Inspection on 01/02/06 for Camellia House

This inspection was carried out on 1st February 2006.

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

Camellia House 09/07/08

Camellia House 12/10/06

Camellia House 24/03/05

Camellia House 19/02/04

Similar services:

Byars Care Home

St Marys Nursing Home

Bramble Lodge

Parkmanor Residential Home

Thornham Grove

Hunter`s Lodge

London Road Neurological and Specialist Care Unit

Carlton Care Home

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

CARE HOMES FOR OLDER PEOPLE Camellia House 109 Main Street Calverton Notts NG14 6FG Lead Inspector Karmon Hawley Unannounced Inspection 1st February 2006 10:00 X10015.doc Version 1.40 Page 1 The Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Reader Information Document Purpose Author Audience Further copies from Copyright Inspection Report CSCI General Public 0870 240 7535 (telephone order line) This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI www.csci.org.uk Internet address Camellia House DS0000040018.V274406.R02.S.doc Version 5.1 Page 2 This is a report of an inspection to assess whether services are meeting the needs of people who use them. The legal basis for conducting inspections is the Care Standards Act 2000 and the relevant National Minimum Standards for this establishment are those for Care Homes for Older People. They can be found at www.dh.gov.uk or obtained from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering: www.tso.co.uk/bookshop This report is a public document. Extracts may not be used or reproduced without the prior permission of the Commission for Social Care Inspection. Camellia House DS0000040018.V274406.R02.S.doc Version 5.1 Page 3 SERVICE INFORMATION Name of service Camellia House Address 109 Main Street Calverton Notts NG14 6FG 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) 0115 8458876 0115 8458876 Judith Lakin Care Home 4 Category(ies) of Old age, not falling within any other category registration, with number (4) of places Camellia House DS0000040018.V274406.R02.S.doc Version 5.1 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 24th March 2005 Brief Description of the Service: Camellia House was first registered in March 2002 and became operational in September 02.The home is a small care home, which has registration for 4 older persons. The service users accommodation is integrated with the owner’s private house. The service users are provided with a separate lounge and kitchen / dinette. One bedroom situated on the ground floor and two bedrooms on the first floor. A chair lift is available for access. A bathroom is located on the ground floor and has an assisted hoist and shower facility. A remote alarm call bell is available for each service user. Professional health care arrangements are organised as required. A magnificent garden to the rear of the property offers a superb view and a relaxing environment. Camellia House DS0000040018.V274406.R02.S.doc Version 5.1 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This unannounced inspection took place in two and a half hours and was performed by one inspector. The main method of inspection was case tracking, this is a method of sampling the records of the two service users residing at the home to ascertain if the needs of service users are appropriately assessed and identified needs are being catered for by the home to maintain optimum health and wellbeing of the service user. Both service users were spoken so as to give the inspectors an insight into the conditions and standards within the home. Those spoken with were extremely happy with the staff, care received and the standards within the home. The registered manager assisted in the inspection process and one member of staff was spoken with who was able to demonstrate a good understanding of service users needs and the core values and principles in relation to her job role. What the service does well: What has improved since the last inspection? The home continues to maintain high standards of care. Camellia House DS0000040018.V274406.R02.S.doc Version 5.1 Page 6 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. Camellia House DS0000040018.V274406.R02.S.doc Version 5.1 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–6) Health and Personal Care (Standards 7-11) Daily Life and Social Activities (Standards 12-15) Complaints and Protection (Standards 16-18) Environment (Standards 19-26) Staffing (Standards 27-30) Management and Administration (Standards 31-38) Scoring of Outcomes Statutory Requirements Identified During the Inspection Camellia House DS0000040018.V274406.R02.S.doc Version 5.1 Page 8 Choice of Home The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 3 Service users can be assured their needs will be assessed prior to entering the home and these will be met. EVIDENCE: Prior to admission prospective service users are assessed by the manager, an allocated staff member or a social worker. There was evidence of the pre admission information and assessments available within case files examined, which covered the requirements of this standard. Camellia House DS0000040018.V274406.R02.S.doc Version 5.1 Page 9 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 7,8,9 Service users health, personal and social care needs are set out in an individual plan of care. Service users health care needs are fully met. Service users are protected by the homes polices and procedures for dealing with medicines. EVIDENCE: Service users undergo various assessments with regards to the activities of daily living, manual handling and nutrition. Information gained from these assessments form the basis of the plan of care. Care plans in place were personalised and addressed required needs. Life history and social assessments had been undertaken thus ensuring choices and preferences are observed. Appropriate risk assessments were in place with regards to the daily activities of living, which were supported in the plan of care. Service users spoken with stated their needs were fully met. The staff member spoken with was able to discuss the core values and principles and the needs of service users. Camellia House DS0000040018.V274406.R02.S.doc Version 5.1 Page 10 There was evidence to demonstrate that the multidisciplinary team and specialist services are accessed as required both within the community and the home. One service user spoken with was able to substantiate this. Medication is kept in a lockable cupboard in service users rooms. Appropriate policies and procedures were in place; medication checked corresponded with the prescription. Staff are trained in the administration of medicine by the registered provider . Camellia House DS0000040018.V274406.R02.S.doc Version 5.1 Page 11 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 13,14 Service users are helped to exercise choice and control over their lives and maintain contacts with relevant others. EVIDENCE: There are no restrictions placed upon visiting, this is discussed with service users and relevant others prior to admission and is stated in the service users guide. Visitors are welcomed and may be received in private. There is local community involvement with the local vicar and village during special events. Service users are facilitated to visit areas around the village and there is transport available in the form of a mini bus to go further a field. Service users spoken with stated visitors were welcome at any time and they could be received in private. One service user spoken with expressed how she enjoyed the trips out in the mini bus. If able service users are facilitated to manage their own personal finances, although advocates are not used at present there is information available with this regard. Service users are able to bring in personal possessions should they wish, both service users spoken with substantiated this. Camellia House DS0000040018.V274406.R02.S.doc Version 5.1 Page 12 Complaints and Protection The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 16,18 Service users and relevant others may be confident that complaints will be listened to, taken seriously and acted upon. Service users are protected from abuse. EVIDENCE: An appropriate complaints procedure is in place. There have been no complaints received since the last inspection. The staff member spoken with was able to discuss how to deal with complaints. Both service users spoken with expressed how marvellous the care and the home were and they had no complaints. Procedures with regards to adult protection and other relevant issues were in place. All staff have undergone criminal record bureau checks. Two members of staff have undertaken the protection of vulnerable adults training and one member of staff is awaiting a date to attend a course. The staff member spoken with was able to discuss the adult protection procedures appropriately. Service users stated staff were kind and thoughtful and they felt they could approach them should they have any concerns. Camellia House DS0000040018.V274406.R02.S.doc Version 5.1 Page 13 Environment The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 19.26 Service users live in well-maintained environment, which is clean, pleasant and hygienic. EVIDENCE: The home is very well maintained, clean, tidy and hygienic. One member of staff works as a cleaner and a carer and the other members of staff support her in this role. Routine maintenance is carried out as needed. CCTV cameras are in place for added security. The laundry room is situated at the side of the main kitchen, laundry therefore is taken around the outside of the home to prevent cross infection. Appropriate laundering facilities and hand wash facilities are available. Camellia House DS0000040018.V274406.R02.S.doc Version 5.1 Page 14 Staffing The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users’ needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission consider all the above are key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 27,28,30 The number and skill mix of staff meets service users needs, although service users are in safe hands at all times staff training requires attention to ensure staff are fully trained and competent to carry out their job role. EVIDENCE: There are three members of staff employed in addition to the manager. The duty rota demonstrated that sufficient staff are employed to meet service user needs. All three members of staff are in the process of working towards the national vocational qualification level two in care. Mandatory staff training with the exception of the protection of vulnerable adults is now out of date. Camellia House DS0000040018.V274406.R02.S.doc Version 5.1 Page 15 Management and Administration The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. Service users’ rights and best interests are safeguarded by the home’s record keeping, policies and procedures. The health, safety and welfare of service users and staff are promoted and protected. The Commission considers Standards 31, 33, 35 and 38 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 31,33,35,38 Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge her responsibilities. The home is run in the best interests of service users. Service users financial interests are safeguarded. The health and safety of service users and staff is promoted and protected, however further consideration is required with regards to electrical testing and staff training to ensure they are fully protected. Camellia House DS0000040018.V274406.R02.S.doc Version 5.1 Page 16 EVIDENCE: The registered manager qualified as a registered nurse in 1968 and has undertaken other professional courses and gained various qualifications since this time. She has a wealth of experience and understanding with regards to caring for the older person and was able to demonstrate competence within her job role. The staff member spoken with stated the home is well run and the manager is approachable and supportive. Both service users spoken with expressed admiration for the manager and felt the home was well managed. Service users surveys are carried out which cover all aspects of care received, and life within the home. Records of completed surveys were available within service users plans of care, responses received were positive. The manager also ensures informal liaison is carried out with service users and relevant others offering opportunity and time to express opinions. The manager reviews policies and procedures as required. There is no specific annual development plan in place as maintenance is carried out regularly and there are no changes or improvement required. The manager does not deal with service users personal finances, any expense incurred is invoiced to service users relatives and fees are transferred by direct debit. Appropriate maintenance certificates and records were in place with regards to health and safety issues with the exception of records of portable appliance testing, which the manager stated had been completed, but no records had been kept. Camellia House DS0000040018.V274406.R02.S.doc Version 5.1 Page 17 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 X X 3 X X X HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 3 10 X 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 X 13 3 14 3 15 X COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 3 X X X X X X 3 STAFFING Standard No Score 27 3 28 3 29 X 30 2 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X 3 X 3 X X 3 Camellia House DS0000040018.V274406.R02.S.doc Version 5.1 Page 18 Are there any outstanding requirements from the last inspection? NA 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 t1he given timescales. No. 1 Standard OP30 Regulation 18 (1,c,I) Requirement The responsible individual is required to ensure staff are appropriately trained in all mandatory areas. Ensure records of portable appliance testing are available for inspection. Timescale for action 01/05/06 2 OP38 23(c ) 01/05/06 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 Camellia House DS0000040018.V274406.R02.S.doc Version 5.1 Page 19 Commission for Social Care Inspection Nottingham Area Office Edgeley House Riverside Business Park Tottle Road Nottingham NG2 1RT 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 Camellia House DS0000040018.V274406.R02.S.doc Version 5.1 Page 20 - 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!