Inspection on 12/05/05 for Cambron House Care Home

This inspection was carried out on 12th May 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 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

Cambron House Care Home 10/12/07

Cambron House Care Home 19/07/06

Cambron House Care Home 14/10/05

Cambron House Care Home 25/02/05

Similar services:

Whiteley House

Tyndale Avenue

2-10 Norfolk Road

Bennfield House Nursing Home

Eastfield Residential Home

Sign Health

Springwood

Fairburn Mews

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

CARE HOME MIXED CATEGORY MAJORITY OLDER PEOPLE CAMBRON HOUSE CARE HOME 3 Flanderwell Lane Bramley, Rotherham South Yorkshire S66 3QL Lead Inspector Gordon Chivers Unannounced 12 May 2005. 9:00. 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 and Care Homes for Adults 18 – 65*. 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. CAMBRON HOUSE CARE HOME J55-J07 S61782 Cambron House V215351 120505 Stage 4.doc Version 1.30 Page 3 SERVICE INFORMATION Name of service Cambron House Care Home Address 3 Flanderwell Lane, Bramley, Rotherham, South Yorkshire, S66 3QL 01709 543197 01709 702992 None Kirsten Properties Limited 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) Lisa Archer Care home with nursing 38 Category(ies) of Dementia - over 65 years of age (38), Mental registration, with number Disorder, excluding learning disability or of places dementia - over 65 years of age (38) CAMBRON HOUSE CARE HOME J55-J07 S61782 Cambron House V215351 120505 Stage 4.doc Version 1.30 Page 4 SERVICE INFORMATION Conditions of registration: One specific service user under the age of 65, named on variation dated 16/07/04, may reside at the home. Date of last inspection 25-Feb-2005 Brief Description of the Service: Cambron House is a registered Care Home that provides both residential and nursing-care for service users in the categories of elderly with dementia and mental disorder. The Home provides both long and short-term care for its client group. Cambron House is a converted and extended building which provides accommodation for up to 38 service users in 32 single and 3 double bedrooms. The accommodation is provided over 2 floors and there is a passenger lift to facilitate access to the first floor. The communal space, which consists of, a dining room, 2 lounges and a small lounge for smokers, is located on the ground floor. There is a well-appointed kitchenette and a hairdressing room for the service users personal use.The kitchen and the laundry room are also situated on the ground floor. There are garden areas at the back and in the front of the building. Car parking spaces are provided to the front and side of the home. The home is situated in Bramley, which is approximately 4 miles from Rotherham. There is ready access from the M18 (Junction 1). The home is well served by regular public transport services, which stop outside the home.The home is well served by local facilities with a range of shops, Post Office and a number of public houses and fast food outlets. CAMBRON HOUSE CARE HOME J55-J07 S61782 Cambron House V215351 120505 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 carried out on 12 May 2005, starting at 9.30 a.m. and finishing at 5.00 p.m. The inspection included interviews in private with three service users, two relatives, three members of staff, the proprietor, the manager and the administrator. Other service users and staff were also spoken to during a tour of the premises. A sample of case files and personnel files and other documentation were examined. The inspector would like to thank the service users, staff and management for their welcome and cooperation during this inspection. What the service does well: What has improved since the last inspection? The manager and her team have continued to improve the standard of service and have identified areas for further improvement. Additional specialist equipment has been secured to assist with the moving and handling of frail service users. The strong focus on staff training as the basis for high standards of care has resulted in more staff having undertaken training and achieving formal CAMBRON HOUSE CARE HOME J55-J07 S61782 Cambron House V215351 120505 Stage 4.doc Version 1.30 Page 6 qualifications. In particular bereavement training and counselling has been made available to staff, and through them to relatives. The large lounge has a new carpet, and the ‘old smokers lounge’ has been freed up for use by all service users. 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. CAMBRON HOUSE CARE HOME J55-J07 S61782 Cambron House V215351 120505 Stage 4.doc Version 1.30 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home Health and Personal Care Daily Life and Social Activities Complaints and Protection Environment Staffing Management and Administration Scoring of Standards Statutory Requirements Identified During the Inspection Older People (Standards 1–6) (Standards 7-11) (Standards 12-15) (Standards 16-18) (Standards 19-26) (Standards 27-30) (Standards 31-38) Adults 18 – 65 (Standards 1–5) (Standards 6-10 and 18–21) (Standards 11–17) (Standards 22–23) (Standards 24–30) (Standards 31–36) (Standards 37–43) CAMBRON HOUSE CARE HOME J55-J07 S61782 Cambron House V215351 120505 Stage 4.doc Version 1.30 Page 8 Choice of Home The intended outcomes for Standards 1 – 6 (Older People) and Standards 1 – 5 (Adults 18 – 65) are: 1. 2. 3. 4. 5. 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. Prospective service users have an opportunity to “test drive” the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. 6. The Commission considers Standards 3 and 6 (Older People) and Standard 2 (Adults 18-65) the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 1,2,5 Prospective service users, current service users and their families have most of the information they need to make an informed opinion about Cambron House. The home has provided contracts of residency to all service users through their families or other representatives, which gives clear information in respect of the service provided and fees. Prospective service users and their representatives can visit and stay on a trial basis so as to assess the quality and suitability of the home. EVIDENCE: The home has produced a Statement of Purpose and a Service User’s Guide, copies of which are kept in the entrance foyer and are given to service users and/or their representatives upon request. Both documents contain the CAMBRON HOUSE CARE HOME J55-J07 S61782 Cambron House V215351 120505 Stage 4.doc Version 1.30 Page 9 information necessary for service users, although the reference to the directors of the proprietors, Kirsten Properties Ltd, is incorrect. A copy of each service user’s contract has been sent to their respective representative for signing, although it is experiencing difficulties in retrieving the signed copy from some of the families. An unsigned copy of the contract is on each service user’s file. The home has a procedure for admissions which involves service users and their families visiting for a day and then taking up residency on a trial basis of four to six weeks before any decision regarding permanency is made. CAMBRON HOUSE CARE HOME J55-J07 S61782 Cambron House V215351 120505 Stage 4.doc Version 1.30 Page 10 Health and Personal Care The intended outcomes for Standards 7 – 11 (Older People) and Standards 6-10 and 18 –21 (Adults 18-65) 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. Including their physical and emotional health needs. 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. Service users know their assessed and changing needs and personal goals are reflected in their Individual Plan. Service users make decisions about their lives with assistance as needed. Service users are consulted on, and participate, in all aspects of life in the home. Service users are supported to take risks as part of an independent lifestyle. Service users know that information about them is handled appropriately, and that their confidences are kept. Service users receive personal support in the way they prefer and require. The Commission considers standards 7, 8, 9 and 10 (Older People) and Standards 6, 7, 9, 18, 19 and 20 (Adults 18-65) are the key standards to be inspected at least once during a 12 month period JUDGEMENT – we looked at outcomes for standard(s) 11 Staff treat service users at the time of death, and their relatives, with care, sensitivity and respect. CAMBRON HOUSE CARE HOME J55-J07 S61782 Cambron House V215351 120505 Stage 4.doc Version 1.30 Page 11 EVIDENCE: The case records of a recently deceased service user demonstrate the care and compassion with which the service user was treated in her final weeks/days. The service user’s family were kept constantly informed and a priest was summoned to give the last rites. The home has engaged a MacMillan nurse to train staff in palliative care techniques, to provide bereavement counselling to staff and to train staff to counsel bereaved relatives. CAMBRON HOUSE CARE HOME J55-J07 S61782 Cambron House V215351 120505 Stage 4.doc Version 1.30 Page 12 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 (Older People) and Standards 11 – 17 (Adults 18-65) are: 12. 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. Including opportunities for personal development. Service users engage in appropriate leisure activities. Service users maintain contact with family/ friends/ representatives and the local community as they wish. And have appropriate personal, family and sexual relationships. 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. 13. 14. 15. The Commission considers standards 12, 13, 14 and 15 (Older People) and Standards 12, 13, 15, 16 and 17 (Adults 18-65) the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 13 The family and friends of service users are encouraged to visit, and the home keeps them well informed. EVIDENCE: The service users and the relatives who were interviewed all confirmed that relatives and friends can visit at any reasonable time and are made to feel welcome by staff. Liaison between the home and relatives is said to be good. One service user interviewed occasionally goes to a local pub with his brother. CAMBRON HOUSE CARE HOME J55-J07 S61782 Cambron House V215351 120505 Stage 4.doc Version 1.30 Page 13 Complaints and Protection The intended outcomes for Standards 16 – 18 (Older People) and Standards 22 – 23 (Adults 18-65) 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. Including neglect and selfharm. The Commission considers standards 16 and 18 (Older People) and Standards 22 and 23 (Adults 18-65) the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 16,17 The home takes seriously any complaints it receives from service users and/or their representatives, and acts upon them appropriately. The home has only had one formal complaint in the last twelve months. The home could put more effort into supporting those service users who are able to and wish to vote; and that those without active family support to have access to independent advocacy. EVIDENCE: The home has an appropriate Complaints Procedure. A complaints record book is maintained. The home has had one formal complaint during the last twelve months (November, 2004). The record, which includes evidence and a judgement by a social worker, shows that this complaint was dealt with correctly and that the necessary action was taken by the home as a result. The home did inform those service users who could understand about the recent general election and asked them if they wanted to vote. However, staff were concerned about being vulnerable to accusations of directing service users on who to vote for. In some cases the families assisted service users to caste a vote. The home has not taken a pro-active role in seeking and engaging advocates for those service users who have no representative or whose families have no contact with them. CAMBRON HOUSE CARE HOME J55-J07 S61782 Cambron House V215351 120505 Stage 4.doc Version 1.30 Page 14 Environment The intended outcomes for Standards 19 – 26 (Older People) and Standards 24 – 30 (Adults 18-65) 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. Shared spaces complement and supplement service users’ individual rooms. Service users have sufficient and suitable lavatories and washing facilities. Provide sufficient privacy and meet their individual needs. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. And lifestyles. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users’ bedrooms promote their independence. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers standards 19 and 26 (Older People) and Standards 24 and 30 (Adults 18-65) the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 20,23 All of the communal rooms are of sufficient size except for the dining room which cannot accommodate all the service users at once and so meals have to be arranged in two sittings. The dining room, kitchenette and small lounge require decoration to a professional standard and many of the doors and door frames require repair and protection from wheelchair damage. The poor standard of decoration does not support a homely environment. The garden to the rear of the home is delightful. The bedrooms are well decorated but require new chairs to ensure service user comfort. CAMBRON HOUSE CARE HOME J55-J07 S61782 Cambron House V215351 120505 Stage 4.doc Version 1.30 Page 15 EVIDENCE: Most service users take their meals in the dining room or the adjacent, small kitchenette. Even with the home currently operating with six vacancies these rooms are too small for all service users to dine at the same time, and so the main meals are taken in two shifts. The home’s proprietors and manager have discussed options to increase the dining space available, such as erecting a conservatory on to the side of the dining room. The dining room and kitchenette are due for redecoration, as is the current smokers’ lounge. There are two other lounges. The larger one has had a new carpet and is awaiting new armchairs. All the communal rooms are reasonably furnished. The other lounge has been redecorated but to a very poor standard of workmanship. The manager has plans for a small extension of wood or glass for use by service users and staff who wish to smoke, thereby freeing up the current smokers’ lounge for all to use. All communal rooms have radiator guards. Many of the doors and door frames throughout the home bare scratches, even deep ruts, made by wheelchairs and trolleys. Outside there is a large garden full of imaginative curios and features to interest and delight the service users. The home’s manager stated that a gardener is to be engaged this summer to maintain and to implement further improvements. The chairs in all of the bedrooms are old and worn and should be replaced. One of the double rooms is due for redecoration after suffering water damage from leaks in the roof, and the floor covering in the en-suite facility of this room is in need of replacement. CAMBRON HOUSE CARE HOME J55-J07 S61782 Cambron House V215351 120505 Stage 4.doc Version 1.30 Page 16 Staffing The intended outcomes for Standards 27 – 30 (Older People) and Standards 31 – 36 (Adults 18-65) are: 27. 28. 29. 30. • • • Service users needs are met by the numbers and skill mix of staff. Service users are supported by an effective staff team. 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. Service users benefit from clarity of staff roles and responsibilities. Service users’ individual and joint needs are met by appropriately trained staff. Service users benefit from well supported and supervised staff. The Commission considers standards 27, 29 and 30 (Older People) and Standards 34 and 35 (Adults 18-65) the key standards to be inspected at leat once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 29,30 The home’s recruitment procedures are adequate with regard to protecting service users, but they do not include an equal opportunities form. Training is given a high priority by the manager, and all the staff are constantly undertaking some form of training in order to improve the service they provide. EVIDENCE: The sample of personnel files examined confirmed that recruitment procedures are mostly, but not wholly appropriate. New recruits have to secure a CRB check and are given a job description. A recent recruit confirmed having had a formal interview, producing references and having been given induction when he started work. However, the recruitment process does not include an equal opportunities form, and the personnel files do not contain a copy of each staff member’s contract despite them having been issued with one. CAMBRON HOUSE CARE HOME J55-J07 S61782 Cambron House V215351 120505 Stage 4.doc Version 1.30 Page 17 The home has a Training and Development plan which identifies the training needs, courses completed and courses currently undertaken by staff. All staff do refresher training in basics health and safety issues and at least one other main training course on a rolling basis. CAMBRON HOUSE CARE HOME J55-J07 S61782 Cambron House V215351 120505 Stage 4.doc Version 1.30 Page 18 Management and Administration The intended outcomes for Standards 31 – 38 (Older People) and Standards 37 – 43 (Adults 18-65) are: 31. 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 a well run home and from competent and accountable management of the service. 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. Service users are confident their views underpin all self-monitoring, review and development by the home. 32. 33. 34. 35. 36. 37. 38. • The Commission considers standards 33, 35 and 38 (Older People) and Standards 39 and 42 (Adults 18-65) the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 31,33,34,35,36 The management of the home continues to improve, although the manager requires additional support with respect to specific issues. Evidence of appropriate accounting procedures and financial viability is required Development plans need to be drawn up using feedback from relatives and staff to ensure that their views are represented in the plans. A system of formal supervision should be fully implemented, to give staff the opportunity to discuss care practices and their personal development. CAMBRON HOUSE CARE HOME J55-J07 S61782 Cambron House V215351 120505 Stage 4.doc Version 1.30 Page 19 EVIDENCE: The manager, Ms Archer, is a first level Registered Nurse (R.G.N.) who has a wide range of managerial experience and professional skills gained within both the public and private care sectors. Ms. Archer has completed the Registered Managers Award course and is awaiting receipt of her certificate. Since her appointment in June 2004, working in liaison with a management consultant and the home’s staff team, she has brought about a wide range of changes and improvements at the home. As a result, the management consultant’s role has now been significantly reduced. The manager is well supported by a very capable administrator. However, the home’s owner has not yet provided the necessary support for the manager as recommended by the last inspection so that she can be relieved from being ‘on-call 24/7’, and so that she can attend to those National Minimum Standards not yet met. The home holds staff meetings and relatives meetings, and undertakes an annual survey of relatives (on behalf of the service users) as to their views of the home. However, there is no evidence of the home using this information as the basis for a development plan. The accounting processes and financial statements are undertaken away from the home by the proprietors. The personal allowances of many of the service users are managed by their own families. For those for whom the home administers the personal allowance, the home keeps a record of all transactions. An accountant has been engaged to audit these records. Not all transactions are witnessed by two signatories. A system of supervising staff has only recently been started, and as yet not all staff have been regularly supervised. All staff have had one annual appraisal since the current manager took up post. CAMBRON HOUSE CARE HOME J55-J07 S61782 Cambron House V215351 120505 Stage 4.doc Version 1.30 Page 20 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 2 3 3 x 4 x 5 3 6 x HEALTH AND PERSONAL CARE ENVIRONMENT Standard No 19 20 21 22 23 24 25 26 STAFFING Score x 2 x x 2 x x x Score Standard No 7 8 9 10 11 Score x x x x 3 Standard No 27 28 29 30 x x 2 4 DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 x 13 3 14 x 15 x COMPLAINTS AND PROTECTION Standard No 16 17 18 Score 3 2 x MANAGEMENT AND ADMINISTRATION Standard No Score 31 3 32 x 33 2 34 2 35 2 36 2 37 x 38 x CAMBRON HOUSE CARE HOME J55-J07 S61782 Cambron House V215351 120505 Stage 4.doc Version 1.30 Page 21 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 Timescale for action The Statement of Purpose should 30/6/05 contain a reference to the last Inspection Report, and accurate information about the directors of the proprietors. The Registered Manager must seek out and engages independent advocacy support for those service users who have no active representation. The Registered Provider must ensure that all communal rooms requiring decoration are done to a professional standard. The Registered Provider must provide more dining space for service users. The Registered Provider must arrange for the repair and protection of all the damaged doors and door frames to a professional standard. The Registered Provider must ensure that old and worn chairs in the bedrooms are replaced with new ones. J55-J07 S61782 Cambron House V215351 120505 Stage 4.doc Requirement 2. 17 12,20 31/7/05 3. 20 23 31/7/05 4. 20 23 31/8/05 5. 20 23 31/7/05 6. 23 16 31/7/05 CAMBRON HOUSE CARE HOME Version 1.30 Page 22 7. 29 19 The Registered Provider must 30/6/05 ensure that the recruitment process includes an equal opportunities form, and a copy of each staff members contract is held on file. The Registered Provider must arrange for the provision of additional support for the manager to meet the identified need. The Registered Provider and Registered Manager must develop a Quality Assurance system which converts the key points arising from its Quality Monitoring system into a Development Plan. The Registered Provider must arrange for his accountants, Bowker Orford, to provide CSCI with statements in respect of the appropriateness of the proprietors accounting procedures, and the homes financial viability. The Registered Provider and Registered Manager must ensure that all transactions regarding service users personal allowances administered by the home should be witnessed by two members of staff. The Registered Manager must ensure that all staff should receive at least six formal supervision sessions each year. 31/7/05 8. 31 18 9. 33 24 31/7/05 10. 34 25 31/7/05 11. 35 16,17 30/06/05. 12. 36 18 30/06/05. CAMBRON HOUSE CARE HOME J55-J07 S61782 Cambron House V215351 120505 Stage 4.doc Version 1.30 Page 23 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. 2. 3. Refer to Standard 2 17 20 Good Practice Recommendations The home should endeavour to retrieve signed contracts of residency from service users relatives. The home is more pro-active in supporting service users who qualify to exercise their right to vote. The registered person consider creating additional lounge space by providing alternative arrangements for service users and staff who wish to smoke. 4. CAMBRON HOUSE CARE HOME J55-J07 S61782 Cambron House V215351 120505 Stage 4.doc Version 1.30 Page 24 Commission for Social Care Inspection First Floor, Barclay Court Heavens Walk Doncaster DN4 5HZ 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. 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