Inspection on 16/06/05 for Cambridge House

This inspection was carried out on 16th June 2005.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Good. 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 made no statutory requirements on the home as a result of this inspection and there were no outstanding actions from the previous inspection report.

Other inspections for this house

Cambridge House 26/05/06

Cambridge House 16/11/05

Cambridge House 14/04/04

Similar services:

The Shelley

Springfield House

Sutton Lodge Nursing Home

St Helier`s Residential Hotel

1 Marten Road

St Joseph`s

Ridgemount

Wingham Court

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

CARE HOMES FOR OLDER PEOPLE Cambridge House 141 Gordon Avenue Camberley Surrey GU15 2NR Lead Inspector Sandra Holland Unannounced 16 June 2005 10:30 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 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. Cambridge House H58 S13583 Cambridge House V229358 160605 Stage 4.doc Version 1.30 Page 3 SERVICE INFORMATION Name of service Cambridge House Address 141 Gordon Avenue, Camberley, Surrey, GU15 2NR Telephone number Fax number Email address Name of registered provider(s)/company (if applicable) Name of registered manager (if applicable) Type of registration No. of places registered (if applicable) 01276 691 035 Mr Naushad Heeroo, Mrs Christine Anne Heeroo 41 Old Portsmouth Road, Camberley, Surrey, GU15 1JJ Mr Naushad Heeroo Care Home (CRH) 16 Category(ies) of Old age, not falling within any other category registration, with number (OP), 16 of places Dementia - over 65 years of age (DE(E)), 11 Mental Disorder, excluding learning disability or dementia - over 65 years, 5 Cambridge House H58 S13583 Cambridge House V229358 160605 Stage 4.doc Version 1.30 Page 4 SERVICE INFORMATION Conditions of registration: 1 The age/age range of the persons to be accommodated will be: OVER 65 YEARS OF AGE 2 Of the total number of persons accommodated up to 11 may be in the catergory (DE(E)) and 5 may be in the catergory (MD(E)). Date of last inspection 08 March 2005 Brief Description of the Service: Cambridge House is a care home accommodating up to 16 people aged over 65 years. Up to eleven of the people living at the home may have dementia and up to five people may have a mental disorder. The home is a large, two storey building, situated in a residential area of Camberley, a short distance from the town centre. It is well served by public transport, with the towns station within walking distance. Mr. and Mrs. Heeroo are the registered providers and Mr. Heeroo is the registered manager. As the registered manager, Mr Heeroo is in day to day control of the home and Mrs. Heeroo provides administrative support. Cambridge House H58 S13583 Cambridge House V229358 160605 Stage 4.doc Version 1.30 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This unannounced inspection was the first to be carried out in the Commission for Social Care Inspection year April 2005 to March 2006. The inspection was carried out by Mrs. Sandra Holland, Lead Inspector for the service and took place over four and a quarter hours. Mrs. Jeanette Baylis, Team Leader, was present representing the service and Mr. Naushad Heeroo arrived later. A number of records and documents, including the statement of purpose, service user’s guide, care plans and health and safety records were examined. A tour of the premises took place and thirteen residents and five members of staff were spoken with. The inspector thanks the residents, staff and manager for their hospitality, time and assistance. The people living at this home prefer to be known as residents and that is the term that will be used throughout this report. What the service does well: What has improved since the last inspection? Duplicate keys to the medication storage cupboard are now securely held. Arrangements have been made to ensure that a comfortable temperature is maintained in the home at all times. Erasing fluids are no longer used to make staff rota changes. A full employment history is being obtained for staff working at or applying to work at the home. The fire risk assessment required to be drawn up by the fire officer, has been finalised and put into practice. Cambridge House H58 S13583 Cambridge House V229358 160605 Stage 4.doc Version 1.30 Page 6 The procedure to be followed in the event of an accident in the home has been reviewed and the resident’s general practitioner (G.P.) is now contacted for advice, after every fall. The open panel at the top of the bathroom wall has been enclosed. Items previously stored in the upstairs bathroom are now stored in an area not accessible to residents. A medication spray that a resident was having difficulty with has now been supplied in tablet form. 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. Cambridge House H58 S13583 Cambridge House V229358 160605 Stage 4.doc Version 1.30 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 Standards Statutory Requirements Identified During the Inspection Cambridge House H58 S13583 Cambridge House V229358 160605 Stage 4.doc Version 1.30 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 standard(s) 1, 2 and 3. The home provides prospective residents with most of the information they need to make an informed choice. Prospective residents are fully assessed prior to moving in. EVIDENCE: The home has drawn up a statement of purpose outlining the aims of the home and an associated resident’s guide. Both of these contain a lot of information about the home but are rather lengthy for a prospective resident to read. Although detailed, they do not specifically mention the information required by Schedule 1 of The Care Homes Regulations. These should be reviewed to include the required information. Each resident is provided with a contract detailing the terms and conditions of residence and these were seen to contain most of the required details. The number of the room to be occupied on admission to the home is not listed and needs to be included. Cambridge House H58 S13583 Cambridge House V229358 160605 Stage 4.doc Version 1.30 Page 9 Prospective residents are assessed by the home’s manager and a care manager, if applicable before being admitted to the home. The manager completes a detailed assessment form to ensure that the home is aware of the resident’s needs and can meet them. Requirements have been made – please see page 21. Cambridge House H58 S13583 Cambridge House V229358 160605 Stage 4.doc Version 1.30 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 7 and 10. Individual plans of care are in place for each resident. Staff are respectful towards residents. EVIDENCE: The individual plans of care that were seen contained most of the information required to guide staff. Care that had been provided was also recorded there. The individual plans need to record information about resident’s religious and social needs. It was noted that some areas of the plan need to be updated. The use of a chart to record the monthly reviews of the plans was discussed with the manager. Staff were seen to relate to residents in an informal but appropriate way. They provided personal care in a discreet manner, which promoted the resident’s privacy and dignity. A requirement has been made – please see page 21. Cambridge House H58 S13583 Cambridge House V229358 160605 Stage 4.doc Version 1.30 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 standard(s) 12, 13, 14 and 15. Activities are organised but these are usually based in the home. Visitors to the home are welcomed. Residents enjoy their meals. EVIDENCE: A programme of activities is arranged and these are listed on the notice board. During the inspection, residents were observed enjoying a music and movement session in the lounge, led by the care staff and a resident. Residents advised that they would like to have more activities outside the home, even going for walks locally and independently. This would need to be subject to assessment of the risks to residents, to ensure their safety wherever possible. The manager advised that outings to the theatre are organised and that residents attended the pantomime earlier in the year. There had been another outing to the theatre recently, but the manager could not remember the title of the production seen. The residents should be consulted about their interests and their views sought on the choice of activities. Most residents have family and friends who visit and residents stated that their guests are always made welcome. Cambridge House H58 S13583 Cambridge House V229358 160605 Stage 4.doc Version 1.30 Page 12 The manager advised that residents look after their own financial affairs or are supported by their families. Residents spoke highly of the meals at the home, which are home cooked and appetising. Where able and wished, residents advised they are welcomed to assist to prepare meals and to tidy the dining room after meals. A requirement has been made – please see page 21. Cambridge House H58 S13583 Cambridge House V229358 160605 Stage 4.doc Version 1.30 Page 13 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 standard(s) 16 and 18. A complaints procedure is in place. Staff are aware of their role in the protection of residents. EVIDENCE: Although a complaints procedure is in place, the complaints record book is not left available, as it was seen to be stored in a filing cabinet. This is made available upon request, but this prevents residents, visitors or staff from making an anonymous complaint. This was discussed with the manager and it was agreed that the record book would be left in a place that is available to all. Staff spoken to stated that they knew what action to take if they had any concerns about residents and they feel quite able to address concerns to the manager. The manager advised that he and four other staff have had training in the Protection Of Vulnerable Adults (POVA) and two other members of staff have been booked to attend. He also displayed a series of training videos, which are shown to staff to raise their awareness of care issues, including POVA. A requirement has been made – please see page 21. Cambridge House H58 S13583 Cambridge House V229358 160605 Stage 4.doc Version 1.30 Page 14 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 standard(s) 19, 20, 21, 23, 24 and 26. The overall décor and furnishings in the home provide a well cared for and homely environment for residents. EVIDENCE: The home is run in a family style and is suited to the needs of the residents. It is well maintained and was clean, hygienic and freshly aired. There is a spacious communal lounge which has recently been recarpeted, with a selection of comfortable chairs and sofas. Patio doors provide access to the large level garden. A number of patio tables and chairs are available, and residents spoke of sitting out in the garden the previous day, which they had enjoyed. A dining room with enough seating space for all residents, adjoins the lounge. The majority of the bedrooms are for single occupation and are fitted with wash hand basins. The team leader advised that residents are welcomed to Cambridge House H58 S13583 Cambridge House V229358 160605 Stage 4.doc Version 1.30 Page 15 bring their own belongings into their rooms. Bedrooms seen had been made personal with belongings, including small items of furniture, televisions, ornaments and photographs. Bathrooms and toilets are provided on both floors of the home and are situated close to the communal rooms and to the bedrooms. Cambridge House H58 S13583 Cambridge House V229358 160605 Stage 4.doc Version 1.30 Page 16 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 considers Standards 27, 29, and 30 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 27 and 28. A stable team of staff are employed to meet the needs of residents, under the leadership of the manager. EVIDENCE: The majority of the staff team are care staff, who were seen to also carry out some domestic and laundry tasks. The manager advised that two cooks are employed to ensure that a cook is on duty each day. One of the providers carries out an administrative role, and assists with care and domestic tasks as required. Members of care staff are available 24 hours a day to assist residents. Some of the staff stated that they have worked at the home for a number of years. The manager advised that a number of care staff have achieved the National Vocational Qualification, (NVQ) in care at level 2 or equivalent. Other members of staff are currently undertaking this training. The home is on target to achieve the required ratio of 50 trained staff, by the end of 2005. Cambridge House H58 S13583 Cambridge House V229358 160605 Stage 4.doc Version 1.30 Page 17 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 33, 35 and 38 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 31, 32 and 38. The home is effectively managed and there is an open and inclusive atmosphere in the home. EVIDENCE: The manager advised that he has run the home for a number of years and that he has achieved a management qualification in that time. He is in day to day control of the home and the standard of care provided. It was clear that the manager has developed the staff team to manage the home in his absence. The team leader was able to guide the inspector and provide much of the information required. The bedroom doors at the home are fitted with self-closing devices to ensure fire safety. It was seen that two residents like to have their bedroom door propped open from time to time and one resident stated that she likes her door open at night. A system of retaining the doors open, whilst ensuring they Cambridge House H58 S13583 Cambridge House V229358 160605 Stage 4.doc Version 1.30 Page 18 are released if the fire alarm is activated, must be found. Various methods were discussed. Discussion also took place about the checking of the temperature of the hot water supply. The manager advised that the hot water temperature is checked on a monthly basis and that every outlet is checked on this occasion. It was suggested to the manager that as the water is supplied from one source in the home, it is likely that all outlets would record a similar temperature on the same day. To increase safety, it was advised that a differing, single hot water outlet be monitored on a daily basis. A requirement has been made – please see page 21. Cambridge House H58 S13583 Cambridge House V229358 160605 Stage 4.doc Version 1.30 Page 19 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 ENVIRONMENT Standard No 1 2 3 4 5 6 Score Standard No 19 20 21 22 23 24 25 26 Score 2 2 3 x x x HEALTH AND PERSONAL CARE Standard No Score 7 2 8 x 9 x 10 3 11 x DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 2 13 3 14 3 15 3 COMPLAINTS AND PROTECTION 3 3 3 x 3 3 x 3 STAFFING Standard No Score 27 3 28 3 29 x 30 x MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score Standard No 16 17 18 Score 2 x 3 3 3 x x x x x 2 Cambridge House H58 S13583 Cambridge House V229358 160605 Stage 4.doc Version 1.30 Page 20 NO Are there any outstanding requirements from the last inspection? 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 1 Regulation 4 5 6 Schedule 1 Requirement The homes statement of purpose and service users (residents) guide must be reviewed. Specifically they must include the matters listed in Regulations 4 and 5 and Schedule 1 of The Care Homes Regulations 2001 (As Amended). A copy of the revised documents must be forwarded to the CSCI. The residents care plan must be kept under review. The registered person, having regard to the size of the care home and the needs of the residents, must consult with the residents about their social interests and make arrangements to enable them to engage in local, social and community activities. The registered person must establish a complaints procedure and this must be appropriate to the needs of residents. Specifically, the complaints record book must be made available at all times. The registered person must make adequate arrangements for the detecting, containing and Timescale for action 16th September 2005 2. 3. 7 12 15 16 (2) (m) 15th July 2005 15th July 2005 4. 16 22 (1) (2) 15th July 2005 5. 38 23 (4) (i) 16th September 2005 Page 21 Cambridge House H58 S13583 Cambridge House V229358 160605 Stage 4.doc Version 1.30 extinguishing of fires. Specifically, provision must be made for doors to be retained in an open position, but be enabled to close in the event of the fire alarm being activated. 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 2 Good Practice Recommendations It is good practice to record the room to be occupied on the residents contract/statement of terms and conditions. Cambridge House H58 S13583 Cambridge House V229358 160605 Stage 4.doc Version 1.30 Page 22 Commission for Social Care Inspection The Wharf Abbey Mill Business Park Eashing Surrey GU7 2QN 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 Cambridge House H58 S13583 Cambridge House V229358 160605 Stage 4.doc Version 1.30 Page 23 - 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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