Latest Inspection
This is the latest available inspection report for this service, carried out on 25th March 2009. CSCI found this care home to be providing an Good service.
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.
For extracts, read the latest CQC inspection for Kelstone Court Nursing Home.
What the care home does well Everyone we spoke to said that the staff were kind and respectful to them. Their comments included `I like the staff`, `the staff are very good`, `they treat you nicely` and `the staff are very nice`. All nine people who completed surveys said that they `always` receive the care and support that they need. Comments in surveys included `the staff are always very friendly` and `I get looked after very well`. We looked at satisfaction questionnaires recently returned by relatives or friends of people who live there. Comments included `we are very pleased with the overall care provided` and `one of the best for entertainment`. The activities co-ordinator is clearly doing some good work and the programme on offer includes bingo, reminiscence, making cards, one to ones and quizzes. Individual profiles are being created for each person that capture their life story and memories. Better daily records are to be kept of what people have been doing and these will help to direct the service to be even more person centred. New bathrooms have been fitted on all floors of the home. These provide much more pleasant spaces for people to have showers or baths. The home was clean and hygienic when we visited. What the care home could do better: One person who lives there said `it`s too noisy in here`. Another individual said `the evenings are the worst part - there`s nothing going on` and this was a view shared by two other people living there. `I`d like to go out more - it sometimes feels like a prison in here` was another comment we received. Further consideration should be given as to how the main communal lounge is arranged. Our observation was that there was sometimes too much going on with televisions ondifferent channels and music being played at the same time. It was sometimes confusing looking at one television that had the sound turned down whilst hearing the sound from another set tuned to a different channel. Our observation was also that there were only a small number of people watching the television at any one time. The manager is working on updating the care plans. We discussed how these documents could be made even more individualised and person centred. We have recommended that the staff work at making sure that each plan is as specific as possible and avoid repetitive generic statements. A strong emphasis should be put on making each care plan a live document with staff using daily notes to record what is working and what is not. Regular reviews need to make sure that each plan is up to date and effective. The home`s AQAA told us that future plans included encouraging `the service user to be involved in more activities` and `installing a large greenhouse with wheelchair access for service users who have an interest in gardening`. The positive work being carried out by the activity co-ordinator needs to continue and be built upon. We recommend that there is continued emphasis on quality of life, engagement and occupation. Re-arranging the main lounge could also provide more space for people to do things and for more interactive items to be provided. Random inspection report
Care homes for older people
Name: Address: Kelstone Court Nursing Home Cambourne Road Morden Surrey SM4 4JN two star good service 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: Jon Fry Date: 2 5 0 2 2 0 1 0 Information about the care home
Name of care home: Address: Kelstone Court Nursing Home Cambourne Road Morden Surrey SM4 4JN 02085420748 Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Name of registered manager (if applicable) Mr Alexander Lancelot Banson-Idun Type of registration: Number of places registered: Conditions of registration: Category(ies) : Yourcare Ltd care home 30 Number of places (if applicable): Under 65 Over 65 30 old age, not falling within any other category Conditions of registration: 0 The maximum number of service users who can be accommodated is: 30 The registered person may provide the following category of service only: Care home with nursing (CRH - N) to service users of the following gender: Either whose primary care needs on admission to the home are within the following categories: Old age, not falling within any other category - Code OP Date of last inspection Brief description of the care home Kelstone Court is a registered care home with nursing providing accommodation and care for up to thirty residents. Twenty places are for older people who require nursing care. Ten places are for older people who require residential care. Accommodation is set over three floors with a passenger lift available for access. The home is a large
Care Homes for Older People Page 2 of 8 Brief description of the care home purpose built property situated in a residential area of Morden in Surrey. The home is close to a group of local shops and a pub with Morden Park and Cannon Hill recreation grounds nearby. Public transport is easily accessed from the home and unrestricted parking is available in the local area. The home is owned by Yourcare Limited. Care Homes for Older People Page 3 of 8 What we found:
We made an unannounced visit to the home on the 25th February 2010. We spoke to twelve people who live there, two visiting relatives, one staff member and the manager. We also received nine completed surveys from people who live at the home and eight staff members. The manager had also supplied us with a self assessment document called an Annual Quality Assurance Assessment (AQAA). This was well completed and gave us good information about the service being provided. General comments from the people who live there included I like it here, they do some good, its very good, its alright and very nice. We looked at the system for supporting people to take their medication and saw that people were receiving the right medication at the right time on the day of our visit. Records we looked at were well kept and we checked some quantities of medication to make sure that these were correct. What the care home does well: What they could do better:
One person who lives there said its too noisy in here. Another individual said the evenings are the worst part - theres nothing going on and this was a view shared by two other people living there. Id like to go out more - it sometimes feels like a prison in here was another comment we received. Further consideration should be given as to how the main communal lounge is arranged. Our observation was that there was sometimes too much going on with televisions on
Care Homes for Older People Page 4 of 8 different channels and music being played at the same time. It was sometimes confusing looking at one television that had the sound turned down whilst hearing the sound from another set tuned to a different channel. Our observation was also that there were only a small number of people watching the television at any one time. The manager is working on updating the care plans. We discussed how these documents could be made even more individualised and person centred. We have recommended that the staff work at making sure that each plan is as specific as possible and avoid repetitive generic statements. A strong emphasis should be put on making each care plan a live document with staff using daily notes to record what is working and what is not. Regular reviews need to make sure that each plan is up to date and effective. The homes AQAA told us that future plans included encouraging the service user to be involved in more activities and installing a large greenhouse with wheelchair access for service users who have an interest in gardening. The positive work being carried out by the activity co-ordinator needs to continue and be built upon. We recommend that there is continued emphasis on quality of life, engagement and occupation. Re-arranging the main lounge could also provide more space for people to do things and for more interactive items to be provided. 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 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 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, 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 7 The home should continue to develop its care plans to be person centred and as specific as possible. Generic statements should be replaced with individualised information about how the person likes to be supported in all areas of their life. The life story work should continue to be developed to help care staff see the person. 2 12 The positive work being completed around activity and occupation should continue and be built upon. The lounge space could be better arranged to support interaction and meaningful occupation. More items could be provdied to support staff interacting with people living there. All staff should be supported to focus on quality of life and wellbeing. We strongly recommend that the home looks at the layout of the communal lounge area. A dedicated area for television could be created along with quieter areas and places for occupation and activity. 3 19 Care Homes for Older People Page 7 of 8 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 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: 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 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!
