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Inspection on 07/02/06 for The Kings Court Nursing Home

Also see our care home review for The Kings Court Nursing Home for more information

This inspection was carried out on 7th 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.

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

The home provides a welcoming setting for residents, who were observed being supported to retain control and choice over their lives. The manager and staff team are committed and caring. Feedback from residents and their carers on the day of inspection confirmed that their needs are seen as central to the service and that they are met in the way they want them to be.

What has improved since the last inspection?

The Manager has instigated a process for ensuring staff receive formal supervision for staff. Residents care plans have been updated to ensure reviews are being undertaken using the care plan as a basis for each review.

What the care home could do better:

The Manager has taken advice from the local Fire Safety Office and is in the process of completing a fire risk assessment for the home to ensure the safety of all residents is protected.

CARE HOMES FOR OLDER PEOPLE The Kings Court Nursing Home Church Street Grantham Lincs NG31 6RR Lead Inspector Roger Harrison Unannounced Inspection 09:30 7 February 2006 th 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.V270052.R01.S.doc Version 5.0 Page 2 This is a report of an inspection to assess whether services are meeting the needs of people who use them. The legal basis for conducting inspections is the Care Standards Act 2000 and the relevant National Minimum Standards for this establishment are those for Care Homes for Older People. They can be found at www.dh.gov.uk or obtained from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering: www.tso.co.uk/bookshop This report is a public document. Extracts may not be used or reproduced without the prior permission of the Commission for Social Care Inspection. The Kings Court Nursing Home DS0000002590.V270052.R01.S.doc Version 5.0 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.V270052.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: 1. Service users in the category of PD should be 40 years of age and over. 4th October 2005 Date of last inspection Brief Description of the Service: Kings Court Care Home is a purpose built privately owned care home providing nursing and personal care for up to 29 service users. The homes registration enables the home to accommodate service users 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 is Mr Phillip Barton, is a first level registered nurse. The home is located in Grantham Town Centre. This enables service users 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 also purchased a wheelchair friendly car that enables service users on a one to one basis to utilise for outings, appointments etc. The Kings Court Nursing Home DS0000002590.V270052.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This inspection was undertaken over a four-hour period, with the inspector using a method of inspection called “case tracking”. This involved selecting three residents who currently live at the home and tracking their experience of the care and support they have received during the time they have lived at the home. This was achieved by the inspector talking to the manager, touring the home, looking at information on care plans and files, talking to residents and care staff, and observing day-to-day care practice within the home. 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 Kings Court Nursing Home DS0000002590.V270052.R01.S.doc Version 5.0 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.V270052.R01.S.doc Version 5.0 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): Outcomes not looked at. The key standards were looked at during the last inspection undertaken on 04/10/05. EVIDENCE: The Kings Court Nursing Home DS0000002590.V270052.R01.S.doc Version 5.0 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, and 10. Care plans are in place, which ensure need is met in the right way; these have been updated to include details regarding how specific health needs are met and showing monthly reviews of the care being given. Residents are treated with respect and supported to make individual choices EVIDENCE: All residents have an individual care plan. Each individual is assigned a key worker highlighted who is responsible; with the manager for over seeing daily care giving and recording how and when care is given on the care plan. Individual choice is discussed as part of the care giving through the use of a variety of communication methods, which were observed by the Inspector throughout this inspection. Visitors were seen coming and going during the Inspection and residents were seen being supported to meet with friends, relatives or other professionals either privately or as a group in the way they wanted to. Residents told the Inspector that they felt they were supported to make decision and take risks within and outside the home by the Manager and care team. One resident was going out to the pub with his family carer who said, “ My brother is really well cared for, I visit regularly and the care here is good” Care plans showed that their health needs are met in the way residents told the Inspector they wanted them to be, using appropriate equipment and methods, and by retaining good links with external professionals. Each care The Kings Court Nursing Home DS0000002590.V270052.R01.S.doc Version 5.0 Page 9 episode was recorded using a daily record sheet, which is included in each individual plan. Since the last inspection Care plans have been updated and are now used on a daily basis by the care team. A record was seen by the Inspector on each plan showing that a review is carried out each month by a senior care team member to ensure any changes in need are met. The Kings Court Nursing Home DS0000002590.V270052.R01.S.doc Version 5.0 Page 10 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 12,13,14 and 15. The care team regard the rights and choices of each individual resident as central to their work. Staff have a good knowledge of individual social, and cultural need, which ensures that control, and choice about how residents live their lives is supported. Food in the home is of high quality, providing a varied and nutritious diet for residents. EVIDENCE: The inspector was able to talk to several service users about daily life at Kings Court in communal areas of the home and in individual rooms. Residents told the Inspector that they were able to do what they wanted to do; by either choosing to stay in their rooms and entertaining themselves by watching television, listening to music or reading, or by spending time collectively in the lounge areas on both floors of the home. Individual cultural and religious needs are supported through the care planning process as part of a social care assessment and residents were able to confirm that they are supported to take part in local community activities as they wish. The Manager confirmed that staff time is specifically allocated to develop activities with residents and residents told the inspector about a variety of activities in the home and wider community which they chose to do. One resident told the Inspector that, “We had a singer here at the weekend who was excellent”. The home has its own vehicle, which was observed being used during the Inspection to transport residents and their carers to places of their choice. The Kings Court Nursing Home DS0000002590.V270052.R01.S.doc Version 5.0 Page 11 Residents were seen to have personalised their own rooms and several residents confirmed that their visitors are made welcome by the staff team. The inspector observed and talked with family and friends coming and going during the inspection and was told that they were always made to feel welcome. All residents have the option of having a phone in their room. Where this is not a preference a radiotelephone is available for residents to ensure access to private calls when needed. A payphone is also available in a private area of the home. The inspector was able to observe residents enjoying lunch in a variety of settings around the home. Residents told the inspector they were very happy with the food provided. During the Inspection the Cook told the Inspector that menus are planned on a three weekly basis through consultation with residents and that the team provides soft diets where this is identified as needed. A range of alternatives for all meals is made available when requested including cooked breakfasts and a vegetarian option. Friends and relatives can choose to take meals with residents if they wish to and two residents told the Inspector that they choose to take their meal in their own room and that they are supported to do this. The Kings Court Nursing Home DS0000002590.V270052.R01.S.doc Version 5.0 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 inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 16 and 18. The manager and care team take complaints seriously and wherever possible involve residents and carers in resolving issues as soon as they are evident. The manager and staff team protect residents from abuse. EVIDENCE: There is a complaints log in the reception area of the home. Information is also available with the log, which encourages residents and visitors to raise concerns confidentially with the manager if they wish. The home has a procedure for dealing with any concerns or complaints, which is maintained by the Manager. There were no recorded complaints made since the last inspection. The home has a copy of the Lincolnshire Adult Protection Committee Procedures. The organisation has not needed to invoke the adult protection procedure over the last twelve months, however During this inspection the manager gave specific examples of action he would take in order to protect the safety of residents and staff demonstrated a good working knowledge of the Adult Protection procedures in place and were aware of necessary protocols to invoke the procedure. The Kings Court Nursing Home DS0000002590.V270052.R01.S.doc Version 5.0 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 19,23 and 26. Residents live in a clean, safe, homely and comfortable environment. Resident’s rooms meet individual needs and there is appropriate equipment in place to meet the moving and handling needs of each individual. The Manager is reviewing and updating fire arrangements at the home in order to protect resident’s health and safety. EVIDENCE: On the day of Inspection the home was observed to be clean and appropriately maintained. Residents told the Inspector that their rooms had been personalised to meet each individual need and one resident said, “ I am really proud of my room, it suits my needs and I chose the colour for the walls”. The Inspector spoke to the Manager, senior and care staff and three residents on the day of inspection who were able to confirm the homes procedure for action in the event of a fire. Since the last Inspection the Manager has taken action to instigate a fire safety inspection, the report provided by the Fire Safety Officer indicated that a new fire safety risk assessment should be undertaken by the Manager. This work has commenced and the Manager showed the Inspector a copy of the risk assessment, which is currently being developed. The Manager also confirmed that he is maintaining an ongoing review of fire safety at the The Kings Court Nursing Home DS0000002590.V270052.R01.S.doc Version 5.0 Page 14 home, which is to be shared with the homes owners so that any action identified to further promote the safety of residents can be discussed and planned together. During the inspection staff were seen to be following the homes health and safety policy to ensure any risk of cross contamination was minimised through the use of aprons and gloves when care giving and following correct procedures when providing both personal, social and domestic support. Residents told the inspector that there are sufficient bathrooms and toilets to meet their needs and the inspector observed that the care team uses an appropriate variety of equipment to ensure safety and support for staff and when mobilising for residents. Staff were observed encouraging residents to be independent and on the day of inspection the inspector observed safe practice from the care team. The Kings Court Nursing Home DS0000002590.V270052.R01.S.doc Version 5.0 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 28 and 30. The home has a recruitment policy, which helps to support staff in their practice whilst safely meeting resident’s needs. There is an appropriate mix of skilled trained staff in adequate numbers to meet the needs of residents. The manager ensures that staff are recruited safely and that all checks are made to ensure the safety and protection of residents. EVIDENCE: During the inspection the inspector observed that the home has many service users with high dependency care needs. There was adequate staff on duty with a good mix of skills for the number and category of service users and two residents told the Inspector that, “The care we get here is very good, they can’t do enough for us”. During the Inspection call bells were tested in resident’s rooms by the Inspector. Calls for support were answered immediately and were observed being responded to during the Inspection in the right way The Manager told the Inspector that he has set up a system for staff supervision since the last Inspection and showed the Inspector a supervision format which included induction and training needs together which show which staff have been on particular training courses so that all staff are supported in a consistent way. An induction programme and a pack is given to all new staff members, which includes safe moving and handling training along with other key training competencies that support staff development and national vocational qualifications. The Kings Court Nursing Home DS0000002590.V270052.R01.S.doc Version 5.0 Page 16 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): 31,33,36 and 38. Resident’s social and health care needs are safeguarded by a manager who regards resident’s needs as central to service provision. The care team receive supervision in a structured way. EVIDENCE: The home has a well established registered manager, who takes a full working role within the home. This “hands on” approach gives the manager a good understanding of residents and staff needs. During this Inspection the Inspector spoke to three residents who confirmed that the Manager is always available to discuss any issues, and two staff members who confirmed that supervision is provided in a variety of practical ways by the Manager with assistance from the senior care team and that their views are sought about improvements to the services provided. The home has a range of policies and procedures for staff to follow, which are kept by the Manager with staff files. The Manager confirmed that policies and procedures are shared with all team members as part of their induction and ongoing training programme. The Kings Court Nursing Home DS0000002590.V270052.R01.S.doc Version 5.0 Page 17 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 X X X X X N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 X 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 2 X X X 3 X X 3 STAFFING Standard No Score 27 3 28 X 29 X 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X 3 X X X X 3 The Kings Court Nursing Home DS0000002590.V270052.R01.S.doc Version 5.0 Page 18 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. 1. Standard OP19 Regulation 23 (4) Requirement The registered person shall ensure that unnecessary risks to the health and safety of service users are identified and so far as possible eliminated. Therefore, it is required that confirmation is received detailing that the home has complied with the most recent fire officer’s report. Timescale for action 07/04/06 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.V270052.R01.S.doc Version 5.0 Page 19 Commission for Social Care Inspection Lincoln Area Office Unity House, The Point Weaver Road Off Whisby Road Lincoln LN6 3QN 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 The Kings Court Nursing Home DS0000002590.V270052.R01.S.doc Version 5.0 Page 20 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. 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