Inspection on 19/07/06 for Cambron House Care Home

This inspection was carried out on 19th July 2006.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is (sorry - unknown). 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 14/10/05

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 Key Unannounced Inspection 19th July 2006 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.V294755.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. Cambron House Care Home DS0000061782.V294755.R01.S.doc Version 5.1 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 Limited 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.V294755.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION Conditions of registration: 1. One specific service user under the age of 65, named on variation dated 16/07/04, may reside at the home. 14th October 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 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 that 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. Copies of the last Commission For Social Care Inspection report were kept in the entrance for service users and their families to read. The weekly fees range from: £370 to £425. This information was provided on the 6th July 2006. The home charges extra for chiropody, toiletries, clothing, holidays and hairdressing. Cambron House Care Home DS0000061782.V294755.R01.S.doc Version 5.1 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 first of the cycle of inspections for the year 2006/7 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 service users. The inspector met with members of the staff team and toured the site entering a number of service user bedrooms. Three-service user care files were case tracked and the associated records checked. A number of records were examined which included, medication records, three service users care plans, and three weeks menus and three weeks staff rotas. Records relating to staff recruitment, service users finances, staff training and the homes quality assurance systems were also checked. Feedback on the inspection was given to the manager before the inspector left the home. Observations confirmed that service users were comfortable and at ease in the company of the manager and staff whom they said were approachable, supportive and sensitive to their needs and feelings. The relatives described the service as in the main very good. What the service does well: What has improved since the last inspection? Cambron House Care Home DS0000061782.V294755.R01.S.doc Version 5.1 Page 6 The home’s owner has continued to invest in the refurbishment and redecoration of Cambron House. The home has been equipped with a ramp to facilitate easy access to the home. The car park has recently been resurfaced. The building has been a hairdressing room that is 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 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. The strong focus on staff training has been maintained with staff achieving formal qualifications and improving standards of care. 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 DS0000061782.V294755.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 Cambron House Care Home DS0000061782.V294755.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): 1, 2, 3, 4, 5, 6. Quality in this outcome area is good. This judgement has been made using available written evidence, discussion with service users, their relatives and staff. Prospective service users were given full and accurate information regarding the home, assessments prior to admission took place and trial visits to the home were encouraged, which assisted service users and advocates in making an informed choice about living in the home. Each service user had a written contract detailing their terms and conditions of the home. 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.V294755.R01.S.doc Version 5.1 Page 9 Examination of case files and discussions with service users and relatives demonstrated their involvement in choosing to live at Cambron House. During discussion with management and relatives it was evident that the needs of existing service users are considered throughout the assessment process before a decision to admit another service user is taken. The case files examined contained individual copies of care assessments. An up to date contract/statement of terms and conditions had been provided to service users. These clearly detailed the fees, including any extra charges, and the services and facilities provided by the home. Intermediate care is not provided at the home. Cambron House Care Home DS0000061782.V294755.R01.S.doc Version 5.1 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. Quality in this outcome area is good. The judgement was made using available written evidence, discussion with service users, their relatives and observations made during the visit to the home. Care plans reflected the service users health personal and social care needs. The administration ordering and storage of medicines was conducted safely. Service users privacy and dignity was respected. EVIDENCE: All the service users spoken to said that the staff promoted their privacy and dignity .The inspector observed staff knocking on bedroom doors waiting to be invited in before entering. Service user meetings had been held on a regular basis and minutes of these meetings were available within the home. Three service users plans of care were checked. Each set out individual service users needs and the action required and taken by staff to ensure those needs were met. Cambron House Care Home DS0000061782.V294755.R01.S.doc Version 5.1 Page 11 Discussion with seven service users and five staff identified that a range of health professionals visited the home to assist in maintaining health care needs. Service users weight was being checked on a regular basis this is one of the methods used to measure service users wellbeing. Ranges of aids to assist service users with mobility problems were provided; these included lifting hoists, assisted baths, walking frames and wheelchairs. Care plans detailed the service users religious and cultural needs and the gender of staff that they wished to support them with their personal care. Service users and relatives were aware of the care plan and that they could have access to it when they wanted. Service users who were able could retain control of their own medication, a lockable facility was provided to store such items. Records were kept of medication received, and disposed of. Medication was securely stored and administered according to the doctor’s instructions. A pharmacist had checked the home’s medication in February 2006 and no issues of concern were reported. Cambron House Care Home DS0000061782.V294755.R01.S.doc Version 5.1 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. Quality in this outcome area for standards is good. This judgement has been made using available written evidence, discussion with service users, relatives, staff and observations made by the inspector during the visit to the home. Service users were able to make choices about daily living and social activities. A range of activities was offered which suited the preferences of the service users. The home had an open visiting policy, which assisted in maintaining good relationships with service users family and friends. Cambron House Care Home DS0000061782.V294755.R01.S.doc Version 5.1 Page 13 EVIDENCE: There were numerous visitors to the home throughout the day. They confirmed that they were able to visit at any reasonable time. Relatives were able to bring their well-behaved pets to visit service users by prior arrangement. The home employs an activities co-ordinator. A programme of the daily leisure activities was displayed on the notice board. Activities were organised on either a one to one or small group basis. Service users 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 care staff facilitated and accompanied a group of service users for a week’s holiday at Skegness. Nourishing drinks 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 meal size was in accordance with service user choice with extra portions available as required. Breakfast was being served throughout the morning to service users who had chosen to stay in bed longer. Relatives were pleased to be able to assist their loved ones with meals. Specialist diets are available for those requiring this service. The dietician had assisted with compiling the menu and adapted cutlery is available for service users to maintain their independence. Cambron House Care Home DS0000061782.V294755.R01.S.doc Version 5.1 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. Quality in this outcome area is good. This judgement has been made using available written evidence, discussion with service users, relatives, staff and observations made by the inspector during the visit to the home. The home’s complaints records were clear and accessible and evidenced that appropriate action was taken following any concerns raised. Staff had been provided with essential training in adult protection procedures to ensure service users were safe, and to inform staff what to do if an allegation was made. EVIDENCE: The complaints procedure was available for service users, their relatives and staff. The manager confirmed that this would be available in alternative formats and languages should this be requested. All relatives and staff spoken to say that they knew that they could complain if they were not happy about anything and that they felt able to discuss any issues or concerns that they may have with the manager. No allegations of abuse have been made to the CSCI since the last inspection. Staff have received training in reognition and prevention of abuse, they were aware of the action to take in dealing with third party information. 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.V294755.R01.S.doc Version 5.1 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. Quality in this outcome area is good. This judgement has been made using available written evidence, discussion with service users, relatives, staff and observations made by the inspector during the visit to the home. The home was clean and fresh smelling and was maintained to an acceptable standard. Specialist equipment and adaptations were provided to meet the service users needs. All areas of the home were accessible. Homely touches had been provided to create a comfortable environment. Communal areas were well maintained, and service users bedrooms were well decorated and personalised. EVIDENCE: The home employs a handyman and has a routine programme of maintenance and decoration. Facilities such as replacement lighting is being provided as each area is redecorated. Cambron House Care Home DS0000061782.V294755.R01.S.doc Version 5.1 Page 16 The home was clean, with no unpleasant odours noticeable. Service users said there rooms were always kept clean. Four bedrooms were checked and were comfortable and homely. Systems were in place to control the spread of infection. Staff said there were enough hoists, aids and adaptations available to ensure that service users needs were met. Service users could smoke in a designated smoking area. Appropriate seating has been provided in the garden for service users wishing to sit outside whenever the weather permitted. Low surface temperature radiators have been provided to reduce risk to service users of being burnt. Cambron House Care Home DS0000061782.V294755.R01.S.doc Version 5.1 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. Quality in this outcome area is good. This judgement has been made using available written evidence, discussion with service users, relatives, staff and observations made by the inspector during the visit to the home. Staff were employed in sufficient numbers to meet service users needs. Recommended levels of NVQ trained staff had been achieved, which ensured staff had the competencies to respond appropriately to the service user’s needs. Staff had received diverse training in topics relevant to caring for the service users living in the home e.g. Prevention of Abuse and The Mental Health Act. EVIDENCE: 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. 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. The staff training and development plan that identifies training needs, courses completed and courses being undertaken by staff. Cambron House Care Home DS0000061782.V294755.R01.S.doc Version 5.1 Page 18 The staff group without exception were well motivated and enthusiastic about their work. The staff team are keen to learn, develop their skills and knowledge base, this reflects within the personal care provision. They confirmed that not only were they well supported in their work but actively encouraged and supported to develop professionally. Staff had undertaken statutory training and updates e.g. moving and handling, fire prevention. They were involved in national vocational qualification training and medication administration training. Staff duty rosters demonstrated that sufficient housekeeping and support staff was employed to enable care staff to concentrate and work in their care role. Cambron House Care Home DS0000061782.V294755.R01.S.doc Version 5.1 Page 19 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. Quality in this outcome area is good. This judgement has been made using available written evidence, discussion with service users, relatives, staff and observations made by the inspector during the visit to the home. There was a positive style of management in the home, which benefited everyone living in, working in and visiting the home. Quality monitoring systems continue to develop and expand to ensure the home is run in the best interests of the service users. The homes policies and procedures promoted the health, safety and welfare of service users. Cambron House Care Home DS0000061782.V294755.R01.S.doc Version 5.1 Page 20 EVIDENCE: The 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 the 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 administrator support the manager. The home’s owner has engaged professional support and advice from an experienced private healthcare organisation they provide monthly audits of the care and service provided. Their expertise has been used to assist with resolving a number of management issues. Visitors to the home stated that they had ready and easy access to the homes manager and that they felt confident in her. The manager’s enthusiasm and positive approach to care has clearly influenced the whole team and benefited the service users. Staff stated there 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. Personnel allowance records were sampled and found to be satisfactory maintained and securely stored. The home is well organised and managed with all statutory servicing and checks complete. Cambron House Care Home DS0000061782.V294755.R01.S.doc Version 5.1 Page 21 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 3 3 3 3 3 3 3 3 STAFFING Standard No Score 27 3 28 3 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 3 3 3 3 3 3 3 Cambron House Care Home DS0000061782.V294755.R01.S.doc Version 5.1 Page 22 Are there any outstanding requirements from the last inspection? NO 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. Standard Regulation Requirement Timescale for action 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.V294755.R01.S.doc Version 5.1 Page 23 Commission for Social Care Inspection Sheffield Area Office Ground Floor Unit 3 Bold Street Sheffield S9 2LR 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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