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Inspection on 09/12/05 for Camden Park House

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

This inspection was carried out on 9th December 2005.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Good. The way we rate inspection reports is consistent for all houses, though please be aware that this may be different from an official CSCI judgement.

The inspector found no outstanding requirements from the previous inspection report, but made 1 statutory requirements (actions the home must comply with) as a result of this inspection.

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

The home is being managed effectively and there is a team of committed support workers. Staff spoke positively about the service users and support and guidance is given in a way that promotes the dignity of the service users. Choices are available. Support workers are keen to ensure that service users are integrated into the community and have access activities appropriate to age, gender and cultural needs. There is a sound recruitment and selection process for new staff. The arrangements for induction, foundation and NVQ training are good and support a consistent level of service. There is a training plan in place and staff are encouraged to develop their skills. There is a wide range of sound policies and procedures.

What has improved since the last inspection?

There were no deficiencies recorded at the last inspection.

What the care home could do better:

The areas were the home needs to develop were discussed and agreed with the manager. There needs to be remedial action taken as the stair carpet was threadbare and posed a danger to service users and staff.

CARE HOME ADULTS 18-65 Camden Park House 57-59 Camden Park Road London NW1 9BA Lead Inspector Ms Pippa Treadwell-Smith Unannounced Inspection 9th December 2005 10:00 Camden Park House DS0000010339.V250361.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 Camden Park House DS0000010339.V250361.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. Camden Park House DS0000010339.V250361.R01.S.doc Version 5.0 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 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 aphmbrellacare.org.uk Umbrella Ms Catherine Alborough Care Home 10 Category(ies) of Mental disorder, excluding learning disability or registration, with number dementia (9), Mental Disorder, excluding of places learning disability or dementia - over 65 years of age (1) Camden Park House DS0000010339.V250361.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: 1. To include 9 service users with mental disorder, one of which is over the age of 65. 21st July 2005 Date of last inspection 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, 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. Camden Park House DS0000010339.V250361.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 over one day in December and lasted about five hours. The manager was available and assisted with the inspection. The inspector was able to talk to staff, service users and observe a handover. A variety of records were looked at including care plans, training records and policy documents. A partial tour of the home was made. 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. Camden Park House DS0000010339.V250361.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 Camden Park House DS0000010339.V250361.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): This standard was not assessed EVIDENCE: Camden Park House DS0000010339.V250361.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): 7&9 Service users are supported to make decisions concerning all aspects of their lives. Risks to service users are assessed in order for them to be as independent as possible. EVIDENCE: Four care records were looked at. The rights of service users are clearly apparent. Each one contained a signed confidentiality statement, decision to resuscitate and risk assessments. From the records and discussions with staff and service users, it is apparent that service users are supported to make informed decisions. One of the care plans looked at identified the short, medium and long-term goals for a service user. The plan clearly identified the needs of the service user, the interventions required and who was responsible for each intervention. The service user was included as needing to take some responsibility. Decisions taken are based on the assessment of risk of vulnerability to the service users and others in the home. There are individual risk assessments in place, which includes any necessary actions to be taken in order to minimise the risk. Each service user file contains an individual missing person procedure. Camden Park House DS0000010339.V250361.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): 13, 15 & 16 Staff support service users to integrate into the community and prevent social isolation. The importance of family relationships and friendships is recognised but also there is a balance to protect vulnerable service users. Procedures are in place to support the rights of service users. EVIDENCE: Each service users is allocated a key worker. The allocation is based on gender as well as compatibility. Regular key working meetings are scheduled and the topics of relationships, life skills and education and leisure activities are always agenda items. The care plans reflect that service users are supported to engage in the community. This is also includes addressing the ethnic needs of the service users. Discussion with staff and the care records shows that this is being done. The home has a visitor’s policy based on welcoming visitors to the home but also takes into account the vulnerability of some service users. Visitors were seen in the home on the day of the inspection. Staff were available to discuss any concerns and were supportive to both relative and service user. Camden Park House DS0000010339.V250361.R01.S.doc Version 5.0 Page 10 Service users have unrestricted access to the communal areas and the courtyard. All service users have keys to their bedrooms. Staff enter service users’ bedrooms when invited or as part of the planned care programme for health and safety checks. One service user has a hearing impairment and in order to alert them there is a flashing light or a sensory buzzer. Each service user has a tenancy agreement, which explains their rights but also their responsibilities. For one service user this has been translated into their own language. Camden Park House DS0000010339.V250361.R01.S.doc Version 5.0 Page 11 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): 18 Care and support is given in such a way as to promote the privacy and dignity of the service users. EVIDENCE: Discussions with staff highlighted that they knew and understood the needs of their key service users. This was also reflected in the care plans and the minutes of the key working meetings. Where necessary key workers have been drafted in from other organisations in order to ensure that one service user will have a person of the same ethnic and cultural background. This occurs on a fortnightly basis. Support staff in the home do not provide personal care but offer guidance, which is given discreetly. Times for getting up, going to bed, meals are flexible. Service users likes and dislikes are recorded and known to staff. Camden Park House DS0000010339.V250361.R01.S.doc Version 5.0 Page 12 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): 23 Service users are protected from harm by the policies and procedures of the home. EVIDENCE: The home has a whistle blowing policy and an adult protection policy, which is linked to the local authority procedure. There is clear guidance on managing service user’s monies and staff receive attending training in equality and diversity. The provider always maintains a rolling programme of training, which includes adult protection. The training records show that staff have attended or are scheduled to attend adult protection training. Discussions with staff about their key service users highlighted that they understood in which areas their key person was vulnerable and interventions were in place. Service users were seen to be confident to approach staff if they had any concerns. Camden Park House DS0000010339.V250361.R01.S.doc Version 5.0 Page 13 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 & 30 Overall the home provides a comfortable environment however there is a safety issue with a stair carpet. The home is kept clean. EVIDENCE: The premises are suitable for the purpose of a care home. The property is in keeping with the neighbourhood. It meets the needs of the service users both individually and collectively. Although is it homely, it is not safe and wellmaintained. The carpet on the top flight of stairs is very threadbare and is a potential trip hazard. Confirmation was received that a replacement carpet is due to be delivered and fitted. On the day of the inspection, work was in progress to make the area safer. The home is situated so there is access to local transport and therefore local amenities. A tour of the home found it to be clean and there are no offensive odours. Camden Park House DS0000010339.V250361.R01.S.doc Version 5.0 Page 14 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 & 35 Support workers have the skills and knowledge to meet the needs of the service users. The deployment of staff needs to be reviewed in line with the changing role of the home. Service users are protected by the robust and thorough recruitment and selection process. EVIDENCE: The home has a full staff complement including a registered manager and a deputy manager. Consideration is being given to reviewing the deployment of staff as the home changes its’ role and purpose for a more rehabilitative approach. There has been a training review for staff in the home. Training records identify that staff have access to a range of training opportunities. The training is underpinning practice in the home. Staff were observed being good listeners and communicators with service users. All support staff have a relevant NVQ qualification. Personnel records are held centrally by the provider. Discussion with newly recruited member of staff highlighted that the recruitment and selection process involves all the relevant checks, face-to-face interviews and the service users are also involved. Camden Park House DS0000010339.V250361.R01.S.doc Version 5.0 Page 15 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 & 39 The home is being managed effectively. The views of service users are sought and acted upon. EVIDENCE: The manager is both experienced and registered. Confirmation was received that the manager is waiting for the return of the portfolio for the Registered Manager’s Award so that it can be cross-referenced for evidence for the NVQ Level 4. The views of service users are obtained in several ways. All service users have been interviewed for the Community Questionnaire to identify future plans for moving on. They contribute to the assessment and care planning process and at key working meetings. Service users are invited to attend regularly house meetings. The minutes show that service users make contributions and these are acted upon. Anonymous service user survey has been conducted. The results of which are collated and published. The basis will be for the home’s development plan. Camden Park House DS0000010339.V250361.R01.S.doc Version 5.0 Page 16 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 Standard No 22 23 Score X 3 ENVIRONMENT INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score X 3 X 3 X Standard No 24 25 26 27 28 29 30 STAFFING Score 2 X X X X X 3 LIFESTYLES Standard No Score 11 X 12 X 13 3 14 X 15 3 16 3 17 Standard No 31 32 33 34 35 36 Score X 3 X 3 3 X CONDUCT AND MANAGEMENT OF THE HOME X PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Camden Park House Score 3 X X X Standard No 37 38 39 40 41 42 43 Score 3 X 3 X X X X DS0000010339.V250361.R01.S.doc Version 5.0 Page 17 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. 1 Standard YA24 Regulation 23(2)(b) Requirement The registered manager must confirm in writing the action taken to reduce the risk from the threadbare stair carpet. The CSCI must be informed of the date when the carpet is replaced. Timescale for action 30/01/06 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. Refer to Standard Good Practice Recommendations Camden Park House DS0000010339.V250361.R01.S.doc Version 5.0 Page 18 Commission for Social Care Inspection Camden Local Office Centro 4 20-23 Mandela Street London NW1 0DU 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 DS0000010339.V250361.R01.S.doc Version 5.0 Page 19 - 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. 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