Latest Inspection
This is the latest available inspection report for this service, carried out on 29th April 2010. CQC found this care home to be providing an Adequate service.
The inspector found there to be outstanding requirements from the previous inspection report but made no statutory requirements on the home.
For extracts, read the latest CQC inspection for 11 Kilford Court.
What the care home does well Care plans give staff guidance on how to deliver care and are in a pictorial format for easier understanding by the residents. Staff have access to a range of training courses. What the care home could do better: Greater attention is needed to ensure that records are available for inspection. Monthly visits to the home by a representative of Choice Support need to be carried out and a report compiled and kept at the service. Random inspection report
Care homes for adults (18-65 years)
Name: Address: 11 Kilford Court Mortimer Road Botley Southampton Hampshire SO30 2TN one star adequate service 30/06/2009 The quality rating for this care home is: The rating was made on: 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 review of the service. We call this review a ‘key’ inspection. This is a report of a random inspection of this care home. A random inspection is a short, focussed review of the service. 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: Ian Craig Date: 2 9 0 4 2 0 1 0 Information about the care home
Name of care home: Address: 11 Kilford Court Mortimer Road Botley Southampton Hampshire SO30 2TN 01489790949 Telephone number: Fax number: Email address: Provider web address: elmo82@hotmail.co.uk www.choicesupport.org.uk Name of registered provider(s): Name of registered manager (if applicable) Choice Support Type of registration: Number of places registered: Conditions of registration: Category(ies) : care home 6 Number of places (if applicable): Under 65 Over 65 0 learning disability Conditions of registration: 6 The maximum number of service users to be accommodated is 6 The registered person may provide care to service users in the following category only: Care home only(PC) to service users of the following gender: Either whose primary care needs on admission to the home are within the following category :Learning disability (LD) Date of last inspection Brief description of the care home 11 Kilford Court is purpose built as a residential care home for people who have learning disabilities and associated physical disabilities. There are four bedrooms on the ground floor, which are fully wheelchair accessible, and two bedrooms upstairs for
Care Homes for Adults (18-65 years) Page 2 of 9 3 0 0 6 2 0 0 9 Brief description of the care home service users who are more physically able. The home is situated on a small housing estate in Botley, approximately a quarter of a mile from local shops and pubs and access to public transport services. The home has a minibus that is equipped to provide transport for physically disabled service users. The home is managed by Choice Support. Service users are responsible for paying for rent, food, mileage for the homes car when they use it, their own toiletries and items of a personal or luxury nature. Care Homes for Adults (18-65 years) Page 3 of 9 What we found:
The inspection consisted of a 3 hour and 20 minute site visit to the home, during which 2 staff and the manager were spoken to. Staff were observed interacting and working with residents. Surveys were sent to residents and staff asking for their views on the service. These were returned by 7 staff and 6 residents. Residents were given help to complete the survey. Records, documents and policies and procedures were looked at. Care services are required to submit an Annual Quality Assurance Assessment (AQAA) to the Commission. This was returned to the Commission and contained the information we asked for. Information contained in the AQAA has been used for this report. Choice of Home The previous report required that each resident has a contract or terms and conditions of residence. At this visit copies of residents licence agreement to stay at the home were seen. Individual Needs and Choices Care plans were looked at for 2 residents. These include pictorial diagrams for easier understanding by the residents. Personal details and current medication are recorded. Details of specific care procedures are recorded such personal care, getting up and going to bed and the use of any specialist equipment along with diagrams for staff to follow in using lifting equipment. Communication needs are assessed and guidelines recorded for staff to use. Health needs are comprehensively recorded in pictorial format. Each persons care records has risk assessments. These refer to specific activities and needs where an element of risk to the individual is recognised. Guidance is recorded for staff to follow so that risks are minimised when supporting people to go out and take part in events. Care records include an assessment of individual residents cultural needs. Lifestyle Discussions with staff and care records show that residents have allocated time for social and leisure pursuits including meals at restaurants, visits to museums, pub lunches, attendance at church services, shopping excursions, and swimming sessions. Staff were observed interacting with residents providing stimulation by the use of games and a foot spa. A resident was seen using the homes sensory area. Residents confirmed that they are able to spend their time as they wish and are able to
Care Homes for Adults (18-65 years) Page 4 of 9 make their own decisions. Personal and Healthcare Support Residents say that they are supported by staff. Staff report that residdents health and personal care needs are met. The homes medication procedures were looked at. The home uses a monitored dosage system of medication where medication is held in cassettes for each prescribed time medication is due. The cassettes and medication administration records show that residents receive medication as prescribed. There are written policies and procedures for the handling and administration of medication. Staff receive training in handling medication from the supplying pharmacist. Records show that 14 care staff have received this training. Medication was found to be securely stored. Concerns, Complaints and Protection Individual residents are charged a mileage rate when they are driven to social events. A record of each journey is maintained with details of the amount to be charged. There is also a record for any transactions of the mileage charge made to the individulal plus a record of any monies held on behalf of the person. Residents surveys state that staff and managers listen and act on what they say. Staff say that they know what to do if they have any concerns. Environment Two residents bedrooms, the communal areas as well as the toilet and bathroom facilities were seen. Bedrooms contain specialist lifting equipment such as track hoists. Rooms are personalised with residents own belongings and pets. There is a lounge with an adjoining sensory area. The lounge carpet was stained and it was confirmed that this is to be shortly addressed. There is a kitchen/dining area. Residents are able to access the garden via level access patio doors. The garden is well equipped and is accessible to wheelchair users. Specialist equipment is provided in bathrooms for bathing those with mobility needs. Staffing At the time of the visit there were 3 staff on duty in the home plus 2 staff escorting 1 person to a swimming session. The staff rota showed staff on duty for the day as follows: 2 staff 7am to 2.30pm, 1 staff 7am to 11am, 1 staff 9am to 5pm, 1 staff 12 noon to 8pm and 1 staff 2pm to 9.30pm. Night time staffing consists of 1 waking and 1 sleep in staff members. Staff said that the staffing levels are sufficient to meet the needs of the
Care Homes for Adults (18-65 years) Page 5 of 9 residents. We looked at staff training. Staff reported that they have access to a wide range of relevant courses and that training is provided as residents needs indicate. Recent training in dementia care was recently provided for instance. Some training is mandatory such as moving and handling and first aid. Staff are also able to choose additional courses from a training prospectus. A copy of the prospectus was seen. The AQAA states that 11 of the 13 permanent staff hold National Vocational Qualification level 2 or above in care. Staff receive regular supervision, which was evidenced from training records and from staff themselves. Staff recruitment procedures were looked at for 4 staff. The home maintains a record to show that the required checks are carried out before the person starts work. These include a criminal record bureau (CRB) check and 2 written references. For 1 person these records were only available when the manager contacted the organisations head office who e- mailed the details to the manager during the visit. Conduct and management of the home Since the last inspection there have been several changes to the homes management. The current manager has been in post for less than a month before the visit and has not yet registered with the Commission. Where a care home is owned by a company, a representative of the company must carry a monthly visit and report on the conduct of the service as required by Regulation 26. Copies of these were not available at the home aside from the month of November 2009. Further copies were made available following the inspection for each month from November 2009 with the exception of April 2010. Only 2 reports were said to be available for the period from July to October 2009. This was a requirement at the last inspection. 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 Adults (18-65 years) Page 6 of 9 Are there any outstanding requirements from the last inspection? Yes R No £ 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, Regulations 2001 and the National Minimum Standards.
No. Standard Regulation Requirement Timescale for action 1 39 26 The registered provider must 21/08/2009 ensure that monthly visits are made to the home and recorded, according to the regulation. To promote better outcomes for service users. Care Homes for Adults (18-65 years) Page 7 of 9 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, 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 Adults (18-65 years) Page 8 of 9 Reader Information
Document Purpose: Author: Audience: Further copies from: Inspection Report Care Quality Commission 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 Adults (18-65 years) 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: 03000 616161 Email: enquiries@cqc.org.uk Web: www.cqc.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. © Care Quality Commission 2010 This publication may be reproduced in whole or in part in any format or medium for noncommercial purposes, provided that it is reproduced accurately and not used in a derogatory manner or in a misleading context. The source should be acknowledged, by showing the publication title and © Care Quality Commission 2010. Care Homes for Adults (18-65 years) Page 9 of 9 - 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!
