Latest Inspection
This is the latest available inspection report for this service, carried out on 29th April 2010. CQC found this care home to be providing an Excellent service.
The inspector made no statutory requirements on the home as a result of this inspection
and there were no outstanding actions from the previous inspection report.
For extracts, read the latest CQC inspection for Kingsthorpe Grange.
What the care home does well The information held in the care files about individual needs and lifestyle has been updated and communicated with staff. This means staff have access to up to date information about the people they look after and care for. Staff demonstrated a good understanding of the knowledge gained from attending training in Dementia Awareness and Mental Health Awareness. This was consisted with the training matrix we looked at and the management of training led by the Registered Manager. Staff gave examples of how they have changed their approach when supporting a person with dementia and recognising the importance of communication, daily routines and familiarity. We observed meals being served in the dining room. Meals were served individually and appeared appetising and well presented. Staff assisted some people with their meals in a sensitive manner, respecting their dignity. We saw people having specially prepared meals to suit their dietary needs such as soft diets. This showed dietary needs continue to be met. We observed staff responding to the requests of people sitting in the individual lounges. People were having one-to-one attention, time and stimulating therapy. A number of people were playing bowls in the conservatory, which is used for social activities and led by a Volunteer and the Occupational Therapy Technician. People were positively engaging in the activity, encouraged by the Volunteer and the staff. People who were taking part in the bowls and those who chose to watch were laughing and seem to be enjoying themselves. We saw in the other lounges staff were doing one-to-one sensory activity with individuals such as hand massaging. One gentleman, clearly was enjoying having his hands massaged and said has it done regularly. The staff told us that they check with the Occupational Therapy Technician or the Occupational Therapist what activities have been suggested and would spend time with people individually in the lounge or their bedroom where the person is being nursed in bed. We read the activity programmes and reports, which demonstrated the range of activities people take part in, from celebrating special days such as Valentines Day, trips to the park, gardening club, music and singing, crafting and baking. This showed people did have the opportunity to take part in activities arranged by the home and supported the comments received in the surveys from the people who use the service, their relatives and staff: "There`s always something special going on like Valentines Day where some partners are invited to a beautifully decorated take for this occasion,, as well as Easter, Independence Day and Christmas Day, when everybody gets a present. My husband is happy and that makes me happy" "The home provides great theme days and activities for it`s residents" "Care for residents with a mental illness regular activities play a major part of the residents day, which encourages the residents to keep their mind active"Staff have regular staff meetings and receive support from the trained nurses and the Registered Manager who operates an `open door` policy. The home employs a stable team of domestic staff, responsible for the cleanliness of the home, and care and nursing staff to provide care. Staff are employed with specific responsibilities and deployed to respective duties to provide people with quality care and facilities. The management and training of staff is robust. There is a programme of staff training to ensure staff skill-mix, knowledge and practice is in line with current best practices. This promotes people`s health and wellbeing. The management of records relating to the people who use the service, staff, complaints and the internal quality auditing and monitoring system is good. The Registered Manager continues to seek advice and guidance from respective organisations and works well with them such as the Primary Care Trust (PCT) and the local authority. The Registered Manager has attended updates and training courses to maintain her knowledge and expertise in current best practice and changes in legislations. The home received an inspection from the PCT Infection Control Team and Environmental Health Team. The Registered Manager confirmed they are working with them, having implemented the `Safer Food Better Business` manual and liaises with the Lead Infection Control Nurse to improve practice and management. The Regulation 26 visit reports read from the visits conducted in February and March 2010 were comprehensive. It showed what the checks were made and the findings such as care plans, discussion with the people living at the home, staff, audit of the complaints received, staff training and checks on the environment. What the care home could do better: This was a positive site visit to Kingsthorpe Grange. The requirements and recommendations made at the last Random Inspection have been addressed to ensure the health, safety and wellbeing of people who live at the home. All health and social care services must meet the registration requirements for the new `Health and Social Care Act 2008`, coming into force this year. Random inspection report
Care homes for older people
Name: Address: Kingsthorpe Grange 296 Harborough Road Kingsthorpe Northampton NN2 8LT three star excellent service 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 random inspection of this care home. A random 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: Rajshree Mistry Date: 2 9 0 4 2 0 1 0 Information about the care home
Name of care home: Address: Kingsthorpe Grange 296 Harborough Road Kingsthorpe Northampton NN2 8LT 01604821000 01604821492 kingsthorpegrange@smhc.uk.com Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Name of registered manager (if applicable) Ms Katrina Elizabeth Shaw Type of registration: Number of places registered: Conditions of registration: Category(ies) : St Matthews Limited care home 51 Number of places (if applicable): Under 65 Over 65 0 0 51 dementia mental disorder, excluding learning disability or dementia old age, not falling within any other category Conditions of registration: 51 51 0 The maximum number of service users who can be accommodated: 51 The registered person may provide the following categories 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 Mental Disorder, excluding learning disability or dementia - Code MD Dementia - Code DE Date of last inspection 2 1 0 1 2 0 1 0 Care Homes for Older People Page 2 of 11 Brief description of the care home Kingsthorpe Grange is a home situated in Kingsthorpe, a suburb of Northampton. The home is within walking distance of community resources, which include churches, shops, pubs and restaurants. Kingsthorpe Grange is registered to provide nursing care to adults aged 41 years and over with a primary diagnosis of mental disorder and/or dementia. Accommodation is provided across two floors, there are 51 single rooms and with 24 rooms with en-suite. The home consists of a large older house, which has been extended to form 4 house groups, each area consisting of bedrooms, and lounge/dining facilities. Access to the first floor of the home is via passenger lift or stairs. The home has a rear garden, which is accessible to people and has car parking to the front and rear. The range of fees for 2010/11 are not known. People who are interested in using Kingsthorpe Grange should contact the home directly. Further information about Kingsthorpe Grange and any specific requirements can be obtained in the form of the Statement of Purpose and the Service User Guide. The findings of the most recent inspection carried out by the Care Quality Commission (CQC) can be found in their Inspection Report, which is available at the home or accessible via our website: www.cqc.org.uk Care Homes for Older People Page 3 of 11 What we found:
We as it appears throughout this Random Inspection Report refers to the Care Quality Commission (CQC). This Random Inspection of Kingsthorpe Grange consisted of pre-planning the inspection, which included the review of the last Random Inspection Report dated, 21st January 2010; the latest Annual Service Review dated 18th May 2009 and significant information we received about the home. We reviewed the Annual Quality Assurance Assessment, (AQAA), which is a self-assessment tool completed by the Registered Manager and sent to us prior to our site visit. The AQAA was comprehensive and demonstrated how peoples needs are met, range of services and facilities offered to people, the quality and skill-mix of staff and the management of the home. It told us the improvements that have been made and the improvement planned for the future. We also reviewed the responses and comments received in the surveys from people who use the home, their relatives and the staff. This unannounced site visit took place on 29th April 2010, commencing at 9:55am and lasted 6 hrs. The purpose and focus of this inspection is to check on compliance. This means to check that the requirements we made at the last Random Inspection, 21st January 2010, have been addressed to protect and promote the wellbeing of people who reside at Kingsthorpe Grange. We were assisted by the Registered Manager during the site visit and later joined by the Director of Nursing and Clinical Services for the company. We looked at the care files for four people, all having differing personal care and nursing health needs, have a diagnosis of mental health and dementia and included a person who was relatively new to the home. We tried to speak with some people living at the home and observed how staff respond and meet peoples needs. We read the care files for four people and the individual care plans detailing their personal care and nursing needs. The care plans had been revised and updated to show the individual needs, requirements, preferences and daily routines that promotes their independence and wellbeing. We found that respective assessments of risk for three people had been updated. We brought to the attention of the Registered Manager that risk assessments had not been revised for a lady who is at risk of falling and had fallen according to the incident and accident record. Therefore, the care plan may not be accurate. The Registered Manager accepted our findings and gave assurance that the named nurse responsible would immediately conduct a risk assessment and ensure the care plan is accurate. The care plans provide staff with clear guidance and information to support people who were unable to express themselves due to their level of dementia or communication. Staff also demonstrated a good awareness of peoples routines and how they express themselves. This showed peoples rights and wellbeing is promoted. The staff we spoke with both carers and trained nurses showed they knew about the people they look after and their respective responsibilities. Staff were aware of peoples needs and showed that they referred to the care plans to familiarise themselves with
Care Homes for Older People Page 4 of 11 individuals before assisting them. The daily records we read showed people were receiving the care they needed and the communication between staff was good. This supported the responses and comments we received in the surveys from people who use the service and their relatives. The Occupational Therapy Technician, recognised their valuable experience they had as a carer, to be involved and responsible for planning and hosting activities for people who use the service. They demonstrated how they try to stimulate people, encourage them to take part and interact socially with people in the home and in the community. We received a copy of the Activity Report they produced in April 2010. This was a comprehensive report detailing the research, planning, introduction and the positive impact it has had on the people living at the home. The information we gathered from the AQAA completed by the Registered Manager told us that they now order and purchase from a caterer, specialising in chilled meals. Staff said they support people to choose from the menu and have received training in preparing the chilled meals. The Registered Manager confirmed that people who live at the home and their relatives were given the opportunity to taste a range of meals that would be available. The Registered Manager told us that initially there were some difficulties but now people have said they like the meals. This was consistent with the responses we received in the surveys from the people who use the service and relatives. Some of the comments received included: Freshly prepared meals and cakes. These have now been replaced by bought in prepared meals The food is good and the home is very clean We saw the majority of staff wearing gloves and aprons whilst handling or serving the meals. However, we did see in one unit that staff only wore aprons and were handling food without wearing gloves, even though there was a box of gloves in the kitchenette. When we questioned staff and the trained nurse, they apologised and immediately wore the gloves. We shared our observations with the Registered Manager and they gave assurances that all staff would be reminded and there would be random checks made to make sure staff adhere to best practice. The information we gathered from the AQAA completed by the Registered Manager told us that the home had received 20 complaints, of which the majority have been resolved and were founded. The complaints folder we read contained the details of the nature of the concern or complaint, the investigation, actions taken and copies of the correspondence to the complainant or the record of the telephone conversation with the complainant. This showed that complaints are addressed promptly to ensure people experience a quality of life and their needs are met. We wanted to know whether people who live at the home knew who to speak with if they were unhappy. One lady was confident to tell particular members of staff they felt comfortable with and said, Id talk with ...., Im quite comfortable with him, he knows me. Care Homes for Older People Page 5 of 11 The responses and comments received in the surveys from the people who use the service and their relatives all indicated that knew who to speak with if they were unhappy and how to make a formal complaint. The Care Quality Commission received no new concerns or complaints about Kingsthorpe Grange. We checked a number of areas in the home, communal lounges, dining rooms, bathrooms and private bedrooms to see what environmental improvements have been made. There has been a programme of maintenance, repair and re-decoration throughout the home. The lounges have been decorated and benefit from ample natural light, which creates a homely and warm ambiance. A number of bedrooms and bathrooms have been decorated and repairs carried out, providing people a safe, clean and a tidy home to live in. The Registered Manager showed us the report from a recent Environmental Health inspection, which took place in February 2010. The report concluded that the home attained 4 star, which means it provides very good performance level. We spoke with staff of various designations and they told us they have regular training and updates to maintain their skills and knowledge. Staff confirmed they have daily handover meetings, where important information about peoples wellbeing is shared and have regular team meetings. We read the minutes of the last team meeting which took place on 28th April 2010. It showed staff are kept informed about the people they look after. The trained nurses confirmed they are supervised by the Registered Manager and carers are supervised by the trained nurses. Whilst the trained nurses have had supervisions recently, the carers last received supervision in January 2010. The Registered Manager confirmed that the trained nurses have received supervision training, consistent with the staff training matrix seen and supervisions of carers will commence by the end of May 2010. We read the records and documentations kept to show the management of the home and the internal quality monitoring systems. Records were accessible and kept in good order providing the information as and when required. We read the monthly visit reports, known as Regulations 26 visit reports, which were carried out by the Registered Manager. These visits should be conducted by the Responsible Individual, the nominated person for the company or their representative. We spoke with the Director of Nursing and Clinical Services, representing the Responsible Individual regarding their responsibility and value of the monthly visit report. They acknowledged that whilst the task was delegated to the Registered Manager on the last two occasions, they would resume the visits and ensure robust internal monitoring and auditing systems are in place to ensure the quality of the service people receive. We spoke with a carer and later a trained nurse regarding their responsibility and procedures relating to accidents or incidents. They showed us the accident and incident file, containing all the major and minor incidents or accidents that have happened to the people living at the home. The records were checked against the individual care file and showed good recording keeping and a clear audit of the incident or accident and the
Care Homes for Older People Page 6 of 11 actions taken, immediately and over the first 24hrs in some instances. This shows peoples health and wellbeing is protected and promoted. What the care home does well:
The information held in the care files about individual needs and lifestyle has been updated and communicated with staff. This means staff have access to up to date information about the people they look after and care for. Staff demonstrated a good understanding of the knowledge gained from attending training in Dementia Awareness and Mental Health Awareness. This was consisted with the training matrix we looked at and the management of training led by the Registered Manager. Staff gave examples of how they have changed their approach when supporting a person with dementia and recognising the importance of communication, daily routines and familiarity. We observed meals being served in the dining room. Meals were served individually and appeared appetising and well presented. Staff assisted some people with their meals in a sensitive manner, respecting their dignity. We saw people having specially prepared meals to suit their dietary needs such as soft diets. This showed dietary needs continue to be met. We observed staff responding to the requests of people sitting in the individual lounges. People were having one-to-one attention, time and stimulating therapy. A number of people were playing bowls in the conservatory, which is used for social activities and led by a Volunteer and the Occupational Therapy Technician. People were positively engaging in the activity, encouraged by the Volunteer and the staff. People who were taking part in the bowls and those who chose to watch were laughing and seem to be enjoying themselves. We saw in the other lounges staff were doing one-to-one sensory activity with individuals such as hand massaging. One gentleman, clearly was enjoying having his hands massaged and said has it done regularly. The staff told us that they check with the Occupational Therapy Technician or the Occupational Therapist what activities have been suggested and would spend time with people individually in the lounge or their bedroom where the person is being nursed in bed. We read the activity programmes and reports, which demonstrated the range of activities people take part in, from celebrating special days such as Valentines Day, trips to the park, gardening club, music and singing, crafting and baking. This showed people did have the opportunity to take part in activities arranged by the home and supported the comments received in the surveys from the people who use the service, their relatives and staff: Theres always something special going on like Valentines Day where some partners are invited to a beautifully decorated take for this occasion,, as well as Easter, Independence Day and Christmas Day, when everybody gets a present. My husband is happy and that makes me happy The home provides great theme days and activities for its residents Care for residents with a mental illness regular activities play a major part of the residents day, which encourages the residents to keep their mind active
Care Homes for Older People Page 7 of 11 Staff have regular staff meetings and receive support from the trained nurses and the Registered Manager who operates an open door policy. The home employs a stable team of domestic staff, responsible for the cleanliness of the home, and care and nursing staff to provide care. Staff are employed with specific responsibilities and deployed to respective duties to provide people with quality care and facilities. The management and training of staff is robust. There is a programme of staff training to ensure staff skill-mix, knowledge and practice is in line with current best practices. This promotes peoples health and wellbeing. The management of records relating to the people who use the service, staff, complaints and the internal quality auditing and monitoring system is good. The Registered Manager continues to seek advice and guidance from respective organisations and works well with them such as the Primary Care Trust (PCT) and the local authority. The Registered Manager has attended updates and training courses to maintain her knowledge and expertise in current best practice and changes in legislations. The home received an inspection from the PCT Infection Control Team and Environmental Health Team. The Registered Manager confirmed they are working with them, having implemented the Safer Food Better Business manual and liaises with the Lead Infection Control Nurse to improve practice and management. The Regulation 26 visit reports read from the visits conducted in February and March 2010 were comprehensive. It showed what the checks were made and the findings such as care plans, discussion with the people living at the home, staff, audit of the complaints received, staff training and checks on the environment. 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 8 of 11 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, Regulations 2001 and the National Minimum Standards.
No. Standard Regulation Requirement Timescale for action Care Homes for Older People Page 9 of 11 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 10 of 11 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. © Care Quality Commission 2010 This publication may be reproduced in whole or in part in any format or medium for noncommercial 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 11 of 11 - 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!
