Care Home: Kingswood

Similar services:

• Hillside
• Applegarth
• 122 Scorer Street
• Jubilee Villa Care Home
• Thornham Grove
• Beech Lodge
• 8 Thorndale Road (Homefield College)
• Hunter`s Lodge

What the care home does well The home provides individual and social activities for people.The care plans give clear information on how people using the service are to be supported in making their own choices, to enable them to be as independent as possible.The views of people using the service are listened to and the staff are trained to help people who find it difficult to communicate verbally by using picture cards, photographs and sign language such as makaton.The service works closely with families and healthcare professionals. What has improved since the last inspection? Work has taken place on developing the building to meet the needs of a larger client group. What the care home could do better: Regular health & safety audits take place this means that people using the service are safe. However the fire procedure needs give clear instructions so that everybody knows what to do in the event of a fire. Protective covers need to be fitted to radiators this will protect people if they fall against them from burns and scalds. Inspecting for better lives Key inspection report Care homes for adults (18-65 years) Name: Address: Kingswood 15A Whitehills Crescent Northampton NN2 8EP The quality rating for this care home is: two star good service 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 assessment of the service. We call this a ‘key’ inspection. Lead inspector: Irene Miller Date: 2 7 0 3 2 0 0 9 This is a report of an inspection where we looked at how well this care home is meeting the needs of people who use it. 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. They reflect the things that people have said are important to them: 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 Copies of the National Minimum Standards – Care Homes for Adults (18-65 years) 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 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 Our duty to regulate social care services is set out in the Care Standards Act 2000. Care Homes for Adults (18-65 years) Page 2 of 28 Reader Information Document Purpose Author Audience Further copies from Copyright Inspection report CSCI General public 0870 240 7535 (telephone order line) Copyright © (20092008) Commission for Social Care Inspection (CSCI). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CSCI copyright, with the title and date of publication of the document specified. www.cqc.org.uk Internet address Care Homes for Adults (18-65 years) Page 3 of 28 Information about the care home Name of care home: Address: Kingswood 15A Whitehills Crescent Northampton NN2 8EP 01604847403 F/P01604847403 kbrown@northamptonshire.gov.uk www.northamptonshire.gov.uk Northamptonshire County Council care home 5 Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Type of registration: Number of places registered: Conditions of registration: Category(ies) : Number of places (if applicable): Under 65 Over 65 5 0 learning disability Additional conditions: Date of last inspection A bit about the care home Kingswood is a converted bungalow that is set back in a residential area close to local shops and public transport. The bungalow is accessed via a driveway at the rear of the shops on Whitehills Crescent. The home is registered to offer short stay accommodation to 5 people with a learning disability. The home provides all single bedrooms with a communal lounge, kitchen/dining room and fully equipped bathroom/shower. Fees are based upon the level of support required further details can be obtained from Northamptonshire County Council. Care Homes for Adults (18-65 years) Page 4 of 28 Care Homes for Adults (18-65 years) Page 5 of 28 Summary This is an overview of what we found during the inspection. The quality rating for this care home is: Our judgment for each outcome: two star good service Choice of home Individual needs and choices Lifestyle Personal and healthcare support Concerns, complaints and protection Environment Staffing Conduct and management of the home Care Homes for Adults (18-65 years) Page 6 of 28 How we did our inspection: This is what the inspector did when they were at the care home We looked at the care records of two people using the service. We spent time talking with the people using the service we asked them what they liked and didnt like about living at the home. We talked with the staff to see what it was like working at the home and spent time looking around the home to see that it was clean, homely and safe. What the care home does well Care Homes for Adults (18-65 years) Page 7 of 28 The home provides individual and social activities for people. The care plans give clear information on how people using the service are to be supported in making their own choices, to enable them to be as independent as possible. The views of people using the service are listened to and the staff are trained to help people who find it difficult to communicate verbally by using picture cards, photographs and sign language such as makaton. The service works closely with families and healthcare professionals. Care Homes for Adults (18-65 years) Page 8 of 28 What has got better from the last inspection What the care home could do better Regular health & safety audits take place this means that people using the service are safe. However the fire procedure needs give clear instructions so that everybody knows what to do in the event of a fire. Protective covers need to be fitted to radiators this will protect people if they fall against them from burns and scalds. Care Homes for Adults (18-65 years) Page 9 of 28 If you want to read the full report of our inspection please ask the person in charge of the care home If you want to speak to the inspector please contact Irene Miller 33 Greycoat Street London SW1P 2QF 02079792000 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 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 Adults (18-65 years) Page 10 of 28 Details of our 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) Outstanding statutory requirements Requirements and recommendations from this inspection Care Homes for Adults (18-65 years) Page 11 of 28 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, what they hope for and want to achieve, and the support they need. People can decide whether the care home can meet their support and accommodation needs. This is because they, and people close to them, can visit the home and get full, clear, accurate and up to date information. 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 the person 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. The needs of people are fully assessed and updated prior to them receiving care at the home. Evidence: The service provides respite care for up to five people and many of the people that use the facility visit on a regular basis several times a year. Within the care plans viewed there was records of pre admission assessments having been completed prior to people entering the service and records of updates to assessments were available for people who regularly use the service that identified changes to the health and social care needs of people. The Statement of Purpose which sets out the aims and objectives of the service, and provides other information such as the qualifications and skills of the Registered Manager, and staff and policies and procedures that people using the service need to be aware of was not available to view on the day of the visit. It is recommended that this document be available for all people using the service and their representatives to access should they wish. Within the care plans there were records of Community care assessments having been Care Homes for Adults (18-65 years) Page 12 of 28 Evidence: completed by relevant health and social care representatives involved with the people using the service. The assessment process includes a visit to service users in their own homes to discuss their needs this is then followed by an introductory visit to the home. Care Homes for Adults (18-65 years) Page 13 of 28 Individual needs and choices 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 needs and goals are met. The home has a plan of care that the person, or someone close to them, has been involved in making. People are able to make decisions about their life, including their finances, with support if they need it. This is because the staff promote their rights and choices. People are supported to take risks to enable them to stay independent. This is because the staff have appropriate information on which to base decisions. People are asked about, and are involved in, all aspects of life in the home. This is because the manager and staff offer them opportunities to participate in the day to day running of the home and enable them to influence key decisions. People are confident that the home handles information about them appropriately. This is because the home has clear policies and procedures that staff follow. 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 assessed needs and personal preferences are reflected within the individual care plans this enables staff to provide people with the support they require. Evidence: Within the care plans viewed there was records of contracts having been set up which were also provided in picture format. The information gained from the pre admission assessment formed the basis of the care plans in place. The care plans gave information on how people using the service were to be supported in making decisions, to enable them to participate and take risks. The service had sought information on the preferred individual and social activities of people using the service and every effort is made to ensure that people have the opportunities to continue with these, some people continue to work whilst staying at the service and others take the opportunity to have a break from their daily routines. On the day of the visit one person who normally attends a day centre five days a week was taking a break from this and went out shopping with a member of staff. Care Homes for Adults (18-65 years) Page 14 of 28 Evidence: Some people that use the service have severe speech and communication difficulties and information was available on their chosen methods of communication, staff were observed to understand the non verbal communication of individuals using the service and respond appropriately. In discussion with support workers they explained that they used various communication methods to assist service users to make choices i.e. picture cards, makaton system and photographs. Care Homes for Adults (18-65 years) Page 15 of 28 Lifestyle 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 can take part in activities that are appropriate to their age and culture and 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 and the home supports them to have appropriate personal, family and sexual relationships. People are as independent as they can be, lead their chosen lifestyle and have the opportunity to make the most of their abilities. Their dignity and rights are respected in their daily life. People have healthy, well-presented meals and snacks, at a time and place to suit them. People have opportunities to develop their social, emotional, communication and independent living skills. This is because the staff support their personal development. People choose and participate in suitable leisure activities. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People using the service are supported in maintaining fulfilling lifestyles both inside and outside of the home. Evidence: The personal choice of people using the service is respected as to whether they wish to continue attending day care or to take a short break from their day to day routines during their stay at the home. Records were kept of the individual activities undertaken such as going out to the pub, visiting friends and family, watching TV, listening to music and going out for walks and shopping trips. Care Homes for Adults (18-65 years) Page 16 of 28 Personal and healthcare support 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 receive personal support from staff in the way they prefer and want. Their physical and emotional health needs are met because the home has procedures in place that staff follow. If people 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. If people are approaching the end of their life, the care home will respect their choices and help them to 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. The personal and healthcare needs of people using the service are met through having effective information and communication systems in place. Evidence: One person case tracked had a medical condition that is exasperated by eating fatty foods etc and they needed to follow a low fat diet, clear records were kept of the meals taken and prescribed food supplements to monitor their condition. The eating and drinking care plans identified the level of supervision and support required for individuals and associated risks such as choking, the care plan identified specialist eating and drinking utensils required. There was evidence within the care plans of people having regular assessments involving health and social care professionals. The service works very closely with families and effective communication systems were in place to ensure that information is shared with families. Personal support is provided in line with the preferences of the individuals. Records of accidents and incidents were available to view and kept in accordance with data protection guidelines. Care Homes for Adults (18-65 years) Page 17 of 28 Evidence: The storage and administration records of medication in use were sample checked against the individuals medication profile, all storage and recordings were seen to be in good order. Training on medication is provided to all support staff working at the home. The registered manager explained that Northamptonshire County Council was in the process of reviewing the medication policy as further clarification was needed as to what medications fall under the class of homely remedies. Care Homes for Adults (18-65 years) Page 18 of 28 Concerns, 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. Their concern is looked into and action taken to put things right. The care home safeguards people from abuse, neglect and self-harm and takes action to follow up any allegations. There are no additional outcomes. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People using the service and their representatives can be assured that any concerns or complaints they may have will be listened to and acted upon and safety is promoted. Evidence: Northamptonshire County Council have comprehensive policies and procedures in place on how they handle concerns and complaints. There is a complaints procedure in widget format, no complaints had been received at the homes level and the Commission for Social Care Inspection had not received any complaints about the service. The registered manager has an open door policy and works very closely with the people using the service and their families this provides a forum for any concerns to be directly addressed by the manager. Many of the people using the service have limited verbal communication and the support staff are trained in reading the non verbal language, observing changes in behaviours of individuals. Support staff receive abuse awareness training as part of their induction training, refresher Safeguarding of Adults training is planned to take place during 2009. Care Homes for Adults (18-65 years) Page 19 of 28 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, comfortable, 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. People have enough privacy when using toilets and bathrooms. 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 clean and hygienic however in need of repairs and refurbishment to ensure it remains safe. Evidence: A limited tour of the building was conducted all bedrooms viewed were clean and homely, people are encouraged to personalise their rooms during their stay at the home. The records were viewed of the buildings maintenance and upkeep and monthly regulation 26 visits which are unannounced visits by a representative from within Northamptonshire County Council. An element of the visit is to look at matters in relation to health and safety, such as repairs and refurbishments and building upkeep. It had been identified in a recent regulation 26 visit that a washing machine was out of order and a replacement had been arranged. Within the report it was identified that three radiators required protective covers however on discussion with the staff it was confirmed that four radiators required protective covers. There was a large radiator within the entrance lobby which was exceptionally hot to touch, as there is the potential for people using the service to come into harm (such as falling against the radiator) this needs a protective cover fitted as a matter of urgency. A visit by the Fire Authority had recently been carried out and staff had attended fire Care Homes for Adults (18-65 years) Page 20 of 28 Evidence: awareness training which included instruction on how to use the fire fighting equipment within the home. The fire evacuation policy had been recently reviewed, however the information was ambiguous with statements such as to leave via the fire exit when none of the exit doors indicated that they were a fire exit and meet at the assembly point when there was no indication as to where the assembly point was located. Discussion with the registered manager identified that another review of the fire procedure may be needed and advice was give to liaise with Northamptonshire County Council as the provider of the home and with the Fire Authority review of the Fire Procedure to ensure it is clear and in sufficient detail. There may be a need for some discreet pictorial signage to be used identifying the fire exits and assembly point that will not encroach on the homely feel of the home. The garden was overgrown and in need of urgent maintenance the registered manager advised that a gardener was soon to commence employment, it is hoped that once the garden has received some attention this will provide a pleasant outdoor facility for people to use during the Spring and Summer months. Care Homes for Adults (18-65 years) Page 21 of 28 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, qualified 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. People’s needs are met and they are supported because staff get the right training, supervision and support they need from their managers. People are supported by an effective staff team who understand and do what is expected of them. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People using the service are supported by a team of staff who are trained and competent to meet their needs. Evidence: The recruitment and training files of two staff were viewed there was documentation available to evidence that the employment history and suitability of the new staff member is fully checked prior to them taking up employment at the home. There was records of checks with the Criminal Records Bureau (CRB) having taken place and of the home obtaining references from the previous employer. Records in relation to staff training were viewed and evidenced that staff are provided with mandatory training such as health and safety, fire awareness and basic food hygiene there was records of staff having attended training aimed specifically at meeting the needs of the people using the service which is provided by the district nurse and the learning disability team. Refresher training on Safeguarding is planned to take place in July 2009, in discussion with the registered manager she confirmed that she had recently attended training on Deprivation of Liberty (DoLS) and The Mental Capacity Act (MCA) and that this training is planned to be rolled out all staff. Care Homes for Adults (18-65 years) Page 22 of 28 Evidence: Care Homes for Adults (18-65 years) Page 23 of 28 Conduct and management of the 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 have confidence in the care home because it is run and managed appropriately. People’s opinions are central to how the home develops and reviews their practice, as the home has appropriate ways of making sure they continue to get things right. The environment is safe for people and staff because 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. They are safeguarded because the home follows clear financial and accounting procedures, keeps records appropriately and makes sure staff understand the way things should be done. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The home is run in the best interests of people using the service. Evidence: The home is managed in the best interests of the people using the service. The home seeks to listen to the views of people using the service and their representatives to constantly improve on the quality of service provided. The care records of people using the service are regularly reviewed and updated as necessary which ensures that the needs of people are met. Regular health & safety audits identify environmental hazards and individual risks to people using the service and the action required to reduce the risks. This enables people to be safe whilst being allowed to take risks. Discussion with the registered manager identified that another review of the fire procedure may be needed to ensure it is clear and in sufficient detail. There may be a need for some discreet pictorial signage to be used identifying the fire exits and assembly point that will not encroach on the homely feel of the home. Care Homes for Adults (18-65 years) Page 24 of 28 Evidence: Care Homes for Adults (18-65 years) Page 25 of 28 Are there any outstanding requirements from the last inspection? Yes  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, Care Homes Regulations 2001 and the National Minimum Standards. No Standard Regulation Requirement Timescale for action Care Homes for Adults (18-65 years) Page 26 of 28 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 Description 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 Description Timescale for action 1 24 23 08/06/2009 Protective covers must be fitted to radiators that do not have thermostatic valves fitted. This would protect people using the service from coming into contact with hot water surfaces and reduce the risk of burns from hot water surfaces. 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 42 Consideration should to be given to reviewing the fire procedure to ensure it is clear and in sufficient detail to fully instruct the staff and people using the service on what action is to be taken in the event of a fire. Care Homes for Adults (18-65 years) Page 27 of 28 Helpline: Telephone: 03000 616161 or Textphone : or 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) Commission for Social Care Inspection (CSCI). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CSCI copyright, with the title and date of publication of the document specified. Care Homes for Adults (18-65 years) Page 28 of 28 - 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!