Inspection on 12/10/05 for Camberley Lodge

This inspection was carried out on 12th October 2005.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Adequate. 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 01/05/07

Camberley Lodge 09/05/06

Camberley Lodge 03/02/06

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 Clare Walker Unannounced Inspection 12th October 2005 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.V256923.R01.S.doc Version 5.0 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.V256923.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service Camberley Lodge Address 99 Fronks Road Dovercourt Harwich Essex CO12 4EQ 0208 270 9777 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 Mrs Bibi Shimintaz Mohedeen 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.V256923.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. 3. 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 The total number of service users accommodated in the home must not exceed 13 persons 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. There is a chair lift to the first floor. There is a small garden and a patio to the rear of the property Camberley Lodge DS0000063329.V256923.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This routine unannounced inspection took place on the 12th of October over 6.5 hours. The inspection included a tour of the premises discussions with 5 service users, the manager/proprietor, the cook and the deputy. 4 service users’ files were sampled, documents were read and health and safety certificates reviewed. This is the first inspection under new ownership. What the service does well: What has improved since the last inspection? Since the last inspection there has been a lot of training undertaken and the home has had a number of environmental improvements, for example radiator covers, window restrainers and door locks. Camberley Lodge DS0000063329.V256923.R01.S.doc Version 5.0 Page 6 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. Camberley Lodge DS0000063329.V256923.R01.S.doc Version 5.0 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.V256923.R01.S.doc Version 5.0 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 1,3,5 This is a warm and welcoming unit. EVIDENCE: There is a statement of purpose and a service users guide. Pre-assessment procedures need to be put in place. Prospective service users have an opportunity to visit prior to moving in to the home. There were no complete pre-assessment documents on the care files reviewed. There was discussion with the deputy about the assessments carried out during the trial period of stay that a person makes, however the files did not demonstrate when that period of time had been completed or who was involved in the decision making and care planning process. Camberley Lodge DS0000063329.V256923.R01.S.doc Version 5.0 Page 9 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 7,8,9 There are care plans. EVIDENCE: There are care plans but there is a lack of specific detail of social and emotional and the plans looked at were of variable quality. For example phrases such as “ensure the client feels safe and secure”, “ongoing support and TLC from staff and family” were used. Risk assessments need to be reviewed alongside care plans. Health needs were clearly articulated and appropriate referrals made. There are clear medication procedures, which were up to date on the day of inspection. Plans are not signed and dated as a matter of routine. It is not clear who is involved in reviewing care plans. No service user self medicates. Camberley Lodge DS0000063329.V256923.R01.S.doc Version 5.0 Page 10 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 12,13,15 The service users are encouraged to keep up their recreational and religious interests/needs, however the home could do more in the provision of activities. Families and friends do keep in contact with the home. Food is wholesome. EVIDENCE: There is not a regular programme of activities and service users said that they would like more provided. The visitor’s book shows evidence of there being friends and family visiting the home. There were visitors on the day of inspection. The cook freshly prepared the food on the day of inspection. The menu’s reviewed show a variety of food provided. Service users said that the food was wholesome overall and that the menu included suggestions from service users. Camberley Lodge DS0000063329.V256923.R01.S.doc Version 5.0 Page 11 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 inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 16,18 Complaints are handled objectively and service users are confident of saying if something needs to be done. There are procedures for protection of vulnerable adults but training is needed. EVIDENCE: There is a complaints procedure and service users were clear that they could say if things were not right for them and things would be followed up. For example complaints about food lead to menu changes. There are procedures for the protection of vulnerable adults, staff are aware of these but staff had not undertaken training in this aspect of care. Camberley Lodge DS0000063329.V256923.R01.S.doc Version 5.0 Page 12 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 19,20,21,23,24,25,26 Improvements have been made to the physical environment however there are still health and safety issues to be resolved. EVIDENCE: The decoration of the unit is good. Service users do have personalised rooms. The shower room in room 5 was being used to store items as the individuals in that room did not use the shower, this is inappropriate. Several rooms had old and rusty commodes in them being a health risk. Red infection control bags are not used for soiled laundry. There is no washing machine with a sluice cycle for washing soiled clothes/linen. There are no grab rails in communal areas i.e. corridors and no evidence of an assessment to see whether rails are needed. The hot water was very hot in the bathrooms and there are no thermostatic controls. Camberley Lodge DS0000063329.V256923.R01.S.doc Version 5.0 Page 13 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 28,30 The deployment and number of staff is sufficient to meet service users needs. Staff are competent and have been trained to do their jobs. EVIDENCE: Observation on the day of inspection showed that staff are aware of the needs of the client group and offer appropriate care. All the basic mandatory training courses have been offered within the home and protection of vulnerable adults training is planned. The rota shows that there are staff hours to meet need through the day and night. Camberley Lodge DS0000063329.V256923.R01.S.doc Version 5.0 Page 14 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 31,35,36,38 There is a registered manager in place. Financial interests of service users are safeguarded. Statutory health and safety checks are conducted. EVIDENCE: There is a new registered manager as of September 8th 2005, who is also the proprietor of the home. This person is actively involved in the day to day management of the home. The home does not get involved in the financial matters of the service users. The majority of the service users have family who manage their money. Staff receive informal supervision and some formal recorded supervision but not in line with the minimum standard requirement of 6 sessions per year. Electrical, fire and gas certificates were in place. The hoist, bath chair and stairmatic are regularly serviced documentation was seen. Camberley Lodge DS0000063329.V256923.R01.S.doc Version 5.0 Page 15 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 1 X 2 X HEALTH AND PERSONAL CARE Standard No Score 7 1 8 3 9 2 10 X 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 2 13 3 14 X 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 2 2 2 2 X 3 3 2 2 STAFFING Standard No Score 27 X 28 3 29 X 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X X X 3 2 X 3 Camberley Lodge DS0000063329.V256923.R01.S.doc Version 5.0 Page 16 Are there any outstanding requirements from the last inspection? Yes but this s the first inspection under a new owner/manager. 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 OP3 Regulation 14(1) Requirement The registered manager must ensure that new service users are admitted only on the basis of a full assessment. The registered manager must ensure that the service users and their family/representative are clear when the trial period of stay at the home begins, that a note is made on the file of this date and that there is a record on the individual’s file of the meeting that takes place and who is involved in this meeting to agree that the person will move into the home on a permanent basis. The registered manager must ensure that 1) care plans are specific and detailed in outlining the needs of each service user and how these needs will be addressed. 2) service users and their representative sign care plans or meetings are recorded where residents and their families are involved n the care planning process. DS0000063329.V256923.R01.S.doc Timescale for action 31/01/06 2 OP5 14(1) 31/01/06 3 OP7 15(1) 31/01/06 Camberley Lodge Version 5.0 Page 17 4 5 OP9 OP12 13(2) 16(2)(n) 6 OP18 18(1)© 7 OP19 23(2)(n) 8 9 OP20 OP21 23(2)(o) 23(2)(c) 10 OP25 13(4)(a) 11 OP26 13(3) The registered manager must ensure that the controlled drugs cabinet is secured. The registered manager must ensure that there is a range of activities provided on a daily basis to suit the needs, interests and hobbies of the resident group. The registered manager must ensure that all staff receive training in the protection of vulnerable adults. The registered manager must ensure that an assessment of the premises is made by a suitably qualified person to look at the fitting of grab rails in communal areas. The registered manager must ensure that outside space is accessible to service users. The registered manager must ensure that 1) shower rooms are not used as general storage area’s. 2) rusty commodes are replaced. The registered manager must ensure to prevent the risk of scalding that pre-set values are installed that provide water close to 43 degree’s centigrade. The registered manager must ensure that staff 1) do not hand sluice foul linen and that foul linen is transported in dissolvable red bags to minimise contact with staff. 2) Use washing machines that have a specified programme to meet disinfectant standards. 31/01/06 31/01/06 31/01/06 31/01/06 31/01/05 31/01/06 31/01/06 31/01/06 Camberley Lodge DS0000063329.V256923.R01.S.doc Version 5.0 Page 18 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 OP36 Good Practice Recommendations The registered manager should ensure that staff receive regular formal supervision at least 6 times per year. Camberley Lodge DS0000063329.V256923.R01.S.doc Version 5.0 Page 19 Commission for Social Care Inspection Colchester Local Office 1st Floor, Fairfax House Causton Road Colchester Essex CO1 1RJ National Enquiry Line: 0845 015 0120 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.V256923.R01.S.doc Version 5.0 Page 20 - 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. 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