Care Home: Kingsley Nursing Home

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What the care home does well The purpose of the visit was to look at specific areas of concern as reported in `what we found` What the care home could do better: No requirements or recommendations have been given as part of this inspection visit. Thematic inspection report Care homes for older people Name: Address: Kingsley Nursing Home 4 Trafalgar Road Southport Merseyside PR8 2EA two star good service 26/05/2009 The quality rating for this care home is: The rating was made on: A quality rating is our assessment of how well a care home, agency or scheme is meeting the needs of the people who use it. We give a quality rating following a full review of the service. We call this review a ‘key’ inspection. This is a report of a thematic inspection of this care home. A thematic inspection is a short, focussed review of the service. Details of how to get other inspection reports for this care home, including the last key inspection report, can be found on the last page of this report. Lead inspector: Janet Marshall Date: 2 3 0 2 2 0 1 0 Information about the care home Name of care home: Address: Kingsley Nursing Home 4 Trafalgar Road Southport Merseyside PR8 2EA 01704566386 Telephone number: Fax number: Email address: Provider web address: kingsleyhomesltd@yahoo.co.uk Name of registered provider(s): Type of registration: Number of places registered: Conditions of registration: Category(ies) : Kingsley Nursing Homes Ltd care home 25 Number of places (if applicable): Under 65 Over 65 25 old age, not falling within any other category Conditions of registration: 0 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 care needs on admission to the home are within the following categories: Old age, not falling within any other category - Code OP The maximum number of service users who can be accommodated is: 25 Date of last inspection Brief description of the care home Kingsley is a privately run home providing twenty five places for older people who need nursing care. It is situated in a residential area of Southport with easy access to local shops, the town centre and public transport. The registered provider/owner is Kingsley Nursing Homes Ltd and the manager is Mrs Barbara Evans. The premises are detached and comprise of two buildings over four floors. The home has twenty one single bedrooms (four ensuite) and two double bedrooms both ensuite. The accommodation is on the ground, first and second floor and a passenger lift provides access to all Care Homes for Older People Page 2 of 9 2 6 0 5 2 0 0 9 Brief description of the care home areas. Residents have the use of a call system with an alarm facility. Recreational space consists of a lounge and conservatory overlooking the front. The conservatory is used as a dining room and quiet area. Both rooms are pleasantly decorated. Bathrooms although domestic in style have aids to assist those who are less independent. The home has well established gardens to the front and rear and there is also some car parking space. A ramp leads to the front door. The weekly fee rate for accommodation ranges from 510 to 554 pounds. The higher rate is charged for a single room with an ensuite facility. Copies of the most recent CQC inspection report are available with the statement of purpose and the service user guide from the manager or home administrator Care Homes for Older People Page 3 of 9 What we found: We visited the home unannounced following receipt of a number of concerns with regards to the care provided. Areas of concerns were specifically related to basic personal hygiene, lifting and handling and staff attitudes towards residents. We observed staff in communal areas interacting with residents and providing them with general care and support. Staff interacted well with residents, they were patient and sensitive towards their needs and spoke to them politely. Discussion took place with a number of residents, comments made by them included: Staff are gentle with me, staff always wear gloves when helping me to wash and dress. Staff help to wash me of a morning and before I go to bed. Staff always talk to me in a nice way I have never heard them shout. Staff were seen using the correct methods to assist residents from wheelchairs into armchairs, residents appeared at ease with the way staff handled them and showed no signs of discomfort or distress. Residents were dressed nicely and they looked clean in appearance. Their hair and nails also looked clean and well looked after. We looked at records, which showed that residents have their hair and nails attended to on a regular basis. Staff were seen disposing soiled pads in yellow bags, wearing disposable gloves and aprons and using colour coded washing baskets for clean and dirty washing. We looked at the care files for three residents that need assistance with their personal care. All three residents had a care plan in place for personal hygiene, the plans clearly identified the area of need and provided instructions for staff to follow to meet the need. Records seen in the care files showed that the care plans have been reviewed and were necessary updated each month. We also looked at three care files for three residents who need to be transferred using a hoist. All three residents had a care plan in place for mobility, the plans clearly identified their mobility needs which included the use of a hoist for all transfers as well as instructions for staff to follow about how to meet the need. Moving and handling risk assessments were also part of the residents care plans. Records seen in the care files showed that the care plans and risk assessments have been reviewed and were necessary updated each month. We looked at the care files for three residents that need help with continence care. All three residents had a care plan in place for continence care, the plans clearly identified the area of need and provided instructions for staff to follow to meet the need. Records seen in the care files showed that the care plans have been reviewed and were necessary updated each month. We talked to staff about the care and support they provide residents with regards to personal care, moving and handling, attitude and approach. They showed good knowledge and understanding about each of the areas of care and gave examples of good practice in relation to the care they deliver on a day to day basis. The staff confirmed that they have access to the homes infection control, moving and handling and protection of vulnerable adults polices and procedures and they described the basic principles of each of the polices. Staff told us that they have completed training in subjects of infection control, health and safety, moving and handling and protection of vulnerable adults (POVA). We looked at training records for three care staff. They evidenced that those staff had in the last year completed training in subjects of infection control, health and safety, moving and handling and POVA. A chart, which was displayed on the wall in the office showed all other staff that work at the home have also completed the training in the last year. A residents relative and a district nurse who were at the home spoke with us, they said they have no concerns about the care of the residents or the way they are treated by the staff. Care Homes for Older People Page 4 of 9 We looked around parts of the home including some residents bedrooms, store rooms toilets and bathrooms. All areas were clean, tidy and hygienic and there were no hazards seen during the visit. There were three hoists situated around the home and staff were seen using them during the visit. Bathrooms were fitted with soap dispensers and paper towels and there was a good stock of protective clothing including gloves and aprons. There was a good supply of incontinence pads, yellow bags and hand gel. Staff had hand gel in their pockets and they were seen using it during their shift. Hand towels, soap, teeth and denture care products were seen in residents bedrooms as well as other personal hair and body care items. What the care home does well: 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 set out on page 2. Care Homes for Older People Page 5 of 9 Are there any outstanding requirements from the last inspection? Yes R No £ Outstanding statutory requirements These are requirements that were set at the previous inspection, but have still not been met. They say what the registered person had to do to meet the Care Standards Act 2000, Regulations 2001 and the National Minimum Standards. No. Standard Regulation Requirement Timescale for action 1 9 13 The times medications are to 23/06/2009 be administered must be documented on all Medication Administration Record sheets. This is to ensure service users receive their medication at the appropriate times to supoprt them to maintain their physical and mental health wellbeing. 2 12 13 Detailed records must be maintained with regard to the administration of prescribed food supplement. This is to ensure servcie user nutritional needs are being met appropriately and safely. 22/06/2009 3 26 13 An infection control policy must be produced. This is to ensure service users and and welfare is promoted and protected from the risk of infection. 13/07/2009 4 33 24 A review must take place with regard to the current in house quality assurance systems being used. 14/09/2009 Care Homes for Older People Page 6 of 9 Outstanding statutory requirements These are requirements that were set at the previous inspection, but have still not been met. They say what the registered person had to do to meet the Care Standards Act 2000, Regulations 2001 and the National Minimum Standards. No. Standard Regulation Requirement Timescale for action This is to ensure the views and opinions of service users, their relatives and other stakeholders are sought to enable the home to feel confident the services they are providing meet with the needs and expectations of service users. Care Homes for Older People Page 7 of 9 Requirements and recommendations from this inspection: Immediate requirements: These are immediate requirements that were set on the day we visited this care home. The registered person had to meet these within 48 hours. No. Standard Regulation Requirement Timescale for action Statutory requirements These requirements set out what the registered person must do to meet the Care Standards Act 2000, Regulations 2001 and the National Minimum Standards. The registered person(s) must do this within the timescales we have set. No. Standard Regulation Requirement Timescale for action Recommendations These recommendations are taken from the best practice described in the National Minimum Standards and the registered person(s) should consider them as a way of improving their service. No Refer to Standard Good Practice Recommendations Care Homes for Older People Page 8 of 9 Reader Information Document Purpose: Author: Audience: Further copies from: Inspection Report Care Quality Commission General Public 0870 240 7535 (telephone order line) Our duty to regulate social care services is set out in the Care Standards Act 2000. Copies of the National Minimum Standards –Care Homes for Older People can be found at www.dh.gov.uk or got from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering from the Stationery Office is also available: www.tso.co.uk/bookshop Helpline: Telephone: 03000 616161 Email: enquiries@cqc.org.uk Web: www.cqc.org.uk We want people to be able to access this information. If you would like a summary in a different format or language please contact our helpline or go to our website. Copyright © (2009) Care Quality Commission (CQC). 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