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Care Home: Kingsley Court Care Home.

  • 855 Uxbridge Road Hayes Middlesex UB4 8HZ
  • Tel: 02085616681
  • Fax: 02085390949

Kinglsey Court is an 85 bedded purpose built care home providing personal and nursing care. There are 3 floors: Ground floor (Bluebell) provides general nursing care for up to 30 elderly residents. First floor (Rose) provides nursing care for up to 30 residents with dementia care needs. Second floor (Primrose) provides personal care for up to 25 residents with dementia care needs. The home is staffed to meet the needs of the residents and the home in general and recruitment is ongoing as the number of residents accommodated increases. The bedrooms are all single with en suite facilities to include a toilet and wash hand basin, and 23 of the rooms also have shower facilities. There are assisted shower, bath and toilet facilities for general use on each floor also. Some of the bedrooms on the ground floor have patio doors that lead out onto the attractive enclosed garden. There are communal rooms on all floors, with a TV lounges, quiet lounges, dining rooms and activities rooms. There is also a hairdressing salon and a multisensory room. The garden is enclosed and there are patio areas and paths for ease of access for wheelchair users. There is an enclosed balcony on the second floor. The home has been decorated and furnished to a high standard throughout. The home is situated on the Uxbridge Road and is easily accessed via several public transport bus routes. There is also a car park available. The fees range from £593 to £850 per week.

  • Latitude: 51.526000976562
    Longitude: -0.4370000064373
  • Manager: Mrs Deborah Noela Northrop
  • Price p/w: £722
  • UK
  • Total Capacity: 85
  • Type: Care home with nursing
  • Provider: Life Style Care plc
  • Ownership: Private
  • Care Home ID: 19933
Residents Needs:
Old age, not falling within any other category, Dementia

Previous Inspections

This may not be the latest inspection for this service as we are having techinical problems updating from CQC - please check directly on the regulators website for the most recent report; bestcarehome hopes to be back to regular updates shortly.

For extracts, read the latest CQC inspection for Kingsley Court Care Home..

Key inspection report Care homes for older people Name: Address: Kingsley Court Care Home. 855 Uxbridge Road Hayes Middlesex UB4 8HZ     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: Clare Henderson-Roe     Date: 2 1 0 5 2 0 1 0 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 27 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) © Care Quality Commission 2010 This publication may be reproduced in whole or in part in any format or medium for non-commercial purposes, provided that it is reproduced accurately and not used in a derogatory manner or in a misleading context. The source should be acknowledged, by showing the publication title and © Care Quality Commission 2010. www.cqc.org.uk Internet address Care Homes for Older People Page 3 of 27 Information about the care home Name of care home: Address: Kingsley Court Care Home. 855 Uxbridge Road Hayes Middlesex UB4 8HZ 02085616681 02085390949 manager.kingsleycourt@lifestylecare.co.uk Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Life Style Care plc Name of registered manager (if applicable) Mrs Deborah Noela Northrop Type of registration: Number of places registered: care home 85 Conditions of registration: Category(ies) : Number of places (if applicable): Under 65 dementia old age, not falling within any other category Additional conditions: The maximum number of service users who can be accommodated is: 85 The registered person may provide the following category of service only: Care Home with Nursing - Code N - to service users of the following gender: Either, whose primary needs on admission to the home are within the following categories: Old age, not falling within any other category - Code OP. Dementia - Code DE. Date of last inspection Brief description of the care home Kinglsey Court is an 85 bedded purpose built care home providing personal and nursing care. There are 3 floors: Ground floor (Bluebell) provides general nursing care for up to 30 elderly residents. First floor (Rose) provides nursing care for up to 30 residents with dementia care Care Homes for Older People Page 4 of 27 Over 65 0 85 85 0 Brief description of the care home needs. Second floor (Primrose) provides personal care for up to 25 residents with dementia care needs. The home is staffed to meet the needs of the residents and the home in general and recruitment is ongoing as the number of residents accommodated increases. The bedrooms are all single with en suite facilities to include a toilet and wash hand basin, and 23 of the rooms also have shower facilities. There are assisted shower, bath and toilet facilities for general use on each floor also. Some of the bedrooms on the ground floor have patio doors that lead out onto the attractive enclosed garden. There are communal rooms on all floors, with a TV lounges, quiet lounges, dining rooms and activities rooms. There is also a hairdressing salon and a multisensory room. The garden is enclosed and there are patio areas and paths for ease of access for wheelchair users. There is an enclosed balcony on the second floor. The home has been decorated and furnished to a high standard throughout. The home is situated on the Uxbridge Road and is easily accessed via several public transport bus routes. There is also a car park available. The fees range from £593 to £850 per week. Care Homes for Older People Page 5 of 27 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 an unannounced inspection carried out as part of the regulatory process. A total of 6 hours was spent on the inspection process, and was carried out by one Inspector. We carried out a tour of the home, and service user plans, medication records & management, staff rosters, staff records, financial & administration records and maintenance & servicing records were viewed. Several residents, staff and visitors were spoken with as part of the inspection process. The CQC Annual Quality Assurance Assessment (AQAA) document completed by the home, plus CQC surveys from residents and their representatives have also been used to inform this report. Comments and suggestions received via the surveys were fed back to the Manager in general terms and some comments are included below. It must be noted that it is sometimes difficult to ascertain the views of residents with dementia care needs. At the time of inspection the home had a total of 22 residents. Care Homes for Older People Page 6 of 27 What the care home does well: Prospective residents are assessed prior to admission to ensure the home is able to meet their needs, and they are encouraged to visit the home to help them decide if the home is somewhere they would like to live. The manager is arranging admissions to the home in a measured way in order to ensure each resident has the time and support they need to settle into life at the home, and so all necessary documentation can be fully completed. Service user plans are in place and and clearly identified each residents needs and how these are to be met. There was evidence of input into the service user plans from residents and their representatives. Healthcare needs are being identified and met. Overall medications are being well managed at the home, however some minor shortfalls were identified. Staff care for residents in a gentle, friendly and professional manner, respecting their privacy and dignity, and there was a good atmosphere throughout the home. The activity provision in the home is good and varied and work is ongoing to increase the activities to meet the individual and collective needs of the residents effectively. The home has an open visiting policy and visiting is encouraged. The food provision at the home is good, offering variety and choice and ensuring individual dietary preferences are discussed and provided for. The home has procedures for the management of complaints and safeguarding adults issues, which are understood by staff, who were clear to report any concerns. The home provides an excellent standard of accommodation, to include single bedrooms with en suite facilities and good quality communal space on each floor plus an attractive enclosed garden, and the home was clean and fresh throughout. Procedures are in place and being followed for infection control. The home is being appropriately staffed to meet the needs of the residents and this is kept under review, in line with resident dependency and increasing occupancy. The majority of care staff are qualified to NVQ in care level 2 or above, and there is a good induction programme that is completed by staff. In addition, training in topics relevant to the diagnoses and needs of the residents is undertaken and there is an ongoing training plan in place. The Manager has the skills and experience to manage the home effectively and is approachable, working with the staff to maintain a high standard of care and also to nurture a quality staff team. There is a system in place for quality assurance, which provides an ongoing process of audit and review and will be expanded as the home progresses. Monies held on behalf of residents are being well managed and are securely stored. Health and safety is being well managed in the home, thus protecting residents, staff and visitors. Comments received included: Very clean, polite, respectful. Very helpful and show concern. They make you feel at home and residents are well looked after. Also the relatives are welcomed, they talk to Care Homes for Older People Page 7 of 27 you and make you feel at home. The service is like a hotel. Staff are very kind and always ready to assist me with my needs. Lovely staff, excellent food. Fantastic place to live. Looks after my relative to the full and provides and excellent service all round. We are 100 pleased with all the staff and management and all the hard work they do to keep this home running to a very high standard. 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 order line 0870 240 7535. Care Homes for Older People Page 8 of 27 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 9 of 27 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. Prospective residents are assessed prior to admission and encouraged to visit the home, thus ensuring the home can meet their needs and that they can make a positive and informed choice to live at the home. Evidence: The company has a pre-admission assessment document and all prospective residents are assessed prior to admission unless it is an emergency admission. Copies of the social services/hospital assessments are also obtained for each prospective resident so that the manager can check that the referral comes within the categories of registration for the home. We viewed some completed pre-admission assessments and these had been well completed, providing a clear picture of the resident and their needs. Prospective residents and their families are encouraged to visit the home to view it, plus they can partake of a meal, join in activities and generally get to see the home and the services it offers. Admissions are being managed in a measured way in order to allow time for each new resident to settle in and get to know staff and for all Care Homes for Older People Page 10 of 27 Evidence: the relevant paperwork to be completed. Care Homes for Older People Page 11 of 27 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. Service user plans are comprehensive, thus providing staff with a clear picture of each residents needs and how these are to be effectively met. Healthcare needs are identified and the home has good access to healthcare professionals to ensure the residents maintain their optimum level of health. Overall medications are being well managed to ensure residents medication needs are being met. Shortfalls identified should be easy to address. Staff care for residents in a caring and professional manner, respecting their privacy and dignity. Evidence: We viewed one service user plan from each unit. The documentation is comprehensive and provides a clear picture of the needs of each resident and how these are to be met. The care plans had been well completed and the home is introducing new documentation which involves asking each resident their views and wishes for each identified need, thus fully personalising the documentation. There was evidence of input from residents and their representatives on some of the documentation viewed and the manager said that this is being progressed, with a view to 6 monthly care reviews taking place with residents and representatives or sooner if required. There Care Homes for Older People Page 12 of 27 Evidence: was evidence that staff had reviewed the care plans and assessments each month and whenever a residents condition had changed. Risk assessments for falls were in place, and falls had been recorded and relevant documentation updated following any falls. The home has GP cover and residents are registered with the GP if they do not have one to continue their medical care locally. Residents are weighed weekly for the first month, and thereafter monthly unless weekly monitoring is still needed. Referrals can be made to the community dietician if any weight or eating concerns are identified. The home also has access to other healthcare services to include chiropody, dental, audiology, optical and physiotherapy services. We sampled the medication records and management on each floor. There is a list of staff specimen signatures and initials to identify who has signed for receipts and administrations. With one exception all receipts and administration of medications had been signed for, plus the reasons for any omissions of medication are also recorded. The one gap in administration signing was discussed and the importance of signing highlighted. Liquid medications had been dated when opened. For residents on insulin we discussed the good practice of identifying the insulin administration pen in use at any one time. Records and storage of controlled drugs were correct. Fridge and room temperatures were being recorded, however the minimum and maximum fridge temperatures were not, and the importance of recording these to show that the fridge temperature is being maintained at between 2-8 degrees centigrade was discussed. At the time of inspection the air conditioning units in each of the medication rooms were not working and the manager confirmed that this had been reported and the required parts ordered and to be fitted the following week. There is a daily audit sheet that is signed to show that the medication records have been checked. On the floor where the minor shortfalls were identified this form was not being used effectively, and the manager said she would discuss this with the staff concerned to ensure consistency. Overall medications are being well managed and the shortfalls identified should be easy to address. The manager has since emailed CQC to confirm that some of the shortfalls have been addressed, to include introduction of minimum/actual/maximum fridge temperature recording and consistent use of the of the daily audit sheet. Staff were seen caring for residents in a gentle and professional manner, respecting their privacy and dignity. Staff were overheard to be encouraging residents to make decisions for themselves, and were being gently supported in making these decisions. Residents looked well cared for and were dressed to reflect individuality. There were no equality and diversity issues identified at the time of inspection. There are notices that can be placed on a residents bedroom door which state do not disturb or nurse present, please knock and wait and the manager explained that these can be used Care Homes for Older People Page 13 of 27 Evidence: when residents have visitors and also clearly identify the whereabouts of nursing staff should they need to be located for any reason. The new care plan documentation encourages input from residents to state how they feel about and what they want to achieve good outcomes for each aspect of their care. Care Homes for Older People Page 14 of 27 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 good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The activities provision in the home is good, catering for residents interests and hobbies. The home has an open visiting policy, thus encouraging residents to maintain contact with friends and relatives. The home has information about advocacy services, thus respecting the residents right to independent representation. The food provision in the home is good, offering variety and choice to meet residents individual dietary needs. Evidence: The home has an activities co-ordinator who has joined the home recently. It was clear from speaking with her that she has experience in this field and understands the importance of identifying residents hobbies and interests so that the activities programme reflects these. The activities co-ordinator has started arranging religious services to include all the religious denominations of the residents, and is very aware to ensure that as more residents are admitted, religious and cultural needs continue to be identified and met. External entertainments are being arranged and some of the residents had been out for a pub lunch the previous week. Activities take place daily and residents are encouraged to visit other floors to join in the various events taking place. The home has been registered with Hillingdon Community Transport so that more outings can be arranged. The activity provision is being progressed and Care Homes for Older People Page 15 of 27 Evidence: expanded as the home continues to admit new residents. The home has an open visiting policy and visiting is encouraged. Visitors spoken with said that they are made very welcome at the home and are kept up to date with any concerns about their relative. Advocacy information is available to include Age Concern, care fees advice and SAGA. The manager has contact with the deprivation of liberty safeguards department at London Borough of Hillingdon and is clear regarding making a referral should the need arise. We viewed the kitchen and it was clean and tidy, and the records were up to date. There had been a recent inspection by Environmental Health and the home has been awarded a 5 star excellent rating under the Scores on Doors food hygiene scheme. The home has a 4 week menu and the cook goes to see every new resident to discuss their food preferences and any specialist dietary needs. A likes and dislikes food document is also completed for each resident on admission and a copy sent to the kitchen. Residents were seen enjoying the lunchtime meal and it was clear that individual preferences had been provided for. There was a good supply of fresh, frozen, dried and tinned foodstuffs. Birthday cakes are provided for each resident and a celebratory tea arranged. The manager said that they are planning themed suppers, for example, meals from different countries. Care Homes for Older People Page 16 of 27 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. The home has clear complaints and safeguarding adults procedures and these are adhered to, thus protecting residents. Evidence: The home has a clear complaints procedure and this is displayed in the foyer area, together with a suggestion box. The CQC surveys completed clearly indicated that residents and their representatives know how to make a complaint. The manager has an open door policy and encourages residents and their representatives to discuss any issues that may arise, so that they can be promptly addressed. The home has not received any complaints since it opened. The home has a safeguarding adults policy and also follows the Hillingdon Safeguarding Adults procedures. Staff spoken with confirmed that they had received safeguarding adults training and were clear to report any concerns. Care Homes for Older People Page 17 of 27 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 excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The home has been purpose built to a high standard, providing good quality furnishings and decor throughout. Communal areas are spacious and are designated in order to allow residents a choice of surroundings and atmosphere, to meet their individual needs. There are high quality assisted bath and shower facilities. The home has been equipped to a high standard in line with current research, in order to effectively meet the needs of the residents. Infection control procedures are in place and are followed, thus protecting residents. The environment overall is of an excellent standard, providing residents with a high quality, safe and homely place to live in. Evidence: The home has been purpose built to a high standard throughout. All bedrooms are single with en suite facilities, to include 23 rooms with shower facilities. The decorations and furnishings are of high quality and the armchairs and beds have pressure relieving cushions/matresses as standard. The corridors are wide and all areas have wheelchair access. The bedroom floorings are attractive, being either carpet or non-slip wood effect vinyl flooring. Bedroom doors are painted in one of a variety of colours, and there are various pictures to encourage remeniscence and memories throughout the home, brightening up the corridors. Bathroom doors are painted blue and toilet doors painted yellow, in accordance with dementia research. There are patio doors out onto an attractive garden area which is enclosed and safe for residents to go out in to. There is some garden furniture in place and the manager Care Homes for Older People Page 18 of 27 Evidence: confirmed that more had been ordered. There is a walkway all around the garden for ease of wheelchair access. A full home audit is due to be carried out in the next 2 months and the manager explained that the environmental findings of this will feed into the development of a redecoration and refurbishment programme for the home. There are 2 communal lounges on each floor, one of which is designated a quiet lounge and the other has a TV and music facilities. There are 2 main activities rooms and a sensory room. In addition there is a small visitors room and a hairdressing salon. There is a balcony area on the second floor and the manager explained that it has non-climbable windows so the area is safe for residents to walk out onto. There is a good view of the local park from here. The home has 6 assisted baths with high quality facilities, plus 3 walk in showers, plus 23 bedrooms have an assisted shower facility in addition to the wash hand basin and toilet en suite facilities available in all rooms. There is a sluice room on each floor and those viewed were clean and tidy. All the beds are electronically adjustable and are profiling to meet a residents particular comfort and care needs. Some of the beds can be lowered almost to the ground for residents who are at risk of falling out of bed, but for whom bedrails are not suitable. All the beds have integrated bedrails, however these are only used where they have been assessed as appropriate and their use agreed to by the resident or their representative. Moving & handling equipment is available on the 2 nursing floors and can be used in all areas of the home to include bathrooms and shower rooms. Additional pressure relieving equipment is available for residents with or high risk of developing pressure sores. There are handrails in all the corridors and grab rails in toilet areas. On the dementia care floors there is clear signage, which has been developed in line with dementia research, on all of the doors, clearly identifying the communal rooms, bath, shower and toilet facilities and residents individual bedrooms. In addition there are memory boxes outside each bedroom and families are encouraged to place items in these that hold particular memories for the individual concerned. We viewed the laundry room and it was clean and tidy. There are 3 washing machines, all with sluice wash programmes for infection control, plus 3 tumble dryers. The laundry person was clearly able to explain the laundering processes to be followed. We viewed some items of personal clothing and these had been discreetly labelled with a button which has the residents room number on it. The home was clean and smelled fresh throughout. Policies and procedures are in place for infection control and were being followed, plus staff all receive training in infection control. Care Homes for Older People Page 19 of 27 Evidence: Protective clothing to include gloves and aprons was available, and was in use. Handwashing facilities are available throughout the home and in addition antiseptic gel is also available and visitors are encouraged to use this on entering and exiting the building, to assist with infection control. Care Homes for Older People Page 20 of 27 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. The home is being appropriately staffed to meet the needs of the residents and the home as a whole. Staff receive training to provide them with the skills and knowledge to care for residents effectively. Staff recruitment procedures are robust and are followed, thus protecting residents. Evidence: At the time of inspection there were 6 residents on the general nursing floor and 8 residents on each of the 2 dementia care floors. Each of the floors was being staffed appropriately, with a skill mix of nursing and care staff on the nursing floors, and of senior carers and carers on the personal care floor. The manager explained that the staffing was based on numbers and dependency levels and was being reviewed on an ongoing basis as more residents are admitted and as residents needs change. The home also employs 3 full time domestic staff who provide cleaning cover 7 days per week. At the time of inspection there was one full time cook and one full time kitchen assistant, one full time maintenance person, one full time activities co-ordinator and a part time administrator. The manager said that all areas of staffing will be kept under review and increased in line with more residents being admitted to the home. At the time of inspection the home had 33 care staff. The manager said that all but 1 are doing NVQ level 2 or 3 in care, plus 11 of the care staff are qualified nurses in their own countries. The registered nurses qualifications are verified prior to Care Homes for Older People Page 21 of 27 Evidence: commencing work at the home. We viewed 3 sets of staff employment records. These contained all the information and checks required in line with Schedule 2 of the Care Home Regulations 2001. As good practice if a member of staff transfers from another Life Style Care Ltd home, the manager takes up a reference from the previous manager. For any staff who are on a student visa the manager obtains a letter of confirmation from the college the person is studying at. The home has an induction training booklet that encompasses the Skills for Care common induction standards, and this is completed by all new staff. In addition there was evidence of staff training in various topics relevant to the diagnoses and needs of the residents. Staff spoken with confirmed the training they had undertaken and demonstrated knowledge and skills when caring for and communicating with residents. Care Homes for Older People Page 22 of 27 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 manager has the skills and experience to manage the home effectively and does so in an open and approachable manner, thus supporting the residents, staff and visitors. There are systems in place for quality assurance which are being implemented, thus providing an ongoing process of audit and review. Residents monies are being managed and securely stored, thus protecting their interests. Health and safety is being well managed in the home, thus protecting residents, staff and visitors. Evidence: The manager has 12 years experience as a home manager and is a first level registered nurse, plus she has completed the NVQ level 4 in management. In addition she is an NVQ assessor and has undertaken training in topics relevant to her role and the needs of the residents, to include Deprivation of Liberty Safeguards and Mental Capacity Act training. The manager is supportive to her staff and it was clear that she holds the wellbeing of her residents as the highest priority in the management of the home. She is an open and effective leader and communicates well to residents, staff Care Homes for Older People Page 23 of 27 Evidence: and visitors. The manager has experience in commissioning new homes and is managing this well, allowing each resident the care and support they need to settle in well and for all the relevant paperwork to be completed in a timely manner. The home has a system in place for quality assurance and this has begun to be implemented. Meetings with staff, residents and relatives have commenced and minutes are kept. A recent dignity audit was carried out, which included gaining the views of the residents. There is a Health & Safety committee plus a health & safety audit had been carried out in March 2010. A weekly catering audit is carried out by the cook. It was clear that there is ongoing auditing and monitoring for quality assurance and this area will be progressed as the home develops. The home holds small amounts of personal monies on behalf of some of the residents. On the day of inspection there were some minor discrepancies in 2 instances, and the manager looked into this and has provided a clear explanation for the findings, which were promptly corrected. Receipts for income and expenditure are available, however the only expenditure at the time of inspection had been hairdressing. The Service User Guide identifies those items that are not included in the fees for the home. The home is a new build and servicing of equipment and systems is to be arranged within required timescales. Maintenance checks had been carried out and recorded. These included emergency lighting, call bells, window restrictors, wheelchairs, bedrails, scales accuracy and water temperature checks. The out of use water outlets are checked monthly and the manager said that the domestic staff carry out daily flushing of water outlets in vacant rooms in line with legionella guidance. Staff had received training in health & safety topics to include fire safety, moving & handling, COSHH, basic first aid, food hygiene and infection control. The fire risk assessment was in place and was up to date. The manager explained that the weekly fire alarm point test is unannounced and is used as a fire drill for all staff. We recommended introducing a fire drill record so that a list of attendees plus a record of the outcome of each drill is recorded and any training issues can be highlighted and addressed. Risk assessments for equipment and safe working practices were available and the manager is in the process of updating these to expand the information and making them specific to the home. There were no health & safety issues identified during the tour of the home and health & safety is being well managed. Care Homes for Older People Page 24 of 27 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 25 of 27 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 1 9 13 Medication administration 11/06/2010 must always be signed for or a coding used to identify the reason for omission. To ensure residents receive their medications as prescribed. Recommendations These recommendations are taken from the best practice described in the National Minimum Standards and the registered person(s) should consider them as a way of improving their service. No Refer to Standard Good Practice Recommendations 1 9 Where a resident is on insulin therapy, the insulin pen in use at any one time should be labelled to this effect so that it is easily identifiable to all staff involved in the administration of insulin. For a fire drill record to be maintained so that a list of attendees plus a record of the outcome of each drill is recorded and any training issues can be highlighted and addressed. 2 38 Care Homes for Older People Page 26 of 27 Helpline: Telephone: 03000 616161 Email: enquiries@cqc.org.uk Web: www.cqc.org.uk We want people to be able to access this information. If you would like a summary in a different format or language please contact our helpline or go to our website. © Care Quality Commission 2010 This publication may be reproduced in whole or in part in any format or medium for non-commercial purposes, provided that it is reproduced accurately and not used in a derogatory manner or in a misleading context. The source should be acknowledged, by showing the publication title and © Care Quality Commission 2010. Care Homes for Older People Page 27 of 27 - 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!

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Kingsley Court Care Home. 21/05/10

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