Inspection on 01/05/07 for Camberley Lodge

This inspection was carried out on 1st May 2007.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is (sorry - unknown). The way we rate inspection reports is consistent for all houses, though please be aware that this may be different from an official CSCI judgement.

The inspector found there to be outstanding requirements from the previous inspection report but made no statutory requirements on the home.

Other inspections for this house

Camberley Lodge 25/07/08

Camberley Lodge 09/05/06

Camberley Lodge 03/02/06

Camberley Lodge 12/10/05

Similar services:

Claremont House

Oak Ridge

Sun Court Nursing Home

Ashville House

Bilney Hall

Hill Barn

Mabbs Hall Nursing Home

Henrietta House

Extracts from inspection reports are licensed from CQC, this page was updated on 08/07/2008.

CARE HOMES FOR OLDER PEOPLE Camberley Lodge 99 Fronks Road Dovercourt Harwich Essex CO12 4EQ Lead Inspector Diana Green Unannounced Inspection 1st May 2007 10:00 X10015.doc Version 1.40 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 Camberley Lodge DS0000063329.V338975.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 Older People. 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. Camberley Lodge DS0000063329.V338975.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Camberley Lodge Address 99 Fronks Road Dovercourt Harwich Essex CO12 4EQ 01255 552976 01255 552976 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 Bibi Shimintaz Mohedeen Carol Brough Care Home 13 Category(ies) of Dementia - over 65 years of age (3), Old age, registration, with number not falling within any other category (13) of places Camberley Lodge DS0000063329.V338975.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. Persons of either sex, over the age of 65 years, who require care by reason of old age only (not to exceed 13 persons) Three service users, over the age of 65 years, who require care by reason of dementia, whose names were made known to the Commission. This condition will be reviewed. 3. The total number of service users accommodated in the home must not exceed 13 persons 9th May 2006 Date of last inspection Brief Description of the Service: Camberley Lodge is situated in a residential area of Dovercourt, close to the sea front and within easy reach of the shops. The home is registered for 13 people over the age of 65 years. There are 10 bedrooms, 7 single and 3 double. The majority of the rooms are on the first floor. A chair lift gives access to the first floor. There is a small garden and a patio to the rear of the property. The fees range from £360 to £410 weekly. Additional costs apply for chiropody and hairdressing. This information was provided to CSCI on 23/04/07 Camberley Lodge DS0000063329.V338975.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This key inspection was undertaken on the 20/02/07 and lasted 5.5 hours. The inspection process included: discussions with the manager (job-share), the cook, care staff, five residents, three visitors and feedback from relatives and health and social work professionals; a tour of the premises including a sample of residents’ rooms, bathrooms, communal areas, the kitchen, the laundry and the sluice-rooms; an inspection of a sample of policies and records (including any records of notifications or complaints sent to the CSCI since the last inspection). The outcomes for people living in the home were inspected against twenty-seven standards and eight requirements and four recommendations were made. The manager and staff were welcoming and helpful throughout the inspection. What the service does well: What has improved since the last inspection? Since the previous key inspection a job share manager has been appointed and registered by the CSCI. New carpets and curtains have been provided in the lounge/dining room. The home has been rewired and a new boiler installed. The garage has been restored to provide additional storage for the home. Investment has been made in staff training, a programme established and training provided in several areas. A new hoist has been purchased. Residents Camberley Lodge DS0000063329.V338975.R01.S.doc Version 5.2 Page 6 have been consulted through residents meetings and distributed questionnaires. What they could do better: 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. Camberley Lodge DS0000063329.V338975.R01.S.doc Version 5.2 Page 7 DETAILS OF INSPECTOR 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) Scoring of Outcomes Statutory Requirements Identified During the Inspection Camberley Lodge DS0000063329.V338975.R01.S.doc Version 5.2 Page 8 Choice of Home The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): Quality in this outcome area is good based upon sampled inspected standards 1, 3 & 4. Residents were well informed and had their needs assessed prior to moving in to the home. Changing/developing needs were assessed to ensure they were appropriately met. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The home had a statement of purpose and service user guide that met regulatory requirements and had been updated to include the name of the registered managers (job-share). There had been one admission since the previous inspection. Several relatives spoken with indicated they had been given sufficient information to enable them to make a decision prior to Camberley Lodge DS0000063329.V338975.R01.S.doc Version 5.2 Page 9 admission. A copy of the statement of purpose and service user guide were held in the home. The manager said that a copy had been provided to each resident/and/or their representative. A pre-admission assessment had been developed and completed by the manager prior to admission of the resident. New care plans had also been introduced and included assessments for mental health, physical health, personal risk, falls, behaviour, pressure sores, nutrition, care needs and preferences. Discussions were held with the manager regarding a person previously admitted who had exhibited aggressive behaviour. The manager confirmed that a review of medication had been undertaken and the residents’ needs were now met at the home with no disruption to other residents. The service does not offer intermediate care. Camberley Lodge DS0000063329.V338975.R01.S.doc Version 5.2 Page 10 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): Quality in this outcome area is good based upon sampled standards 7, 8, 9 & 10 The health and personal care needs of residents are well met through care planning that is regularly reviewed. Residents’ privacy and dignity is in the main upheld but closer monitoring of individual residents is needed. This judgement has been made using available evidence including a visit to this service. EVIDENCE: A sample of four files were viewed. For the one recently admitted resident this included a pre-admission assessment that was used to inform care plans. Individual assessments had been completed in regard to specific needs (e.g. risk of falls, moving and handling, continence, nutrition, pressure areas, etc.), and these were being regularly reviewed. A range of care plans were present on the sample of files viewed, and these generally contained a good level of detail of the action required by staff to help the person meet their needs. Camberley Lodge DS0000063329.V338975.R01.S.doc Version 5.2 Page 11 Positive feedback was received from some relatives in relation to the standard of care provided. Several GP practices visited the home. The manager said that residents had a choice of GP. On the day of the inspection it was observed that there was input into the home by district nurses who stated they had good communication with the home and had no concerns. The records confirmed that residents were referred to GPs, received chiropody treatment; had annual eye tests, attended outpatients as required and a dentist also attended the home on request. Clinical nurse specialists for diabetes and heart failure were contacted for advice and training and a community psychiatric nurse also attended the home monthly. One resident had a pressure sore that was being treated and the records confirmed this was as a result of a hospital admission. Appropriate pressure relieving equipment was provided. One relative spoken with said, “the healthcare is extremely good”. Another relative said they give “the greatest care here”. The home had a medication policy and procedures but these were brief and required further development e.g. there was no guidance for PRN (‘as required’) medicines or for recording of controlled drugs. Medication was stored in a locked cabinet located in the central lobby of the home. Controlled drugs (CD) were stored in a locked box held within the main cabinet. A drug refrigerator was stored in the staff room on the first floor of the home. Action had been taken to provide a lock on the fridge but this had been subsequently broken. Medication was supplied through a local pharmacy in pre-dispensed packs and appropriate ordering and disposal procedures were followed. Monitoring of temperatures showed that temperatures were within recommended levels (25°Centigrade). However lighting in the lobby area was poor and did not provide staff with adequate light to ensure safe systems were followed. Designated staff administered medication and had all received appropriate training. Medication administration records (MAR) were generally well recorded. However the date of opening of individual bottles/containers was not always recorded on them. This included a CD drug where the balance of the liquid was also not recorded in the records. There was no CD register and records were made on a loose leaf book, contrary to medication regulations. Records did not include the address on receipt and disposal of CD drugs. Prescribed creams were recorded on care plans and staff who adminstered the cream confirmed by their signature that it had been given. Care files contained residents’ preferred name and those spoken with commented positively about the staffs’ attitude towards them. They felt that their dignity and privacy were respected. The inspector observed some good practice with regard to staff ensuring residents privacy. For example, they were observed to knock on doors before entering a room and ensured that doors were closed when attending to residents’ personal care needs. However, from discussion it was evident that screens were not always used in shared rooms to preserve dignity when providing personal care. Residents’ rooms Camberley Lodge DS0000063329.V338975.R01.S.doc Version 5.2 Page 12 were fitted with locks and all had a key to their room. One resident was seen to lock their door when they went out. Camberley Lodge DS0000063329.V338975.R01.S.doc Version 5.2 Page 13 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): Quality in this outcome area is good based upon sampled standards 12, 13, 14 & 15 The social activities are in need of development to meet residents’ needs and enhance their daily lives. Visitors were warmly welcomed into the home. The home provided residents with a well-balanced and nutritious diet with choices acommodated. This judgement has been made using available evidence including a visit to this service. EVIDENCE: There was no designated social activities coordinator employed at Camberley Lodge. Care staff provided daily activities and those included in the statement of purpose comprised exercise sessions, reading, writing, board games, music and television with various social events and outings arranged. The manager said that one care assistant was responsible for arranging exercises and on the day of inspection they were observed to encourage residents to take part in an exercise session throwing balls and to encourage some to dance to music. However feedback from relatives who visited frequently said there was ‘not Camberley Lodge DS0000063329.V338975.R01.S.doc Version 5.2 Page 14 much going on’. One resident they spent their days watching TV, reading and sleeping. Another said the enjoyed reading and were appreciative of some staff providing books for them. A plan of social activities was seen displayed. Social activity records were inspected for residents but the last date recorded was 13/04/07. Individual records were made in the residents’ care records but needed to provide further detail of the outcome from the activity. Relatives said that staff were very welcoming and they could visit at anytime and were always offered a drink when they visited. Residents said that their friends and relatives could visit at any time, and several were observed visiting throughout the day of the inspection. Staff reported that some local community groups had visited the home at Christmas to provide entertainment and fundraising events organised at the home (e.g. coffee mornings, cream teas, clothes party) encouraged friends and relatives to visit. Residents were observed to have choices about their daily life in the home (i.e. where they spent their day, where they ate etc.). Residents were also able to have a hairdresser of their own choice. One resident regularly went out of the home to spend their time as they wished. Most of the rooms seen were well personalised, showing that people could bring their own possessions into the home with them (subject to space), and one resident was seen to be able to have keys to their room, in order to give them control over their personal space. Information on advocacy services was included in the statement of purpose and available in the home. Residents spoken with were generally positive about the meals served at the home. The main meal served on the day of the inspection was sampled and comprised sweet and sour chicken with rice and fresh vegetables followed by ice cream and jelly. The meal tasted delicious and residents observed were enjoying their meal. Hot and cold drinks were seen being served during the day and residents said they had plenty to eat and drink. The home operates a three weekly menu and a copy of the day’s menu was observed displayed in the dining area. The manager said that residents had recently been consulted and the menus reviewed to accommodate their preferences. The home’s food stocks were inspected and were plentiful with a good range of fruit and fruit juices available. Menus viewed showed an appropriate range of meals, with alternative choices available at all meals and snacks offered in the evenings. Two relatives commented positively on the meals provided and recent improvements made to the menus. Camberley Lodge DS0000063329.V338975.R01.S.doc Version 5.2 Page 15 Complaints and Protection The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be. JUDGEMENT – we looked at outcomes for the following standard(s): Quality in this outcome area is good based upon sampled standards 16 & 18 Appropriate policies, procedures and practices were in place to promote the protection of residents from abuse. The manager actively promoted awareness of protection issues through staff training, recruitment practices and respecting individual rights. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The home had a complaints procedure that was included in the statement of purpose and service user guide. Feedback received from relatives indicated they knew there was a complaints procedure and who to refer to if they had a complaint. Residents spoken to were clear that they felt able to tell someone if they had any concerns. No complaints had been received by the home or the CSCI since the previous inspection. The home had a protection of vulnerable adults policy and procedures and a whistle blowing policy. The records confirmed that staff had received training in protection of vulnerable adults since the previous key inspection. There had been no allegations or incidents of abuse. Camberley Lodge DS0000063329.V338975.R01.S.doc Version 5.2 Page 16 Environment The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): Quality in this outcome area is adequate based upon sampled standards 19, 22, 24 & 26 Camberley Lodge is clean and hygienic and aims to provide a safe, wellmaintained and homely environment, but some health and safety risks prevent this always being achieved. The privacy and dignity of residents was not upheld for people who shared rooms. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The home was being rewired on the day of inspection. A partial inspection of the premises was made that included communal areas, bathrooms, a number of residents’ rooms, the kitchen, the laundry and the garden. There had been several improvements made since the previous key inspection. New carpets and curtains had been provided in the dining/lounge and most radiators Camberley Lodge DS0000063329.V338975.R01.S.doc Version 5.2 Page 17 covered. The garage located to the rear of the garden had been restored to provide additional storage and there were plans for this to house laundry facilities. Evidence of checks by the fire officer and environmental health officer were seen. Feedback received from residents indicated they felt safe and secure. There was no passenger lift. The home had a stairmatic chair for transporting residents up and downstairs. There were grab rails, and aids in bathrooms, toilets and communal rooms. One resident said they were unable to access the garden easily and the manager agreed to investigate the provision of a grab rail. The home had an assisted bath and shower room. Call systems were provided throughout all individual rooms but were yet to be provided in communal rooms with leads to enable residents to call for assistance. Pressure relieving equipment was available and the district nursing service also provided specialist mattresses. Two hoists, two cushions and two mattresses had recently been purchased. Individual residents’ rooms were fitted with locks and keys were provided to those who had made a choice. Lockable facilities had been provided for residents’ personal use since the previous inspection. There were three shared rooms but only two screens were available at inspection, potentially compromising residents’ privacy and dignity (reference also standard 10). The home had its own health and safety policies and guidance. The home was clean and hygienic with no malodorous smells. Hand washing facilities (liquid soap and paper towels) were provided throughout. The laundry room is small and there were two washing machines, and a drier fitted. Systems were in place to minimise risk of infection via the use of red bags for any laundry soiled by body fluids, placed directly in the washing machines; washing machines had the capacity to carry out sluice wash cycles. There are no designated laundry assistants. Care staff assist with domestic duties including the laundry. Laundry is undertaken during the day to ensure residents are not unduly disturbed by the noise of the machines. Plans to relocate the laundry to the garage should reduce the noise levels for residents. External clinical waste bins were stored near to the entrance of the home and were unlocked (reference also standard 38). Camberley Lodge DS0000063329.V338975.R01.S.doc Version 5.2 Page 18 Staffing The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users’ needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission consider all the above are key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): Quality in this outcome area adequate based upon sampled standards 27, 28, 29 & 30. Staffing levels were adequate but further training and development is needed to ensure their needs are met. Residents were protected by robust recruitment practices. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The home’s staffing levels comprised: 07.30-18:30 – 1 senior care assistant 2 care staff 14:45 –18:30 - 1 senior care assistant 2 care staff 1 from 18:30 until 22:00 22.00-08.00 – 1 senior care assistant 1 care assistant (1 awake) There was a cook from 08.00-14.00. The former deputy manager was now registered and job-shared with the owner/ manager of the home. One of the managers was supernumerary from Monday to Friday. Staffing levels were appropriate to meet the needs of residents and action had been taken to ensure that staff supervised residents during the morning when the majority were in the lounge. Camberley Lodge DS0000063329.V338975.R01.S.doc Version 5.2 Page 19 The home employed 14 care staff. Three care staff had NVQ level 2 training. Information received indicated that a further seven staff had applied to undertake NVQ level 2. The percentage of staff with NVQ level 2 training was 21 and therefore considerably less than 50 recommended. The recruitment files of four recently employed staff were inspected. All had evidence that the required checks had been obtained (two satisfactory references, CRB/POVA checks) and copies of birth certificates, passports, and photographs obtained before the individuals commenced employment at the home. All had received a statement of terms and conditions of employment. The manager reported that all staff received induction to Skills for Care Standards (records were not inspected). Since the previous key inspection training had been provided on dementia care and activities, Protection of Vulnerable Adults, first aid, diabetes, infection control, food hygiene, administration of medicines, incontinence care, prevention of constipation, fire safety. Moving and handling training was last provided July 2005. Fire safety was provided in-house only. Camberley Lodge DS0000063329.V338975.R01.S.doc Version 5.2 Page 20 Management and Administration The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. 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 and staff are promoted and protected. The Commission considers Standards 31, 33, 35 and 38 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): Quality in this outcome area is adequate based upon sampled standards 31, 33, 35, 36 & 38 The home is generally well managed but a lack of updated moving and handling training does not protect the health and safety of residents and staff. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Action had been taken to provide a more consistent management support for the home. The former deputy manager had been registered by CSCI and jobshared the position with the owner/manager. The manager on the day said that she expected to complete NVQ level 4 this year. The management style in the home was open and inclusive. Camberley Lodge DS0000063329.V338975.R01.S.doc Version 5.2 Page 21 The pre-inspection questionnaire stated that an annual plan was available for the home. However the manager was not aware of this. The manager said that surveys had been sent to residents and relatives and action taken as appropriate. There had been no internal audits undertaken and no report had been produced. The manager confirmed that regular feedback was obtained from residents at the monthly residents meeting. Service users’ monies were not managed by the home. All residents had a relative/advocate to manage their finances on their behalf. From discussion with the manager it was evident that action would be taken to protect any resident who was the subject of financial abuse. Records inspected at this inspection included the statement of purpose, the service user guide, medication records, staff files, activities records, and fire safety records, maintenance records. Accidents records maintained for staff were not recorded accordance with the Date Protection Act 1998. The home had a health and safety policy and procedures (not inspected at this inspection). Training records inspected confirmed that staff had not received moving and handling training since June 2005, health and safety training had not been provided and fire safety training had only been provided in-house. The manager was not aware that clinical waste bins stored externally (reference standard 26) need to be kept locked and agreed to contact the contractor to ensure locks were fitted. Evidence of a sample of records viewed showed that there were systems in place to ensure the servicing of equipment and utilities (e.g. electrical safety, gas safety, maintenance etc.) Camberley Lodge DS0000063329.V338975.R01.S.doc Version 5.2 Page 22 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People 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 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 3 X 3 X X N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 1 10 2 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 2 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 3 X X 2 X X X 3 STAFFING Standard No Score 27 3 28 2 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X 2 X 3 X 3 2 Camberley Lodge DS0000063329.V338975.R01.S.doc Version 5.2 Page 23 Are there any outstanding requirements from the last inspection? yes 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. 1. Standard OP9 Regulation 13(2) Requirement Timescale for action 30/06/07 2. OP10 12(4)(a) 3. OP22 12(1)(a) 1. Prescription only medicines (POM) must be kept locked up when not in use to ensure their safekeeping - this refers to topical creams in residents’ rooms (POM only). 2. Liquids and creams with a limited shelf life on opening must be dated on first opening, and discarded within a safe timescale to ensure they do not deteriorate. 3.The administration of controlled drugs must be recorded in a controlled drugs register. The balance of medicines recorded and a record made of the address on receipt and disposal. 4.. A lock must be provided for the medicines fridge to ensure safekeeping. Timescale of 1/08/06 & 9/05/06 not met Staff must use screens when 30/06/07 providing personal care to residents in shared rooms to ensure their privacy and dignity is upheld. All call bells must be fitted with a 31/07/07 DS0000063329.V338975.R01.S.doc Version 5.2 Camberley Lodge Page 24 4. OP30 18(1) 5. OP33 24(1)(2) 6. OP38 13(5) 7. OP38 13(4) 8. OP38 13(3) & 13 (4) lead so that residents can call for assistance from anywhere in their room. Timescale of 1/09/06 not met All staff must receive training in care of the older person with Parkinson’s disease to ensure they are able to meet the needs of residents with Parkinson’s Disease. Timescale of 1/09/06 not met A copy of the quality assurance policy and a report on the quality review of the home must be provided to the Commission to provide evidence that service users and other stakeholders are consulted and action is taken to continually improve the service. Timescale of 1/07/06 not met All staff must undertake moving and handling training to ensure they are skilled and competent in their practice. Timescale of 1/07/06 not met All staff must undertake health and safety training to ensure they are skilled and competent in their practice. Timescale of 1/08/06 not met Clinical waste bins must be kept locked to ensure staff and the public are protected from accidents and to prevent the spread of infection. 31/07/07 30/09/07 31/07/07 31/07/07 30/06/07 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1. Refer to Standard OP15 Good Practice Recommendations The record of activities made for each individual resident DS0000063329.V338975.R01.S.doc Version 5.2 Page 25 Camberley Lodge 2. 3. 4. OP16 OP9 OP38 should include the outcome to ensure their social needs are met. Provide the contact details of the local social services in the complaints procedure to enable complainants to refer to them as relevant. Develop medication policy and procedures to provide clear guidance for staff specifically in relation to Controlled Drugs. Provide staff with fire safety training from an approved trainer. Camberley Lodge DS0000063329.V338975.R01.S.doc Version 5.2 Page 26 Commission for Social Care Inspection Colchester Local Office 1st Floor, Fairfax House Causton Road Colchester Essex CO1 1RJ 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. Extracts may not be used or reproduced without the express permission of CSCI Camberley Lodge DS0000063329.V338975.R01.S.doc Version 5.2 Page 27 - 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. 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