Care Home: Kingly House

What the care home does well What has improved since the last inspection? There were no requirements or recommendations made at the last inspection. The home has described through the AQQA what they have done to improve the home since it opened in May 2007. This included improved staff training in protection of vulnerable adults, medicine training and the Mental Capacity Act. They have installed a stair lift for those residents with mobility difficulties. They have put a plan in place in case of an emergency, such as an incident of fire or flood. They have put a good quality assurance questionnaire in place to get further views of the residents and their families. They have appointed a full-time chef and an activities worker who relates well to the young people in the home and helps with all activities particularly the physical ones. CARE HOME ADULTS 18-65 Kingly House 13 - 19 Mount Road Hinckley Leicestershire LE10 1AD Lead Inspector Thea Richards Unannounced Inspection 12th August 2008 09:30 Kingly House DS0000069859.V370109.R01.S.doc Version 5.2 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 Kingly House DS0000069859.V370109.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 Adults 18-65. 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. Kingly House DS0000069859.V370109.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Kingly House Address 13 - 19 Mount Road Hinckley Leicestershire LE10 1AD 01455 613823 01455 617519 m.newman@kinglycarepartnership.com www.kinglycarepartnership.com Kingly Care Partnership Ltd 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) Mrs Miranda Elizabeth Newman Care Home 8 Category(ies) of Mental disorder, excluding learning disability or registration, with number dementia (8) of places Kingly House DS0000069859.V370109.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. The registered person may provide the following category of service only: Care home only - Code PC To service users of the following gender: Either Whose primary care needs on admission to the home are within the following category: 2. Mental Disorder, excluding learning disability or dementia - Code MD The maximum number of service users who can be accommodated is 8. Date of last inspection 24th October 2007 Brief Description of the Service: Kingly House is a converted Edwardian building that was previously a hotel and restaurant. It has been beautifully converted and provides excellent accommodation for the eight people with acquired brain injuries that it is registered to provide care for. It is situated in Mount Road close to the town centre of Hinckley and is easily reached by public or private transport. There is parking available at the back of the house. Kingly Care Partnership Ltd own the home and both of the directors have considerable experience in this speciality. One of the co-owners Mrs. Mandy Newman works as the manager. The home has bedrooms on the ground and first floors, all of them have ensuite facilities and there is an assisted bathroom for those residents with mobility difficulties. The first floor can be reached by the stairs that also has a stair- lift There is a large lounge on the ground floor with several smaller sitting areas around the home including a lounge that has a computer and internet access for the residents, The large dining room is on the ground floor, with doors that lead to the pretty garden, where there is a summer- house where the residents may smoke. Kingly House DS0000069859.V370109.R01.S.doc Version 5.2 Page 5 There are two well- equipped kitchens, one of which is used as an assisted kitchen with a dining area. The residents use this kitchen and are able to entertain their visitors in the conservatory style dining area that overlooks the garden. The whole home is bright, well decorated and clean with good quality furniture that is suitable for the residents needs. The home has its own transport to take the residents out to their various activities. The home can be contacted by telephone, fax or email. The fees for the home are based on a daily rate of £295:00 The registration certificate from the Commission for Social Care Inspection, an up to date certificate of insurance were displayed in the entrance hall and the latest inspection report was available. Kingly House DS0000069859.V370109.R01.S.doc Version 5.2 Page 6 SUMMARY This is an overview of what the inspector found during the inspection. The Quality rating for this service is 3 Star. This means that the people who use this service experience excellent quality outcomes. This was a key inspection of a care home for people with an acquired brain injury, which ended with an unannounced visit to the service. Before the visit we (throughout the report the use of ‘we’ indicates the Commission for Social Care Inspection), spent four hours reviewing information received by the Commission for Social Care Inspection (CSCI) since the last inspection that took place on the 24th October 2007. The visit took place on the 12th August 2008 and lasted five hours. During the visit we checked all the ‘key’ standards as identified in the National Minimum Standards. This was achieved through a method called ‘case tracking’. Case tracking means that we looked at the care provided to three of the residents. To achieve this we spoke with the staff supporting their care and looked at the records relating to their health and welfare. We spoke with the residents although some of the communication was difficult; we managed to get feedback from them. With their permission the residents’ bedrooms were looked at. We also checked how the home was run and organised. This included looking at staff records, training and how the staff are organised. We looked at health and safety records, menus, minutes of meetings and the quality audit. The policy for handling complaints and how the home dealt with them was looked at. We looked at how prospective residents and their families are given information about the services the home can offer and whether they are suitable for them. We looked at the AQQA (Annual Quality Assurance Audit) that the home had sent to us when we asked for it. This provided us with information about the home and some numerical information about the staff and the residents. During the visit we spoke with the manager, her co-owner, the staff, the residents and to visitors in the home. We were told about the results of the homes’ quality audit that showed that the families were pleased with the service given. Kingly House DS0000069859.V370109.R01.S.doc Version 5.2 Page 7 What the service does well: Everyone who we spoke with about the home was extremely positive about all aspects it and praised the owners, the staff, the care and the environment. The residents were very happy with arrangements that had been made for their educational, work and leisure activities. They told us that they all listened to them and always tried to do what they wanted for them. A resident told us’ the home is ravishing’ Kingly House provides a well –planned, welcoming, comfortable and homely atmosphere where residents are cared for and live in a safe and friendly environment. ‘I like my room’ The residents are encouraged to become part of the local and wider community. Care plans are planned with the resident so that their goals and wishes in life are clear and agreed by them. There is an excellent staff group led by committed owners who are dedicated to the residents’ care and work as whole team. ‘They are good people’ The training given to the staff is thorough and includes many subjects that are specifically for this group of people. The recruitment and interview process makes sure that the residents have a staff that are safe and whom they feel will suit the home. The residents are fully involved in the decisions in the home and are able to make their opinions heard during the daily contact that they have with the owners and through resident meetings. Kingly House DS0000069859.V370109.R01.S.doc Version 5.2 Page 8 What has improved since the last inspection? 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. Kingly House DS0000069859.V370109.R01.S.doc Version 5.2 Page 9 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–5) Individual Needs and Choices (Standards 6-10) Lifestyle (Standards 11-17) Personal and Healthcare Support (Standards 18-21) Concerns, Complaints and Protection (Standards 22-23) Environment (Standards 24-30) Staffing (Standards 31-36) Conduct and Management of the Home (Standards 37 – 43) Scoring of Outcomes Statutory Requirements Identified During the Inspection Kingly House DS0000069859.V370109.R01.S.doc Version 5.2 Page 10 Choice of Home The intended outcomes for Standards 1 – 5 are: 1. 2. 3. 4. 5. Prospective service users have the information they need to make an informed choice about where to live. Prospective users’ individual aspirations and needs are assessed. Prospective service users know that the home that they will choose will meet their needs and aspirations. Prospective service users have an opportunity to visit and to “test drive” the home. Each service user has an individual written contract or statement of terms and conditions with the home. The Commission consider Standard 2 the key standard to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 2 Quality in this outcome area is excellent This judgement has been made using available evidence including a visit to this service People who may want to use this service have excellent support and information to make sure that they and their family can make the right decision as to whether the home can meet their needs. EVIDENCE: The visitor spoken with and the residents who were able to told us that they had been given good information before they came into the home. Most of the residents in the home have difficulty in remembering a lot of detail because of their brain injury but some were able to tell us about how they came to the home. The manager and the co-owner told us that they always visited prospective residents at home or wherever they were living and complete a thorough assessment of all their needs. The records for the residents that we looked at confirmed that a very thorough assessment had been made. It clearly described the residents’ needs giving the staff the information that they needed to care for them. Kingly House DS0000069859.V370109.R01.S.doc Version 5.2 Page 11 The Statement of purpose and the residents’ handbook contained excellent information and were printed in a size of print that was easy for the residents to read and understand. Wherever it is possible residents visit the home for the day and for overnight stays to make sure that they want to move in permanently. Members of staff spoken with told us that they always knew and understood what a new residents needs were before they moved in. The current registration certificate from the Commission for Social Care Inspection (CSCI) and an up to date certificate of insurance were displayed in the entrance hall and the latest report from the CSCI was available. Kingly House DS0000069859.V370109.R01.S.doc Version 5.2 Page 12 Individual Needs and Choices The intended outcomes for Standards 6 – 10 are: 6. 7. 8. 9. 10. Service users know their assessed and changing needs and personal goals are reflected in their individual Plan. Service users make decisions about their lives with assistance as needed. Service users are consulted on, and participate in, all aspects of life in the home. Service users are supported to take risks as part of an independent lifestyle. Service users know that information about them is handled appropriately, and that their confidences are kept. The Commission considers Standards 6, 7 and 9 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 6,7,9 Quality in this outcome area is excellent This judgement has been made using available evidence including a visit to this service. The residents are supported in maintaining their independence with dignity and in making decisions in their daily living, giving them an excellent quality of life. EVIDENCE: The care plans and records looked at contained thorough information about how the residents’ needs were identified and their choices made. Some of the areas covered included information about how they wished to be addressed, when they wanted to get up or go to bed, menu choices and how their bedrooms are furnished. The staff understand and communicate patiently and well with those residents with speech difficulties, who have individual methods of communicating with signs and gestures. Kingly House DS0000069859.V370109.R01.S.doc Version 5.2 Page 13 The care plans have all the information that is needed and describe each individual residents’ needs and wishes. There is evidence in the care plans it is clear that the residents have been involved in developing their care plans, which they told us that they had been and that they were happy with what was in them. The care plans were ‘person centred’ that describe the individual needs, choices and wants and have been planned with the resident and their key worker. Key workers are selected for individual residents who they can relate to. They were seen to be spending a lot of time with the resident and treating them with dignity and privacy. Key workers are members of staff who have particular responsibility and interest in an individual resident. They make sure that they have all that they need and that they have the activities and work or education needs met. There is information made available for the residents’ to obtain an advocacy service if they wish it. There are risk assessments in place where there may be a risk to the resident either in an activity or in the environment. This allows the staff and the resident to be aware of the possible risk and protects them whilst allowing the resident to continue with the activity. The residents have regular meetings to discuss choices in the home such as activities and menus and they and the staff make choices on a daily basis. This was seen on the day of the visit when a variety of lunches and activities were being chosen. The care plans for the residents selected were clear and comprehensive. There was evidence of the residents’ participation throughout, including how they keep their monies and agreement to risk assessments. The goals and wishes of the residents were written clearly in the care plans. Reviews took place on a 3-monthly basis or as often as is needed, with other professional staff contributing to it. The Residents took part of these reviews and where they could they signed to say that they agreed with the decisions. The residents were encouraged to be as independent as possible, which was shown in the records and was seen during the visit with residents going in and out of the home and making their own drinks. The residents take it in turns to make their own meals in the assisted kitchen and were keen to tell us about it and what they had made. The owners told us that they ate all main meals with the residents and staff, which gives them a good opportunity to get to know the residents and staff better and to get their opinions about their lives. Kingly House DS0000069859.V370109.R01.S.doc Version 5.2 Page 14 Kingly House DS0000069859.V370109.R01.S.doc Version 5.2 Page 15 Lifestyle The intended outcomes for Standards 11 - 17 are: 11. 12. 13. 14. 15. 16. 17. Service users have opportunities for personal development. Service users are able to take part in age, peer and culturally appropriate activities. Service users are part of the local community. Service users engage in appropriate leisure activities. Service users have appropriate personal, family and sexual relationships. Service users’ rights are respected and responsibilities recognised in their daily lives. Service users are offered a healthy diet and enjoy their meals and mealtimes. The Commission considers Standards 12, 13, 15, 16 and 17 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 12,13,15,16,17 Quality in this outcome area is excellent This judgement has been made using available evidence including a visit to this service. The staff support the residents in maintaining their interest in their different activities and occupations and make sure that their nutritional and spiritual needs are met as they wish them to be. EVIDENCE: There was good evidence of daily occupation and leisure activity being provided for the residents. Most of the residents went out on a daily basis to work, educational or social activity. On the day of the visit some of the residents had been to the Gym and told us that they went regularly and how much they enjoyed it. One of the residents who was working at the stables came home and was full of enthusiasm about his day and told us all about what he had been doing. The staff help the residents to maintain their interest in the hobbies that they had before their injury and to develop new ones. Kingly House DS0000069859.V370109.R01.S.doc Version 5.2 Page 16 The residents were seen to be getting their own and their visitors drinks in the home. Residents who have special needs such as allergies are well catered for and the home goes to a lot of effort to make sure that they have the same menus as the others but using items that they can eat. This makes sure that they don’t feel excluded or different. During the day some of the residents were enjoying watching the Olympics on the television and going in and out of the garden. There was an individual programme of activities for each of the residents that is planned by themselves with the assistance of their keyworker, including activities in the evenings. The residents are part of the local community, visiting local pubs, restaurants, shops and parks. The noticeboard in the home has details of activities and events that are happening both in the home and in the local community. The staff were seen to be treating all of the residents as individuals and recognised their different personalities and behavioural needs. The staff were seen to be giving a resident a plastic glove to use so that she could feed the fish to avoid any allergic reaction to the fish food. They are good people’ one of the residents told us. The activities are recorded in well documented care plans which are regularly reviewed as the residents’ needs change. The home has recently appointed an activities worker, which has proved very popular with the resdients as he is involved in all the activities, particularly the physical ones. There are good choices of food, which the residents are involved in; choosing the menus helping with the shopping and taking it in turns to cook their own food in the assisted kitchen. They may have visitors to share their meals with them and are very pleased to be able to cook for them and eat with them in the dining area of the kitchen. Meal times are flexible to suit the needs and the activities of the residents. The staff were seen to be sitting with them to eating their lunch and discussing the residents day. The religious needs of the residents are recognised and they are supported in attending their place of worship. Kingly House DS0000069859.V370109.R01.S.doc Version 5.2 Page 17 Personal and Healthcare Support The intended outcomes for Standards 18 - 21 are: 18. 19. 20. 21. Service users receive personal support in the way they prefer and require. Service users’ physical and emotional health needs are met. Service users retain, administer and control their own medication where appropriate, and are protected by the home’s policies and procedures for dealing with medicines. The ageing, illness and death of a service user are handled with respect and as the individual would wish. The Commission considers Standards 18, 19, and 20 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. The well informed and trained staff meet the care needs of the residents safely, with a complete knowledge of their needs and how they wish to receive them. EVIDENCE: The ‘case tracked care plans were found to have good descriptions of the care needs of the residents. This includes a regular assessment of the residents’ weight and their nutritional needs. There are records of the involvement of G.P.s, chiropodist, optician and dentist present, giving evidence of thorough health care being provided for the residents. There are good descriptions in the care plans about the residents’ illnesses and brain injury that help the staff to understand them and how to care for them. These include information about any allergies and how to treat somebody with anaphylactic shock, which can happen as a reaction to an allergy. Kingly House DS0000069859.V370109.R01.S.doc Version 5.2 Page 18 There are ‘Person centred’ care plans that had been put in place by the resident and their key worker so that it was clear how each individual wanted to be treated. The staff and the records confirmed that the residents received good medical care when they needed it. Two of the residents spoken with said that they were happy with the doctors, one of them had been to the doctors on the day of the visit. A consultant psychiatrist who we spoke with on the day of the visit told us that’ It is a brilliant home that gives excellent care’ that ‘the staff are very aware of the residents needs and that they always keep me updated and give me appropriate referrals’. He was also full of praise for the homes’ owners. The daily record of care is up to date which makes sure that the residents receive the right care and the staff know what has happened to them during the day or night. The senior staff in the home give the medicines and they told us that they have had training in medicine management to make sure that they can give them safely. This was confirmed by the manager and by the records seen. Medication records for the case tracked residents were in order. The staff spoken with were knowledgeable about the medicines and where to obtain information. They were aware of the requirements for the receipt, storage and disposal of medicines. Medicines are stored in a locked cupboard in the home. The home was not using any controlled medicines at the time of the visit, although the staff were able to describe how they would be monitored if they had them. There is a regular audit of the medicines and record sheets completed by the manager. The home has recently had an inspection from their pharmacist who was very happy with the standard in the home. The above process makes sure that the residents are protected with the correct medicine administration. There is a policy for residents who can look after their own medicines, but there were no residents responsible for their own medicines on the day of the visit. Kingly House DS0000069859.V370109.R01.S.doc Version 5.2 Page 19 Concerns, Complaints and Protection The intended outcomes for Standards 22 – 23 are: 22. 23. Service users feel their views are listened to and acted on. Service users are protected from abuse, neglect and self-harm. The Commission considers Standards 22, and 23 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. There are good systems in place to support and protect residents and staff are aware of how to manage the processes. EVIDENCE: There is a complaints policy in place which gives the details of how to complain and who to complain to if the residents or their families needed to. This needs to be updated to give the Social Services contact details, We saw the policy, which was printed in a large clear text that was easy for the residents to read. The owners told us that they would be able to print it in other formats or languages if it was needed. There have been no complaints received by the home or by the Commission for Social Care Inspection since the last inspection on 24/10/07. The forms that were seen to be completed if a complaint was received were clear and provided all the information that was needed. The staff spoken with were aware of how to handle a complaint if they received one. The residents and the visitors spoken with were able to tell us who they would complain to if they ever needed to and were happy that it would be dealt with properly. The staff receive training in safeguarding adults from abuse during their induction period and is updated regularly. The staff spoken with were able to describe how they would deal with an allegation of abuse and were able to tell us in which areas abuse may happen. Kingly House DS0000069859.V370109.R01.S.doc Version 5.2 Page 20 The manager, the records seen and the staff spoken with confirmed that they had had training. The manager and the staff spoken with said that they had attended training in the Mental capacity Act that told them about peoples rights and how to find out their wishes. Kingly House DS0000069859.V370109.R01.S.doc Version 5.2 Page 21 Environment The intended outcomes for Standards 24 – 30 are: 24. 25. 26. 27. 28. 29. 30. Service users live in a homely, comfortable and safe environment. Service users’ bedrooms suit their needs and lifestyles. Service users’ bedrooms promote their independence. Service users’ toilets and bathrooms provide sufficient privacy and meet their individual needs. Shared spaces complement and supplement service users’ individual rooms. Service users have the specialist equipment they require to maximise their independence. The home is clean and hygienic. The Commission considers Standards 24, and 30 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 24,30 Quality in this outcome area is excellent This judgement has been made using available evidence including a visit to this service. The residents are well protected by the policies and procedures in the home, which provides a safe, clean, homely and suitably adapted environment to live in. EVIDENCE: Kingly House is a converted home that was previously an hotel and restaurant. It has been sympathetically restored and now provides a beautiful home for the residents. It is close to the amenities of Hinkley and is in walking distance of the town centre. The home was warm and welcoming and found to be very clean in all areas. The lounges and dining room are bright, well decorated and with suitable good quality furnishings. It was a pleasure to see that fresh flowers had been provided in the dining room. Kingly House DS0000069859.V370109.R01.S.doc Version 5.2 Page 22 There are smaller seating areas that allow the residents to have a quiet space to sit other than their bedrooms. There is a lounge area that has a computer and internet access for the residents to use and enjoy. The bedrooms that we looked at with the residents permission were spacious, designed for each individuals needs and had been personalised with the residents belongings. ‘ I really like my room’ a resident told us. All of the bedrooms have en-suite facilties and there is an adapted bathroom for those with a mobility difficulty. Both the main kitchen and the assisted kitchen were clean and well equipped. The residents can entertain visitors in the assisted kitchen, which has a very pleasant dining area in a conservatory style, overlooking the garden. The owners have plans to add a further nine bedrooms to the home within the next few months. The staff spoken with had received health and safety training and were aware of how to handle chemicals. These were all stored in a locked cupboard. The fire records for testing and drills was up to date. The water temperatures were controoled from the boiler and an alarm would sound if the temperature rose above the recommended level. There were no outstanding safety or maintenance issues noted on the tour of the premises. There was a pleasant, well -maintained garden with a patio area and a summer- house where the residents could smoke if they wished to. The registration certificate from the Commission for Social Care Inspection (CSCI) and a current insurance certificate were displayed in the entrance hall. The inspection reports from the CSCI are available. Kingly House DS0000069859.V370109.R01.S.doc Version 5.2 Page 23 Staffing The intended outcomes for Standards 31 – 36 are: 31. 32. 33. 34. 35. 36. Service users benefit from clarity of staff roles and responsibilities. Service users are supported by competent and qualified staff. Service users are supported by an effective staff team. Service users are supported and protected by the home’s recruitment policy and practices. Service users’ individual and joint needs are met by appropriately trained staff. Service users benefit from well supported and supervised staff. The Commission considers Standards 32, 34 and 35 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 34,35,36 Quality in this outcome area is good This judgement has been made using available evidence including a visit to this service. The recruitment, numbers and training of staff make sure that the residents are protected from harm and that their needs are met. EVIDENCE: We looked at two staff files and all of the required information was complete in them. This included evidence of identification, adequately completed application forms, two written references protection of vulnerable adults checks and Criminal Records Bureau checks. There were no photographs of the staff on the files that we looked at, which would help with their identification. The homes’ policy is that all new staff have a photograph when they join and this was seen on other files. Staff spoken with confirmed that they had not started work until all the paperwork was complete. The rsidents are involved in the interview process for new staff and the cook described how she had cooked a meal for them as part of her selection. Kingly House DS0000069859.V370109.R01.S.doc Version 5.2 Page 24 The home has a thorough induction programme in place for new members of staff that includes the specialist needs of this client group. This gives new staff good knowledge for caring for the residents. The manager and the records seen told us that all of the staff either have completed National Vocational Qualification( NVQ) level 2 or above, or are currently working towards it. Although the cook is qualified she is now completing an NVQ in catering. The National Vocational Qualification is a qualification for care staff to ensure that they receive appropriate training in the needs of the resident group whom they are caring for. Records show that the staff have had training on many subjects relevant to their work. Staff members spoken with were happy with the amount of training that they were given by the home and told us that they had training in safeguarding adults, challenging behaviour, sexual orientation, Mental capacity, allergy and anaphylaxis as well as moving and handling, first aid and medicine management. There was evidence in the records that was confirmed by manager and the staff spoken with that regular staff supervision was taking place. This process gives the staff and their ‘line manager’ the opportunity to have individual discussions about work and training needs. The staff rotas showed that there were enough staff members to meet the needs of the residents. Staff members spoken with said they had enough time to complete their work. Kingly House DS0000069859.V370109.R01.S.doc Version 5.2 Page 25 Conduct and Management of the Home The intended outcomes for Standards 37 – 43 are: 37. 38. 39. 40. 41. 42. 43. Service users benefit from a well run home. Service users benefit from the ethos, leadership and management approach of the home. Service users are confident their views underpin all self-monitoring, review and development by the home. Service users’ rights and best interests are safeguarded by the home’s policies and procedures. 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 are promoted and protected. Service users benefit from competent and accountable management of the service. The Commission considers Standards 37, 39, and 42 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 37,39,42 Quality in this outcome area is excellent This judgement has been made using available evidence including a visit to this service. The residents live in a home that is well managed, with their individual needs and wishes being supported, in an environment that is run safely in their interests. EVIDENCE: The registered manager has over 25 years’ experience in the specialist field of brain injuries and is an experienced manager. She has NVQ at Level 4 in care and a diploma in Healthcare Management. The co-owner of the home has a degree in Behavioural Science and a postgraduate qualification in Health Psychology. Both hold Registered Manager’s awards. Kingly House DS0000069859.V370109.R01.S.doc Version 5.2 Page 26 The staff and the residents told us that they are very happy with both owners and that they can see them at any time as they are very approachable and supportive and have an ‘open door’ policy in the home. They told us that they spent a lot of time in the home and were involved in the ‘hands on’ care and always ate their meals with the staff and the residents when they were in the home. Some of the staff told us that they had worked with them previously and had moved house to be able to continue working with them in the new home. The residents and relatives have regular meetings with the manager when their views are discussed and areas such as meals and activities are decided. The manager sees everyone individually every day and the results of the first yearly questionnaire for the residents and their families were available. This showed that people were very positive about the home, the staff the care and the management. Residents and visitors were full of praise for the staff and the owners; one said ‘The home is ravishing’. The home has clear and thorough policies and procedures, which are up to date and have recently been reviewed. The records for fire alarm testing and fire training were seen and found to be up to date. The staff told us that they have regular, formal supervision and the manager and the records seen confirmed this. There are regular staff meetings held, which was confirmed by the staff and by the minutes of the meetings. Staff members confirmed that they received regular supervision and that there were regular staff meetings. Kingly House DS0000069859.V370109.R01.S.doc Version 5.2 Page 27 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Adults 18-65 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 X 2 4 3 X 4 X 5 X INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 3 23 3 ENVIRONMENT Standard No Score 24 4 25 X 26 X 27 X 28 X 29 X 30 4 STAFFING Standard No Score 31 X 32 X 33 X 34 3 35 3 36 4 CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 3 4 X 4 X LIFESTYLES Standard No Score 11 X 12 4 13 3 14 X 15 4 16 3 17 4 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 4 4 3 X 4 X 3 X X 4 X Kingly House DS0000069859.V370109.R01.S.doc Version 5.2 Page 28 Are there any outstanding requirements from the last inspection? None 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 Regulation Requirement Timescale for action 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. 2. Refer to Standard YA22 YA34 Good Practice Recommendations The contact details for Social Services could be included in the complaints policy Photographs of the staff could be placed on their files to help identification. Kingly House DS0000069859.V370109.R01.S.doc Version 5.2 Page 29 Commission for Social Care Inspection Eastern Region Commission for Social Care Inspection Eastern Regional Contact Team CPC1, Capital Park Fulbourn Cambridge, CB21 5XE 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 Kingly House DS0000069859.V370109.R01.S.doc Version 5.2 Page 30 - 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. 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