Care Home: Kinross

Similar services:

• St Vincents
• The Cotswold Home
• Winton House
• Rush Court
• Hillyfield Rest Home
• The Maypole Nursing Centre
• The Briars

What the care home does well The Manager has a good working relationship with staff and communicates well with outside agencies. Staff in the home are very respectful to people who live there and peoples privacy and dignity is maintained. Care plans are clear and provide staff with the information they need. People who use the service tell us the home provides them with good quality care and meets their needs. What has improved since the last inspection? This is a newly registered service. What the care home could do better: No requirements have been made as a result of this inspection. People who live in the home, staff who work there and a Community Nurse all told us they could think of no improvements the home needed to make. Key inspection report Care homes for older people Name: Address: Kinross 201 Havant Road Drayton Portsmouth Hants PO6 1EE     The quality rating for this care home is:   two star good service A quality rating is our assessment of how well a care home 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 full review a ‘key’ inspection. Lead inspector: Nick Morrison     Date: 0 9 1 1 2 0 0 9 This is a review of quality of outcomes that people experience in this care home. We believe high quality care should • • • • • Be safe Have the right outcomes, including clinical outcomes Be a good experience for the people that use it Help prevent illness, and promote healthy, independent living Be available to those who need it when they need it. The first part of the review gives the overall quality rating for the care home: • • • • 3 2 1 0 stars - excellent stars - good star - adequate star - poor There is also a bar chart that gives a quick way of seeing the quality of care that the home provides under key areas that matter to people. 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. that people have said are important to them: They reflect the things 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. Care Homes for Older People Page 2 of 23 We review the quality of the service against outcomes from the National Minimum Standards (NMS). Those standards are written by the Department of Health for each type of care service. Copies of the National Minimum Standards – Care Homes for Older People 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 mission of the Care Quality Commission is to make care better for people by: • Regulating health and adult social care services to ensure quality and safety standards, drive improvement and stamp out bad practice • Protecting the rights of people who use services, particularly the most vulnerable and those detained under the Mental Health Act 1983 • Providing accessible, trustworthy information on the quality of care and services so people can make better decisions about their care and so that commissioners and providers of services can improve services. • Providing independent public accountability on how commissioners and providers of services are improving the quality of care and providing value for money. Reader Information Document Purpose Author Audience Further copies from Copyright Inspection report Care Quality Commission General public 0870 240 7535 (telephone order line) Copyright © (2009) Care Quality Commission (CQC). 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 CQC copyright, with the title and date of publication of the document specified. www.cqc.org.uk Internet address Care Homes for Older People Page 3 of 23 Information about the care home Name of care home: Address: Kinross 201 Havant Road Drayton Portsmouth Hants PO6 1EE 02392325806 02392376898 Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Portsdown Estates Ltd Name of registered manager (if applicable) Shirley Young Type of registration: Number of places registered: care home 29 Conditions of registration: Category(ies) : Number of places (if applicable): Under 65 dementia old age, not falling within any other category Additional conditions: The maximum number of service users who can be accommodated is 29 The registered person may provide the following category/ies of service only: Care home only - PC 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 - OP Dementia - DE Date of last inspection Brief description of the care home Kinross is a care home providing accommodation and personal care for up to twenty nine people over the age of sixty five, some of whom may have dementia. It is a large building situated in the Drayton area of Portsmouth with access to local shops. The home is over two floors and has large, well kept gardens. Care Homes for Older People Page 4 of 23 Over 65 0 29 29 0 Summary This is an overview of what we found during the inspection. The quality rating for this care home is: Our judgement for each outcome: two star good service Choice of home Health and personal care Daily life and social activities Complaints and protection Environment Staffing Management and administration peterchart Poor Adequate Good Excellent How we did our inspection: This report represents a review of all the evidence and information gathered about the service since the previous inspection. This included a site visit that occurred on 9 October 2009 from 11:00am until 5:00pm. During this time we looked around the premises, looked at the files of five service users and spoke with two people who live in the home. We observed the support they were receiving. We also met the Manager, spoke with three members of staff and observed interaction between staff and service users. During the inspection we also met with two relatives of people who live in the home. All records and relevant documentation referred to in the report was seen on the day of the inspection visit. We also referred to the homes Annual Quality Assurance Assessment, which is a self-assessment they are obliged to provide us with. We sent out surveys to service users, staff and healthcare professionals and received fifteen responses. Care Homes for Older People Page 5 of 23 What the care home does well: What has improved since the last inspection? 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 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 Older People Page 6 of 23 Details of our findings Contents Choice of home (standards 1 - 6) Health and personal care (standards 7 - 11) Daily life and social activities (standards 12 - 15) Complaints and protection (standards 16 - 18) Environment (standards 19 - 26) Staffing (standards 27 - 30) Management and administration (standards 31 - 38) Outstanding statutory requirements Requirements and recommendations from this inspection Care Homes for Older People Page 7 of 23 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 and the support they need. People who stay at the home only for intermediate care, have a clear assessment that includes a plan on what they hope for and want to achieve when they return home. People can decide whether the care home can meet their support and accommodation needs. This is because they, or people close to them, have been able to visit the home and have got full, clear, accurate and up to date information about the home. 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 them 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. Service users benefit from having their needs assessed prior to moving into the home. Evidence: We looked at the files of five people living in the home. The home requires a full and comprehensive assessment for each person before they move into the home. Assessments are carried out jointly with the agency making the referral and involve relevant professionals and the service user. Assessments include the identification of any religious or cultural needs the service user may have. Records showed that all assessments were in place prior to the person moving in and that service users and their families had been involved in the assessment process. The service has comprehensive information on the needs of people moving into the home and this is then used in the care planning process. Service users told us they had sufficient information about the home prior to moving in. Care Homes for Older People Page 8 of 23 Health and personal care 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 health, personal and social care needs are met. The home has a plan of care that the person, or someone close to them, has been involved in making. If they 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. People’s right to privacy is respected and the support they get from staff is given in a way that maintains their dignity. If people are approaching the end of their life, the care home will respect their choices and help them 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. Service users benefit from having their needs identified in a care plan and from having their healthcare needs met. They are protected by the homes medication policies and procedures and are treated with dignity and respect. Evidence: We looked at the care plans of five people who live in the home. All care plans contained clear information on the needs of people living in the home and the actions required of members of staff in addressing those needs. Care plans had information on peoples preferred form of address, religious beliefs, family history, communication skills and dietary preferences. The plans related to the needs identified in each persons initial assessment, as well as to further needs identified while the person had been using the service. Along with the care plans there were risk assessments in place where a particular risk had been identified for the person. The risk assessments were comprehensive in identifying potential risks for each person and were clearly written. Records showed that all care plans and risk assessments had been reviewed on a monthly basis as well as being updated in between times if the persons needs had changed. Service users spoken with told us they were aware of their care plans and Care Homes for Older People Page 9 of 23 Evidence: that the staff in the home consulted with them about their care on a regular basis. Written feedback from a Community Nurse told us that peoples social and health needs are always properly monitored, reviewed and met. Written feedback from staff told us they were always given up-to-date information on the needs of people living in the home. Six of the seven people living in the home who replied to our questionnaires told us they always get the care and support they need. The other person said they usually get the care and support they need. Records on service users files showed that they were supported to make regular use of healthcare services, including the Chiropodist, Optician, Community Nurses and the doctor. There was evidence of regular checks as well as appointments being made for specific issues that arose. The records of healthcare visits were clear and summarised the reason for the visit and any outcome from the visit that affected the care the person received. Staff in the home regularly monitored peoples health needs and recorded any concerns. Service users spoken with told us they were always supported by staff if they ever needed to attend any healthcare appointments. We received written feedback from the dentist who told us that the home promotes good oral health for service users. The Community Nurse told us, in written feedback, that the service always seeks advice on meeting needs when necessary. Six of the seven people living in the home who replied to our questionnaires told us they always get the medical help they need. The other person said they usually get it. We looked at the medication storage and records and observed a member of staff administering medication. All medication in the home was appropriately and safely stored. Clear records were kept of all medication coming into and going out of the home and of all medication administered to people living there. Staff involved in administering medication had all received training and, from observation on the day, were able to administer it safely in line with the homes medication procedures. Written feedback from the Community Nurse told us that the home always administers medication correctly. Throughout the day we observed staff interacting with people living in the home in a very positive and respectful manner. Staff received training in being respectful towards service users and in ensuring their personal privacy and dignity. We observed that staff referred to all the people living in the home as Mr or Mrs all of the time. Care plans, through use of language and a focus on the rights of service users, also promoted the need to be respectful in providing care to people living in the home. Service users we spoke with told us they thought the staff in the home were always polite and respectful to them. Feedback from the Community Nurse told us that staff always respect service users Care Homes for Older People Page 10 of 23 Evidence: privacy and dignity and their wishes. Care Homes for Older People Page 11 of 23 Daily life and social activities 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 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. They are as independent as they can be, lead their chosen lifestyle and have the opportunity to make the most of their abilities. People have nutritious and attractive meals and snacks, at a time and place to suit them. 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. Service users benefit from being able to exercise choice and control and have stimulating activities. They also benefit from good support in maintaining contact with friends and families and a good, balanced diet. Evidence: The activities available in the home are listed on a programme of activities in the front entrance. The programme showed a variety of activities on offer and these did relate to information about service users interests as described on their initial assessments and on their care plans. From the written feedback we received, five service users told us the home always provides activities they can take part in and two told us they usually provide activities they can take part in. The feedback we received from staff highlighted entertainment and activities as one of the things that the service does well. As well as planned activities there were unplanned activities taking place throughout the day. Staff were conscious of the need to ensure that service users received stimulation even when planned activities were not taking place. We observed staff offering interaction and activities to people who wandered and to people who appeared to have nothing to do. Books and newspapers were available in the lounge for people who wanted to use them. The relatives we spoke with told us they thought Care Homes for Older People Page 12 of 23 Evidence: there were sufficient activities in the home, but that people did not have to join in with them if they did not want to. The service users we had feedback from told us they thought they had control over their own lives in that they were able to make choices about what they did. All seven people who responded told us that staff always listen to what they say and act upon it. The Community Nurse told us she thought the home enabled people to live the life they choose. Observation throughout the day of the inspection showed that staff were aware of the need to ensure that people exercised choice and control over their own lives and they were skilled in enabling this. Service users were offered choices throughout the day and were supported to do the things they wanted to. The home has a visitors policy which encourages friends and families to visit at any times that are convenient to them and the person they are visiting. On the day of the inspection visit we observed staff being very welcoming to visitors and making themselves available to answer questions and be helpful. Relatives told us that the home was very good at communicating with them and keeping them informed about anything to do with their relative living in the home. The menus showed that a varied range of nutritious and balanced meals were planned. The meal served on the day of the inspection visit corresponded with what was on the menu. The food we saw on the day of the inspection appeared to be of good quality and served in adequate portions. In written feedback six service users told us they always like the meals in the home and one person told us they usually liked it. The mealtime we observed was a positive experience for people. There were sufficient staff available to support those people who needed some help with their food and staff also ensured the mealtime was a socially enjoyable occasion. People living in the home were able to choose where to eat their meal, but most chose to eat in the dining room. Staff demonstrated knowledge of individual food and drink preferences for each of the people living in the home and this information was also contained on their care plans. Relatives told us that they thought the food in the home was very good and families were encouraged to come to the home for Sunday lunch. Care Homes for Older People Page 13 of 23 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. Any concern is looked into and action taken to put things right. The care home safeguards people from abuse and neglect and takes action to follow up any allegations. People’s legal rights are protected, including being able to vote in elections. 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. Service users benefit from a clear and effective complaints procedure and are protected by the homes adult protection procedures and practices Evidence: The home has a clear and effective complaints policy in place. The policy is made available to service users and their families on admission and a copy is also available in the front entrance of the building. All seven of the service users who provided written feedback told us they knew how to make a complaint. There was a system in place for receiving, recording and responding to complaints in line with the homes policy. The Community Nurse told us she thought the home always responded appropriately to any concerns raised. The home has clear adult protection policies and procedures in place and the Manager was clear that people living in the home needed to be protected from any form of abuse. Examination of training records showed that staff had received training in adult protection issues. Staff told us they knew what to do if there were concerns about anyone living in the home. The manager was clear about the reporting procedures and knew how and where to report issues if they arose. Throughout the inspection we identified no concerns in relation to either complaints or protection. Care Homes for Older People Page 14 of 23 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, 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. 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. Service users benefit from living in clean, safe, well-maintained environment. Evidence: The home has a well-maintained appearance and evidence from the maintenance book showed that building issues were highlighted on a regular basis and responded to in a timely manner. There are two lounges in the home as well as a glassed seating area near the front door, which appeared to be popular with some people living in the home. Chairs throughout the building appeared very comfortable and other furnishings and fittings were of good quality. From one of the lounges service users were able to look out over the very well kept gardens and those we spoke with told us they valued this. We observed that part of the carpet on the stairs was beginning to wear and, although it did not appear to present a risk at present, we highlighted to the Manager that this would need to be monitored. Infection control policies were in place in the home and staff received training in this as part of their induction. The laundry area was well equipped and maintained. The home appeared clean and hygienic throughout while still maintaining a comfortable and homely feel. Cleaning schedules are in place and the building is regularly checked by the Manager. Liquid soap and paper towels were available throughout the building in order to Care Homes for Older People Page 15 of 23 Evidence: prevent the spread of infection. Six of the service users who provided written feedback told us the home was always fresh and clean and one person told us it usually was. Care Homes for Older People Page 16 of 23 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 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 to care for them. Their needs are met and they are cared for by staff who get the relevant training and support from their managers. 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. Service users benefit from being supported by adequate numbers of sufficiently trained staff and are protected by the homes recruitment policies and practices Evidence: On the day of the inspection visit it appeared that there were sufficient staff on duty to meet the needs of people living in the home. In written feedback six service users told us there were always staff available when they needed them and one told us there were usually enough. Two members of staff told us they thought there was always enough staff and five told us there usually was. Relatives we spoke with told us that all the staff worked hard and were always responsive to the needs of people living in the home. Staffing levels on the day of the inspection visit matched the rota and the rota for the rest of the week showed that staffing levels were the same throughout the week. We looked at the recruitment and training files for five staff working in the home. The recruitment records showed that all necessary pre-employment checks were undertaken prior to people beginning work in the home and that all the information the home was required to keep in respect of members of staff was in place. In written feedback, all seven members of staff who responded told us the home undertook all necessary checks on them before they were allowed to work in the home. Staff observed on the day of the inspection visit were focused on meeting the needs of Care Homes for Older People Page 17 of 23 Evidence: service users and their daily routines were arranged around providing support to people throughout the day. Staff training records showed that staff were receiving regular training and updates where necessary. The staff we spoke with told us that the training they received was of good quality and relevant to their jobs. In written feedback all seven members of staff who responded told us their training was relevant to their role, helped them to meet the needs of people living in the home, kept them up-to-date with new ways of working and gave them enough knowledge about healthcare needs and medication issues. They also told us their induction training covered everything they needed. Feedback from the Community Nurse told us she thought the manager and the staff in the home had the skills to do the job. Care Homes for Older People Page 18 of 23 Management and administration 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 led and managed appropriately. People control their own money and choose how they spend it. If they or someone close to them cannot manage their money, it is managed by the care home in their best interests. The environment is safe for people and staff because appropriate 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. The people staying at the home are safeguarded because it follows clear financial and accounting procedures, keeps records appropriately and ensures their staff understand the way things should be done. They get the right care because the staff are supervised and supported by their managers. 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. Service users benefit from living in a well managed home that is safe and responsive to their needs. They are protected by the homes financial procedures and by the management of health and safety issues. Evidence: The Manager of the home is registered and has demonstrated that she has the skills, knowledge and qualifications to manage the service. People living in the home gave us positive feedback about the Manager and all seven of the staff who responded to our surveys said the Manager always meets regularly with them and gives them enough support to do their job. One person told us the Manager has a good working relationship with staff and is always there for the residents. Feedback from the Community Nurse said the home was very good at communicating with healthcare services in the interests of people living there. A relative we spoke with told us that they had visited lots of homes prior to their relative moving in and thought that this was the best home because of the attention to detail. Care Homes for Older People Page 19 of 23 Evidence: The home has a quality assurance process in place to identify necessary improvements. The manager explained how this would be implemented and that it is focused on the views of people who use the service. To support this process the home will send out regular questionnaires to service users and their families. The home provides Health and Safety training for all staff and ensures that all staff are aware of their responsibilities within this area. They have safe procedures and storage in place for dealing with potentially hazardous household chemicals. All Health and Safety paperwork is regularly reviewed. The records kept in respect of health and safety matters were clear and up-to-date, workplace risk assessments were well managed and we observed no health and safety concerns during the course of the inspection. Feedback from staff and service users told us they thought the home provides a safe environment. Care Homes for Older People Page 20 of 23 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, Care Homes Regulations 2001 and the National Minimum Standards. No. Standard Regulation Requirement Timescale for action Care Homes for Older People Page 21 of 23 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, 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 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 22 of 23 Helpline: Telephone: 03000 616161 Email: enquiries@cqc.org.uk Web: www.cqc.org.uk We want people to be able to access this information. If you would like a summary in a different format or language please contact our helpline or go to our website. Copyright © (2009) Care Quality Commission (CQC). 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 CQC copyright, with the title and date of publication of the document specified. Care Homes for Older People Page 23 of 23 - 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!