Inspecting for better lives Random inspection report
Care homes for older people
Name: Address: The Knoll Nursing Home 196 Dover Road Walmer Deal Kent CT14 7NB The quality rating for this care home is: The rating was made on: three star excellent 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. This is a report of a random inspection of this care home. A random inspection is a short, focussed inspection. Details of how to get other inspection reports for this care home, including the last key inspection report, can be found on the last page of this report. Lead inspector: Penny McMullan Date: 2 8 1 0 2 0 0 8 Information about the care home
Name of care home: Address: The Knoll Nursing Home 196 Dover Road Walmer Deal Kent CT14 7NB 01304374679 F/P01304374679 rajandknoll@hotmail.co.uk Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Type of registration: Number of places registered: Raj & Knoll Ltd care home 29 Conditions of registration: Category(ies) : Number of places (if applicable): Under 65 old age, not falling within any other category 0 Over 65 29 Conditions of registration: The registered person may provide the following category/ies of service only: Care home with nursing - (N) to service users of the following gender: Either Whose primary care needs on admission to the home are within the folloiwng categories: Old age, not falling within any other category - (OP). The maximum number of service users to be accommodated is 29. Date of last inspection Brief description of the care home The Knoll Nursing Home is a large detached building, situated in a residential area of Walmer. It is near to local shops and amenities, Walmer Castle, and the sea, and is within easy reach of the town of Deal. The home is owned by Raj and Knoll Limited, and managed by Mrs. A. Patel, one of the providers. Accommodation is mostly provided in ground and first floor bedrooms, although there is also a shared room on the second floor. All floors can be reached via a small passenger lift. Eight rooms have Care Homes for Older People
Page 2 of 8 en-suite facilities. Outdoor space is currently limited to a small patio area which is accessible for service users to sit out in good weather. However, there is a large public park almost opposite The Knoll which is often used to take Service Users out for walks. The providers have purchased the adjoining premises, demolished the building, and are in the process of building to provide an extension to the home. Some structural alterations and refurbishment of the existing building will also take place. Care Homes for Older People Page 3 of 8 What we found:
A random inspection was carried out on 28th October 2008 as a result of a recent safeguarding alert, which raised issues that the home may be in breach of the regulations. This inspection focused on contracts/terms of residence for the people who live in the home, the complaints and safeguarding procedures. The outcome of the visit is as follows: The home carries out a care needs assessment for prospective residents before admission to the home, however, it is not being confirmed in writing that the home can meet his or her needs. The Registered Manager says this will now be implemented in time for the next admission to the home. Each person who comes to live in the home is provided with a contract/terms of residence. Two examples were looked at and were signed and dated by the Registered provider and person living in the home. Currently there are two formats of contract in place. One contract for self funding people and one for people who are funded by the local authority. All of the people who live in the home have been given a contract. There are shortfalls in the information provided in the contract and the following information needs to be included: The agreed room number at the time of admission, overall care services including food, covered by the fee, additional services (including food and equipment) to be paid for over and above those included in the fees, rights and responsibilities of the service user and the registered provider and who is responsible if there is a breach in the contract, and what constitutes a breach in the contract. The Registered Provider/Manager stated that she would review and update the contracts to have one standard contract for all service users. This will be reissued to each individual to ensure that the above information is included. The Registered Provider/Manager acknowledges the shortfalls in the contract, and is taking action to address these issues therefore a requirement will not be made in this report. A recommendation will be made to ensure good practice. The Commission received a complaint, which was processed as a safeguarding alert. Under safeguarding protocols the home has investigated the issues and responded to the actions required in an appropriate manner. There is a complaints log in place which records all concerns no matter how minor. Further detail is required in the recording of concerns/complaints to indicate what if any action is required. In view of this the Registered Manager states that she will review the complaints recording system to include a separate section to clarify what action is taken. One resident says that she did raise a concern with the Registered Manager, who responded appropriately, and everything is fine now. None of the other residents spoken to had any complaints about the home. The Registered Manager stated that she will carry out an audit of the complaints and revise the recording procedure. The home has polices and procedures in place to ensure that residents are protected from abuse. They have a qualified in house Protection of Vulnerable Adult trainer and Care Homes for Older People Page 4 of 8 all staff have received training. Some of the training courses were completed some considerable time ago. Staff can demonstrate their awareness of adult protection procedures but would benefit from an update in training to keep up with current practice. What the care home does well: 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 2. Care Homes for Older People Page 5 of 8 Are there any outstanding requirements from the last inspection? Yes £ No R Outstanding statutory requirements These requirements were set at the last inspection. They may not have been looked at during this inspection, as a random inspection is short and focussed. The registered person must take the necessary action to comply with these requirements within the timescales set.
No. Standard Regulation Requirement Timescale for action Care Homes for Older People Page 6 of 8 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 1 2 2 3 To issue a revised contract/terms and conditions to all residents. To ensure that a letter of confirmation is given to prospective residents confirming that the home can meet their individual needs. To ensure that all staff receive updated Protection of Vulnerable Adult Training. 3 18 Care Homes for Older People Page 7 of 8 Reader Information
Document Purpose: Author: Audience: Further copies from: Inspection Report CSCI General Public 0870 240 7535 (telephone order line) Our duty to regulate social care services is set out in the Care Standards Act 2000. Copies of the National Minimum Standards –Care Homes for Older People can be found at www.dh.gov.uk or got 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 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 © (2008) 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 8 of 8 - 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!
