Care Home: Kismet House Care Home

What the care home does well In talking with individuals who live in the home they were very positive about the support they receive "I like it here" "its very friendly and staff are all very good". One individual told us "its very relaxed and everyone gets on which is good" and "I get the help I need" and "am much better then I was". From observation staff it was evident that there are good relationships with individuals and staff and staff have a good understanding of individuals. They spoke in a way which illustrated a good knowledge of mental healthneeds and an understanding of how to support individuals particularly where there was a change in mental health. Staff spoke of good working relationships with the manager and owner being "approachable" and "hands on". One staff member told us "if there are any problems we can approach the manager". They described the atmosphere of the home as "family orientated", with good communication between staff. Staff work in teams of two providing a consistency of care and continuity which is important in this type of environment. The environment of the home has improved with the building of an extension which has resulted in improved accommodation for individuals and modern facilities such as shower room. We looked at the requirements that had been made at our last inspection and found they had been met with risk assessments in place, good recruitment practice and supervision available to staff. What the care home could do better: We identified one area for improvement where we have made a requirement and this is in advising ourselves through Reg 37 notifications of incidents and concerns regarding the health and welfare of individuals in the home. Specifically where there are Safeguarding concerns or aggressive incidents which result in harm to others. We discussed with the manager the need to records any discussions about disclosures from CRB. In relation to the Safeguarding concerns this related to a visitor to the home we recommend that for additional security particularly where there is only one staff member on duty a "spy hole" be fitted to the front door of the home. This will enable staff to see clearly who is at the front door wanting to come into the home. Random inspection report Care homes for older people Name: Address: Kismet House Care Home 92 Walliscote Road Weston Super Mare North Somerset BS23 1EE one star adequate service 21/06/2009 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: John Clarke Date: 2 5 0 5 2 0 1 0 Information about the care home Name of care home: Address: Kismet House Care Home 92 Walliscote Road Weston Super Mare North Somerset BS23 1EE 01934628631 Telephone number: Fax number: Email address: Provider web address: kismet.92@talktalk.net Name of registered provider(s): Name of registered manager (if applicable) Ms Siobhan Kathleen Dolan Type of registration: Number of places registered: Conditions of registration: Category(ies) : Kismet House Care Home Ltd care home 9 Number of places (if applicable): Under 65 Over 65 0 mental disorder, excluding learning disability or dementia Conditions of registration: 9 May accommodate Mental Disorder, excluding learning disability or dementia (MD) 9 Date of last inspection Brief description of the care home Kismet House is a small home registered for 9 residents with Mental Health Problems. It provides a supportive environment where residents can pursue their chosen life style within an agreed and risk assessed programme. The House is situated close to local amenities and walking distance from the shops and the beach. Current fees are 475 to 690 pounds a week. 2 1 0 6 2 0 0 9 Care Homes for Older People Page 2 of 7 What we found: This was an unannounced inspection and visit to the home as part of the inspection. The focus of the inspection was to look at the requirements made at our last inspection in June 2009, to examine admission assessments and care plans, staff recruitment and training records and accident and incident recording. There was also an opportunity to talk with individuals about living in the home and staff members about their view of the quality of care provided at Kismet. We also looked around the home and was able to see a number of the individuals accommodation. We looked at two pre-admission assessments and care plans they were comprehensive and through in providing information and history of the individuals psychiatric history. Care plans include risk assessments around behaviour and changes in mental health and a new format has been introduced which is more person centered and these are being completed with the individuals. They provided information about personal history and memories, hobbies and interests, beliefs and daily routines. Staff records relating to recruitment showed full and detailed employment information, CRB and POVA had been obtained with two references. For one individual there was information disclosed as part of the CRB there was no record this had been discussed at interview. Regarding this matter the manager advised that the applicant had been honest and open in interview about the disclosures and this had been discussed as part of the interview.Training had been undertaken as required including SOVA, Medication, First Aid, Food Hygiene, Mental Health Awareness. We discussed all staff undertaking Breakaway training and the manager advised this is being planned. Incident records were looked at and had been completed as required and there had been one incident where individual was physically aggressive towards staff member. We had not been advised of this incident through a Reg 37. Further the manager advised of a Safeguarding concern (possible financial abuse) which had been referred to the local authority and a strategy meeting had been held. Again we had not been advised of this concern through a Reg 37 notification. This inspection has not resulted in a change in the quality rating of the home in that this requires a full inspection. The manager asked how this could be addressed and we advised their writing to ourselves requesting a full inspection so that the rating can be reviewed. From this random inspection and its limited nature it is the inspectors view that the rating would be adjusted subject to other areas which were not examined at this inspection and no concerns being found which would warrent no change in the rating. It should be noted that Quality Ratings are now being withdrawn and a new system is being looked at and this is currently the subject of consultation. What the care home does well: In talking with individuals who live in the home they were very positive about the support they receive I like it here its very friendly and staff are all very good. One individual told us its very relaxed and everyone gets on which is good and I get the help I need and am much better then I was. From observation staff it was evident that there are good relationships with individuals and staff and staff have a good understanding of individuals. They spoke in a way which illustrated a good knowledge of mental health Care Homes for Older People Page 3 of 7 needs and an understanding of how to support individuals particularly where there was a change in mental health. Staff spoke of good working relationships with the manager and owner being approachable and hands on. One staff member told us if there are any problems we can approach the manager. They described the atmosphere of the home as family orientated, with good communication between staff. Staff work in teams of two providing a consistency of care and continuity which is important in this type of environment. The environment of the home has improved with the building of an extension which has resulted in improved accommodation for individuals and modern facilities such as shower room. We looked at the requirements that had been made at our last inspection and found they had been met with risk assessments in place, good recruitment practice and supervision available to staff. 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 set out on page 2. Care Homes for Older People Page 4 of 7 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 Older People Page 5 of 7 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, 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 1 38 37 The registered manager shall 04/06/2010 give notice to ourselves of any occurance relating to the health and welfare of individuals living in the home or staff member. This relates to advising us of incidents which result in injury to individuals or staff, Safeguarding concerns, serious injury or serious illness and death of individual including circumstances of the death. 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 6 of 7 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 Older People 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. 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