for Older People Page 25 of 25 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. 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!