Care and Social Services Inspectorate Wales
Care Standards Act 2000
Inspection Report
Kingsland House Care Home
Kingsland House
69 Kingsland Crescent
Barry
CF63 4JS
Type of Inspection – Focused
Date(s) of inspection – Thursday, 19 March 2015
Date of publication – Monday, 11 May 2015
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Summary
About the service
Kingsland House Care Home is situated in a residential area of Barry in close proximity to
the town centre, sea front and other amenities.
The home is registered with Care and Social Services Inspectorate Wales (CSSIW) to
provide accommodation and personal care for up to 4 service users, aged 18 to 64 years,
with brain injury, learning disability or mental health issues.
The Registered Provider is Forward (Wales) Limited. Marc Alun Evans has the dual role of
Responsible Individual (RI) and Registered Manager (RM) and was present during the
inspection.
What type of inspection was carried out?
CSSIW completed a focussed (quality of life) inspection of the home on the 19 March
2014 as part of the scheduled regulatory process.
The information for this report was gathered from the following sources:
review of the information held by CSSIW about the service
observation of daily life and care practices at the home and how staff spoke with
and interacted with people living at the home
examination of two service user care files to determine how risk and care
assessments were translated into care plans, and how the care plans impacted
directly on outcomes for them
observation of the care home environment provided for the people living at the
home
conversations with three service users and staff who worked at the home
we looked at Medication Administration Charts (MARs)
discussions with the registered manager
we looked at accident/incident documentation
What does the service do well?
Service users are consulted on a daily basis, about their daily wishes and preferences.
What has improved since the last inspection?
Repairs and redecoration have been carried out to the shower rooms.
The medication administration file has been replaced with a suitable file in which
medication administration records were suitably filed.
The Statement of Purpose has been amended.
There is a new office in the process of being built to the side of the home. The
manager told us that the office should be complete in the next few months.
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What needs to be done to improve the service?
There were no non compliance issues identified during this inspection.
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Quality Of Life
Overall people are positively occupied and stimulated during the course of the day. This
is because we observed service users sitting chatting in the dining areas together and
with staff at various points during our visit. Service users informed us they enjoyed
cooking and watching television as well as occasions when events are arranged. We
were told that two service users recently started voluntary work at the local charity shops
during the week. We were told by one service user “I enjoy the weekly arts and craft
classes as well as fitness classes”.
We spoke to the activities coordinator who told us that an application had been submitted
for allotment plots as service users enjoyed gardening activities. We were shown the
planned activities for the week, however personal choice was considered each day if
service users did not want to participate or changed the activity arranged.
People benefit from a healthy and nutritious diet. We observed the preparation for the
evening meal which was a stimulating time. We saw people sitting in the dining area
where there was banter and laughter as we were told that “curry night” was the favourite
meal of the week. We also received a number of positive comments about the food
provided in terms of variety, quantity and quality. Conversations with people also
indicated that they were able to access snacks and drinks outside of mealtimes if they so
wished. There was a daily planner which provided people with choice and alternatives.
Overall people can be assured that they receive support to remain as physically healthy
as possible. This is because we examined a sample of people’s care records and found,
when necessary, they are supported to access medical treatment and advice from a
range of health professionals. We found the documentation to be well organised and
appropriately stored. However attention should be given to archiving old documentation
which we discussed with the registered manager during the visit who told us the matter
would be addressed immediately.
People can be confident that they receive timely care provided by staff that are
competent and confident. This is because we observed care to be carried out in a
relaxed manner. We spoke to staff throughout our visit who told us they were happy and
had worked at the home for several years, Positive comments included “I have worked
here since the home opened”, and “couldn’t think of working anywhere else, I love
working here ”.
Overall people are treated with dignity and respect. This was supported through
observation throughout our visit. This was also confirmed by the people who use the
service who were complimentary regarding staff attitude. People could be confident in
letting staff know how they wanted to be cared for. People we spoke to told us that staff
were always helpful, considerate and kind.
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Quality Of Staffing
This theme was not considered at this inspection and will be the focus of future
inspections. However we observed staff to be respectful and kind throughout the visit.
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Quality Of Leadership and Management
This theme was not considered at this inspection and will be the focus of future
inspections.
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Quality Of The Environment
This theme was not considered at this inspection and will be the focus of future
inspections.
However the manager was informed that the chair in the downstairs bedroom should be
replaced, also the bookcase in the upstairs bedroom required repair.
We observed the home to be clean, fresh with no malodour throughout.
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How we inspect and report on services
We conduct two types of inspection; baseline and focussed. Both consider the experience
of people using services.
Baseline inspections assess whether the registration of a service is justified and
whether the conditions of registration are appropriate. For most services, we carry out
these inspections every three years. Exceptions are registered child minders, out of
school care, sessional care, crèches and open access provision, which are every four
years.
At these inspections we check whether the service has a clear, effective Statement of
Purpose and whether the service delivers on the commitments set out in its Statement
of Purpose. In assessing whether registration is justified inspectors check that the
service can demonstrate a history of compliance with regulations.
Focused inspections consider the experience of people using services and we will
look at compliance with regulations when poor outcomes for people using services are
identified. We carry out these inspections in between baseline inspections. Focussed
inspections will always consider the quality of life of people using services and may look
at other areas.
Baseline and focused inspections may be scheduled or carried out in response to concerns.
Inspectors use a variety of methods to gather information during inspections. These may
include;
Talking with people who use services and their representatives
Talking to staff and the manager
Looking at documentation
Observation of staff interactions with people and of the environment
Comments made within questionnaires returned from people who use services, staff
and health and social care professionals
We inspect and report our findings under ‘Quality Themes’. Those relevant to each type of
service are referred to within our inspection reports.
Further information about what we do can be found in our leaflet ‘Improving Care and
Social Services in Wales’. You can download this from our website, Improving Care and
Social Services in Wales or ask us to send you a copy by telephoning your local CSSIW
regional office.
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