Inspection on 01/02/06 for Willow Brook House

This inspection was carried out on 1st February 2006.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Good. The way we rate inspection reports is consistent for all houses, though please be aware that this may be different from an official CSCI judgement.

The inspector made no statutory requirements on the home as a result of this inspection and there were no outstanding actions from the previous inspection report.

Other inspections for this house

Willow Brook House 16/12/09

Willow Brook House 02/09/09

Willow Brook House 12/09/08

Willow Brook House 27/06/07

Willow Brook House 19/01/07

Willow Brook House 04/10/06

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

CARE HOMES FOR OLDER PEOPLE Kingfisher House Care Home South Road Corby Northants NN17 1UU Lead Inspector Irene Miller Unannounced Inspection 1st February 2006 12:00 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 Kingfisher House Care Home DS0000065185.V280950.R01.S.doc Version 5.1 Page 2 This is a report of an inspection to assess whether services are meeting the needs of people who use them. The legal basis for conducting inspections is the Care Standards Act 2000 and the relevant National Minimum Standards for this establishment are those for Care Homes for Older People. They can be found at www.dh.gov.uk or obtained from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering: www.tso.co.uk/bookshop This report is a public document. Extracts may not be used or reproduced without the prior permission of the Commission for Social Care Inspection. Kingfisher House Care Home DS0000065185.V280950.R01.S.doc Version 5.1 Page 3 SERVICE INFORMATION Name of service Kingfisher House Care Home Address South Road Corby Northants NN17 1UU 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) 01536 260940 01536 260941 kingfisher.house@ashbourne.co.uk Ashbourne (Eton) Limited Vacant Care Home 48 Category(ies) of Old age, not falling within any other category registration, with number (48), Physical disability over 65 years of age of places (48) Kingfisher House Care Home DS0000065185.V280950.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION Conditions of registration: 1. Includes up to 6 persons in the category of PC (personal care) PD (physical disability). 10th November 2005 Date of last inspection Brief Description of the Service: Kingfisher House is a purpose built facility located in the Old Village area of Corby Northampton, with local community shops nearby. All rooms offer comfortable single en-suite accomodation with 23 rooms on the lower floor and 25 on the top floor. The home provides personal care only for up to 48 older service users of both sexes. Local GP surgeries provide medical cover to the home and the after hours service is provided by the keydoc service Kingfisher House Care Home DS0000065185.V280950.R01.S.doc Version 5.1 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The focus of inspections undertaken by the Commission for Social Care Inspection is based upon the outcomes for residents, and upon their views of the service provided. The primary method of inspection used is case tracking which on this occasion involved selecting three service users and tracking the care they receive through observing practice, reviewing care plans, discussion with the service users, visitors and staff. Prior to the inspection taking place, the inspector spent forty-five minutes planning this inspection, based upon information gained from reviewing the homes service history and the previous inspection reports. The inspection took place in the afternoon over a period of approximately three and a half hours. What the service does well: What has improved since the last inspection? Needs assessments are in place and there is basic information for staff to follow to ensure that resident’s physical, emotional and spiritual needs were met. Efforts have been made to involve residents or their representatives in the care planning process. Kingfisher House Care Home DS0000065185.V280950.R01.S.doc Version 5.1 Page 6 Some improvements to the pressure care risk assessment have taken place to address the prevention and treatment of pressure wounds. The dietary needs of residents in particular of those who are at risk of weight loss, those with swallowing problems and with diabetes have been addressed with action identified to reduce the risk of weight loss, choking and diabetes information for carers to follow. Staff one to one and group supervision has commenced. 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. Kingfisher House Care Home DS0000065185.V280950.R01.S.doc Version 5.1 Page 7 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 Kingfisher House Care Home DS0000065185.V280950.R01.S.doc Version 5.1 Page 8 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): 1,2,3,4 & 5 Residents are able to make an informed decision about whether the home can meet their needs and expectations EVIDENCE: The homes statement of purpose and service user plan is available for residents There is a Certificate of Registration on view within the homes reception area. Within the care plans looked at there was pre-assessment documentation, which demonstrated that resident’s needs are assessed prior to them moving into the home. Kingfisher House Care Home DS0000065185.V280950.R01.S.doc Version 5.1 Page 9 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 7,8,9,10 & 11 Care Plans and Risk Assessments have improved to provide adequate information to ensure that the resident’s health and personal care needs are identified and met. EVIDENCE: The Commission for Social Care Inspection conducted an additional inspection on 10th October 2005 and improvements were identified in the care plans Needs assessments were in place and there was basic information for staff to follow to ensure that resident’s physical, emotional and spiritual needs were met. Resident’s signatures had been obtained on the bedside rails risk assessment documentation. For residents who are unable to participate in their care plans the involvement of their, advocates or representatives is sought. The manager has introduced informal meetings each month with residents and their representatives, to go Kingfisher House Care Home DS0000065185.V280950.R01.S.doc Version 5.1 Page 10 through the care plans and identified any changes required to ensure that all care needs are reviewed and any changes implemented Residents who were at risk of developing pressure sores had pressure-relieving equipment in use. Entries within the care plan daily reports had records of staff observations on the breakdown of skin tissue, and there was reference to alerting the district nurse and follow up treatment by the district nurse. There was eating and drinking assessments in place together with records of resident’s weights. Improvements were seen in the care plans that identified food supplements for residents who were at risk of weight loss, monitoring of blood sugar levels of residents with diabetes and consultation with the district nurse and general practitioner. During a recent visit to the home the Commission for Social Inspection had identified that within the medication store the temperature was excessive, records of readings had reached 30-32oC the extractor fan had been switched off. The temperature reading at this inspection demonstrated an improvement with the readings at 28oC,with the extractor fan in use. The care plan of a resident who was expressing depressive thoughts had detailed instructions for staff to follow to ensure that full observation was practiced when administering medication. Staff spoken to who administer medication had a good insight into the differing needs of residents, and had a good knowledge of the legislation surrounding the administration of medication, and the homes policies and procedures regarding medication. Kingfisher House Care Home DS0000065185.V280950.R01.S.doc Version 5.1 Page 11 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 12,13,14 & 15 Residents would benefit from a programme of activities being available. EVIDENCE: The homes activity co-ordinator has been unavailable for a considerable time, the lack of regular activities being available, has had an impact on the social and recreational needs of residents. Plans are in hand to recruit an activity co-ordinator, the manager has advertised locally and on the day of inspection applicants were being shown around the home. Staff were observed to interact well with residents and provide emotional and social support, residents were observed freely moving around the home, choosing were they spend their time. Visitors were made welcome, one visitor spoken to said that they visited their relative every day, and spoke highly of the staff. Residents said that the food was very good; the home uses an outside catering firm, who recruits and trains its own staff, records of food safety checks were looked at and all in order, the kitchen was clean and well managed. Kingfisher House Care Home DS0000065185.V280950.R01.S.doc Version 5.1 Page 12 Kingfisher House Care Home DS0000065185.V280950.R01.S.doc Version 5.1 Page 13 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 & 18 The homes complaints procedure is available for residents to access EVIDENCE: The Complaints Procedure is displayed in the reception area and information on how to make a complaint is also available within the Statement of Purpose and Service User Guide. There have been two complaints received by the commission for Social Care Inspection since the last inspection, which has been dealt with appropriately by the home. No resident comment cards were received prior to the inspection-taking place. Staff have received training on recognising abuse, and staff spoken to were aware of how to report any suspected or actual abuse. Kingfisher House Care Home DS0000065185.V280950.R01.S.doc Version 5.1 Page 14 Environment The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 19,20,21,22,23,24,25 & 26 The overall standard of internal décor is good, residents have access to a well kept garden and paved outdoor seating area. EVIDENCE: The homes maintenance records were looked at, records of water, gas and lighting checks were retained and all in order. A recent insurance inspection of the main lift had identified areas requiring work to ensure its safe use, there was evidence that the home had followed up the recommended improvements required, the lift engineering company had been called out as a result of the lift insurers visit and parts were on order to ensure that the lift remains in good order for its continued safe use. A recent inspection visit by the fire authority had identified areas for improvement such as, fire risk assessments, staff fire training and evacuation drills, emergency lighting checks, fire resisting door checks, storage of combustibles, the fire authority has said that they would revisit the home Kingfisher House Care Home DS0000065185.V280950.R01.S.doc Version 5.1 Page 15 within 3 months to ensure compliance, with requirements. The home has begun addressing the areas identified by the fire authority. The garden was well kept, however, there is an area that has a very steep slope that could present a falls hazard, and this is being addressed by the home. The laundry facility is good, all the equipment is of an industrial nature, three washing machines, two tumble driers a large rotary iron and iron and ironing board. Good systems were in place to prevent cross contamination, and safety notices displayed to alert staff to potential hazards. All bedrooms are en-suite to include a sink and toilet, no showers are available within the en-suite facilities. Residents spoken to said they were happy with their bedrooms, which were personalised providing a homely environment. The furnishings, wallpaper and décor within the communal areas are of a good standard. Work has begun on decorating the hairdressing room, to recreate a salon style environment. The floors in corridors are laid with a washable decorative laminate surface, the domestic staff were busy cleaning the fridge within the dining room kitchenette Residents who smoke use the lounge on the first floor, the smoke was pervading into the corridor and bedrooms nearby, this could potentially offend non-smoking residents who may wish to use the lounge, or have a bedroom located near it. Other than the strong cigarette odour, within the lounge and corridor on the first floor the home was free from offensive odours. Kingfisher House Care Home DS0000065185.V280950.R01.S.doc Version 5.1 Page 16 Staffing The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users’ needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission consider all the above are key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 27,28 & 30 Staffing levels and the staffing number are appropriate to the assessed needs of the residents. EVIDENCE: The home has been through its third change of management, the staff spoke highly of the manager, saying that they were optimistic that the recent changes would raise the quality of care, staff moral was high and there was a commitment to the changes, which had been introduced Staff training has been identified as a high priority for the company, staff who had recently been on a Dementia Care training course, said that they had enjoyed the training and it had refreshed their existing knowledge and skills. The home had no care staff vacancies a new domestic staff member had been recruited recently, on the day of inspection applicants for the activity coordinators post were being shown around the home. An external assessor supports staff undertaking the National Vocational Qualification level 2 in care. Kingfisher House Care Home DS0000065185.V280950.R01.S.doc Version 5.1 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 31,32,33,36,37 & 38 The deputy manager is committed to improving the quality of care provided for residents. EVIDENCE: At present there is no registered manager in post, the deputy manager has worked at the home for a number of years and is working through a 3 month probationary period, with a view to taking up the registered managers position if successfully completed. Systems have been set in place to improve the internal staff communication within the home and with residents and their families, to create an open positive culture. Records of staff supervision were seen which demonstrated that there has been an improvement in this area. Kingfisher House Care Home DS0000065185.V280950.R01.S.doc Version 5.1 Page 18 A care manager has been appointed 37.5 hrs per week, whose primary responsibility will be to oversee the care provision in the home and assist with the supervision of staff. At present there is no permanent administration staff employed at the home, however the deputy manager said that support is available from a regional administrator from Southern Cross Healthcare. There is a high commitment to ensuring that the health, safety and welfare of residents and staff, is promoted, the deputy manager has focused on areas of poor practice; which has raised the staff the moral within the home and as a direct result, the care of residents and relationship with visitors and families has been improved. Kingfisher House Care Home DS0000065185.V280950.R01.S.doc Version 5.1 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 3 3 3 3 N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 3 10 3 11 3 DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 2 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 2 3 3 3 3 3 3 2 STAFFING Standard No Score 27 3 28 3 29 X 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 3 3 X X 3 3 3 Kingfisher House Care Home DS0000065185.V280950.R01.S.doc Version 5.1 Page 20 Are there any outstanding requirements from the last inspection? No STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. Standard 1 OP38 Regulation 13 Requirement An action plan is to be forwarded to CSCI with timescales for completion on how Kingfisher House Care Home are to meet the areas identified in the Fire Authority Inspection. Timescale for action 31/03/06 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1 Refer to Standard OP26 Good Practice Recommendations To protect the health safety and welfare of residents, staff and visitors, who are non-smokers, guidance should be sought regarding the dangers of passive smoking, and where possible an alternative smoking area should be provided exclusively for residents who smoke The steep grassed area that presents a high risk to residents from falling should be levelled or fenced off. 2 OP38 Kingfisher House Care Home DS0000065185.V280950.R01.S.doc Version 5.1 Page 21 Commission for Social Care Inspection Northamptonshire Area Office 1st Floor Newland House Campbell Square Northampton NN1 3EB 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. 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