Inspection on 03/02/06 for Camberley Lodge

This inspection was carried out on 3rd February 2006.

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 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 Steven Boyd Unannounced Inspection 09:00 3 February 2006 rd 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.V275191.R01.S.doc Version 5.1 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.V275191.R01.S.doc Version 5.1 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.V275191.R01.S.doc Version 5.1 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 12th October 2005 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.V275191.R01.S.doc Version 5.1 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This inspection took place in one day in February 2006. The inspector was assisted by the deputy manager. Four service users were spoken with in private and a number of others in the home’s lounge. Three relatives of service users were spoken with as were the staff on duty. A tour of the premises took place and various records and policies were looked at. Eighteen National Minimum Standards were considered at this inspection and the majority were met. What the service does well: What has improved since the last inspection? An assessment for a new service user was seen to be available whereas this was not the case at the previous inspection. The drugs cabinet has a secured controlled drugs cabinet within it which was not the case at the last inspection. There has been an improvement in the range of daily activities available for service users and a good Christmas entertainment programme was seen to have taken place. An appropriate washing machine for foul linen had been purchased and bags were being used to minimise contact staff had with foul linen. Camberley Lodge DS0000063329.V275191.R01.S.doc Version 5.1 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.V275191.R01.S.doc Version 5.1 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.V275191.R01.S.doc Version 5.1 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): 3,5 and 6. Service users are assessed prior to moving into the home and ongoing assessments take place during their initial period of residence. EVIDENCE: A resident admitted to the home in November 2005 was seen to have a preassessment and further more detailed assessment carried out after admission to the home. The assessment considered the service user’s holistic needs. The service user was admitted to the home from hospital and relatives had looked around the home on their behalf. Service users indicated their settling in period at the home had gone well. The home does not offer an intermediate care service with a view to people returning home. Respite care is offered periodically where there is a suitable vacancy. Camberley Lodge DS0000063329.V275191.R01.S.doc Version 5.1 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): 7,9 and 10 Although plans of care exist for service users these were found to be basic and lacking detail. The home’s medication system was operating appropriately. Service users are treated with respect and their privacy is given good priority. EVIDENCE: The previous inspection had noted that care plans were not specific in outlining the needs of each service user and how they would be addressed. This inspection indicated this was still the case. For example, one service user’s plan stated “to meet all needs and maintain her independence as much as possible”. The action to achieve this was “ to provide assistance when needed”. The above indicates a lack of detail and this was seen in other care plans sampled. The home operates a monitored dosage system of medicine administration which was seen to be operating effectively at the time of the inspection. One service user is able to self administer medication. Staff who are involved in the administration of medication have received training. It was clear in speaking with service users and their relatives that staff treat service users with respect and it was apparent on the day of the inspection that their privacy Camberley Lodge DS0000063329.V275191.R01.S.doc Version 5.1 Page 10 is upheld. For example, one service user who was feeling unwell was immediately helped to her room in order not to distress her or other residents. Camberley Lodge DS0000063329.V275191.R01.S.doc Version 5.1 Page 11 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 and 14 Service users appeared happy with the life style they experienced within the home, they can exercise choice and control over their lives with help as required. EVIDENCE: Since the previous inspection, an activities programme had been adopted. This included board games, keep fit, watching films etc. The inspector felt the programme could be enhanced further and perhaps some staff training on the provision of service users’ activities would be beneficial. In discussion with service users and their relatives it was apparent that they can exercise choice over their lives. For example, where to sit, what to eat, when to have visitors and when to go to bed. Service users have regular meetings where they can air their views and have these dealt with. Relatives of service users indicated that they are kept informed of issues about their particular service user and are treated well as visitors. Camberley Lodge DS0000063329.V275191.R01.S.doc Version 5.1 Page 12 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): 18 Service users are not yet fully protected from abuse. EVIDENCE: Although some staff have received training in the Protection of Vulnerable Adults, not all staff working at the home had undergone this. Also, it was noted when looking at staff files that there was no Criminal Records Bureau check for one staff member and another relatively new member of staff had transported a CRB check from a previous employer, which is not acceptable under the current legislation. These areas were reported to the deputy manager for action to be taken immediately. Camberley Lodge DS0000063329.V275191.R01.S.doc Version 5.1 Page 13 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, 25,and 26 Service users generally lived in a safe, well maintained environment with appropriate facilities and comfortable surroundings. EVIDENCE: The home was found to be clean and tidy during the inspection and there were no issues of unpleasant odours. Service users’ rooms were seen to be personalised and service users spoken to confirmed they were able to bring items of furniture etc. from their own homes prior to moving to Camberley Lodge. The lounge and dining area provided a comfortable and pleasant environment for service users to sit in and since the previous inspection a new television and some new armchairs had been purchased. There were some areas which needed to be addressed to improve the appearance and comfort level within the home. Firstly, the heating Camberley Lodge DS0000063329.V275191.R01.S.doc Version 5.1 Page 14 in one service user’s room was not working effectively, resulting in the service user having to wear gloves and have covers on her legs. A couple of radiators within other areas of the home did not seem to be producing heat at a good level and the deputy manager was advised to make arrangements for a heating engineer to visit the home to rectify problems. The stair carpet leading to and on the first floor of the building was seen to be worn and dirty in many areas, possibly due to the use of the chair lift. It is advised that this should be replaced. A rusting “Hampshire rail” was fixed to the bath in the ground floor bathroom was seen and needed to be removed as it presented a potential safety hazard. A service user indicated their were having difficulty getting out of their chair within their bedroom and it is recommended that an assessment takes place to see whether a more suitable chair can be provided. Camberley Lodge DS0000063329.V275191.R01.S.doc Version 5.1 Page 15 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): 27 and 29 Service users’ needs are met by appropriate numbers and skill mix of staff. However, the home’s recruitment practices need to be more robust in order to ensure the protection of the resident group. EVIDENCE: The home employs three care staff on both a.m. and p.m. shifts. The manager’s post is supernumery to these levels. A cook is employed and a maintenance person is also available. An examination of some staff files indicated that recruitment practices at the home need to be strengthened. For example, no photographic identification was available for staff members on three staff files sampled. As indicated under standard 18, there was a lack of a CRB check for one new member of staff and another member of staff only had a CRB check carried out by a previous employer. Camberley Lodge DS0000063329.V275191.R01.S.doc Version 5.1 Page 16 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): 36 Staff supervision needed to be carried out on a more regular basis. EVIDENCE: One staff member’s file indicated their last supervision session had taken place in October 2005 with another one scheduled for April 2006. Another file indicated a three month gap between supervision sessions. The National Minimum Standards for older people’s care homes indicates staff should be supervised on a formal basis six times per year. Camberley Lodge DS0000063329.V275191.R01.S.doc Version 5.1 Page 17 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 X X 3 X 3 N/A HEALTH AND PERSONAL CARE Standard No Score 7 1 8 X 9 3 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 X 14 3 15 X COMPLAINTS AND PROTECTION Standard No Score 16 X 17 X 18 2 2 3 3 X X X 2 3 STAFFING Standard No Score 27 3 28 X 29 2 30 X MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score X X X X X 2 X X Camberley Lodge DS0000063329.V275191.R01.S.doc Version 5.1 Page 18 Are there any outstanding requirements from the last inspection? YES Requirements are outstanding in relation to care planning, staff training, and assessment of the premises by a qualified person and provided preset valves to taps to prevent scalding. 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 OP7 Regulation 15 (1) Requirement Timescale for action 31/03/06 2 OP18 18 (1) c 3 OP19 23 (2) p 4 OP19 23 (2) n The registered manager must ensure that 1. Care plans are specific and details and outlining the needs of each service user in how these needs will be addressed 2. Service users and their representatives sign care plans or meetings are recorded where residents and their families are involved in the care planning process (This is a repeat requirement). The registered manager must 31/03/06 ensure that all staff receive training in the Protection of Vulnerable Adults (This is a repeat requirement). The registered manager must 03/02/06 ensure that all parts of the home are appropriately heated to the needs of service users. The registered manager must 31/03/06 ensure that an assessment of the premises is made by a suitably qualified person to look at the fitting of grab rails in DS0000063329.V275191.R01.S.doc Version 5.1 Camberley Lodge Page 19 5 OP25 23 (2) p 6 OP29 19 (1) b 7 OP25 13 (4) a 8 OP36 18 (2) communal areas. (This is a repeat requirement.) The registered manager must ensure the premises are kept in good repair by replacing the stair carpet. The registered manager must ensure that all people employed within the home are subject to Criminal Record Bureau checks and have appropriate photographic identity available on their files. The registered manager must ensure to prevent the risk of scalding that preset valves are installed that provide water close to 40 degrees centigrade. (This is a repeat requirement.) The registered manager must ensure that staff working in the home receive appropriate formal supervision . 30/05/06 03/02/06 31/03/06 31/03/06 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 OP12 Good Practice Recommendations It is recommended that the activities programme available in the home is further expanded and that staff have training opportunities in how to promote activities and interests for service users. It is recommended that supervision takes place 6 times a year. 2 OP36 Camberley Lodge DS0000063329.V275191.R01.S.doc Version 5.1 Page 20 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.V275191.R01.S.doc Version 5.1 Page 21 - 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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