Care Home: Kingsfield Care Centre

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What the care home does well The service has good information available to anyone interested in using the facilities and moving into the home. This information is useful in helping people to make an informed choice about their future care and support needs and helps them in making the right decision. There is a good activity programme in place which considers individual lifestyle preferences and individual social and cultural needs. The people living in the home expressed satisfaction about the activities available to them, and comments included: "There are activities for us, things to keep your legs on the move and to keep fit, we also have trips out". "There`s always plenty of things going on here". The people living in the home spoke highly of the staff support. During observations made of staff they were seen engaging in positive meaningful conversations, and listening to the points raised by the people living there. Comments included: "The staff are very good. They come quickly if you buzz and they are always very friendly". One person living in the home told us, "I have been very impressed how caring the staff are with the people who need a lot of help. They are so caring and patient". Kingsfield maintains a clean and homely environment with high standards of housekeeping. All the people who were spoken to spoke of very high standards in the environment. There was evidence of good management systems to monitor and audit key working practices in the home. This means that people living in the home can be confident that their interests are safeguarded and that the home is run in their best interest. What has improved since the last inspection? Leisure activities have improved and there is continuity in offering a range of activities in the home. The service continues to maintain good standards in the environment and have made several improvements including refurbishment of bedrooms. What the care home could do better: There have been no recommendations or requirements been made as a result of this inspection. Key inspection report Care homes for older people Name: Address: Kingsfield Care Centre Union Road Ashton-under-Lyne Tameside OL6 9JF     The quality rating for this care home is:   two star good service A quality rating is our assessment of how well a care home 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 full review a ‘key’ inspection. Lead inspector: Ann Connolly     Date: 0 6 0 8 2 0 0 9 This is a review of quality of outcomes that people experience in this care home. We believe high quality care should • • • • • Be safe Have the right outcomes, including clinical outcomes Be a good experience for the people that use it Help prevent illness, and promote healthy, independent living Be available to those who need it when they need it. The first part of the review gives the overall quality rating for the care home: • • • • 3 2 1 0 stars - excellent stars - good star - adequate star - poor There is also a bar chart that gives a quick way of seeing the quality of care that the home provides under key areas that matter to people. There is a summary of what we think this service does well, what they have improved on and, where it applies, what they need to do better. We use the national minimum standards to describe the outcomes that people should experience. National minimum standards are written by the Department of Health for each type of care service. After the summary there is more detail about our findings. The following table explains what you will see under each outcome area. Outcome area (for example Choice of home) These are the outcomes that people staying in care homes should experience. that people have said are important to them: They reflect the things This box tells you the outcomes that we will always inspect against when we do a key inspection. This box tells you any additional outcomes that we may inspect against when we do a key inspection. This is what people staying in this care home experience: Judgement: This box tells you our opinion of what we have looked at in this outcome area. We will say whether it is excellent, good, adequate or poor. Evidence: This box describes the information we used to come to our judgement. Care Homes for Older People Page 2 of 26 We review the quality of the service against outcomes from the National Minimum Standards (NMS). Those standards are written by the Department of Health for each type of care service. Copies of the National Minimum Standards – Care Homes for Older People can be found at www.dh.gov.uk or bought 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 The mission of the Care Quality Commission is to make care better for people by: • Regulating health and adult social care services to ensure quality and safety standards, drive improvement and stamp out bad practice • Protecting the rights of people who use services, particularly the most vulnerable and those detained under the Mental Health Act 1983 • Providing accessible, trustworthy information on the quality of care and services so people can make better decisions about their care and so that commissioners and providers of services can improve services. • Providing independent public accountability on how commissioners and providers of services are improving the quality of care and providing value for money. Reader Information Document Purpose Author Audience Further copies from Copyright Inspection report Care Quality Commission General public 0870 240 7535 (telephone order line) Copyright © (2009) Care Quality Commission (CQC). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CQC copyright, with the title and date of publication of the document specified. www.cqc.org.uk Internet address Care Homes for Older People Page 3 of 26 Information about the care home Name of care home: Address: Kingsfield Care Centre Union Road Ashton-under-Lyne Tameside OL6 9JF 01613301853 Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Type of registration: Number of places registered: Meridian Healthcare Ltd care home 54 Conditions of registration: Category(ies) : Number of places (if applicable): Under 65 dementia old age, not falling within any other category Additional conditions: The registered person may provide the following categories of service only: Care home only - Code PC To people of either gender whose primary care needs on admission to the home are within the following categories: Old age, not falling within any other category - Code OP Dementia - Code DE The maximum number of people who can be accommodated is 54. Date of last inspection Brief description of the care home Kingsfield Care Centre is a single storey, purpose built, detached property set in its own grounds. It offers accommodation for up to 54 older people, in single rooms. Kingsfield Care Centre is near the town centre of Ashton under Lyne and, consequently, has good access to public transport facilities. There are also parking facilities in the vicinity. Kingsfield Care Centre has two lounge/dining rooms and one small lounge, which is a dedicated smoking area, and a quiet room. The building also has a conservatory area off the main lounge and a patio area in the inner garden. Kingsfield Care Centre is run by Meridian Healthcare Limited, which also runs Care Homes for Older People Page 4 of 26 Over 65 0 54 54 0 Brief description of the care home several other care homes in the area. Care Homes for Older People Page 5 of 26 Summary This is an overview of what we found during the inspection. The quality rating for this care home is: Our judgement for each outcome: two star good service Choice of home Health and personal care Daily life and social activities Complaints and protection Environment Staffing Management and administration peterchart Poor Adequate Good Excellent How we did our inspection: This was a key inspection that included a visit to the home. The manager was not told beforehand that we were coming to inspect, this is called an unannounced inspection. The inspection looked at all the key standards and included a review of all available information received by the Commission since the last inspection. During the visit a selection of care plans, policies and procedures were looked at. Discussion took place with the people living in the home, their relatives, the manager and the staff. When we talked to the people living there we asked them for their views on how well they felt supported by staff and for their general views about the home. A tour of the building took place, and we asked for views about how well the building was maintained and the furnishing and fittings. Before the inspection we asked the manager to complete an assessment form called an Annual Quality Assurance Assessment (AQAA). This asks the manager to consider what the home does well and where improvements could be made. This is one way we get information about the home. The information provided on this occasion was detailed Care Homes for Older People Page 6 of 26 and comprehensive and showed us that this was a service committed to ongoing development so that people living in the home benefit from a well run service. Since the last inspection the Commission has received one complaint about this service. Records show that this was managed appropriately by the manager and that appropriate agencies were involved. The fees for this service range from three hundred ad ninety eight pounds and eleven pence to four hundred and thirty pounds and eleven pence per week. Care Homes for Older People Page 7 of 26 What the care home does well: What has improved since the last inspection? 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 on page 4. The report of this inspection is available from our website www.cqc.org.uk. You can get printed copies from enquiries@cqc.org.uk or by telephoning our Care Homes for Older People Page 8 of 26 order line 0870 240 7535. Care Homes for Older People Page 9 of 26 Details of our 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) Outstanding statutory requirements Requirements and recommendations from this inspection Care Homes for Older People Page 10 of 26 Choice of home These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People are confident that the care home can support them. This is because there is an accurate assessment of their needs that they, or people close to them, have been involved in. This tells the home all about them and the support they need. People who stay at the home only for intermediate care, have a clear assessment that includes a plan on what they hope for and want to achieve when they return home. People can decide whether the care home can meet their support and accommodation needs. This is because they, or people close to them, have been able to visit the home and have got full, clear, accurate and up to date information about the home. If they decide to stay in the home they know about their rights and responsibilities because there is an easy to understand contract or statement of terms and conditions between them and the care home that includes how much they will pay and what the home provides for the money. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People using this service are provided with information to help them in making an informed choice about their care and support needs, and they receive a full assessment of their needs. Evidence: The acting manager confirmed that people moving into the home received a full preadmission assessment covering all their healthcare needs. Copies of the service user guide and other useful information about the home was readily available to people making enquiries about the home. We looked at files of people recently admitted into the home and saw evidence of a full care needs assessment carried out by the purchasing authority and by a representative from the home. We looked at the file of a person who was admitted as an emergency the previous Care Homes for Older People Page 11 of 26 Evidence: day. There was some important information missing from this file including up to date information about medication. This shortfall was acknowledged by the manager, who immediately addressed the situation. Since identifying this shortfall the manager has implemented training for all staff ( including night staff who had been involved in the emergency admission ), to re-inforce the importance of obtaining sufficient information so that people can expect to receive the correct care and support on admission to the home. In addition to this the manager has been pro-active in setting up a formal audit of care plans including admission information, and there was evidence to show that this had been implemented and that a schedule was in place to look at all files. There was a comprehensive policy in place for emergency admission, including any that might arise during the night. Care Homes for Older People Page 12 of 26 Health and personal care These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People’s health, personal and social care needs are met. The home has a plan of care that the person, or someone close to them, has been involved in making. If they take medicine, they manage it themselves if they can. If they cannot manage their medicine, the care home supports them with it, in a safe way. People’s right to privacy is respected and the support they get from staff is given in a way that maintains their dignity. If people are approaching the end of their life, the care home will respect their choices and help them feel comfortable and secure. They, and people close to them, are reassured that their death will be handled with sensitivity, dignity and respect, and take account of their spiritual and cultural wishes. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Care plans were in place that detailed the needs of the individual and supporting policies and procedures were in place to ensure the safe handling and administration of medication in the home. Evidence: We looked at three files and each included an individual care plan that has been developed by using the information contained in the pre-admission assessment, and using information gained directly from the individual person moving into the home or his/her representative. The care plans identified specific areas of care and support needs, and what assistance was required from staff. The plans focused on lifestyle preferences, e.g. social interests and hobbies, and included information for staff on how to support the individual to ensure positive experiences in all aspects of day to day living. There was evidence on files that people in the home were supported to access healthcare services such as general Practitioners and district nursing services. A daily record is maintained and there was evidence of regular reviews. Some of the content of the reviews was very basic and did not show that the people in the home were consulted about their views of their care and support arrangements.The manager Care Homes for Older People Page 13 of 26 Evidence: told us that this was one aspect of care planning that was under review. The manager and senior staff are responsible for the administration of medication and for monitoring compliance. There was evidence that staff had received appropriate training in the safe handling of medication. We checked the medication and found this to be appropriately managed and Medication Administration Records (MAR) were accurate and up to date. There were recordings of the receipt and disposal of medication and staff were seen administering medication in a safe way. Care Homes for Older People Page 14 of 26 Daily life and social activities These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: Each person is treated as an individual and the care home is responsive to his or her race, culture, religion, age, disability, gender and sexual orientation. They are part of their local community. The care home supports people to follow personal interests and activities. People are able to keep in touch with family, friends and representatives. They are as independent as they can be, lead their chosen lifestyle and have the opportunity to make the most of their abilities. People have nutritious and attractive meals and snacks, at a time and place to suit them. There are no additional outcomes. This is what people staying in this care home experience: Judgement: People using this service experience excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People living in the home are encouraged to maintain contact with the community and their family and friends. They are supported to live their life in a way that meets their individual lifestyle expectations and preferences. Evidence: During this visit we saw evidence of a wide range of recreational activities being made to people living in the home. Activities were advertised on the notice board and staff were seen preparing for activities and notifying people about what events were due to take place during the course of the day. Staff were seen to be pro-active in supporting people to engage and participate in activities. Seasonal events and recognised celebrations were used to create an activity, for example- St Patricks day, mothers day etc. A record is maintained of all the events and activities taking place which included the list of people involved with their individual feedback. There was evidence to show that individuals were consulted on their individual preferences. Other activities included gentle aerobics, hand massage, movie afternoons and art and craft. One person living in the home said, There are activities for us, things to keep your legs moving and keeping fit, and of course trips out which I like. Care Homes for Older People Page 15 of 26 Evidence: The meals were sampled during this visit. They were well presented and tasty. All the people who were spoken to were highly complimentary about the meals served in the home. Comments from people included: The meals are excellent, I always eat everything. The meals are very good. Its a bit difficult for me because Im vegetarian, but the chef visits me daily to see what kind of food I would like. The menu showed that a choice of meals were offered on a daily basis. Visiting arrangements are flexible, and visitors were seen coming and going throughout the day. Visitors who were spoken to were complimentary about the way staff greeted and welcomed them into the home. Care Homes for Older People Page 16 of 26 Complaints and protection These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: If people have concerns with their care, they or people close to them know how to complain. Any concern is looked into and action taken to put things right. The care home safeguards people from abuse and neglect and takes action to follow up any allegations. People’s legal rights are protected, including being able to vote in elections. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Policies and procedures are in place so that people in the home can raise concerns and they can be confident that their complaints will be listened to, taken seriously and acted upon. Evidence: There is a comprehensive complaints procedure in place and this is included in the statement of purpose and service user guide. This ensures that people have the appropriate information to assist them in making their concerns known. When we spoke to people living in the home, they expressed confidence in raising their concerns. families also told us that they felt confident in raising issues with the staff team and manager. Information provided by the manager in the self assessment document called the Annual Quality Assurance Assessment (AQAA), states that the service has received eight complaints in the last twelve months. All of these were responded to within the 28 day timescale and all of these were upheld. There was evidence in the monitoring of these complaints to show that all complaints no matter how small were taken seriously by the home, and that appropriate procedures were followed to make sure that the interests of people living in the home were protected. Some safeguarding investigations had taken place and there was evidence to show that these had been managed appropriately. Care Homes for Older People Page 17 of 26 Evidence: Staff who were spoken to were able to demonstrate a good understanding of safeguarding procedures, and there was evidence in training files that the company prioritised training in safeguarding adults. Care Homes for Older People Page 18 of 26 Environment These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People stay in a safe and well-maintained home that is homely, clean, pleasant and hygienic. People stay in a home that has enough space and facilities for them to lead the life they choose and to meet their needs. The home makes sure they have the right specialist equipment that encourages and promotes their independence. Their room feels like their own, it is comfortable and they feel safe when they use it. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The home is well maintained, decorated and cleaned to ensure that people living in the home are provided with a safe, pleasant and hygienic environment. Evidence: This was an unannounced visit to the home. As part of this visit a tour of the building took place. All communal areas and bedrooms were cleaned to a high standard. Information in the AQAA informed us that most bedrooms had been redecorated and refurbished in the last 12 months. People living in the home told us that they were happy with the environment and one person told us that it was always cleaned to a high standard. Polices and procedures were in place for infection control and staff received training in this area. There were several places for people to sit and relax and enjoy the company of their family and friends in private. Pleasant outdoor spaces ensures that people could enjoy the outdoors in a safe environment. Care Homes for Older People Page 19 of 26 Staffing These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have safe and appropriate support as there are enough competent staff on duty at all times. They have confidence in the staff at the home because checks have been done to make sure that they are suitable to care for them. Their needs are met and they are cared for by staff who get the relevant training and support from their managers. There are no additional outcomes. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People in the home are supported by a well trained staff team and are protected by robust recruitment procedures. Evidence: At the time of this visit there were sufficient staff on duty to meet the needs of the people living in the home. Observations made of the staff team showed that a sensitive approach was used in supporting people, and staff were using good listening and communication techniques when helping people. The comments from people living in the home and relatives who were visiting were very positive about the staff team. Comments included: The staff are really great they are really good. they listen to me and make sure I am alright. I like it here, I like the caring staff, they are very nice. The staff are very good, they come quickly if you buzz for them. I have been impressed how caring the staff are with people who need a lot of help. They are so caring and patient. I have been here 5 years. I tell the staff if theres something wrong and they always get it sorted. Care Homes for Older People Page 20 of 26 Evidence: We looked at a selection of staff files, and these contained all documentation as required by legislation including Criminal Record Bureau checks (CRB). The files contained records of training which showed that there was ongoing training and development opportunities for staff. staff who were spoken to told us that they had plenty of opportunities to go on training courses. Care Homes for Older People Page 21 of 26 Management and administration These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have confidence in the care home because it is led and managed appropriately. People control their own money and choose how they spend it. If they or someone close to them cannot manage their money, it is managed by the care home in their best interests. The environment is safe for people and staff because appropriate health and safety practices are carried out. People get the right support from the care home because the manager runs it appropriately with an open approach that makes them feel valued and respected. The people staying at the home are safeguarded because it follows clear financial and accounting procedures, keeps records appropriately and ensures their staff understand the way things should be done. They get the right care because the staff are supervised and supported by their managers. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The home is run in the best interest of the people living there. Evidence: The manager holds the appropriate qualifications and has the management experience to ensure that the health, safety and well being of people in the home was promoted. The manager was able to demonstrate a commitment to ongoing training so that people in the home benefit from a service that is committed to ongoing development. The manager was able to address some immediate shortfalls in medication and was able to show us monitoring systems that were in place to ensure that good practice was maintained in all aspects of the running of the home. There was evidence during this visit of an open and transparent approach. People in the home and their relatives were seen approaching the manager with their concerns, and the staff told us that they felt confident in approaching the manager for support and guidance. Care Homes for Older People Page 22 of 26 Evidence: The manager was able to show us the outcomes of recent satisfactions surveys and told us that the findings were used to improve the services provided by the home. Records showed that staff were in receipt of regular supervision. The information in the AQAA provided evidence that policies, procedures and systems were in place to ensure that the safety and welfare of people living in the home was promoted. Care Homes for Older People Page 23 of 26 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, Care Homes Regulations 2001 and the National Minimum Standards. No. Standard Regulation Requirement Timescale for action Care Homes for Older People Page 24 of 26 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, Care Homes 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 Older People Page 25 of 26 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. Copyright © (2009) Care Quality Commission (CQC). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CQC copyright, with the title and date of publication of the document specified. Care Homes for Older People Page 26 of 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!