Latest Inspection
This is the latest available inspection report for this service, carried out on 6th April 2010. CQC found this care home to be providing an Excellent service.
The inspector made no statutory requirements on the home as a result of this inspection
and there were no outstanding actions from the previous inspection report.
For extracts, read the latest CQC inspection for Kirkgate House.
What the care home does well People are supported by good systems of care planning that include their personal details and wishes to help ensure that their needs are met as they want them to be. The complaints policy is easily accessible to the people who live in the home, making it easier for them to raise any concerns about the support they are receiving. There are systems in place and staff have received training in the ways to support people should an allegation of harm occur; this helps to make sure that people would receive the correct support in this situation. The manager has worked in the service for a number of years and is experienced as the manager, offering good support to the people who live in the home. Maintenance of the home is kept up to date to help to ensure that people live in a home that is safe. What the care home could do better: The storage of medication must be improved upon to help make sure that medication is stored as securely as possible. Risk assessments must be completed for people on how toself medicate any prescribed medication so that clear records can be kept on how people are supported with this. Random inspection report
Care homes for adults (18-65 years)
Name: Address: Kirkgate House Kirkgate Bridlington East Yorkshire YO16 7JU three star excellent service The quality rating for this care home is: The rating was made on: A quality rating is our assessment of how well a care home, agency or scheme is meeting the needs of the people who use it. We give a quality rating following a full review of the service. We call this review a ‘key’ inspection. This is a report of a random inspection of this care home. A random inspection is a short, focussed review of the service. Details of how to get other inspection reports for this care home, including the last key inspection report, can be found on the last page of this report. Lead inspector: Sarah Rodmell Date: 0 6 0 4 2 0 1 0 Information about the care home
Name of care home: Address: Kirkgate House Kirkgate Bridlington East Yorkshire YO16 7JU 01262671185 01262401735 Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Name of registered manager (if applicable) Mrs Julie Elizabeth Wood Type of registration: Number of places registered: Conditions of registration: Category(ies) : Humberside Independent Care Association Limited care home 28 Number of places (if applicable): Under 65 Over 65 5 learning disability Conditions of registration: Date of last inspection Brief description of the care home 28 Kirkgate House is a care home that provides personal care and accommodation for up to 28 younger adults who have a learning disability. The home is situated on the outskirts of the town of Bridlington and people who use this service have easy access to a variety of local shops, pubs and transport The home is laid out over two floors with access to the second floor by a passenger lift. All the bedrooms are single occupancy and two of them have been developed as a bedsitting arrangement for those wanting more independence.
Care Homes for Adults (18-65 years) Page 2 of 11 Brief description of the care home Residents have the use of a number of separate seating and dining areas and also a communal lounge. Outside there is a small enclosed private sensory garden and patio area. On road parking is readily available. Kirkgate is owned and operated by Humberside Independent Care Association which is a `not for profit organisation. The standard fees charged by the home are 490.56 pounds per week, with additional charges made for hairdressing, chiropody, toiletries etc. Kirkgate House provides information to residents about its facilities in its Statement of Purpose and Service User Guide. Care Homes for Adults (18-65 years) Page 3 of 11 What we found:
This random visit was completed on 6th April 2010 and lasted 3.5 hours, with the last Key inspection being undertaken on 5 April 2007. The service was not told in advance when this visit would take place. The manager was not on duty but came in to the service at the time of the visit. She was then available throughout the remainder of the visit and we spoke to her, staff, people who live in the home and the area manager. We received a number of surveys back from the home; all of these were positive in their replies and some of the detail of these are included in the report. We looked around the service and inspected peoples records and other documents held in the home. We looked at the following standards: Personal and Healthcare Support: We looked at the care files for three of the people who use this service. One of these people access the service on a respite basis and the other two people live there on a permanent basis. All of the files included an assessment of the needs of the individual. The assessment was detailed and included examples of the individuals choices with their personal care. For example, it was recorded that one person prefers that their personal care is completed in their own room. The assessment information is then used to develop a plan of care that provides staff with information on how to support each person with the meeting of the individuals needs. We saw that this information was updated as necessary and regularly reviewed by the persons key worker. We observed that peoples appearances reflected their individual personalities. Peoples plans of care included information on how people were to be supported with their personal care and included details of how staff were to do this. People are able to go to bed at the times that they choose and the information in peoples care files includes how people will communicate this to the staff in the home. When we spoke to people they all told us that they were happy living in the home. Peoples files also included details of any health needs that they may have and the support that they require to be able to to maintain their health and meet these needs. This included for the people who live permanently in the home a Health Action Plan; this is in an easy read format, making it easier for people to read the information that is held about them. The health action plan is a detailed document that provides a large amount of information about a persons current and previous health needs, this in turn supports the staff in the meeting of these needs. The manager recorded in the AQAA that, We meet the service users needs by using a health action plan and various medical monitoring forms in respect of individual needs. We use other professional health care teams to ensure that staff are trained in healthcare needs specific to our service users. We are proactive in seeking advice where necessary. All service users have individual patient passports in the event of a hospital admission. We looked at the medication records and storage in the home. We saw that medication is stored in a locked trolley in a locked room. The door lock is of a key coded type and as
Care Homes for Adults (18-65 years) Page 4 of 11 this code would be known to staff who are not authorised to handle medication in the home, it is recommended that this lock is altered to one where the authorised staff can hold the key. Although the medication trolley was in a locked room, the trolley was not secured to the wall by the means of a chain to ensure the secure storage of the medication. A staff member told us that the chain had recently broken and was to be repaired, at a later date the registered manager confirmed to us that this work had been completed. We looked at the records for the receipt, administration and disposal of medicines in the home. All of these were up to date with the exception of one item. We discussed this with the manager of the home and due to the nature of this medication advised that a self medication risk assessment must be completed with authorised staff updating the medication administration records with the details of this. Records are kept of the signatures of staff who are authorised to administer medication, this allows for a clear audit trail and photographs are in place in the medication records for each service user to help ensure that errors do not occur. There are some hand written entries regarding the details of the prescribed medicines on the Medication Administration Record chart and the manager was advised as to the necessity of two people checking these entries and signing to confirm that the details are correct. When we spoke to staff they told us that they had received training in the safe administration of medicines; we did not check this on the day of this site visit. Concerns Complaints and Protection: There is a policy in place to support people should they wish to raise a concern with the home. There is a copy of this policy in an easy read version, on display in the main lounge of the home. We looked at the records of complaints received, these include the details of the actions taken and the outcome. People who live in the home told us that they would raise any concerns with the staff and that they were confident that their concern would be dealt with appropriately. We received surveys from the people who live in the home and from some of the staff. The information in all of these confirmed that people knew how to complain and what to do if someone had a complaint about the home. A copy of the Local Authoritys policy, The Protection of Vulnerable Adults is available in the home alongside the organisational policy on how to support people with allegations of harm should they arise. When we spoke to a member of staff they were positive on the actions that they would take should an allegation of harm occur and the manager told us at the visit and in the AQAA that staff have received training in these. We looked at the systems in place for supporting people to manage their money. The manager told us that this system has not altered since the last visit to the home. The records are computerised and as each person who has access to this system has a separate password an audit trail is kept of who accessed these records and when. Receipts are kept of income and expenditure for people who live in the home. Environment We completed a tour of the home and looked at some of the bathrooms and bedrooms available to people. The home was clean and comfortable throughout with people having access to different areas, where they could relax or be with friends. Two people allowed us to look at their flat and they told us that they are happy there and enjoy living in the home. Another person showed us their bedroom and also told us that they are happy
Care Homes for Adults (18-65 years) Page 5 of 11 with this. Peoples rooms were personalised and maintained to a good standard, with people being able to add their own decorations to make the room their own. We saw records for fire drills and the maintenance of the fire systems; these reflected that the maintenance checks were up to date. The manager told us how she rotates the dates and times of the fire drills so that people do not become complacent and to ensure that all senior staff have undertaken a fire evacuation drill. Conduct and management of the home The manager confirmed in the AQAA that she had worked at the service for 12 years, six of which have been as the manager of the service. The manager completed and returned the AQAA to the CQC and ensures that incidents are reported as necessary.The AQAA recorded that the policies and procedures in the home are updated. However, the fire policy has not been updated since 2005 and it is recommended that this be completed. There is a formal quality assurance system in place that seeks the views of the people who live in the home. We looked at the maintenance certificates held within the home - these reflected that the electrical and gas systems in the home had received maintenance checks and were safe. Additionally checks had been undertaken on the baths and lifting equipment in the home. Checks are undertaken on the hot water outlets to ensure that this water does not pose a risk of scalding to the people who live in the home and risk assessments have been completed to help ensure that people are safe. Records are kept of any accidents in the home. What the care home does well: What they could do better:
The storage of medication must be improved upon to help make sure that medication is stored as securely as possible. Risk assessments must be completed for people on how to
Care Homes for Adults (18-65 years) Page 6 of 11 self medicate any prescribed medication so that clear records can be kept on how people are supported with this. If you want to know what action the person responsible for this care home is taking following this report, you can contact them using the details set out on page 2. Care Homes for Adults (18-65 years) Page 7 of 11 Are there any outstanding requirements from the last inspection? Yes £ No R Outstanding statutory requirements
These are requirements that were set at the previous inspection, but have still not been met. They say what the registered person had to do to meet the Care Standards Act 2000, Regulations 2001 and the National Minimum Standards.
No. Standard Regulation Requirement Timescale for action Care Homes for Adults (18-65 years) Page 8 of 11 Requirements and recommendations from this inspection:
Immediate requirements: These are immediate requirements that were set on the day we visited this care home. The registered person had to meet these within 48 hours.
No. Standard Regulation Requirement Timescale for action 1 20 13 Risk assessments must be undertaken for any medication that is to be self administered. This will help to ensure that people receive their medication safely. 30/04/2010 2 20 13 The registered person must 30/04/2010 make sure that medication is stored securely. This helps to ensure the safety of the medication and that peoples needs are met. 3 20 13 Handwritten entries on 30/04/2010 medication charts must be witnessed by two people and counter signed by both witnesses. This helps to reduce the risk of errors occurring. Statutory requirements These requirements set out what the registered person must do to meet the Care Standards Act 2000, Regulations 2001 and the National Minimum Standards. The registered person(s) must do this within the timescales we have set.
No. Standard Regulation Requirement Timescale for action Care Homes for Adults (18-65 years) Page 9 of 11 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 Adults (18-65 years) Page 10 of 11 Reader Information
Document Purpose: Author: Audience: Further copies from: Inspection Report Care Quality Commission General Public 0870 240 7535 (telephone order line) Our duty to regulate social care services is set out in the Care Standards Act 2000. Copies of the National Minimum Standards –Care Homes for Adults (18-65 years) can be found at www.dh.gov.uk or got from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering from the Stationery Office is also available: www.tso.co.uk/bookshop Helpline: Telephone: 03000 616161 Email: enquiries@cqc.org.uk Web: www.cqc.org.uk We want people to be able to access this information. If you would like a summary in a different format or language please contact our helpline or go to our website. © Care Quality Commission 2010 This publication may be reproduced in whole or in part in any format or medium for noncommercial purposes, provided that it is reproduced accurately and not used in a derogatory manner or in a misleading context. The source should be acknowledged, by showing the publication title and © Care Quality Commission 2010. Care Homes for Adults (18-65 years) Page 11 of 11 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. The policy of www.bestcarehome.co.uk is to use all legal avenues to pursue such offenders, including recovery of costs. You have been warned!
