Inspection on 10/04/08 for Camden Park House

This inspection was carried out on 10th April 2008.

CSCI found this care home to be providing an Adequate service.

The inspector found there to be outstanding requirements from the previous inspection report. These are things the inspector asked to be changed, but found they had not done. The inspector also made 9 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

Camden Park House 01/08/07

Camden Park House 22/11/06

Camden Park House 09/12/05

Camden Park House 21/07/05

Camden Park House 12/03/05

Camden Park House 25/10/04

Camden Park House 20/06/03

Similar services:

Townley Road, 2-3

Foxley Lane (121a)

Tudor Lodge

Stacey Street Nursing Home

Delrose House Ltd

Clovelly House Residential Home Ltd

Abbey Road [53]

Cherry Tree House

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

CARE HOME ADULTS 18-65 Camden Park House 57-59 Camden Park Road London NW1 9BH Lead Inspector Pearlet Storrod Unannounced Inspection 10th April 2008 10:00 Camden Park House DS0000010339.V361721.R01.S.doc Version 5.2 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 Camden Park House DS0000010339.V361721.R01.S.doc Version 5.2 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. Camden Park House DS0000010339.V361721.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Camden Park House Address 57-59 Camden Park Road London NW1 9BH 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) 020 7267 7503 0207 485 8182 camden_park@umbrellacare.org.uk Umbrella Mrs. Maria Azzouzi (awaiting registration approval) Care Home 11 Category(ies) of Mental disorder, excluding learning disability or registration, with number dementia (11) of places Camden Park House DS0000010339.V361721.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. The Registered Person may provide the following categories of service only: Care home only - Code PC To service users of the following gender: Either whose primary care needs on admission to the home are within the following categories: 2. Mental Disorder, excluding Learning Disability or Dementia - Code MD The maximum number if service users who may be accommodated is: 11 1st August 2007 Date of last inspection Brief Description of the Service: Camden Park House provides twenty-four hour support for up to eleven people with complex mental healthcare needs. The home does not automatically provide personal care i.e. physical intimate care is not within the admission criteria; however the potential is there if required. The service is operated by Umbrella, which is a mental health charity, which provides a full range of care and support services in North London. The building is owned and maintained by Community Housing Association and service users have license agreements. The house is situated approximately 10-15 minutes from Camden Town Tube station and there is access is the 253, C10 and 29 bus routes. Within the local area are a variety of local shops including a supermarket, hairdressers, newsagent, florist, chemist as well as cafés and public houses. A post office is sited within walking distance. The home is spread over three floors. It comprises of two houses adjacent to each other, which have been adapted to provide registered accommodation for ten people. On the ground floor there is a main office, managers office, staff toilet, a single bedroom, a kitchen-cumdining area, a main lounge and a non-smoking lounge. There is also a single toilet. The laundry is located in the courtyard, which is formed by the two properties and has been developed into a communal outdoor space. The average fee charged to service users is £598.56 per week Camden Park House DS0000010339.V361721.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The quality rating for this service is 1 star. This means the people who use this service experience adequate quality outcomes. This was an unannounced inspection conducted for Camden Park House. Surveys were sent to people who use the service, staff and care managers, none of which were returned from people who actually use the service. We received one from a care manager and the other from a member of staff. The staff member was critical about us for using their time and resources to complete surveys and various other forms; they felt that such resource could be used more effectively within the service. They asserted that there are insufficient resources available to appropriately support people with mental ill health. The other survey said that Camden Park House provides excellent services to people who live there. As part of the inspection process, to triangulate evidence I spoke briefly with four of the people who use the service, the cook, domestic staff, a care manager, two support workers, the manager and deputy for the home. I looked at various records, policy and procedures, four files for people using the service, supervision and training records of two staff. Maria the manager told me that she had asked for two requirements to be removed from the last report namely, that a loop system could not be installed because the GP said that the individual is deaf; that as the home does not provide support in personal care needs that staff training in this regard should be removed. I did not receive or see the previous comment card and was unable to adjust the report at that time. Information from the (AQAA) Annual Quality Assurance Assessment was also used in the process to complete this inspection report. The inspection took 5 hours and 20 minutes. A comment card was left at the service to ascertain the views of staff about how the inspection was conducted. What the service does well: Staff proactively encourage and support people to have as much fulfilment in their lives as possible. Generally the health needs of people who use the service are met with evidence of good multi disciplinary working taking place regularly. Camden Park House DS0000010339.V361721.R01.S.doc Version 5.2 Page 6 The home has a satisfactory complaints system and there is evidence that people, who use the service, feel that their views are listened to and acted upon. Staff are well supported and training and supervision provided are of good standard, as confirmed by support workers. A person who use this service commented, “all is fine on the Bristol front, Maria is manager of the year”. Another person assessed to move on to more independent living said, “if I don’t like the new house, I will not be staying I would move back here.” A survey from a care manager also praised the service. The cultural and individual needs of those who use the service are taken into account and are integral in the care planning processes. What has improved since the last inspection? What they could do better: Issues relating to aspects of health and safety, which are outlined in this report must be addressed to prevent potential injury or harm happening to people who use the service, staff and visitors. There is evidence to demonstrate that an individual requires specialist support to manage their continence. Camden Park House DS0000010339.V361721.R01.S.doc Version 5.2 Page 7 The previous report required more frequent support to help an individual to change their bed linen on a regular basis; this was not addressed. Action in these areas must be taken to preserve the dignity and respect for the people living at this service. 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. The summary of this inspection report can be made available in other formats on request. Camden Park House DS0000010339.V361721.R01.S.doc Version 5.2 Page 8 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 Camden Park House DS0000010339.V361721.R01.S.doc Version 5.2 Page 9 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. JUDGEMENT – we looked at outcomes for the following standard(s): 2 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Prospective people who use services have their individual aspirations and needs fully assessed. EVIDENCE: The service has a clear referral and assessment process. Evidence suggests that people who use the service can be assured an assessment will be carried out that ensure their needs and aspirations can be met. Three files were examined including the file of a person newly admitted to the home. Pre admission assessments were undertaken comprehensively, which included visits to the home. Over night stays are offered to referrals that demonstrate an interest to live here; this would give the existing people using the service to meet and gel with prospective residents. A key worker is allocated with responsibility to learn as much as they are able about prospective individuals. This may involve visiting and speaking to previous carers. All the information gathered from various sources are used to generate a person centred care and risk management plans. The home address for an individual’s next of kin is omitted from the profile of the person who uses the service. Staff indicated that they have not been given this information and are unable to amend the record. Camden Park House DS0000010339.V361721.R01.S.doc Version 5.2 Page 10 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. JUDGEMENT – we looked at outcomes for the following standard(s): 6, 7 and 9 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. People who use services are consulted throughout their stay about their changing needs. EVIDENCE: The diagram of a star is used to assess the needs of people who use this service. Clients are encouraged to participate in the process. The care plans outline the goals and progress of achievements. Key objectives are discussed at key work sessions and reviews. There is evidence to demonstrate that not everyone partakes in the process; support staff records this. The assessment of needs and care planning for an individual did not currently provide an accurate reflection of their situation. Please refer to evidence under Personal and Healthcare Support, pages 15 and 16. I had the benefit of speaking briefly with three of the people who use the service about their care and services. One person said, “all is fine on the Bristol front, Maria is manager of the year”. Another person acknowledged that they were fine. One other person expressed pleasure with the idea of moving shortly to live in a semi-independent unit. This person Camden Park House DS0000010339.V361721.R01.S.doc Version 5.2 Page 11 looked forward to visiting their prospective home at the forthcoming weekend. They emphasised that, “if I don’t like the new house, I will not be staying I would move back here.” People who use this service are actively encouraged to make choices and decisions regarding their care package and support needs. This is borne out by a care co-ordinator who indicated, “that staff are supportive to their clients and always encourage clients to live the life they choose”. An individual and person centred approach to care planning ensures that diversity is known and responded to according to the needs of the people living at this service. This is done at an early stage. For example one of the people who use this service is black and their first language is not English, staff ensured from a fairly stage that the services of an interpreter is registered with the home to help with understanding the needs and wishes, likes and dislikes of the individual concerned. It is evidently clear that the rights and responsibilities at this home are taken into account with regard to individuality and choice. Risk management plans are in place. Camden Park House DS0000010339.V361721.R01.S.doc Version 5.2 Page 12 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. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 14. 15. 16 and 17 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. People who use services are supported to maintain as much independence in their lives as is possible. EVIDENCE: Camden Park House aims to support people who use this service to become as independent as possible to enable them to eventually return to live in the community. People who use the service are encouraged to participate in activities together or individually according to their wishes. For example, the majority of the people who live here went on holiday together at Ilfracombe last year; they will decide at the weekly house meetings where to go this year. An individual told me that they visited a different zoo to the one in London the previous day and expressed delight with their outing and is looking forward to trip to Bristol zoo. An individual do not appear to participate in activities outside the home like attending the group holidays, which the majority of people look forward to. The Camden Park House DS0000010339.V361721.R01.S.doc Version 5.2 Page 13 introduction of an activity shift should hopefully improve social inclusion for one or two individuals living at this home, which would no doubt enhance their quality of life. An art therapy has been introduced and an increase in bed spaces allow a person recently admitted to benefit from independent living support tailored to their individual needs. People are encouraged to attend day centres that are appropriate and suitable to their specific needs. An individual who has lived at this service long term goes for breakfast at a café each day. Another individual is a volunteer at the provider’s head office and some people go swimming two times a week. People are supported to maintain relationships with their families. There is plan to support an individual to visit Iran, their homeland. A new cook is employed to work at the home and staff state that more nutritious and wider range of food is provided. People who use the service choose the menus at the weekly house meetings. Some of the people who use the service have the capacity to cook and does so as and when they choose. The manager praised the cook. Camden Park House DS0000010339.V361721.R01.S.doc Version 5.2 Page 14 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. JUDGEMENT – we looked at outcomes for the following standard(s): 18, 19, and 20 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. Efforts are made to promote and protect the dignity and independence of people who use the service. The need of an individual with incontinence problem is not being fully met. EVIDENCE: Personal care needs is not provided at this service by support staff; the manager reaffirmed this. Domiciliary care workers are contracted in via the local authority to assist an individual with bathing three times a week. On entering the office and following exchanging greetings, an individual living at the home got up from a chair and it was apparently clear that they required specialist input to help them manage their continence. Their night clothing was soiled to the back and front. Staff confirmed that the problem does exist but on examination of the care plan there was no evidence to suggest that the individual was appropriately supported in this area over the past two years. Staff stated in discussion that the person concerned has refused support with this. A consistent approach is needed to support this individual to manage their continence. There was no input from a continence nurse/ adviser. There is no policy or procedure for continence promotion; neither had staff received Camden Park House DS0000010339.V361721.R01.S.doc Version 5.2 Page 15 any training. The manager confirmed the reason for this is that staff do not provide personal care. The previous report required that more support be provided to another individual to change their bed linen more frequently. This was not met from the last inspection. Staff stated in discussion that they change the bed linen once a week. It is evidently clear that changing the bed linen once a week is insufficient if the individual’s dignity is to be preserved. The manager asserted that they would increase the frequency of changing the individual’s bed linen. The situation needs to be monitored on a regular basis. The service should also contact the Royal National Institute for Deaf people for guidance and advice to support this individual who is deaf. The physical and emotional health needs of people who use this service are generally met and there is evidence of regular multi disciplinary input. This was also confirmed by the care co-ordinator allocated to support three of the people who use this service, who said, “CPH are excellent at attending to their clients health needs. They stay in very close contact with the clients’ G.P.” An individual recently diagnosed with a terminal illness praised the manager for the support offered to them. The support provided was noted to be very supportive to the individual concerned. Information about what should happen in the event of death is recorded in the files of people who use the service. Overall, the system relating to medication management is satisfactory. The process for the administration of medication is good with clear and comprehensive arrangements in place to ensure that the medication needs of people who use the service are met. Some individuals are encouraged by staff to self medicate as appropriate. Staff are reminded to ensure that the equipment previously used to test the blood sugar of an individual are appropriately disposed of. Camden Park House DS0000010339.V361721.R01.S.doc Version 5.2 Page 16 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. JUDGEMENT – we looked at outcomes for the following standard(s): 22 and 23 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. People who use services are encouraged to raise concerns and complaints. People who use the service are protected by the home’s policy and procedures. EVIDENCE: The service welcomes complaints, compliments and suggestions in various ways. People who use this service have opportunities to raise concerns or complaints at key working sessions, weekly house meetings and questionnaires. Three complaints were received since the previous inspection and these have been managed well, the actions taken are recorded. The previous report required that the home obtains the host authority’s adult protection protocol and to align the policy and procedure to their own. They also indicated that their adult protection protocol was under review. I asked to see the safeguarding document but staff were unable to locate it. The manager and deputy manager for the service were asked to explain the action to be taken if an allegation of abuse was reported to them. They both declared that they would involve the police and line manager in the first instance and then the local authority. The completed Annual Quality Assurance Assessment tool indicates that the safeguarding document was last reviewed in April 2007. In August of that year the document was said to be under review. Staff have attended safeguarding adults training. The home is asked to send a copy of their document for the protection of vulnerable adults to the Commission. Camden Park House DS0000010339.V361721.R01.S.doc Version 5.2 Page 17 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. JUDGEMENT – we looked at outcomes for the following standard(s): 24, 25, 26 and 30 Quality in this outcome area is adequate. This judgment has been made using available evidence including a visit to this service. The home was clean and comfortable though some improvements are needed to make the home safer. EVIDENCE: A total of three rooms for people who use the service have been refurbished along with a bathroom since the last inspection. I examined the room of an individual with their expressed permission and as mentioned earlier, the bed linen was in a poor state of cleanliness and ash was scattered across the laminated floor. This individual must also be given more support with the cleaning of their room. The newly decorated room was bright and airy. On the inspection day an individual left a sharp knife on a plate in the small lounge even though a support worker had initially asked them to clear the lounge after they had eaten. It is unsafe practice to leave sharp implements around the house particularly with some of the characters of people living there. The situation should have been monitored to ensure the provision of a safe environment at all times. It was mentioned in the previous report that Camden Park House DS0000010339.V361721.R01.S.doc Version 5.2 Page 18 the home encases a radiator below a window in the additional room that wad due for registration, to facilitate people with independent living lifestyles. The radiator has no control knobs to increase or decrease the heat that emanates from it; the gap between the radiator and the bed is approximately 15”, a potential to cause harm if an individual looks out the window. The staircase was free of hazards and improvement to the lounge and dining areas of the house were noted. New furniture and pictures chosen with input from people who use the service enhance the appearance of the home. On examination of the kitchen it was noted that the door from the hallway into the kitchen was ill fitting and could not close shut. It is important that the door is repaired as soon as possible to protect people in the event of fire. The cooker hood was in a poor state and needed cleaning to protect the health and safety of people who use the service. Ceramic tiles across the kitchen windowsill were broken, exposing sharp edges to anyone who may stretch across to open the windows. The cook was in the process of cooking potatoes in a saucepan with no handles the handles were broken off. I asked the cook to demonstrate how she would remove the saucepan from the cooker; she used a towel in the process to pull the saucepan across to another burner. Also, transferring this hot utensil from the cooker to the kitchen sink is an extremely hazardous situation that is likely to cause a serious accident to the cook and potential others. The manager must ensure that the handless saucepan is not used as a cooking utensil. It is outlined in the (AQAA) Annual Quality Assurance Assessment that the provider is seeking to refurbish the kitchen within the next 12 months. In the meantime a complaint has been sent to Community Housing Group their landlords, about the lack of attention to issues of maintenance within the property. Currently, the issues outlined above offer no protection or safeguard for the people using this service and staff. The home was clean, fresh and attractive in the dining and lounge areas. Camden Park House DS0000010339.V361721.R01.S.doc Version 5.2 Page 19 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. JUDGEMENT – we looked at outcomes for the following standard(s): 32, 34, 35 and 36 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. A trained and competent staff team supports people who use the service. EVIDENCE: The majority of the staff team have achieved NVQ 3 in care with one person in the process of completing the course. Regular training is provided to all staff and managing violence and aggression was one of the training recently undertaken by a staff member. Comment from a survey returned to us indicated, “training is very good. Mandatory training such as manual handling is generally a waste of time; the company makes an effort to ensure that subjects such as health and safety are made interesting”. Staff must receive training in continence management so that the identified needs of an individual could be more appropriately met. Staff indicated a good understanding of the personalities of each person using the service. It was positive to hear discussions about proposed plans of specialist intervention associated with care planning information. An annual training plan for 2008/2009 is available. Camden Park House DS0000010339.V361721.R01.S.doc Version 5.2 Page 20 Camden Park House has increased their staffing complement by half a post in line with the increased numbers registered to live at the service. The home has been proactive in filling the vacant deputy manager’s post and appointing the acting manager to the post of service manager. The service manager is currently waiting for an interview and registration approval from the Commission. A support worker confirmed that they would be leaving in May of this year to work in South Korea. The previous report made reference to a recruitment policy and procedure relating to agency staff. At this inspection the manager showed me their policy for the recruitment of temporary staff. This document was drawn up in 1999 and this now needs to be reviewed. When updated it should inform staff of the process to follow regarding employing agency workers, such as the requirement to ensure that their identity cards are features their photograph and are within dates for example. We received one survey from a staff member who commented, “my manager works very hard to give regular supervision.” Two staff members were asked about their supervision and one person indicated that there is occasional slippage. They said that the quality of the supervision was very good but that there was limited space to conduct such. The other person confirmed that they receive supervision from the manager and that this was going well. The manager receives group supervision, which has recently been introduced; she declared that supervision in this way provides the opportunity to share and develop knowledge, improve practice and support to deal with the challenges that they often face. Clinical supervision now occur and staff spoken with expressed satisfaction with the introduction of this support. Camden Park House DS0000010339.V361721.R01.S.doc Version 5.2 Page 21 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. JUDGEMENT – we looked at outcomes for the following standard(s): 37, 39,40 and 42 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. The home is generally well managed. Hazardous issues continue to compromise the health, safety and welfare of the people who use the service. EVIDENCE: Since the previous inspection the acting manager has been appointed manager for the service and is waiting for registration approval from us. A registration certificate is hung up on the hall near a small office. It was noted that a new certificate is needed following the recent variation to increase the number of people who use the service from 10 to 11. This is to be followed up with our registration team. The systems for consultation with people who use the service are good with a variety of evidence that indicates that the views of people who use the service are sought and acted upon. Monthly monitoring visits occur, providing Camden Park House DS0000010339.V361721.R01.S.doc Version 5.2 Page 22 opportunities for people who use the service to voice a concern or complaint; they are also afforded the chance to raise issues that affect them at house meetings and key working sessions. The reports for monitoring visits are informative and where necessary, recommendations are made for the manager to address. Matters relating to health and safety are outlined under standards for the Environment. The action taken by the home to have the kitchen refurbish is noted. It was good to observe the installation of a new fire alarm panel and alarm points since the previous inspection. Policies and procedures relating to recruitment of agency/ temporary staff is dated 1999. This needs to be reviewed. The document entitled Strategic Planning remains in draft format. The protocol for safeguarding adults was apparently reviewed in April 2007 according to the information outlined in the AQAA; the previous inspection was carried out in August 2007 and at that time, the document was said to be under review. It could not be located at this inspection. In respect to continence promotion no policy or procedure was available as guidance for staff to support an individual with continence management; the AQAAA document has some inaccurate information, it makes no reference to indicate that continence management is an issue. In absence of the documents mentioned above together with the safety aspects outlined in this report, the health, safety and welfare of people who use this service is potentially at risk of serious injury and harm. We are aware that the provider has written a complaint to their landlords regarding a failure to deal with maintenance of the property. Furthermore, surveyors have undertaken investigation relating to the visible elongated cracks to walls within the property and the result was unknown by staff at the time of this inspection. Camden Park House DS0000010339.V361721.R01.S.doc Version 5.2 Page 23 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 Standard No Score 1 X 2 3 3 X 4 X 5 x INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 3 23 3 ENVIRONMENT Standard No Score 24 2 25 2 26 2 27 X 28 X 29 X 30 2 STAFFING Standard No Score 31 x 32 3 33 3 34 3 35 2 36 3 CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 2 3 X 3 X LIFESTYLES Standard No Score 11 X 12 3 13 3 14 X 15 3 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 2 3 3 x 3 X 3 2 x 2 x Camden Park House DS0000010339.V361721.R01.S.doc Version 5.2 Page 24 Yes 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 YA6 Regulation 14 (2) (a) (c) and 15 Requirement Timescale for action 24/05/08 2. YA18YA19 3. YA20 4. YA23 The registered person must ensure that service users identified needs are fully set out in the care plan and kept under continuous review. This would enhance the individual’s dignity and respect. 13(3) 13 (1) The registered person must 10/05/08 (b)16(2)(e) ensure that appropriate 12(4)(a) measures are in place to meet the needs of people using the service with continence problems. This is to ensure the personal needs of individuals are being met and that their dignity is upheld. 13(2) The registered person must 24/05/08 ensure that the syringes and test strips are given to the pharmacist since the person for whom they were prescribed, no long use these. 13(4)(a)(c)(c) The registered person must 24/05/08 16(2) (g)(h) ensure that the facilities in the kitchen are safe for service uses to use and to provide sufficient utensils that is safe for use by service users. That the hood above the cooker is appropriately clean to prevent DS0000010339.V361721.R01.S.doc Version 5.2 Camden Park House Page 25 5. YA25 13(4) (a)(b)(c)(6) 6. YA26 12(4)(a) 7. YA35 18 (1)(b)(c)(i) 7. YA42 13(4) (a)(b)(c) the potential for fire and hazards to health. The registered person must ensure that the room of an individual is made safer by providing a radiator cover to protect the individual from being burnt when standing between the window and bed to look out the window The registered person must ensure that an individual is appropriately supported to change his bed linen as necessary and with the cleaning of their room. This is restated from 12/12/07. The registered person must ensure that all staff receives training in respect to continence management so that people who require support in this service is ensured dignity, continuity and consistency in care delivery. The registered person must ensure that the door between the kitchen and hall is able to close appropriately to provide half hour fire protection in the event of a fire. Sharp implements must be appropriately stored after use to prevent and eliminate unnecessary risks to safety of service users. The broken tiles on the windowsill in the kitchen must be attended to as these have the potential to injure service users. 24/06/08 14/05/08 24/06/08 24/05/08 Camden Park House DS0000010339.V361721.R01.S.doc Version 5.2 Page 26 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1. Refer to Standard YA40 Good Practice Recommendations The registered person should ensure that the home has a policy and procedure for promoting continence; They should also review the policy for the recruitment of temporary and agency staff as the document held in the home at the time of this inspection was devised in 1999. Camden Park House DS0000010339.V361721.R01.S.doc Version 5.2 Page 27 Commission for Social Care Inspection London Regional Contact Team Caledonia House 113 Cranbrook Road London N1 9NG National Enquiry Line: Telephone: 0845 015 0120 or 0191 233 3323 Textphone: 0845 015 2255 or 0191 233 3588 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 Camden Park House DS0000010339.V361721.R01.S.doc Version 5.2 Page 28 - 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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