Inspection on 07/11/05 for Cambuslodge Uk Ltd

This inspection was carried out on 7th November 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

Cambuslodge Uk Ltd 18/04/07

Cambuslodge Uk Ltd 01/11/04

Cambuslodge Uk Ltd 23/06/04

Similar services:

Ashlong House

Norbury Crescent (30)

Edenvale

Wadham Avenue

Chatsworth Care - Dawson House

Cowden Road, 52 - 54

Chatsworth Care - Tudor Lodge

Foxley Lane (121a)

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

CARE HOME ADULTS 18-65 Cambuslodge Uk Ltd Cambuslodge 151 Wandsworth Bridge Road Fulham London SW6 2TT Lead Inspector Tony Lawrence Unannounced Inspection 7th November 2005 10:30 Cambuslodge Uk Ltd DS0000019137.V264239.R01.S.doc Version 5.0 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 Cambuslodge Uk Ltd DS0000019137.V264239.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 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. Cambuslodge Uk Ltd DS0000019137.V264239.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service Cambuslodge Uk Ltd Address Cambuslodge 151 Wandsworth Bridge Road Fulham London SW6 2TT 020 7731 5814 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) Cambuslodge (UK) Limited Ms Margo Monica McLaughlin Care Home 5 Category(ies) of Learning disability (5) registration, with number of places Cambuslodge Uk Ltd DS0000019137.V264239.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. The number of persons shall not exceed five residents with learning disabilities The home to notify the Inspection Unit of all vacancies before filling them 4th May 2005 Date of last inspection Brief Description of the Service: Cambuslodge is a registered care home providing personal care and accommodation for five people with a learning disability. At the time of this inspection there were three men and two women living in the home and no vacancies. The home is located in a terraced house on the Wandsworth Bridge Road, with easy access to local shops in Parsons Green and the shopping centre at Wandsworth. There are good transport links and many local amenities such as parks, restaurants and leisure centres available for service users’ use. The home opened in 1989 and is owned and run by Cambuslodge (UK) Ltd. All five service users have lived together for more that ten years. Cambuslodge Uk Ltd DS0000019137.V264239.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This unannounced inspection took place on Monday 7th November 2005 from 10:30 – 13:30. The Inspector spent time talking with two people living in the home, the owner and manager. People living in the home spoke very positively about the support they receive. The home provides very good standards of care and accommodation and no requirements are made following this visit. All three requirements made at the last inspection have been met. What the service does well: What has improved since the last inspection? 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. Cambuslodge Uk Ltd DS0000019137.V264239.R01.S.doc Version 5.0 Page 6 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–5) Individual Needs and Choices (Standards 6-10) Lifestyle (Standards 11-17) Personal and Healthcare Support (Standards 18-21) Concerns, Complaints and Protection (Standards 22-23) Environment (Standards 24-30) Staffing (Standards 31-36) Conduct and Management of the Home (Standards 37 – 43) Scoring of Outcomes Statutory Requirements Identified During the Inspection Cambuslodge Uk Ltd DS0000019137.V264239.R01.S.doc Version 5.0 Page 7 Choice of Home The intended outcomes for Standards 1 – 5 are: 1. 2. 3. 4. 5. Prospective service users have the information they need to make an informed choice about where to live. Prospective users’ individual aspirations and needs are assessed. Prospective service users know that the home that they will choose will meet their needs and aspirations. Prospective service users have an opportunity to visit and to “test drive” the home. Each service user has an individual written contract or statement of terms and conditions with the home. The Commission consider Standard 2 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): The home has clear procedures for admitting new service users. EVIDENCE: The key Standard was met at the last inspection in May 2005. Since the last inspection there have been no changes to the group of people living in the home. Cambuslodge Uk Ltd DS0000019137.V264239.R01.S.doc Version 5.0 Page 8 Individual Needs and Choices The intended outcomes for Standards 6 – 10 are: 6. 7. 8. 9. 10. 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. The Commission considers Standards 6, 7 and 9 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 8 and 9. Service users are involved in the home’s are planning systems. Care plans provide staff with the information they need to meet service users’ care needs. EVIDENCE: Two key Standards were met and one was exceeded at the last inspection in May 2005. During this visit the Inspector spent time talking with two people who live in the home. Both people were very positive about the care and support they receive. They talked about day services, daily routines in the home and a holiday in Devon earlier this year. Both people were able to explain to the Inspector how they are involved in the day-to-day running of the home. This involved regular involvement in planning menus, shopping and cooking. One person also showed the Inspector the rota that is used to make sure people living in the home share cleaning jobs fairly. One person told the Inspector about a recent road accident in which they had been involved. The manager confirmed that the person’s risk assessment had been reviewed the day before the accident and had been reviewed again to ensure the person is supported appropriately until they are able to travel independently again. Cambuslodge Uk Ltd DS0000019137.V264239.R01.S.doc Version 5.0 Page 9 Lifestyle The intended outcomes for Standards 11 - 17 are: 11. 12. 13. 14. 15. 16. 17. Service users have opportunities for personal development. Service users are able to take part in age, peer and culturally appropriate activities. Service users are part of the local community. Service users engage in appropriate leisure activities. Service users have appropriate personal, family and sexual relationships. Service users’ rights are respected and responsibilities recognised in their daily lives. Service users are offered a healthy diet and enjoy their meals and mealtimes. The Commission considers Standards 12, 13, 15, 16 and 17 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 17. The meals in the home are good, providing variety and choice. EVIDENCE: Four key Standards were met at the last inspection in May 2005. During this visit the Inspector talked with two people living in the home about mealtimes and the food they eat. Both people said they always enjoy the food that is provided. They explained that each person living in the home has a set night each week when they help staff to prepare the main evening meal. At weekends, all residents and staff work together to prepare meals. The Inspector saw the four-week menu and this included a variety of nutritious meals. Residents also told the Inspector that salad is served with every evening meal. For lunch, there is a choice of snacks that people can make, with support from staff. A bowl of fresh fruit was available in the dining room. Residents said that all meals are eaten in the kitchen / dining room. The Inspector felt that this was a comfortable and homely space or residents’ use. Cambuslodge Uk Ltd DS0000019137.V264239.R01.S.doc Version 5.0 Page 10 Personal and Healthcare Support The intended outcomes for Standards 18 - 21 are: 18. 19. 20. 21. Service users receive personal support in the way they prefer and require. Service users’ physical and emotional health needs are met. Service users retain, administer and control their own medication where appropriate, and are protected by the home’s policies and procedures for dealing with medicines. The ageing, illness and death of a service user are handled with respect and as the individual would wish. The Commission considers Standards 18, 19, and 20 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 20. The home has safe systems for the management of prescribed medication. EVIDENCE: Two key Standards were met at the last inspection in May 2005. To assess the remaining key Standard, the Inspector checked the home’s Medication Administration Record (MAR) sheets for all five people living in the home. The Boots Monitored Dosage System is used for all prescribed medication. Staff on duty during this visit were able to describe the home’s medication procedures to the Inspector. Medication is securely stored and the MAR sheets are well maintained. No errors were found. Cambuslodge Uk Ltd DS0000019137.V264239.R01.S.doc Version 5.0 Page 11 Concerns, Complaints and Protection The intended outcomes for Standards 22 – 23 are: 22. 23. Service users feel their views are listened to and acted on. Service users are protected from abuse, neglect and self-harm. The Commission considers Standards 22, and 23 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 22. Service users feel that staff listen to their views and act on them. EVIDENCE: Both key Standards were met at the last inspection in May 2005. During this visit the Inspector spoke with two people living in the home. They explained that staff ask them about activities and the help they need. Both people said that there are always enough staff to help them do the things they want to do. Both people also knew the name of their key worker and the names of other staff working in the home. One person said that if they did not want to do something, then staff would listen to them and help them to do something different. The manager told the Inspector that there have been no formal complaints since the last inspection. Cambuslodge Uk Ltd DS0000019137.V264239.R01.S.doc Version 5.0 Page 12 Environment The intended outcomes for Standards 24 – 30 are: 24. 25. 26. 27. 28. 29. 30. Service users live in a homely, comfortable and safe environment. Service users’ bedrooms suit their needs and lifestyles. Service users’ bedrooms promote their independence. Service users’ toilets and bathrooms provide sufficient privacy and meet their individual needs. Shared spaces complement and supplement service users’ individual rooms. Service users have the specialist equipment they require to maximise their independence. The home is clean and hygienic. The Commission considers Standards 24, and 30 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 24, 25, 28 and 30. The home provides a good standard of comfortable and homely accommodation. EVIDENCE: Both key Standards were met at the last inspection in May 2005. During this unannounced visit, the Inspector saw the lounge, kitchen/dining room, office and two bedrooms. All parts of the home were very clean and tidy. Communal areas and bedrooms are well decorated and comfortably furnished. Two people living in the home told the Inspector that they had helped to choose colour schemes for the home. Both people also said that they liked their bedrooms and they had chosen their own furniture, curtains and bedclothes. The lounge and kitchen / dining room are large, comfortable rooms that are well equipped and furnished. Cambuslodge Uk Ltd DS0000019137.V264239.R01.S.doc Version 5.0 Page 13 Staffing The intended outcomes for Standards 31 – 36 are: 31. 32. 33. 34. 35. 36. Service users benefit from clarity of staff roles and responsibilities. Service users are supported by competent and qualified staff. Service users are supported by an effective staff team. Service users are supported and protected by the home’s recruitment policy and practices. 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 32, 34 and 35 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 32, 34 and 35. The home is well staffed to meet service users’ needs. EVIDENCE: When the Inspector arrived, one member of staff was on duty in the home with one service user. Two other staff were out supporting two service users to attend appointments with their dentist and GP. One service user had already left for their day service and the fifth service user was out at work. The manager also confirmed that two staff were at college completing training with Skills for Care. There have been some changes to the home’s staff team recently and the deputy manager has recently left. An agency member of staff currently covers her post and the manager said the post would be filled permanently in December. The former deputy manager has also been retained by the home to provide staff training, as she has extensive knowledge of individual service users, having worked in the home for eight years. One member of staff has recently started her National Vocational Qualification (NVQ) Level 2 training and two more staff are due to start their NVQ Level 3 training in January 2006. Although the home will not meet the target for 50 NVQ qualified staff by the end of 2005, the Inspector was satisfied that this should be achieved during 2006. Cambuslodge Uk Ltd DS0000019137.V264239.R01.S.doc Version 5.0 Page 14 Conduct and Management of the Home The intended outcomes for Standards 37 – 43 are: 37. 38. 39. 40. 41. 42. 43. Service users benefit from a well run home. Service users benefit from the ethos, leadership and management approach of the home. Service users are confident their views underpin all self-monitoring, review and development by the home. Service users’ rights and best interests are safeguarded by the home’s policies and procedures. 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 are promoted and protected. Service users benefit from competent and accountable management of the service. The Commission considers Standards 37, 39, and 42 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 37, 41 and 42. The home has a qualified and experienced manager and a staff team that works well together to support service users. EVIDENCE: Two key Standards were met at the last inspection in May 2005. The manager has worked in the home for a number of years and she confirmed that she has completed her NVQ Level 4 Registered Manager’s Award. Staff on duty during this inspection were able to explain clearly their roles and responsibilities to the Inspector. The Inspector also saw that staff worked well together to make sure that service users attended medical appointments and planned day services. The Inspector checked care records including the staff rota, menus and medication records. Standards of record keeping in the home are good. One health and safety issue raised at the last inspection has been resolved. The Inspector saw no other health and safety issues during this visit. Cambuslodge Uk Ltd DS0000019137.V264239.R01.S.doc Version 5.0 Page 15 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Adults 18-65 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 CONCERNS AND COMPLAINTS Standard No 1 2 3 4 5 Score X X X X X X Standard No 22 23 Score 3 X ENVIRONMENT INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score X X 3 3 X X Standard No 24 25 26 27 28 29 30 STAFFING Score 3 3 X X 3 X 3 LIFESTYLES Standard No Score 11 X 12 X 13 X 14 X 15 X 16 X 17 Standard No 31 32 33 34 35 36 Score X 3 X 3 3 X CONDUCT AND MANAGEMENT OF THE HOME 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Cambuslodge Uk Ltd Score X X 3 X Standard No 37 38 39 40 41 42 43 Score 3 X X X 3 3 X DS0000019137.V264239.R01.S.doc Version 5.0 Page 16 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. 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 Cambuslodge Uk Ltd DS0000019137.V264239.R01.S.doc Version 5.0 Page 17 Commission for Social Care Inspection Hammersmith Local Office 11th Floor, West Wing 26-28 Hammersmith Grove London W6 7SE 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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