Care Home: Kenwyn

Similar services:

• Fairfields Country Rest Home
• Poldhu
• Queensmount
• Trevaylor Manor
• Didsbury Court Rest Home
• Belma
• Hunters Care Centre
• Manor Lodge

What the care home does well The home is managed well with an atmosphere that is welcoming and caring. The environment is homely and furnished to a good standard. People said they liked living in the home and said staff are caring, helpful, hardworking and kind. This was observed throughout the inspection. The admission procedure at the home is good. People receive enough information and have time to decide whether the home is the right place for them to be.Care Plans at the home generally have enough information to identify each person`s basic needs and highlight any health care needs. Staff have a good knowledge and understanding of the needs of people who use the service. Personal care is provided in a caring way. Verbal and informal communication is very good at the home, which means that information about people in the home is passed on to all staff. Also access to a full range of health care is maintained at the home and the medication systems are managed well. People who use the service are encouraged to maintain links with their friends and family. Meals are good at the home with balanced and varied meals being provided. Discreet help and specialist equipment are provided where required to promote independence. The environment is clean and safe place for people to live and work. The management of fire safety and specialist equipment is managed well at the home. A stable and dedicated staff group care for people who use the service. The induction process is thorough which means that staff are provided with enough information to perform their roles safely. Staff have opportunities to attend formal training (NVQ-National vocational qualification training), which ensures they have the skills and knowledge to perform their roles. The quality of the service is kept under review both formally by way of yearly questionnaires and informally on a day-to-day basis; this means that the service is able to make changes to reflect the changing needs of people in the home. What has improved since the last inspection? Staff communication skills and use of the English language has much improved. Staff were witnessed talking with people living at the home in a clear and caring way. People were given choices by the staff for instance, how they spend their day, where they would like to sit and what they would like to eat. People that needed assistance with eating were given time to eat at their own pace and staff were kind and considerate when helping them. Care plans were much improved. Staff follow the instruction on how people are to be cared for and care plans are reviewed regularly. Staff were witnessed using recognised safe manual handling practice. Improvements have been made around discussion and resident/representative consent for bed rails. Those people who are able to self medicate are monitored using an assessment and review system to ensure safe administration whilst maintaining independence. Staff were seen knocking on doors before entering bedrooms and talking with the people living at the home in a kind and caring manner. Activities are very well organised. People with limited capacity are also included by way of one to one interaction with a member of staff. However this is limited. The recording of complaints and concerns has improved. Staff are aware of these procedures. Quality assurance questionnaires are sent to people living at the home and their relatives, the home is continually striving to improve in this area. CARE HOMES FOR OLDER PEOPLE Kenwyn, Crediton Kenwyn Albert Road Crediton Devon EX17 2BZ Lead Inspector Caroline Rowland-Lapwood Unannounced Inspection 09:30 8 January 2008 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 Kenwyn, Crediton DS0000063516.V351193.R01.S.doc Version 5.2 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. Kenwyn, Crediton DS0000063516.V351193.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Kenwyn, Crediton Address Kenwyn Albert Road Crediton Devon EX17 2BZ 01363 772670 01363 772670 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) Welling Ltd Mrs Sandra Anne Northcott Care Home 25 Category(ies) of Old age, not falling within any other category registration, with number (25) of places Kenwyn, Crediton DS0000063516.V351193.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 10th January 2007 Brief Description of the Service: Kenwyn is a long established residential care home for older people situated close to the centre of the market town of Crediton. Kenwyn consists of an original 1930s two storey building on split-levels with a modern extension to the rear and a more recent extension on the west side. It became a home for older people during the 1960s. There is level access into the modern extension through the car park entrance. The original building and its extension combine to form a layout which has a ground, mezzanine and first floor. The home has bedroom accommodation on all floors some of which have en-suite toilet facilities. All floors are accessible by passenger lift. The average cost of care is £368-428 per week at the time of inspection. Additional costs, not covered in the fees, include chiropody, hairdressing and personal items such as toiletries and newspapers. Previous inspection reports are available. Kenwyn, Crediton DS0000063516.V351193.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The Quality rating for this service is 2 star. This means the people that use this service experience good quality outcomes. This inspection was unannounced and took place on Tuesday 8th January 2008. The manager was present throughout the inspection. Prior to the inspection the manager completed a questionnaire, called an AQAA (Annual quality assurance assessment). This provides information about people who use the service, staffing levels, fees, and home maintenance records. It informs us whether these records and procedures are in place. Before the inspection we also sent out questionnaires to the people living in the home, their families and their health care professionals. We received four questionnaires from people who use the service, six questionnaires from relatives or advocates and three from health care professionals. We also received eight questionnaires from staff. All this information gives us a picture of what it may be like at the inspection and helps focus the inspection on what matters to the people who use the service. On the day of inspection we “case tracked” three people who use the service. This means the inspector spoke with staff about individual care, read the persons records and either spoke with the person or made observations if the person was unable to speak with us. We spoke with staff that were on duty. We also looked around the building and inspected other records. These included, accident records, staff files, medicine records, complaint records, care plans and maintenance records. What the service does well: The home is managed well with an atmosphere that is welcoming and caring. The environment is homely and furnished to a good standard. People said they liked living in the home and said staff are caring, helpful, hardworking and kind. This was observed throughout the inspection. The admission procedure at the home is good. People receive enough information and have time to decide whether the home is the right place for them to be. Kenwyn, Crediton DS0000063516.V351193.R01.S.doc Version 5.2 Page 6 Care Plans at the home generally have enough information to identify each person’s basic needs and highlight any health care needs. Staff have a good knowledge and understanding of the needs of people who use the service. Personal care is provided in a caring way. Verbal and informal communication is very good at the home, which means that information about people in the home is passed on to all staff. Also access to a full range of health care is maintained at the home and the medication systems are managed well. People who use the service are encouraged to maintain links with their friends and family. Meals are good at the home with balanced and varied meals being provided. Discreet help and specialist equipment are provided where required to promote independence. The environment is clean and safe place for people to live and work. The management of fire safety and specialist equipment is managed well at the home. A stable and dedicated staff group care for people who use the service. The induction process is thorough which means that staff are provided with enough information to perform their roles safely. Staff have opportunities to attend formal training (NVQ-National vocational qualification training), which ensures they have the skills and knowledge to perform their roles. The quality of the service is kept under review both formally by way of yearly questionnaires and informally on a day-to-day basis; this means that the service is able to make changes to reflect the changing needs of people in the home. What has improved since the last inspection? Staff communication skills and use of the English language has much improved. Staff were witnessed talking with people living at the home in a clear and caring way. People were given choices by the staff for instance, how they spend their day, where they would like to sit and what they would like to eat. People that needed assistance with eating were given time to eat at their own pace and staff were kind and considerate when helping them. Care plans were much improved. Staff follow the instruction on how people are to be cared for and care plans are reviewed regularly. Staff were witnessed using recognised safe manual handling practice. Improvements have been made around discussion and resident/representative consent for bed rails. Those people who are able to self medicate are monitored using an assessment and review system to ensure safe administration whilst maintaining independence. Kenwyn, Crediton DS0000063516.V351193.R01.S.doc Version 5.2 Page 7 Staff were seen knocking on doors before entering bedrooms and talking with the people living at the home in a kind and caring manner. Activities are very well organised. People with limited capacity are also included by way of one to one interaction with a member of staff. However this is limited. The recording of complaints and concerns has improved. Staff are aware of these procedures. Quality assurance questionnaires are sent to people living at the home and their relatives, the home is continually striving to improve in this area. 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 summary of this inspection report can be made available in other formats on request. Kenwyn, Crediton DS0000063516.V351193.R01.S.doc Version 5.2 Page 8 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 Kenwyn, Crediton DS0000063516.V351193.R01.S.doc Version 5.2 Page 9 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. JUDGEMENT – we looked at outcomes for the following standard(s): 1,3 & 6 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. People have enough information about the home before they move in which helps them make an informed choice about whether the service is right for them. The personalised needs assessment means that people’s needs are identified and planned for before they move into the home. The home does not provide intermediate care EVIDENCE: People have the information they need to make an informed choice about their admission to this home. There is a comprehensive Service Users’ Guide and Statement of Purpose, which are given to people who may want to live there. These are also available in all rooms. This includes topics such as maintaining independence, privacy, provision of nursing care from local nurses as Kenwyn, Crediton DS0000063516.V351193.R01.S.doc Version 5.2 Page 10 necessary and the admission procedure. People are then invited to spend a day at the Home to see if it would be suitable before they make a decision. All surveys from people living at the home showed that they had received enough information about the home before moving in so they could decide if it was the right place for them. The home had obtained comprehensive assessments completed by a health or social care professional, such as community psychiatric nurse, or care manager. Good evidence was seen to show that the home liaises with family and representatives during the assessment and care planning process. The manager will visit people at home or in hospital in order to complete assessments. All staff responding with surveys said they were not asked to care for people with needs outside of their experience. Kenwyn, Crediton DS0000063516.V351193.R01.S.doc Version 5.2 Page 11 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. JUDGEMENT – we looked at outcomes for the following standard(s): 7,8,9 & 10 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The arrangement in place for planning people’s care generally ensures that they consistently get the care they need in a way that suits them. The healthcare needs of people are well met with evidence of multi-disciplinary involvement. The systems for the management and administration of medications are good and medication needs are met safely. Personal support is offered in such a way as to protect and promote peoples’ rights to privacy and dignity. EVIDENCE: People spoken with were happy with the care, and relatives and health and social care professionals indicated they were also satisfied. Comments from people included, “I am well looked after” and “People can’t do enough to help me.” Visitors spoken with felt that their relatives received good care, one said, “ They are really very good”. People living at the home were well dressed and groomed, and attention to their personal care was good. Many females living Kenwyn, Crediton DS0000063516.V351193.R01.S.doc Version 5.2 Page 12 there were wearing make up and jewellery, the hairdresser was visiting the home that morning and several people were having their hair done. The male residents were smartly dressed and well shaved. Care plans seen provided a good description of peoples’ needs and how they should be met with the exception of two care plans which were seen of people with diabetes; both included information about how the district nurse was managing this, however neither showed any actions or instruction for staff on how to manage or identify any problems associated with this condition. Also several care plans were seen that showed concerns re mobility and falls, no falls risk assessments were included which would be useful in the prevention of further falls. There was evidence to suggest that people are involved in the care planning process and participate in the review of their care. One relative we met with was looking through her relatives care plan as staff had asked her to check it was appropriate and this also enabled her to keep updated with her mothers’ care. Staff spoken with and observed demonstrated a good understanding of the peoples needs; Personal histories have been developed that contain important information about peoples’ past lives and occupations, which gives a sense of who this person is. Personal histories are particularly important for people with diminished communication. Health needs are met; two GPs and two health care specialists that replied to surveys were happy with the overall care and felt that the home always works in partnership with them. One said, “they are caring, the home is clean and the staff committed. The staff are always nice to deal with”. There is evidence in records of referrals being made and advice being sought from specialist agencies. Preventative healthcare is achieved through visits from, for example, the chiropodist and optician. Medication is well managed by the home; all health and social care professional’s felt that peoples’ medication was appropriately managed. Medicines are stored and disposed of safely. Only senior staff that have undertaken some training administer medication. The medication records of three people were inspected all were in good order. Controlled drugs were checked and the amounts and the records tallied correctly. People confirmed that most staff are friendly, kind and treat them as they wish to be treated. One relative said, “ The staff are very kind and caring. My Mother cannot fault the way she has been treated”. Throughout the inspection staff were seen to treat people living at the home with respect and kindness. The home has a friendly atmosphere and there was laughter and chatting in the lounge and dining room during the day. Kenwyn, Crediton DS0000063516.V351193.R01.S.doc Version 5.2 Page 13 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. JUDGEMENT – we looked at outcomes for the following standard(s): 12,13,14 & 15 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The lifestyle experienced in the home meets the expectations of most of the people who use this service. People living at the home benefit from varied, organised and spontaneous activities from an ethos that promotes their rights to have control over their own lives. However for those people that have communication difficulties activities are not always fulfilling. The people that live in the home enjoy a balanced diet which takes into account the likes and dislikes of most individuals EVIDENCE: People that were able to said that they were offered activities such as bingo and games. On the day of the inspection we saw the people being offered the choice of several games they could play after lunch, they were seen enjoying these games later on in the day with a member of staff. Some people said that they prefer not to join in but like to read books, watch the television or spend time in their rooms. Those people who have dementia type illnesses are Kenwyn, Crediton DS0000063516.V351193.R01.S.doc Version 5.2 Page 14 offered activities usually on a one to one basis in their rooms, several of these people were seen in the lounge asleep for most of the day with little interaction from staff other than task orientated interaction. More interesting and engaging activities should be made available to those people with communication difficulties. Staff demonstrated that they are generally skilled and patient with people who have memory problems. People said they spend their days doing what they like. They choose what they wear and what to eat. Staff said they do not have set routines with regard to getting people up in the morning and to bed at night, they said it was up to the individual and if they wanted to lie in or stay up late then they were able to. Relatives were seen visiting during the morning, they were made very welcome by the staff and seemed comfortable at ease with them. Some comments made by relatives include, “the home manage really well, they do a great job” and “they give excellent pastoral and physical care with a personal touch”. The home employs a cook; the menus are regularly reviewed and altered. The home has a list of individual dietary needs, likes and dislikes, and a menu is displayed on the dining room tables. An alternative is always provided if they do not like the main meal each day. One person said, “The meals are very good”. The people eating their meals all seemed to be enjoying it, tables are well laid up and there are plenty of condiments. The food was tasty and hot and seconds were offered. Tea and a fruit basket are offered later. Most people said that the food was good, as did relatives. From surveys three people said they “always” like the meals and two said they “sometimes” enjoy the meals and another was left blank. The home works within the environmental guidelines “Safer Food Better Business” which is good practice. Kenwyn, Crediton DS0000063516.V351193.R01.S.doc Version 5.2 Page 15 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. JUDGEMENT – we looked at outcomes for the following standard(s): 16 & 18 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home has a satisfactory complaints system with evidence that people’s views are listened to and acted upon. People feel safe and well cared for. Staff knowledge in relation to adult protection is good ensuring people are safeguarded from abuse. EVIDENCE: The Home has a comprehensive complaints policy, which is available on the notice board and in the Statement of Purpose. The Home now has a working complaints book, although the last complaint recorded was in 2005. In surveys respondents say they always know who to speak to if they are not happy and know how to make a complaint. All complaints made to the manager are recorded although she stated that she had not received any in the past twelve months. The Commission for Social Care Inspection has not received any complaints about this home since the last inspection in January 2007. All of the people we spoke with told us they like living at Kenwyn, are well cared for and that staff treat them well. Relative questionnaires stated that staff were very friendly and caring. All relatives said they knew how to make a complaint. All felt confident that it would be dealt with properly. Kenwyn, Crediton DS0000063516.V351193.R01.S.doc Version 5.2 Page 16 The finances of people at the home are well managed. Personal monies that are managed by home were seen and checked all were correct. The Home has a comprehensive Protection of Vulnerable Adults (POVA) policy, which staff signs to say that they have read. This includes the correct procedure for informing other agencies and documentation and whistle blowing. The Home has the Alerters’ Guide, which is the official local guide advising staff of what to do if abuse is suspected. Training files were looked at and the majority of staff have attended POVA training and had completed follow up competency questionnaires, including institutional abuse topics and subtle abuse. Staff were aware of POVA issues and restraint. Those people using bed rails had risk assessments in their care files and they confirmed that a multidisciplinary decision involving the person and or representative and the GP had taken place. Kenwyn, Crediton DS0000063516.V351193.R01.S.doc Version 5.2 Page 17 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. JUDGEMENT – we looked at outcomes for the following standard(s): 19 & 26 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The standard of the environment is high, providing people with an attractive, safe and clean place to live. EVIDENCE: The Home has a large entrance hall with new comfortable chairs. The décor throughout is of a high standard in neutral colours. There is a large conservatory area on the ground floor overlooking the town and hills beyond. This leads into a dining area, which is also used as an activity area. Upstairs is a television lounge. There are 11 single bedrooms and a further 10 with en-suite facilities and 2 double rooms, 1 en-suite. The inspector looked at the majority of peoples’ rooms. All were decorated to a good standard, many with new bedroom furniture and personalised as people wished. Each room has a nameplate. All Kenwyn, Crediton DS0000063516.V351193.R01.S.doc Version 5.2 Page 18 people have been offered keys to lockable storage in their rooms and most rooms have an appropriate locking devise, to which they may have a key. The Home was very clean throughout. The Home employs 2 domestics and people confirmed on the day that the Home was kept clean and hygienic, as did all the returned questionnaires. There were no complaints received about how their laundry was looked after and the laundry room was tidy and well equipped. There were plenty of gloves and paper towels available and waste is disposed of appropriately, meaning that people and staff are protected from risk of infections. Radiators are covered to prevent accidental scalding. Bath water was checked and found to be hot but not scalding. One person who was asked said that her bath water was always hot enough. Kenwyn, Crediton DS0000063516.V351193.R01.S.doc Version 5.2 Page 19 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. JUDGEMENT – we looked at outcomes for the following standard(s): 27,28,29 & 30 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The number of staff on duty throughout the day and night meet peoples’ personal and health needs. People are protected by the home’s recruitment practice, which is good. People benefit from having skilled, experienced and friendly staff that have a good understanding of their needs. EVIDENCE: On the morning of inspection there were three care staff on duty, the manager, the cook and two domestics to care for 22 people. Feedback from people found that staff were “always” available when needed. One said, “ I never have to wait long”. On the day of the inspection staff were busy, but seemed well organised and unhurried. In surveys staff say they feel well supported and that they are not asked to care for anyone outside their area of expertise. All staff felt that the provision of training was very good especially since the new provider had acquired the Home. Over 50 of care staff have achieved Kenwyn, Crediton DS0000063516.V351193.R01.S.doc Version 5.2 Page 20 the National Vocational Qualification (NVQ) award at level 2 or equivalent, which meets recommendations. Several staff holds a first aid certificate and one is always on duty. All staff have attended a wide range of training and the manager said that there is a good training budget. A mandatory staff training matrix showed that all staff were up to date. Other training attended includes communication skills, challenging behaviour and dementia care. The manager chooses monthly topics and these are discussed in staff meetings. On the day of the inspection a group of staff were undertaking training about death and dying. The home operates a good recruitment procedure that clearly highlights the processes to be followed. Three staff recruitment files were looked at during the visit. The documentation was consistent with evidence of a safe and robust recruitment process being carried out before a person is employed at the home. All new staff has induction training to enable them to get to know the people living at the home, the philosophy of care, safety procedures, all procedures and the general layout of the home. Kenwyn, Crediton DS0000063516.V351193.R01.S.doc Version 5.2 Page 21 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. JUDGEMENT – we looked at outcomes for the following standard(s): 31, 32,33,35 & 38 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. People living at Kenwyn, relatives and staff, benefit from the friendly and open management at the home. There are arrangements in place to involve people living at the home and their representatives in the running of the home. Systems are in place to ensure that peoples’ personal monies are correctly managed. Health & safety is well managed. Kenwyn, Crediton DS0000063516.V351193.R01.S.doc Version 5.2 Page 22 EVIDENCE: The Manager Sandra Northcott has worked at Kenwyn for many years; she is an experienced manager who is respected by many. One returned survey from a GP said, “ Sandra has a good understanding of their needs”, a relative said, “ We feel that Kenwyn is run honestly and kindly”. Currently the manager is undertaking NVQ 4 in care and the Registered Managers award, she is hopeful this will be completed by the middle of this year. Communication systems are in place, there are regular staff handovers and regular staff meetings; minutes of these were seen and contained positive reassuring messages for the staff team. The person registered with the commission as the person who, together with the Registered Manager, is legally responsible for this service has delegated monthly visits to the Group Quality Manager. Visits by this person include speaking with staff and with the people who live here. The manager sends out questionnaires to people living in the home and their families then audits the responses and makes improvements as necessary. The people living at the home are involved in how it is run through regular meetings. Suggestions are encouraged and changes made, for instance different meals or outings. People said they were asked if they were happy and were confident that the home would make changes to accommodate them. One person said “ They do what they can to help they are very good”. We looked at the personal accounts of three people at the home. Each is kept securely in a locked space. Each account is kept separately and records and receipts are kept. Balances were checked and were found to be in order. Maintenance and associated records provided evidence that the registered provider has a sensible approach towards maintaining the safety of the environment; the fire precautions logbook indicates that the fire alarm is tested weekly and emergency lights monthly. Records and discussion confirmed that the staff have regular training in fire safety. Radiators were guarded throughout the home and windows had restrictors fitted so that people living at the home are safeguarded from harm. Kenwyn, Crediton DS0000063516.V351193.R01.S.doc Version 5.2 Page 23 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 3 X X 3 HEALTH AND PERSONAL CARE Standard No Score 7 2 8 3 9 3 10 3 11 X 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 3 X X X X X X 3 STAFFING Standard No Score 27 3 28 3 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 2 X X 3 X X 3 Kenwyn, Crediton DS0000063516.V351193.R01.S.doc Version 5.2 Page 24 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. 1 Standard OP33 Regulation 26(5)(c) Requirement The person with delegated responsibility who visits the home monthly must send a written report to the commission after each visit. Timescale for action 29/02/08 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 OP7 Good Practice Recommendations It is recommended that care plans clearly state action plans for all peoples needs such as diabetes, aggression, and falls and that staff are aware of the contents of the plans and follow the appropriate actions. It is recommended that all peoples’ social and leisure needs be met in ways appropriate to their capacity. This refers to stimulation and interaction for residents less able to communicate. 2. OP12 Kenwyn, Crediton DS0000063516.V351193.R01.S.doc Version 5.2 Page 25 Commission for Social Care Inspection Devon Area Unit D1 Linhay Business Park Ashburton TQ13 7UP National Enquiry Line: 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 © 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 Kenwyn, Crediton DS0000063516.V351193.R01.S.doc Version 5.2 Page 26 - 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!