Inspection on 14/10/05 for Cambron House Care Home

This inspection was carried out on 14th October 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 found there to be outstanding requirements from the previous inspection report but made no statutory requirements on the home.

Other inspections for this house

Cambron House Care Home 10/12/07

Cambron House Care Home 19/07/06

Cambron House Care Home 12/05/05

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 HOMES FOR OLDER PEOPLE Cambron House Care Home 3 Flanderwell Lane Bramley Rotherham South Yorkshire S66 3QL Lead Inspector Ian Hall Unannounced Inspection 14th October 2005 08:40 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 Cambron House Care Home DS0000061782.V253769.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. Cambron House Care Home DS0000061782.V253769.R01.S.doc Version 5.0 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 cambronhse@tiscali.co.uk 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) Kirsten Properties Ltd Lisa Archer Care Home 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 DS0000061782.V253769.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. One specific service user under the age of 65, named on variation dated 16/07/04, may reside at the home. One specific service user, named on variation dated 30 August 2005, in need of care with nursing by reason of Old Age/Palliative Care may reside at the home. 12th May 2005 Date of last inspection 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, 3 lounges are 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 DS0000061782.V253769.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The inspection took place over 6.5 hours and was the second of the cycle of inspections for the year 2005/6 and followed a risk assessment carried out with the CSCI risk assessment tool. The focus of the inspection was to meet both service users and visitors to the home to gain an insight into daily life for residents. The officer met with members of the on duty staff team and toured the site. Three residents care files were “case tracked” and the associated records checked. The Inspector left an immediate requirement notice for the home owner to risk assess a chimney stack and ramped access to the home to ensure safety of service users, visitors and staff at the home. What the service does well: What has improved since the last inspection? What they could do better: The home has been re-roofed; the chimneystack is not in use and appears to lean. A risk assessment must be undertaken to ensure stability. The ramp and access via the front door presents a risk both to service users and staff. The Cambron House Care Home DS0000061782.V253769.R01.S.doc Version 5.0 Page 6 ramp is steep. There is a large step difficult and unsafe to negotiate with wheel chairs. The area immediately outside the front door is sloping and not level. This presents service users with unsteady gait and wheel chair users with an unacceptable risk of accident. The redecoration of the home continues with improvements being made to areas that were not previously re-decorated to a high standard. Armchairs and beds are being replaced. This is ongoing. 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 DS0000061782.V253769.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 Cambron House Care Home DS0000061782.V253769.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, 2, 3, 4, 5, 6. Examination of case files and discussions with relatives and residents demonstrate their involvement in choosing to live at Cambron House. During the officer’s discussion with management and visitors it was evident that the needs of existing residents are considered throughout the assessment process before a decision to admit another resident is taken. The home has provided contracts of residency to all service users through their families or other representatives. They are provided with clear information in respect of service provided and fees. Prospective service users and their representatives are encouraged to visit the home and stay on a trial basis to assess the suitability of the home. Intermediate care is not provided, however respite care is available by negotiation with the manager. EVIDENCE: The Statement of Purpose and Service User Guide are readily available in the foyer. They are provided to all service users and/or their representative. They contain appropriate and relevant information to enable service users and/or their representatives to make an informed decision in respect of the care and services offered. Cambron House Care Home DS0000061782.V253769.R01.S.doc Version 5.0 Page 9 The case files examined contained individual copies of care assessments, care plans and written contracts that stated both terms and conditions of residence. Intermediate care is not provided at the home, however respite care is provided by negotiation. Cambron House Care Home DS0000061782.V253769.R01.S.doc Version 5.0 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 the following standard(s): 7, 8, 9, 10. Staff were focussed upon meeting the needs of both residents and their families. Relatives were observed to visit freely and continue to assist with care of their loved ones. Family members spoken to confirm their involvement in the planning and provision of social, physical and psychological care and provision. The home facilitates access to the whole range of health care professionals and health care facilities. Staff were observed to interact with residents skilfully, professionally and with obvious empathy for each individual. EVIDENCE: The officer inspected care records of 3 residents; they contained individual “needs” assessments with plans of “care” for staff to follow and meet each individuals needs. These records were correctly maintained; they described how each resident responded to the care package and any necessary changes that were made. These were monitored at regular intervals; some plans had been amended within the timescale in response to changing needs. None of the residents was responsible for their own medication although this facility is available. Staff were observed administering medications and Cambron House Care Home DS0000061782.V253769.R01.S.doc Version 5.0 Page 11 providing appropriate support to residents. Service users and visitors stressed that staff were always keen and willing to help them. Cambron House Care Home DS0000061782.V253769.R01.S.doc Version 5.0 Page 12 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, 14, 15. The homes owners and their team have worked hard to build links with the local community. They provide a setting that is both welcoming and homely. Family and friends are encouraged to visit and the home keeps them well informed. Cambron House has its own vehicle available to transport service users to visit places of interest. EVIDENCE: There were numerous visitors to the home throughout the day. They confirmed that they were able to visit at any reasonable time, with shift workers visit at any other time by appointment. Well-behaved pets were able to visit be arrangement. The home employs an activities co-ordinator. Activities were organised on either a one to one or small group basis. Residents were observed to be reading, listening to music and watching television. None of the residents currently leave the home unless accompanied by members of their family or staff. Regular visits to local parks, garden centres and local shops are encouraged with service users. The homes care staff facilitated and accompanied a group of service users for a week’s holiday at Skegness. Nourishing fluids were readily available throughout the day. There was a choice of midday meal, staff was observed to encourage and assist with meals as needed. Mealtimes were unhurried with extra portions available as required. Cambron House Care Home DS0000061782.V253769.R01.S.doc Version 5.0 Page 13 Relatives were pleased to be to assist their loved ones with meals. Specialist diets are available for those requiring this service. The dietician has assisted with compiling the menu. Cambron House Care Home DS0000061782.V253769.R01.S.doc Version 5.0 Page 14 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, 17,18. Staff spoken to was confident and competent to respond to concerns or complaints effectively. Staff has received training to enable them to protect service users and prevent abuse. EVIDENCE: Residents and staff stated that they had no concerns or complaints about care or services provided. They confirmed that they had regular and easy access to The homes owners and manager and that any small points raised were dealt with promptly. Training opportunities are provided for all staff to recognise and prevent abuse. They were confident that should they witness or suspect abuse they were able approach and get support from the home’s manager to deal with the issues. Service users who had no advocate or next of kin have been provided with access to advocacy services provided by Age Concern. Cambron House Care Home DS0000061782.V253769.R01.S.doc Version 5.0 Page 15 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, 22, 23, 24, 25, 26. The communal rooms are of sufficient size, dining facilities have been reviewed to enable all service uses to dine simultaneously. The main dining area requires additional work and decoration to provide a homely environment. The kitchen has been refurbished and equipped with advice from the Environmental Health Officer. The garden to the rear of the home is laid mainly to lawn and is home to a family of tame domestic rabbits that are very popular with service users. The home both appeared clean and smelled fresh. The homes owners and team works hard to both maintain and improve the resident’s environment. EVIDENCE: The home’s owner has continued to invest in the refurbishment and redecoration of Cambron House. The home is provided with a hairdressing room that is well presented and equipped as a hairdressing salon; this has been achieved with the assistance of the hairdresser who provides this service at the home. Individual bedrooms continue to be redecorated; service users Cambron House Care Home DS0000061782.V253769.R01.S.doc Version 5.0 Page 16 and relatives are involved in colour choices. Bathrooms and toilets have been provided with curtains and homely features to reduce their functional and clinical appearance. Lounge and day areas have been redecorated, staff has been involved in the choice of colours and these areas are light, bright and well presented. The use and function of the separate lounge area has been reviewed, the changes have been a clear benefit to service users. Low surface temperature radiators have been provided enabling removal of many redundant protective guards. The home has been re-roofed; the chimneystack is not in use and appears to lean. A risk assessment must be undertaken to ensure stability. The Inspector observed staff experiencing difficulty negotiating the large step in the front doorway with wheel chairs. The pathway area immediately outside the front door is not level. It has a pronounced sloping surface. This is unsafe. It presents service users with unsteady gait and wheel chair users with an unacceptable risk of accident. The Inspector observed staff experiencing difficulty using the steep ramp that provides access to the front door. This presents a risk both to service users and staff. The redecoration of the home continues with improvements being made to areas that were not previously re-decorated to a high standard. The old armchairs, beds and mattresses are being replaced. This is ongoing. Fluorescent lighting provided in areas accessed by service users is not acceptable and must be replaced by domestic light fitments. Cambron House Care Home DS0000061782.V253769.R01.S.doc Version 5.0 Page 17 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, 28, 29,30. The homes owner employs registered mental nurses to assess, plan, implement and assess care needs. Senior Carers have received training to provide care packages needed by “residential care” service users, assess needs, plan, implement and evaluate their care. Housekeeping, catering, activity, maintenance and administrative staff are employed to enable care staff to meet service users care needs. The homes recruitment policies and procedures are adequate with regard to protection of service users. The staff team are keen to learn, develop their skills and knowledge base, this reflects within the personal care provision. EVIDENCE: The personnel files sampled confirmed that the home follows the staff recruitment procedures. A recently appointed staff member confirmed they had completed an application form, provided references; this was followed by an interview and following employment an induction programme. There is a staff training and development plan that identifies training needs, courses completed and courses being undertaken by staff. The staff group without exception were well motivated and enthusiastic about their work. They confirmed that not only were they well supported in their work but actively encouraged and supported to develop personally. Staff has undertaken statutory training and updates i.e. moving and handling, fire prevention etc, and are involved in national vocational qualification training and medication administration training. Staff duty rosters demonstrated that sufficient housekeeping and support staff were employed to enable care staff to concentrate and work in their care role. Cambron House Care Home DS0000061782.V253769.R01.S.doc Version 5.0 Page 18 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, 32, 33, 34, 35, 36, 37, 38. The home is well organised and managed with all statutory servicing and checks complete. Evidence of appropriate accounting procedures and financial viability is required. The manager’s enthusiasm and positive approach to elder care has clearly influenced the whole team and benefited the service users. EVIDENCE: Mrs Archer, the home’s manager is a first level Registered Nurse (RGN) who has a wide range of experience within both the public and private sectors. She has achieved he NVQ level 4 Managers Award. She has implemented a wide range of changes and improvements at the home since her appointment. A first level RMN qualified nurse and a very capable administrator support the manager. The Home’s Owner has engaged professional support and advice from an experienced private healthcare organisation. Their expertise has been used by Mrs Archer to assist with resolving a number of management issues. Cambron House Care Home DS0000061782.V253769.R01.S.doc Version 5.0 Page 19 Visitors to the home stated that they had ready and easy access to the homes manager and that they felt confident in her. Staff stated here was always a trained nurse on duty at the home with advice and support readily available. Responsibilities were shared between senior members of the team. Areas of potential risk had been discussed with the manager. An immediate requirement notice was issued requiring the home’s management to access the risks associated with access via the ramp and entrance doorway and disused chimneystack. Personnel allowance records were sampled and found to be satisfactory maintained. The accounting processes and financial statements are undertaken away from the home by the proprietors. The Inspector requires written evidence of the home’s financial viability. The home has adopted a no-smoking policy. One service user continues to enjoy a cigarette. He has been content to smoke outdoors throughout the summer days. The home must provide a suitable homely area to enable him to continue to smoke during inclement weather as he wishes. Cambron House Care Home DS0000061782.V253769.R01.S.doc Version 5.0 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 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 3 3 3 3 3 N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 3 10 3 11 x DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 3 18 3 2 2 3 3 2 3 3 3 STAFFING Standard No Score 27 3 28 3 29 3 30 4 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 3 3 2 3 3 3 2 Cambron House Care Home DS0000061782.V253769.R01.S.doc Version 5.0 Page 21 Are there any outstanding requirements from the last inspection? yes STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1 Standard 19 Regulation 23 Requirement The registered provider must ensure that all communal rooms requiring redecoration are done to a professional standard. The registered provider must ensure that all bedrooms requiring redecoration are done to a professional standard. The registered provider must ensure that all old and worn armchairs, beds and mattresses are replaced with new ones. The registered provider must undertake a risk assessment of the ramped access to the main entrance and ensure service user safety. The registered provider must undertake a risk assessment of the disused chimneystack and ensure service user safety. The registered provider must provide written evidence of company financial viability to the CSCI The registered provider must provide suitable homely facilities for existing service users benefit during inclement weather DS0000061782.V253769.R01.S.doc Timescale for action 01/04/06 2 20 23 01/04/06 3 23 16 01/04/06 4 38 13(4) 23(2) 01/12/05 5 34 13(4) 23(2) 25(3) 01/12/05 6 38 01/12/05 7 38 12(4) 23(2) 01/12/05 Cambron House Care Home Version 5.0 Page 22 8 25 23(2) The registered provider must ensure that lighting throughout the areas of the home accessed by service users is domestic and not fluorescent light fitments. 01/04/06 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. Refer to Standard Good Practice Recommendations Cambron House Care Home DS0000061782.V253769.R01.S.doc Version 5.0 Page 23 Commission for Social Care Inspection Doncaster Area Office 1st Floor, Barclay Court Heavens Walk Doncaster Carr 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. Extracts may not be used or reproduced without the express permission of CSCI Cambron House Care Home DS0000061782.V253769.R01.S.doc Version 5.0 Page 24 - 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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