Inspection on 27/06/07 for The Kings Court Nursing Home

This inspection was carried out on 27th June 2007.

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

The Kings Court Nursing Home 10/10/06

The Kings Court Nursing Home 07/02/06

The Kings Court Nursing Home 04/10/05

The Kings Court Nursing Home 21/03/05

The Kings Court Nursing Home 06/01/05

The Kings Court Nursing Home 20/02/04

Similar services:

Byars Care Home

St Marys Nursing Home

Bramble Lodge

Parkmanor Residential Home

Thornham Grove

Hunter`s Lodge

London Road Neurological and Specialist Care Unit

Carlton Care Home

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

CARE HOMES FOR OLDER PEOPLE The Kings Court Nursing Home Church Street Grantham Lincs NG31 6RR Lead Inspector Tobias Payne Key Unannounced Inspection 27th June 2007 08:25 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 The Kings Court Nursing Home DS0000002590.V340209.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 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. The Kings Court Nursing Home DS0000002590.V340209.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service The Kings Court Nursing Home Address Church Street Grantham Lincs NG31 6RR 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) 01476 576928 E_A_Barton@yahoo.com Barnsdale Bros. Limited Mr Phillip Edward Barton Care Home 29 Category(ies) of Old age, not falling within any other category registration, with number (29), Physical disability (29) of places The Kings Court Nursing Home DS0000002590.V340209.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. Service users in the category of PD should be 40 years of age and over. 10th October 2006 Date of last inspection Brief Description of the Service: The Kings Court Care Home is a purpose built privately owned care home providing nursing care for up to 29 service users. The homes registration enables the home to accommodate people within the category ‘Older People’ and ‘Physical Disability 40 Years and above’. Mr and Mrs Barnsdale (Barnsdale Bros. Ltd) are the registered providers and are actively involved in the running of the home. The registered manager Mr Phillip Barton, is a first level registered nurse and has many years experience as the manager of the home. The home is located in Grantham Town Centre. This enables people living in the home easy access to the local amenities. The accommodation is a purpose built and consists of mainly single rooms with 3 twin bedded rooms available. The home has limited parking within the grounds but additional car parking space for visitors is available in an adjacent car park belonging to the home. The home has a small garden with a patio area to one side of the building. Access to the building is wheelchair friendly and the registered providers have a wheelchair friendly car that enables residents to go out on trips and to attend appointments when they need to. The fees at the inspection visit on the 27/6/2007 ranged from £430 to £570 each week. Extras are for hairdressing which range from £1.50 to £10.50, chiropody £10, toiletries, personal newspapers and magazines. Information about the home can be obtained from the manager of the home. The Kings Court Nursing Home DS0000002590.V340209.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This key inspection visit was unannounced and started at 8.25 am. It was undertaken using a review of all the information available to us about The King’s Court Nursing Home. We spoke with 11 residents, 5 visitors, 6 staff and the deputy manager and manager. The main method of inspection was called “case tracking”. This involved selecting 2 residents and tracking the care they received through the checking of records, discussion with them, the care staff and observation of their care. We also examined the Annual Quality Assurance Assessment, which had been completed by the manager. 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. The summary of this inspection report can be made available in other formats on request. The Kings Court Nursing Home DS0000002590.V340209.R01.S.doc Version 5.2 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 The Kings Court Nursing Home DS0000002590.V340209.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 1, 3 and 6 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. There was information available to enable residents to make a choice as to whether or not to enter the home. People received an assessment, which resulted in their needs being met. EVIDENCE: The home had a statement of purpose and service user’s guide. A copy was given to each resident when coming into the home. There was a detailed admission procedure, which described the needs of residents coming into the home. The manager assessed all residents before entering the home. No one received written confirmation that based on the assessment the home was able to meet all their needs. The deputy manager agreed to address this. All people coming into the home were offered a trial visit. Residents commented, “I wanted to come here, I came for respite care liked it and decided to come here. Before I came here everything was explained to me about the home”. The home did not provide intermediate care. The Kings Court Nursing Home DS0000002590.V340209.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 7, 8, 9 and 10 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. There was a clear and detailed care planning system in this home. The health and welfare needs of people living in the home were fully met. Medicines were safely given by staff who knew what they were doing. EVIDENCE: Each person had care plans outlining their care and support needs. Care records showed admission details covering all aspects of daily living, nutritional and risk assessments. There was a daily record and evidence of regular evaluations of care. There were also monthly reviews of care. Care staff knew how to meet the often complex needs of the people in the home. They went about their work in a quiet, friendly, relaxed and professional manner. Medication was given by registered nurses all of whom had been assessed as competent to give medication. Medicines were stored and recorded correctly. There were 2 people who were taking their own medication under the supervision from staff. The last pharmacy visit was on the 17/5/2007. There were no concerns. Every resident and visitor we spoke to had confidence in the way care was given and were satisfied with the approach of staff. The Kings Court Nursing Home DS0000002590.V340209.R01.S.doc Version 5.2 Page 9 Comments made included, “If I need any help I only have to ask” and “I am very satisfied with the way the staff deal with my needs”. The Kings Court Nursing Home DS0000002590.V340209.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 12, 13, 14 and 15 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Social activities were varied and provide daily stimulation and interest for people living in the home. Visitors were made to feel welcome. Meals provided were nutritious and varied. EVIDENCE: Two members of staff who were also care assistants provide social activities. There was no written activities programme. However there were activities provided for each person taking into account the diverse needs and ages of the people in the home. Activities could be taken inside the home or outside the home as the home is very close to the centre of Grantham. The home also had its own wheelchair accessible transport, which can take people into town or to appointments. This was happening on the inspection visit when a member of staff was accompanying a resident to an appointment. There is a room set aside for hairdressing on the ground floor. The hairdresser was visiting on the inspection visit and spoke about how she enjoyed her work and how friendly and efficient the staff were. There was some information in the care records about social needs/life history. We spoke with 5 visitors on the inspection visit. All of them said they could visit whenever they wished to do so and always were made to feel welcome. Comments were, “I have total confidence in the staff” and “am very satisfied with the care”. The Kings Court Nursing Home DS0000002590.V340209.R01.S.doc Version 5.2 Page 11 There was a set menu but alternatives were available and people’s likes and dislikes were taken into account. No one had any complaints about the food. The home was awarded in February 2007 a very good “4 stars” food hygiene award from South Kesteven District Council for their catering service. Staff were seen to sit assisting those residents who could not feed themselves in a calm and sensitive manner. Comments from residents were, “the food is excellent, the way I like it” and “the food is very enjoyable”. The Kings Court Nursing Home DS0000002590.V340209.R01.S.doc Version 5.2 Page 12 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. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 16 and 18 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Complaints received were treated properly and residents and visitors knew that any complaints they had to make would be addressed and taken seriously. Staff were recruited correctly to ensure that residents were protected from abuse. EVIDENCE: Each person received a copy of the complaints procedure, which was in service user’s guide and also displayed on the wall at entrance to the home. No complaints had been received by the home or the commission since the last inspection. There was a complaints log in the reception area of the home, which allowed anyone to raise any concerns or complaints about the home. None of the residents or staff had any complaints about the home and felt they could discuss any concerns with staff or the manager. Staff also knew what to do if they received a complaint from a resident. Comments were ““I find staff always listen carefully and respond promptly”. All staff were correctly recruited including a check by the criminal records bureau (CRB). During their induction each member of staff received information about abuse and there was a copy of Lincolnshire’s Adult Protection Procedures. One member of the staff confirmed this information and knew what she should do if abuse was suspected. We observed throughout our visit that staff were polite and respectful when talking to or undertaking care duties with residents. The Kings Court Nursing Home DS0000002590.V340209.R01.S.doc Version 5.2 Page 13 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. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 19 and 26 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents lived in clean, well decorated, homely and safe accommodation. Any maintenance was promptly addressed. EVIDENCE: Since the last inspection a range of improvements have taken place to the home. This has included the decoration of bedrooms, the hairdressing room, all corridors and the treatment room. New curtains and quilts in bedrooms and a new carpet in the ground floor corridor. The home was clean, comfortable and odour free throughout. There were separate domestic staff who showed evident pride in what they were doing. Again, residents and visitors were very complimentary about the cleanliness in the home. Comments were, “this place is immaculate”. Rooms were seen to be personal with pictures, televisions and personal mementoes reflecting the resident’s personality. All residents and visitors were satisfied with the accommodation. The Kings Court Nursing Home DS0000002590.V340209.R01.S.doc Version 5.2 Page 14 The manager acknowledged the need to review the bathing facilities in the home in view of the changing needs of people using the home and in particular the observation by younger physically disabled people their need for a “wet”/shower room”. This was to be addressed in the future. In addition an external covered seating area was planned. The Kings Court Nursing Home DS0000002590.V340209.R01.S.doc Version 5.2 Page 15 Staffing The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users’ needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission consider all the above are key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 27, 28, 29 and 30 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home was adequately staffed with employees who were experienced and competent to care for people living in the home. Residents are protected by robust recruitment practices. EVIDENCE: Residents did not express any worries about the level or availability of staff. During the inspection staff were seen to promptly attend to residents needs. The manager monitored dependency and was able to employ more staff where required A member of staff confirmed they had been recruited in accordance with the regulations. This included a check by the criminal records bureau (CRB) and a supported induction programme. Staff commented, “I received a very warm and friendly welcome when I came here”, “I love working here” and “ I received a good, supported induction and was observed and helped throughout my induction”. Many staff had worked in the home for many years. All staff spoke of working as a team. Training had included since the last inspection, moving and handling, abuse (using video and back up training), health and safety, fire prevention, infection control, catheterisation and formal training in care to obtain National Vocational Qualifications. There were 50 of care staff who either had NVQ or were studying for this. The Kings Court Nursing Home DS0000002590.V340209.R01.S.doc Version 5.2 Page 16 The home also had link nurses for palliative care, continence, tissue viability and infection control. They met up with specialist nurses from the Lincolnshire Primary Care NHS Trust to share up to date practices. The Kings Court Nursing Home DS0000002590.V340209.R01.S.doc Version 5.2 Page 17 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. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 31, 32, 33, 35, 36 and 38 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home was well lead by a competent, well trained and committed management team. This had given rise to a confident, supported and trained staff team. Residents’ health and general welfare and safety are promoted. Residents and visitors have the opportunity to voice their views and opinions. EVIDENCE: The manager had been in post for many years and had extensive nursing and managerial experience. He was assisted by a deputy manager who also was a very experienced registered nurse. The owners of the home were actively involved in the home and gave their active support. Staff and residents and visitors had confidence in the management. Staff received supervision regularly and spoke of the support received from the manager and deputy manager. The Kings Court Nursing Home DS0000002590.V340209.R01.S.doc Version 5.2 Page 18 A residents survey was sent out by the home in June 2007 and 6 returned questionnaires showed people were very satisfied with the service in the home. Comments included, “they are always very professional and caring”. Resident’s monies were well maintained, though residents were encouraged to manage their own finances wherever possible. Where this was not possible they were kept securely and all transactions were recorded and receipts kept. There were no concerns about equality and diversity. The home was caring for 7 younger physically disabled people, many with complex needs. Staff showed knowledge about the individual needs and approaches that were required. Residents and visitors were very satisfied with the care and approach from the staff. One younger physically disabled person summed up their views by commenting, ”I wish to remain independent despite my disability, the staff have listened to me and allowed me to tell them the best way of managing my needs. They are respectful, courteous and polite at all times”. The home had detailed health and safety procedures. There were also infection control policies and staff made use of alcohol hand rub bottles throughout the home to further prevent infection. Where required risk assessments had been carried out and documented. There were a range of policies and procedures available in the home relating to fire safety and fire risk assessments. Care staff also received fire training as part of the homes initial training and as a regular training event. The Kings Court Nursing Home DS0000002590.V340209.R01.S.doc Version 5.2 Page 19 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 3 X 3 X X N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 3 10 3 11 x DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 3 X X X X X X 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 X 3 3 X 3 The Kings Court Nursing Home DS0000002590.V340209.R01.S.doc Version 5.2 Page 20 No 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 The Kings Court Nursing Home DS0000002590.V340209.R01.S.doc Version 5.2 Page 21 Commission for Social Care Inspection Lincoln Area Office Unity House, The Point Weaver Road Off Whisby Road Lincoln LN6 3QN National Enquiry Line: 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 © 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 The Kings Court Nursing Home DS0000002590.V340209.R01.S.doc Version 5.2 Page 22 - 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. 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