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Inspection on 21/07/05 for Camden Park House

Also see our care home review for Camden Park House for more information

This inspection was carried out on 21st July 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.

What follows are excerpts from this inspection report. For more information read the full report on the next tab.

What the care home does well

Overall the home is managed well by an experienced manager and a dedicated staff team. Positive comments were received from people who have dealings with the home such as "This home is run to a high standard". Generally the relatives are satisfied with the overall standard of care. One said "The staff are very caring towards the residents and are hard working." The staff have a good understanding of the service user`s support needs with evidence of positive relationships, which have formed between staff and service users. All the comment cards from the service users confirmed that they liked living in the home and had no problems.

What has improved since the last inspection?

There were no requirements recorded from the last unannounced inspection.

What the care home could do better:

This inspection shows that the home is meeting the standards that were inspected.

CARE HOME ADULTS 18-65 Camden Park House 57-59 Camden Park Road London NW1 9BA Lead Inspector Pippa Treadwell-Smith Announced 21 July 2005 10:00am st The Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Reader Information Document Purpose Author Audience Further copies from Copyright Inspection Report CSCI General Public 0870 240 7535 (telephone order line) This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI www.csci.org.uk Internet address This is a report of an inspection to assess whether services are meeting the needs of people who use them. The legal basis for conducting inspections is the Care Standards Act 2000 and the relevant National Minimum Standards for this establishment are those for Care Homes for Adults 18-65. They can be found at www.dh.gov.uk or obtained from The Stationary 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 G58 s10339 CPH v203852 210705 Stage 4.doc Version 1.30 Page 3 SERVICE INFORMATION Name of service Camden Park House Address 57-59 Camden Park Road London NW1 9BA Telephone number Fax number Email address Name of registered provider(s)/company (if applicable) Name of registered manager (if applicable) Type of registration No. of places registered (if applicable) 020 7267 7503 020 7485 8182 cph@umbrellacare.org.uk Umbrella Ms Catherine Alborough Care Home 10 Category(ies) of MD Mental Disorder (9), MD (E) Mental Disorder registration, with number -over 65 (1) of places Camden Park House G58 s10339 CPH v203852 210705 Stage 4.doc Version 1.30 Page 4 SERVICE INFORMATION Conditions of registration: The include nine service users mental disorder, one of is over the age of 65 Date of last inspection 12.03.05 Brief Description of the Service: Camden Park House provides twenty-four hour support for up to ten people with complex mental healthcare needs. The home does not automatically provide personal care ie 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, who provides a full range of care and support service 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, manager’s 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. Camden Park House G58 s10339 CPH v203852 210705 Stage 4.doc Version 1.30 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This announced inspection took place over one day and lasted about three and a half hours. It was cut short by the inspector because of unforeseen circumstances therefore only a limited number of key standards were looked at. Three staff members were spoken to and a handover attended. Several of the service users participated in the inspection process. A variety of records were looked at, including care plans, medication administration records and minutes of meetings. The Commission for Social Care Inspection sent out a number of comment cards and twelve were returned. Eight from service users, two from relatives and three from health care professionals. What the service does well: What has improved since the last inspection? What they could do better: This inspection shows that the home is meeting the standards that were inspected. Camden Park House G58 s10339 CPH v203852 210705 Stage 4.doc Version 1.30 Page 6 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. Camden Park House G58 s10339 CPH v203852 210705 Stage 4.doc Version 1.30 Page 7 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 Standards Statutory Requirements Identified During the Inspection Camden Park House G58 s10339 CPH v203852 210705 Stage 4.doc Version 1.30 Page 8 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 standard(s) 2 The staff have a good understanding of the service user’s support needs as the result of a clear assessment process. EVIDENCE: A sample of care records was taken and each one had a care management assessment in place. All service users had a care plan developed from the assessment and there is evidence of regular reviews. Camden Park House G58 s10339 CPH v203852 210705 Stage 4.doc Version 1.30 Page 9 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 standard(s) 6 There is a clear and consistent care planning system in place to adequately provide staff with the information they need to satisfactorily meet service users needs. EVIDENCE: An inspection of the care records showed that all service users have a care plan and a risk management strategy in place. These have been developed from a comprehensive assessment process. The care plans included likes and dislikes as well as personal goals. The plans have a clear and up-to-date information but no signatures of the service users. Each service user has been allocated a key worker and the care records show evidence of regular meetings and between the key worker and service. A Care Manager has confirmed, that “The service user plan is followed and is reviewed regularly within the home”. Discussions with support workers identified that they had a clear understanding of the service users needs. Staff are keen to work in partnership with other health care professionals in order to meet the needs of the service users. Camden Park House G58 s10339 CPH v203852 210705 Stage 4.doc Version 1.30 Page 10 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 standard(s) 12 & 17 Links with the community are good and offer service users social and educational opportunities. The meals in this home are directed by the preferences of the service users. EVIDENCE: There is evidence of social inclusion from the care records. Discussions with staff and service users identified that activities are discussed as part of the key working arrangement. On the day of the inspection a computer class was taking place. One of the service users said how much they enjoyed attending these classes. Another service user attends the gardening group and was very positive about the benefits to himself as well as to the projects they visit. There is evidence of the work done by the gardening group in the courtyard garden. Discussions with the service users and from the comment cards showed that the home is providing suitable activities. The minutes of the house meeting confirmed that service users are canvassed for their views. The annual holiday has been discussed and arranged. The weekly menu is devised with input from the service users during the weekly house meetings. The support staff said that nutrition and dietary Camden Park House G58 s10339 CPH v203852 210705 Stage 4.doc Version 1.30 Page 11 needs are discussed as part of the key working sessions. An inspection of the care records confirmed this to be correct. Six out of the eight service users who completed comment cards said that they liked the food. Camden Park House G58 s10339 CPH v203852 210705 Stage 4.doc Version 1.30 Page 12 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 standard(s) 19 & 20 The health needs of the service users are well met with evidence of a multidisciplinary involvement. The systems for the administration of medication are good with clear and comprehensive arrangements in place to ensure service users’ medication needs are met. EVIDENCE: All service users are registered with a General Practitioner. One has commented, “My experience indicates that this home is run to a very high standard.” The care records show that the health care needs of the service users are monitored and identified in care plans. Entries in care notes identify whether an improvement or deterioration is observed. There is clear evidence of referrals to other healthcare professionals. There is a written policy and procedure relating to the ordering, storage, administration and disposal of medication. Training records show that staff have attended training on the use of medication. All medication is stored within a locked cabinet within the office. When the office is left unattended this is also kept locked. Service users attend the office to request their medication and a system is in place to monitor who has done so. Particular requirements surrounding medication are documented in the service user’s care plan. The medication administration records were looked at and found to be up-to-date and accurately recorded. The home is regularly inspected by a Camden Park House G58 s10339 CPH v203852 210705 Stage 4.doc Version 1.30 Page 13 Community Pharmacist who has said, “The home is very well run regarding medication. It is a pleasure to visit. There are rarely any problems”. Camden Park House G58 s10339 CPH v203852 210705 Stage 4.doc Version 1.30 Page 14 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 standard(s) 22 The home has a satisfactory complaints system with evidence that service users are listened to and acted upon. EVIDENCE: The service user guide tells service users how to make a compliment or express a concern. All the service users said that they knew what action to take and who to approach if they had any concerns about living in the home. All said that they like living in the home and felt safe there. Comments were received such “Very happy living here. No problems to report. Happy with every thing”. The health care professionals confirmed that they had not received any complaints about the home and they were satisfied with the general standards of care. The pre-inspection information shows that the home has received 5 complaints and four have been partially substantiated. Service users are able to implement the complaint’s procedure, approach the manager or their key worker, air their views in the house meeting or have access to the organisation’s forum. There is a system for recording and monitoring complaints. Camden Park House G58 s10339 CPH v203852 210705 Stage 4.doc Version 1.30 Page 15 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 standard(s) EVIDENCE: Camden Park House G58 s10339 CPH v203852 210705 Stage 4.doc Version 1.30 Page 16 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 35 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) EVIDENCE: Camden Park House G58 s10339 CPH v203852 210705 Stage 4.doc Version 1.30 Page 17 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 39, and 42 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 42 There are systems in place to ensure that service users are kept safe and secure both inside and outside the home. EVIDENCE: A wide range of documents were checked during the inspection including servicing documents, employers liability insurance and accident reporting. Staff attend health and safety training. Fire alarms are tested regularly and records maintained. It is the policy of the organisation that service users receive quarterly refreshers in respect of fire training Camden Park House G58 s10339 CPH v203852 210705 Stage 4.doc Version 1.30 Page 18 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 3 x x x Standard No 22 23 ENVIRONMENT Score 3 x INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 LIFESTYLES Score 3 x x x x Score Standard No 24 25 26 27 28 29 30 STAFFING Score x x x x x x x Standard No 11 12 13 14 15 16 17 x 3 x x x x 3 Standard No 31 32 33 34 35 36 Score x x x x x x CONDUCT AND MANAGEMENT OF THE HOME PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Camden Park House Score x 3 3 x Standard No 37 38 39 40 41 42 43 Score x x x x x 3 x G58 s10339 CPH v203852 210705 Stage 4.doc Version 1.30 Page 19 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 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. 1. Refer to Standard Good Practice Recommendations Camden Park House G58 s10339 CPH v203852 210705 Stage 4.doc Version 1.30 Page 20 Commission for Social Care Inspection Centro 4 20-23 Mandla Street Camden Town London NW1 0DW 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 Camden Park House G58 s10339 CPH v203852 210705 Stage 4.doc Version 1.30 Page 21 - 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. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. The policy of www.bestcarehome.co.uk is to use all legal avenues to pursue such offenders, including recovery of costs. You have been warned!