Care Home: Kingston House

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What the care home does well This was a friendly home.. Staff knew about resident`s needs. We saw residents being supported by staff in a dignified way. For example, we overhead a dialogue between a member of staff and a resident as the morning`s washing and dressing routine was about to get under way. Later, we overheard another conversation between a member of staff and a resident about the day`s activity. Choice and preferences were being offered to residents throughout the day. Residents related well to staff. Systems were in place to provide all residents with a voice about how they wanted the home managed. For example, their personal choice of breakfast, regular routines of the day and where they wanted to go in the evenings either personally or collectively. Residents in the home have different and varying care needs. We observed individual members of staff managing resident`s behavioural patterns well. We also observed staff talking to a resident in a sensitive and dignified way about their social skills at the lunchtime table. It was positive to see how the home had given particular responsibility to individual residents according to their skill and ability. For example, one resident has a role in the health and safety aspect of the home, whilst another, has taken some responsibility in getting a pictorial menu system up and running. Since the last inspection, the manager has introduced `monitoring tools`. This means that they can monitor practice within the home. For example, at the last inspection there were errors in the medicines administration and recording system. The home was not clean either. With these monitoring tools in place the manager/deputy manager can now monitor various practices and address any shortfalls that come to light. What has improved since the last inspection? The home is cleaner than the last inspection. The manager has reviewed the cleaning regime and a monitoring tool is in place to ensure that jobs are not overlooked. The tool shows which member of staff is assigned to carry out named and identified tasks. At the last inspection there were errors within the medication storage and administration recording system. A monitoring tool has been put in place here. This means that the deputy manager can monitor the system on a regular basis and check for any errors. The lounge and kitchen had been redecorated and some new fixtures and fitments have been purchased. Staff training has improved. CARE HOME ADULTS 18-65 Kingston House 43 Woodfield Park Drive Leigh On Sea Essex SS9 1LN Lead Inspector Ann Davey Unannounced Inspection 3rd June 2008 08:00 Kingston House DS0000036988.V365109.R01.S.doc Version 5.2 Page 1 The Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Reader Information Document Purpose Author Audience Further copies from Copyright Inspection Report CSCI General Public 0870 240 7535 (telephone order line) This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI www.csci.org.uk Internet address Kingston House DS0000036988.V365109.R01.S.doc Version 5.2 Page 2 This is a report of an inspection to assess whether services are meeting the needs of people who use them. The legal basis for conducting inspections is the Care Standards Act 2000 and the relevant National Minimum Standards for this establishment are those for Care Homes for Adults 18-65. They can be found at www.dh.gov.uk or obtained from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering: www.tso.co.uk/bookshop This report is a public document. Extracts may not be used or reproduced without the prior permission of the Commission for Social Care Inspection. Kingston House DS0000036988.V365109.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Kingston House Address 43 Woodfield Park Drive Leigh On Sea Essex SS9 1LN 01702 712022 01702 712544 kingston@consensussupport.com www.concensusupport.com Consensus Support Services Ltd Telephone number Fax number Email address Provider Web address Name of registered provider(s)/company (if applicable) Name of registered manager (if applicable) Type of registration No. of places registered (if applicable) Mrs Patricia Marie Ward Care Home 9 Category(ies) of Learning disability (9) registration, with number of places Kingston House DS0000036988.V365109.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 26th June 2007 Brief Description of the Service: Kingston House is situated in a residential area of Leigh on Sea, Essex. The home is close to local amenities including shops, and community resources. The home provides care and accommodation for residents who have a learning disability. Although registered for nine, only up to eight people are generally accommodated. The house has good-sized single bedrooms spread over the three floors of the home. Four bedrooms have an en-suite facility available; others have an ensuite toilet with a hand basin in the bedroom. The home has a communal lounge area and a separate dining area and a secure garden for residents to enjoy. There is a Statement of Purpose and Service Users Guide available. Copies of both documents are available upon request from the manager. The weekly charges range from £1514.10 - £1892.51. Additional charges to residents include personal requirements and chiropody. Kingston House DS0000036988.V365109.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The quality rating of this service is 2 star. This means the people who use this service experience good quality outcomes. This was a key unannounced site visit that started at 8.00am and finished at 2pm. The last key inspection took place on 26th June 2007. The home had completed and returned their Annual Quality Assurance Assessment (AQAA) to us prior to the inspection. This document gives homes the opportunity of recording what they do well, what they could do better, what has improved in the previous twelve months as well as their future plans for improving the service. Aspects of the information and detail provided within the AQAA have been included in this report. The manager, all residents and all staff on duty were all spoken with during the inspection. We (CSCI) received six completed surveys from relatives, four completed surveys from staff, four completed surveys from residents and two completed surveys from visiting professionals. Reference to some of the information we received from the returned surveys has been made within this report. The day was pleasant and all staff were very co-operative and helpful. The whole inspection process was undertaken with ease A tour of the home took place. Throughout the inspection, care practices were observed and a random selection of records viewed. A notice advising any visitors to the home that an inspection is taking place would normally be displayed. On this occasion following discussion and agreement with the manager, this was not done as no visitors were expected. We were made to feel welcome. Staff on duty were happy to be involved in the inspection process and encouraged residents to be involved as well. All matters relating to the outcome of the inspection were discussed with the manager. They took notes so that development work could be started immediately where necessary. Full opportunity was given for discussion and/or clarification where necessary before we left. Kingston House DS0000036988.V365109.R01.S.doc Version 5.2 Page 6 What the service does well: What has improved since the last inspection? The home is cleaner than the last inspection. The manager has reviewed the cleaning regime and a monitoring tool is in place to ensure that jobs are not overlooked. The tool shows which member of staff is assigned to carry out named and identified tasks. At the last inspection there were errors within the medication storage and administration recording system. A monitoring tool has been put in place here. This means that the deputy manager can monitor the system on a regular basis and check for any errors. The lounge and kitchen had been redecorated and some new fixtures and fitments have been purchased. Staff training has improved. Kingston House DS0000036988.V365109.R01.S.doc Version 5.2 Page 7 What they could do better: Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. The summary of this inspection report can be made available in other formats on request. Kingston House DS0000036988.V365109.R01.S.doc Version 5.2 Page 8 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–5) Individual Needs and Choices (Standards 6-10) Lifestyle (Standards 11-17) Personal and Healthcare Support (Standards 18-21) Concerns, Complaints and Protection (Standards 22-23) Environment (Standards 24-30) Staffing (Standards 31-36) Conduct and Management of the Home (Standards 37 – 43) Scoring of Outcomes Statutory Requirements Identified During the Inspection Kingston House DS0000036988.V365109.R01.S.doc Version 5.2 Page 9 Choice of Home The intended outcomes for Standards 1 – 5 are: 1. 2. 3. 4. 5. Prospective service users have the information they need to make an informed choice about where to live. Prospective users’ individual aspirations and needs are assessed. Prospective service users know that the home that they will choose will meet their needs and aspirations. Prospective service users have an opportunity to visit and to “test drive” the home. Each service user has an individual written contract or statement of terms and conditions with the home. The Commission consider Standard 2 the key standard to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 1,2 and 4 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. New residents can be assured that a pre-admission assessment would be carried out to ensure that their needs could be met. EVIDENCE: There have been no admissions to the home since the last inspection. There is an admission procedure and policy in place. The manager explained the assessment and admission process to us. This would include receiving and considering assessments from health and social care agencies, families and any other professionally interested party or agency. The resident would play a key part in the process. The resident would have an opportunity to visit the home on several occasions and be able to have a trial period of living in the home before any decision is made. One resident reported in their survey ‘I was happy to come here’. Another resident reported ‘I was given a booklet and then I visited’. The manager explained that compatibility with other residents already living in the home would need to be considered as part of the admission process. The home has a Statement of Purpose and a Service user’s Guide. The Service User’s Guide is in text/pictorial style. Kingston House DS0000036988.V365109.R01.S.doc Version 5.2 Page 10 Individual Needs and Choices The intended outcomes for Standards 6 – 10 are: 6. 7. 8. 9. 10. Service users know their assessed and changing needs and personal goals are reflected in their individual Plan. Service users make decisions about their lives with assistance as needed. Service users are consulted on, and participate in, all aspects of life in the home. Service users are supported to take risks as part of an independent lifestyle. Service users know that information about them is handled appropriately, and that their confidences are kept. The Commission considers Standards 6, 7 and 9 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 6,7 and 9 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents receive appropriate care based on care plans which reflect their wishes and involvement. EVIDENCE: The three care plans selected for viewing were current and orderly. From activity observed during the day and from discussion with staff and residents, information on the documentation provided a good rounded ‘pen picture’ of residents individual needs. The manager could evidence that the funding local authority reviews individual care packages on a regular basis. Residents have varying levels of skill and abilities and therefore the content on some care plans can only be based in the main on the home’s understanding and perception of needs. We saw that diversity and cultural needs had been recorded and were being met. The manager reported that there is health/social care and family input on every care plan. This was evidenced within the care plans we saw. We also saw that residents play a key part in the formulation of Kingston House DS0000036988.V365109.R01.S.doc Version 5.2 Page 11 care plans according to individual ability. Care plans had been endorsed by residents. Some aspects of the care plan documentation were in a pictorial style to help residents understand what is being referred to within the text. Risk assessments were in place. This means that residents can experience a wide range of activity in a safe way, as the risks associated have been assessed and are managed appropriately by staff. The majority of residents were unable to comment in any detail about the care they expect and receive in the home. However, those able to form an opinion expressed a sense of contentment and fulfilment. Residents were involved in the inspection process as much as possible. One resident in particular spent considerable time with us in the office area for much of the day. We spoke to all residents and spent time with them as a group in the company of their supporting staff whilst lunch was prepared and eaten. The interaction between staff and residents at all times was warm, supportive and friendly. We saw that good relationships had been built up between staff and residents. Staff were observed to interact in a manner that permitted residents to make choices and decisions for themselves. There was a lot of good humour and laughter in the home. From observation, all residents were able to make their wishes and preferences made known to staff on duty. Kingston House DS0000036988.V365109.R01.S.doc Version 5.2 Page 12 Lifestyle The intended outcomes for Standards 11 - 17 are: 11. 12. 13. 14. 15. 16. 17. Service users have opportunities for personal development. Service users are able to take part in age, peer and culturally appropriate activities. Service users are part of the local community. Service users engage in appropriate leisure activities. Service users have appropriate personal, family and sexual relationships. Service users’ rights are respected and responsibilities recognised in their daily lives. Service users are offered a healthy diet and enjoy their meals and mealtimes. The Commission considers Standards 12, 13, 15, 16 and 17 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 12,13,14,15,16 and 17 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents benefit from a good nutritional diet and a varied lifestyle appropriate to their interests and abilities. EVIDENCE: Residents enjoy a variety of leisure, social and occupational activities. These include day centres, colleges, arts/craft activity, evening clubs and bowling. Staff members support each resident to lead an individual and fulfilling lifestyle. Residents enjoy many local community activities. The home has it’s own transport which means that all residents are able to access external events and activities with ease. During the day we observed that the mini bus was used to it’s full potential for the benefit of residents. Residents and families are encouraged and supported by the home in maintaining regular contact with each other. Kingston House DS0000036988.V365109.R01.S.doc Version 5.2 Page 13 The home identifies individual resident’s natural talents and abilities and encourages those residents by supporting them to maximise their interest. For example, one resident has a flair for the computer and their own computer is due for imminent delivery, another resident has helped a member of staff prepare a pictorial menu folder, whilst another resident is supported by staff in their interest of all health and safety issues around the home. Throughout the time we spent in the home, all residents were engaged in a meaningful activity of some kind. Some were going out, one had been out and had come home, others helped staff prepare breakfast and lunch. One resident was involved in the inspection process itself. Residents meet on a Tuesday evening to discuss the forthcoming week’s menus. A resident confirmed this activity. Records evidenced that residents enjoy ‘take a ways’ and meals out. Records confirmed that residents are provided with a balanced and varied diet. We arrived at the home at 8am when residents were having breakfast. We saw how staff supported and where necessary assisted individual residents, to make choices and prepare their own breakfast. The same process was observed at lunchtime. Kingston House DS0000036988.V365109.R01.S.doc Version 5.2 Page 14 Personal and Healthcare Support The intended outcomes for Standards 18 - 21 are: 18. 19. 20. 21. Service users receive personal support in the way they prefer and require. Service users’ physical and emotional health needs are met. Service users retain, administer and control their own medication where appropriate, and are protected by the home’s policies and procedures for dealing with medicines. The ageing, illness and death of a service user are handled with respect and as the individual would wish. The Commission considers Standards 18, 19, and 20 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 18,19 and 20 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents receive good health and personal care support. EVIDENCE: Information on care plan documentation demonstrated that resident’s personal and health care needs are identified and noted, and how these needs would be met and who by. Records show that residents are encouraged to make choices about what they wear, their daily routines and other preferences according to ability. During the day we observed many incidences when staff were actively supporting residents to make choices and decisions for themselves. For example, we heard one resident being asked if they would like to go out in the mini bus for an hour as it was such a nice day. The conversation between the member of staff and the resident was natural in that various suggestions were made by the member of staff that provided a selection of venues and experiences for the resident to choose from. Community healthcare and social care input is recorded well. The manager reported that some residents have complex personal health and social needs which are met well by the available community resources. One professional Kingston House DS0000036988.V365109.R01.S.doc Version 5.2 Page 15 health care worker reported in their survey ‘carers’ maintain contact with individual’s community nurse, GP and consultant psychiatrist…..’(I) directly observed that service users’ were given choices in the domains of food, activities, what to wear’. Since the last inspection, the manager has carried out a full review of medication practices within the home. Documentation and records seen were in good order. Medication training is ongoing. The manager has introduced competency-based assessments for all staff that administer medication. The deputy manager undertakes a monthly monitoring audit checks to ensure that medication practices are safe and in line with the homes policies and procedures. Kingston House DS0000036988.V365109.R01.S.doc Version 5.2 Page 16 Concerns, Complaints and Protection The intended outcomes for Standards 22 – 23 are: 22. 23. Service users feel their views are listened to and acted on. Service users are protected from abuse, neglect and self-harm. The Commission considers Standards 22, and 23 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 22 and 23 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents are able to raise a concern with their family or an independent person at one of the external activities attended by residents. EVIDENCE: The home has a ‘user-friendly’ complaints procedure. It is recommended that the procedure be displayed in a more prominent position. The home has a formal complaints logbook. All residents have contact with either their respective families or with an independent person in connection with the social, leisure or occupational activities. The manager said that work is currently underway to provide better advocacy links for residents. We spoke to two residents about what they would do if unhappy about something. Both indicated that they would speak to their key worker. Since the last inspection there has been a ‘safeguarding adults from harm’ incident that was substantiated. During a routine nighttime check by the manager of a sister home, two members of staff who were on ‘awake’ duty were found asleep. The manager followed the correct procedure in reporting the matter to the local authority in accordance with the safeguarding adults from harm policy. The local authority is satisfied that the owners of the home have addressed the outcome of their enquiry in a satisfactory manner. Staff spoken with had a good understanding of the ‘safeguarding adults from harm’ reporting procedures. Kingston House DS0000036988.V365109.R01.S.doc Version 5.2 Page 17 Environment The intended outcomes for Standards 24 – 30 are: 24. 25. 26. 27. 28. 29. 30. Service users live in a homely, comfortable and safe environment. Service users’ bedrooms suit their needs and lifestyles. Service users’ bedrooms promote their independence. Service users’ toilets and bathrooms provide sufficient privacy and meet their individual needs. Shared spaces complement and supplement service users’ individual rooms. Service users have the specialist equipment they require to maximise their independence. The home is clean and hygienic. The Commission considers Standards 24, and 30 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 24,25 and 30 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. Residents cannot be assured that all areas of the home are decorated and maintained to a good standard. EVIDENCE: At the last inspection it was recorded that some items of furnishings needed replacing, identified areas of the home needed redecoration, a deep cleaning schedule introduced and the laundry area needed to be improved. The bedrooms we saw were clean and comfortable. Some needed repainting as paintwork was chipped and not in good repair. All were personalised. Residents were asked if we could go into their rooms and one resident was happy to show us their bedroom personally. The manager knocked on the doors or called out to the occupants of rooms where the doors were closed before we entered. The manager told us that the majority of resident’s beds need replacing. This is being managed on a one a month basis. Kingston House DS0000036988.V365109.R01.S.doc Version 5.2 Page 18 Since the last inspection, the lounge has been redecorated and a new 3-piece suite has been purchased. This area was comfortable and homely. The kitchen has been decorated, tiled and a new windowsill has been fitted. The paintwork and decoration in the corridors and hallways remains chipped and poorly maintained. The decoration and the paintwork in the bathroom on the 1st floor remain in poor condition. At the previous inspection it was reported: ‘the home’s laundry is not suitable as it is in an enclosed unventilated space with only a small extractor fan. As a result of this the door is mostly kept open. This poses a potential hazard to residents whose behaviour can be unpredictable and is a situation that the fire service is not happy with. Plans are in place to extend the laundry to allow proper ventilation. Again, it is disappointing that this work has not been achieved in the year since the previous inspection’. There was no evidence at this inspection of any progress made to address the situation. The manager was reminded of the continuing potential risks to residents by not addressing the situation. The member of staff working in that area told the manager and us ‘it’s very, very hot in the summer….we leave the door open on hot days’. The manager told us that the owner of the home has plans to make some alterations to the home. These alterations plus the cost of redecoration and repair have been ‘costed’, but they did not have any information about when the work would be stated. We should approve any alterations to the home before work is started. A programme of redecoration and repair is needed to make the home more homely for residents especially in the corridors and the first floor bathroom. This was raised at the last inspection. We understood from the manager that the situation in the laundry is to be addressed as part of the upgrade. In the meantime, the owner of the home has a responsibility to make the environment safe for residents. Within the AQAA it was stated ‘we believe we offer a quality environment….the home is reasonably maintained and all standards are adhered to’. This was not our finding completely as the standard within the laundry area is the same as the last inspection and the paintwork in some areas of the home remains in poor condition. We saw unsupervised boxes of latex gloves in corridors, ensuites and bathrooms and spoke to the manager of the potential risk this practice carries should a resident misuse them. Some residents have challenging and unpredictable behaviour patterns. The manager advised us that they were aware of the practice and that it carried no risk to any of the resident. There were no risk assessments in place to support this practice. Kingston House DS0000036988.V365109.R01.S.doc Version 5.2 Page 19 Staffing The intended outcomes for Standards 31 – 36 are: 31. 32. 33. 34. 35. 36. Service users benefit from clarity of staff roles and responsibilities. Service users are supported by competent and qualified staff. Service users are supported by an effective staff team. Service users are supported and protected by the home’s recruitment policy and practices. Service users’ individual and joint needs are met by appropriately trained staff. Service users benefit from well supported and supervised staff. The Commission considers Standards 32, 34 and 35 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 32,34,35 and 36 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents are supported by a team of well recruited and trained staff EVIDENCE: A clear staff rota was available. The rota showed us that there is a minimum of three staff on duty during the day and two ‘awake’ staff on duty at night. During the weekdays, levels go up to five (including the manager) so that the individual needs of residents can be met. Staff told us that the current levels of staff were sufficient to meet individual resident’s identified care needs. The home employs male and female staff. This means that all residents can make an informed choice about who supports them in their personal care. One resident in their survey reported ‘I get on better with the female staff’. The home does not employ domestic, laundry or kitchen staff. These duties are undertaken by care staff with the assistance of residents whenever possible and practicable. Residents’ assessed needs had been clearly recorded and staff demonstrated to us that they had a good understanding of individual resident’s care needs. Kingston House DS0000036988.V365109.R01.S.doc Version 5.2 Page 20 The manager reported that morale was good and sickness levels low. Staff confirmed that supervision takes place and they attend staff meetings. Records confirmed this. The manager demonstrated that staff training records are kept up to date. Staff confirmed that training opportunities are available for them. We heard the deputy manager talking to two members of staff about their availability to attend a training session the following week. This means that the team of staff who support resident are well trained. One member of staff had started work in the home since the last inspection. The file we looked at was well indexed and the content was in good order. Induction records were in place. This means that staff working in the home are properly recruited. Staff interacted with us well. They were friendly and knowledgeable about their role and responsibilities. Information within the relatives’ surveys indicated that all were in the main satisfied that staff had the right skills and experience to look after their relatives. We received comments such as ‘X always looks happy when I visit’… ‘no one is ever plonked in front of the TV’….’my (named) has friends in the home and treat him with dignity’….’they (staff) are very caring’….’I have found the staff to be most co-operative and any question I need answers to they either answer of find the answer for me’. One relative/representative indicated by their comments that they weren’t entirely satisfied with some aspects of the day to day management and in particular staffing arrangements. The home operates an open door policy and the manager would be happy to meet with the person concerned to discuss any matter. Staff within their surveys confirmed that they felt supported and receive good training opportunities. They reported that they knew what to do if a resident wanted to make a complaint and felt the home had good communication systems in place. Kingston House DS0000036988.V365109.R01.S.doc Version 5.2 Page 21 Conduct and Management of the Home The intended outcomes for Standards 37 – 43 are: 37. 38. 39. 40. 41. 42. 43. Service users benefit from a well run home. Service users benefit from the ethos, leadership and management approach of the home. Service users are confident their views underpin all self-monitoring, review and development by the home. Service users’ rights and best interests are safeguarded by the home’s policies and procedures. Service users’ rights and best interests are safeguarded by the home’s record keeping policies and procedures. The health, safety and welfare of service users are promoted and protected. Service users benefit from competent and accountable management of the service. The Commission considers Standards 37, 39, and 42 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 37,39 and 42 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents benefit from living in a home where the day-to-day management is good. EVIDENCE: The manager was registered with us in August 2007. The manager has qualifications in social care and should seek advice about using the accreditation process to obtain the Registered Manager’s Award. The deputy manager supports the manager in the day-to-day management of the home and plays a significant part in the monitoring of practices. For example, medication practices. Safety and maintenance records were sampled and noted to be in good order. Fire and Rescue Service visited the home on 20th July 2007 and reported that Kingston House DS0000036988.V365109.R01.S.doc Version 5.2 Page 22 there a satisfactory standard of fire safety was evident. There was a routine satisfactory ‘Food Standards and Food Hygiene Standards’ inspection carried out on 26th March 2008. The home has a folder of generic safe working and environment risk assessments. As recorded in the ‘environment’ section of this report, there were no risk assessments in place concerning the latex gloves we found in bedrooms and bathrooms. Some residents have challenging behaviour patterns and their safety and well being must be paramount. Records were available to demonstrate that residents meet together on weekly basis to discuss the day-to-day matters of the home. Two residents confirmed this. The manager reported that there are plans to involve an independent advocate in this meeting. One resident is the home’s representative at an external meeting which takes place periodically. This forum entitled ‘Your Voice’ has representatives from eleven other homes that support residents with a learning disability. These good practices mean that residents can play an active part in the day to day management in the home and are able to influence (and sometimes chance) the way this are done. One recent example of this was in connection with menu planning. The home has a current quality assurance report. We saw that the manager was preparing for the next one. The manager informs us about events we need to know about in the home as appropriate. The owners of the home are not undertaking their legal responsibility by visiting the home or a monthly basis to ensure the home is being managed properly. The last report was dated 27th May 2008, the report dated before that was 6th November 2007. The outcome for residents is that they live in a home where the registered provider does not comply with all their statutory obligations. The manager reported that the owner (or their representative) may not have visited and prepared a report as required, but confirmed that the area manager is always contactable. The home looks after residents’ personal monies if requested and/or appropriate. The system used for recording transactions was good and all monies held were safely stored in a secure area. Kingston House DS0000036988.V365109.R01.S.doc Version 5.2 Page 23 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Adults 18-65 have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 3 2 3 3 X 4 3 5 X INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 3 23 3 ENVIRONMENT Standard No Score 24 2 25 3 26 X 27 X 28 X 29 X 30 3 STAFFING Standard No Score 31 X 32 3 33 X 34 3 35 3 36 3 CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 3 3 X 3 X LIFESTYLES Standard No Score 11 X 12 3 13 3 14 3 15 3 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 3 X 3 X 3 X X 2 X Kingston House DS0000036988.V365109.R01.S.doc Version 5.2 Page 24 Are there any outstanding requirements from the last inspection? No STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1 Standard YA24 Regulation 23 Requirement The home must be kept in a good state of repair, be safe and be reasonable decorated and maintained. This means that residents can live in a home where the bathrooms, corridors and bedrooms are reasonably decorated and the laundry area is made safe. 2 YA43 26 The registered provider must demonstrate that the home is being managed effectively and competently on a day-to-day basis for the benefit and well being of residents. For this to happen, a regulation 26 visit (visit by person in control) must take place at least once a month, be announced and reported on. 31/07/08 Timescale for action 30/09/08 Kingston House DS0000036988.V365109.R01.S.doc Version 5.2 Page 25 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. Refer to Standard Good Practice Recommendations Kingston House DS0000036988.V365109.R01.S.doc Version 5.2 Page 26 Commission for Social Care Inspection Eastern Region Commission for Social Care Inspection Eastern Regional Contact Team CPC1, Capital Park Fulbourn Cambridge, CB21 5XE National Enquiry Line: Telephone: 0845 015 0120 or 0191 233 3323 Textphone: 0845 015 2255 or 0191 233 3588 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk © This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI Kingston House DS0000036988.V365109.R01.S.doc Version 5.2 Page 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!