Care Home: Kingswood

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What the care home does well Kingswood provides a caring, supportive and loving family home. This provides the person using the service security, love and support thus maintaining his own personal autonomy. The person living in the home said he could not imagine living anywhere else and considered the manager to be his mother. The GP commented that the home provides the care and support that the person using the service needs. What has improved since the last inspection? No requirements were made at the last inspection. What the care home could do better: Mrs Ludlow needs to maintain the loving and caring environment that the family has developed over the years. CARE HOME ADULTS 18-65 Kingswood 18 New Bristol Road Weston-super-Mare Somerset BS22 6AB Lead Inspector Juanita Glass Key Unannounced Inspection 22nd November 2007 10:00 Kingswood DS0000070159.V351607.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 Kingswood DS0000070159.V351607.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. Kingswood DS0000070159.V351607.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Kingswood Address 18 New Bristol Road Weston-super-Mare Somerset BS22 6AB 01934 525677 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 Glennis D M Ludlow Mrs Glennis D M Ludlow Care Home 1 Category(ies) of Learning disability (1) registration, with number of places Kingswood DS0000070159.V351607.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. The registered person may provide the following category of service only: Care home providing personal care only - Code PC to service users of either gender whose primary care needs on admission to the home are within the following category: 2. Learning disability (Code LD) The maximum number of service users who can be accommodated is 1. Date of last inspection First at this address Brief Description of the Service: Kingswood is a private home registered with the Commission For Social Care Inspection to provide accommodation for one individual who lives as a member of the family. The home is close to local amenities and is short bus journey to the centre of Weston-super-Mare. Kingswood DS0000070159.V351607.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. We carried out this inspection as an unannounced visit in the presence of Mrs. Ludlow and the person using the service. Kingswood is a family home, which only registered as a care home as North Somerset does not have an adult placement scheme. The person using the service states that he would prefer to be under an adult placement scheme as he feels the registration and inspection process is an ‘infringement of my privacy and rights to live in the home of my choice with my own family.’ To support our judgment as well as visiting the home, we asked the person using the service to complete a questionnaire, the manager completed an Annual Assessment Of Quality and we received comments from a GP and community services. What the service does well: What has improved since the last inspection? What they could do better: Mrs Ludlow needs to maintain the loving and caring environment that the family has developed over the years. Kingswood DS0000070159.V351607.R01.S.doc Version 5.2 Page 6 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. Kingswood DS0000070159.V351607.R01.S.doc Version 5.2 Page 7 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 Kingswood DS0000070159.V351607.R01.S.doc Version 5.2 Page 8 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 and 5 (2, 3 and 4 do not apply) Quality in this outcome area is excellent This judgement has been made using available evidence including a visit to this service. The individual person living in Kingswood has all the information he requires to support his decision to remain in the home. EVIDENCE: Standards 2, 3 and 4 do not apply, as the Homeowner does not intend to take other people into Kingswood. The person using the service has his own Statement Of Purpose And Service User Guide however he feels that they are inappropriate, as adults living at home with parents do not have these documents. As at previous inspections we discussed his awareness of his rights and responsibilities. These are included in a contract between him and the homeowner. Kingswood DS0000070159.V351607.R01.S.doc Version 5.2 Page 9 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, 8, 9 and 10 Quality in this outcome area is excellent This judgement has been made using available evidence including a visit to this service. Appropriate support is given to enable the person using the service to make personal choices in his style of living, through an agreed and risk assessed plan of care. EVIDENCE: As in previous inspections we did discuss individual care plans and risk assessments. The person using the service still feels quite strongly that care plans are not appropriate to his placement but he understands the need for agreed risk assessments. It has been agreed that a daily record is not required however his foster parent will record any significant events in his life such as hospital, doctor and dentist visits. The person using the service makes his own decisions about how he wishes to lead his life and this is supported and enabled by the family. Kingswood DS0000070159.V351607.R01.S.doc Version 5.2 Page 10 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): 11, 12, 13, 14, 15,16 and 17 Quality in this outcome area is excellent This judgement has been made using available evidence including a visit to this service. The person using the service receives appropriate support to develop his own personal skills and to take part in the community. The family meals provide a healthy and nutritional diet. EVIDENCE: As at previous inspections we discussed the future and the person using the service stated that he hopes to go to college to study IT. Both the person using the service and Mrs. Ludlow said they would be going to sign up for a computer course in the New Year. The person using the service has forged links with the community in Worle and joins in family holidays and activities. On his birthday he went for a trip on a micro light and he thoroughly enjoyed his day out. They have planned to go to Australia for next Christmas. Kingswood DS0000070159.V351607.R01.S.doc Version 5.2 Page 11 Kingswood does not have a set menu, mealtimes are a family affair and personal choices are made on a daily basis. The person using the service helps out with preparing meals and maintaining the kitchen. Kingswood DS0000070159.V351607.R01.S.doc Version 5.2 Page 12 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): Quality in this outcome area is excellent This judgement has been made using available evidence including a visit to this service. Both physical and emotional support is given as needed. The person using the service handles his own medicine on a risk assessed basis and the subject of ageing of both himself and his foster parent is openly discussed and agreed with him. EVIDENCE: Kingswood does not provide nursing care. The person using the service has his own room and front door key; he stated that he has purposely and often closed his own room in the evenings. Records kept showed that the homeowner enables the person using the service to attend doctor and dental appointments as required. He has also been supported in dealing with bereavement issues. The person using the service handles his own medication; this process has been risk assessed and lockable storage is available in his room. The person using the service and the manager had discussed his future as and when both become older or if illness should become an event. Kingswood DS0000070159.V351607.R01.S.doc Version 5.2 Page 13 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 excellent This judgement has been made using available evidence including a visit to this service. The views and opinion of the person using the service are listened to and he is protected from abuse, self-neglect and harm. EVIDENCE: The person using the service stated that he was aware of the process he could follow if he wanted to complain about the care provided by his foster parent. He has a copy of the CSCI telephone number and contact details for his social worker who he felt he could talk to if he ever needed to complain. He stated that he always felt he was listened to and took part in making important decisions in the family home. The manager of the home has access to policies and procedures regarding safeguarding adults and they are also aware of the North Somerset policies and procedures. Kingswood DS0000070159.V351607.R01.S.doc Version 5.2 Page 14 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, 26, 27, 28, 29 and 30 Quality in this outcome area is excellent This judgement has been made using available evidence including a visit to this service. Kingswood is a private home and reflects this. Aids and adaptations can be provided if needed. EVIDENCE: Kingswood is homely and comfortably furnished. The person using the service has access to all areas of the family home and has his own room with his own possessions. As at previous inspections we discussed his personal space and possessions, which is he is very proud of. The home is always very clean and tidy and reflects regular family life. The person using the service proudly states that he helps with household chores, cooking and maintaining the garden. All areas in the home are accessible by wheelchair including the garden. The manager is aware of how to obtain aids and adaptations if she felt the need to include them in the home Kingswood DS0000070159.V351607.R01.S.doc Version 5.2 Page 15 Kingswood DS0000070159.V351607.R01.S.doc Version 5.2 Page 16 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): None of these standards apply Quality in this outcome area is not applicable This judgement has been made using available evidence including a visit to this service. Staff are not employed at Kingswood EVIDENCE: The homeowner has a completed Criminal Records Bureau Check. Other family members also work in the care sector so they have Criminal Records Bureau Checks in place if requested. Kingswood DS0000070159.V351607.R01.S.doc Version 5.2 Page 17 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, 38, 39,40, 41, 42 and 43 Quality in this outcome area is excellent, This judgement has been made using available evidence including a visit to this service. Kingswood is run with the best interests of the person using the service in mind. Policies and procedures are in place and reviewed. Health and Safety is satisfactory. EVIDENCE: Kingswood is not managed as a care home; it is a family home and is run as such. Everybody has a say in the day-to-day running of the home. The person using the service confirmed that he contributes to decisions made in the home as much as other family members. He also confirmed that he has access to his own money and is supported in maintaining his own budget. Kingswood does have policies and procedures that have been adapted from a care home previously owned by the manager. However the person using the service feels they are inappropriate to a family home. Kingswood DS0000070159.V351607.R01.S.doc Version 5.2 Page 18 The homeowner has consulted with the fire officer and a suitable fire alarm system is in place, a certificate of insurance is available for inspection on request. Kingswood DS0000070159.V351607.R01.S.doc Version 5.2 Page 19 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 4 2 N/A 3 N/A 4 N/A 5 4 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 4 25 4 26 4 27 3 28 4 29 3 30 4 STAFFING Standard No Score 31 N/A 32 N/A 33 N/A 34 N/A 35 N/A 36 N/A CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 3 4 4 4 3 LIFESTYLES Standard No Score 11 3 12 3 13 3 14 4 15 3 16 4 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 4 3 3 3 4 3 4 3 3 3 3 Kingswood DS0000070159.V351607.R01.S.doc Version 5.2 Page 20 NO Are there any outstanding requirements from the last inspection? 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. Standard Regulation Requirement Timescale for action 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 Kingswood DS0000070159.V351607.R01.S.doc Version 5.2 Page 21 Commission for Social Care Inspection South West Regional Office 4th Floor, Colston 33 33 Colston Avenue Bristol BS1 4UA 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. 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