Inspection on 26/11/08 for Camellots House

This inspection was carried out on 26th November 2008.

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

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

Camellots House 27/11/07

Similar services:

Thorndene

Insight - Eastchurch

Southfields

Sutton Lodge Nursing Home

Magenta

Seabourne House

33 St John`s Church Road

Dovedale Court

Extracts from inspection reports are licensed from CQC, this page was updated on 31/03/2009.

Inspecting for better lives Key inspection report Care homes for adults (18-65 years) Name: Address: Camellots House 53 Arundel Road Littlehampton West Sussex BN17 7BY     The quality rating for this care home is:   two star good service A quality rating is our assessment of how well a care home, agency or scheme is meeting the needs of the people who use it. We give a quality rating following a full assessment of the service. We call this a ‘key’ inspection. Lead inspector: Sheila Gawley     Date: 2 6 1 1 2 0 0 8 This is a report of an inspection where we looked at how well this care home is meeting the needs of people who use it. There is a summary of what we think this service does well, what they have improved on and, where it applies, what they need to do better. We use the national minimum standards to describe the outcomes that people should experience. National minimum standards are written by the Department of Health for each type of care service. After the summary there is more detail about our findings. The following table explains what you will see under each outcome area. Outcome area (for example Choice of home) These are the outcomes that people staying in care homes should experience. the things that people have said are important to them: They reflect This box tells you the outcomes that we will always inspect against when we do a key inspection. This box tells you any additional outcomes that we may inspect against when we do a key inspection. This is what people staying in this care home experience: Judgement: This box tells you our opinion of what we have looked at in this outcome area. We will say whether it is excellent, good, adequate or poor. Evidence: This box describes the information we used to come to our judgement. Copies of the National Minimum Standards – Care Homes for Adults (18-65 years) can be found at www.dh.gov.uk or bought from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering from the Stationery Office is also available: www.tso.co.uk/bookshop 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 Our duty to regulate social care services is set out in the Care Standards Act 2000. Care Homes for Adults (18-65 years) Page 2 of 24 Reader Information Document Purpose Author Audience Further copies from Copyright Inspection report CSCI General public 0870 240 7535 (telephone order line) Copyright © (2009) Commission for Social Care Inspection (CSCI). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CSCI copyright, with the title and date of publication of the document specified. www.csci.org.uk Internet address Care Homes for Adults (18-65 years) Page 3 of 24 Information about the care home Name of care home: Address: Camellots House 53 Arundel Road Littlehampton West Sussex BN17 7BY 01903719017 Telephone number: Fax number: Email address: Provider web address: gajragunathan@yahoo.co.uk Name of registered provider(s): Name of registered manager (if applicable) Mrs Diane Robinson Type of registration: Number of places registered: Crawford Homes Ltd care home 8 Conditions of registration: Category(ies) : Number of places (if applicable): Under 65 learning disability mental disorder, excluding learning disability or dementia physical disability Additional conditions: The maximum number of service users to be accommodated is 8. The registered person may provide the following category/ies of service only: Care home only - (PC) to service users of the following gender: Either Whose primary care needs on admission to the home are within the following categories: Learning disability (LD) Learning disability (LD(E)) - maximum number of places 1 Mental disorder, excluding learning disability or dementia (MD) Physical Disability (PD) - maximum number of places 1. Date of last inspection Brief description of the care home Camellots House is a care home, which is registered to provide personal care for up to eight service users in the category learning disability (LD) who are between the ages of 18 to 65 years of age. This care home is also registered provide care for a maximum of Care Homes for Adults (18-65 years) Page 4 of 24 Over 65 0 0 0 8 8 8 Brief description of the care home one person with a learning disability who is over 65 years. It is also registered to provided care for a maximum of one person who also has a physical disability. It is a detached property, which has been extended and adapted for its current use, and is located near to the centre of Littlehampton. Accommodation is provided in single bedrooms, which include ensuite WC and bath or shower facilities. Communal accommodation is made up of a lounge and a conservatory that is used as a dining room. They are located on the ground floor. An enclosed secure garden, which is available to all residents, is located to the rear of the premises. Fee levels currently range from 750.00 to 1,850.00 pounds per week. The registered provider of this service is Crawford Care Homes Ltd. The Responsible Individual acting on behalf of the organisation is Mr Gajaruban Ragunathan and is responsible for supervising the management of the care home. The registered manager is Diane Robinson. Care Homes for Adults (18-65 years) Page 5 of 24 Summary This is an overview of what we found during the inspection. The quality rating for this care home is: Our judgement for each outcome: two star good service Choice of home Individual needs and choices Lifestyle Personal and healthcare support Concerns, complaints and protection Environment Staffing Conduct and management of the home peterchart Poor Adequate Good Excellent How we did our inspection: This site visit as part of the inspection process took place of 26 11 08. The registered manager facilitated the inspection. The commission was in receipt of an Annual Quality Assurance Assessment (AQAA) and any documents required on the day were made available. Three residents were case tracked, their care plans and Medicine administration charts were inspected. They were not able to express an opinion on life in the home. Staff were spoken to and they stated that the home is a supportive place to work. Staff were observed offering care in a respectful and encouraging manner. The atmosphere in the home was relaxed and sociable. People who use this service experience a good lifestyle. Care Homes for Adults (18-65 years) Page 6 of 24 Care Homes for Adults (18-65 years) Page 7 of 24 What the care home does well: What has improved since the last inspection? What they could do better: If you want to know what action the person responsible for this care home is taking following this report, you can contact them using the details set out on page 4. The report of this inspection is available from our website www.csci.org.uk. You can get printed copies from enquiries@csci.gsi.gov.uk or by telephoning our order line –0870 240 7535. Care Homes for Adults (18-65 years) Page 8 of 24 Details of our 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) Outstanding statutory requirements Requirements and recommendations from this inspection Care Homes for Adults (18-65 years) Page 9 of 24 Choice of home These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People are confident that the care home can support them. This is because there is an accurate assessment of their needs that they, or people close to them, have been involved in. This tells the home all about them, what they hope for and want to achieve, and the support they need. People can decide whether the care home can meet their support and accommodation needs. This is because they, and people close to them, can visit the home and get full, clear, accurate and up to date information. If they decide to stay in the home they know about their rights and responsibilities because there is an easy to understand contract or statement of terms and conditions between the person and the care home that includes how much they will pay and what the home provides for the money. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People using this service experience good outcomes in this area because needs are fully assessed prior to admission. Evidence: There is a comprehensive pre admission process in place. Prospective people wishing to use the service are visited to be assessed. An assessment was seen covered allergies, medication, communication, personal hygiene, mental alertness/behaviour and the management of any behaviours, hobbies, eating and drinking, risks, dangers and sleeping. There were also details of any conditions such as epilepsy or autism.The person is then invited for an afternoon and then for a sleepover before the decision to admit is made. There is an up to date statement of purpose in easy read format which is supplied to all people who use the service. Care Homes for Adults (18-65 years) Page 10 of 24 Individual needs and choices These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People’s needs and goals are met. The home has a plan of care that the person, or someone close to them, has been involved in making. People are able to make decisions about their life, including their finances, with support if they need it. This is because the staff promote their rights and choices. People are supported to take risks to enable them to stay independent. This is because the staff have appropriate information on which to base decisions. People are asked about, and are involved in, all aspects of life in the home. This is because the manager and staff offer them opportunities to participate in the day to day running of the home and enable them to influence key decisions. People are confident that the home handles information about them appropriately. This is because the home has clear policies and procedures that staff follow. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People using this service experience good outcomes in this area because they make decisions about their lives. Evidence: Three people who use the service were case tracked, their care plans and medicine administration charts were examined. The way they wish staff to assist them in meeting their need was recorded. Aid to communication such as picture boards are in place. There is a key worker system in place. There was evidence of regular review of the care plans. Risk assessment is in place and people who use the service are allowed to take risks and to go out into the community as desired. One person makes frequent trips to the local shops.Behavioural issues are addressed, as is their management. There was evidence of specialist advice being sought from an expert on Aspergers to help manage his behaviour. Care Homes for Adults (18-65 years) Page 11 of 24 Lifestyle These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: Each person is treated as an individual and the care home is responsive to his or her race, culture, religion, age, disability, gender and sexual orientation. They can take part in activities that are appropriate to their age and culture and are part of their local community. The care home supports people to follow personal interests and activities. People are able to keep in touch with family, friends and representatives and the home supports them to have appropriate personal, family and sexual relationships. People are as independent as they can be, lead their chosen lifestyle and have the opportunity to make the most of their abilities. Their dignity and rights are respected in their daily life. People have healthy, well-presented meals and snacks, at a time and place to suit them. People have opportunities to develop their social, emotional, communication and independent living skills. This is because the staff support their personal development. People choose and participate in suitable leisure activities. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People using this service experience good outcomes in this area because they can participate and contribute to the local community. Evidence: There is a range of activities in the home. Activities coordinators are not employed as all staff interact with the people who use the service and help with outings and activities. People who use the service are facilitated in maintaining contact with family and friends and to go on trips and shopping. One person attends snooker in the locality weekly. There are artwork and ladies and mens groups which meet weekly. A Christmas party is planned and families have been invited. Theatre groups visit the home and a trip to a pantomime id planned. The home owns a van for transport. Activities participated in were recorded on activities sheets. Independence is encouraged such as helping in the kitchen or bringing laundry to the laundry room but Care Homes for Adults (18-65 years) Page 12 of 24 Evidence: the abilities of the people who use the service are limited. Staff were seen talking and interacting with the people who use the service and they knock before entering rooms. Care Homes for Adults (18-65 years) Page 13 of 24 Personal and healthcare support These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People receive personal support from staff in the way they prefer and want. Their physical and emotional health needs are met because the home has procedures in place that staff follow. If people take medicine, they manage it themselves if they can. If they cannot manage their medicine, the care home supports them with it in a safe way. If people are approaching the end of their life, the care home will respect their choices and help them to feel comfortable and secure. They, and people close to them, are reassured that their death will be handled with sensitivity, dignity and respect, and take account of their spiritual and cultural wishes. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People using this service experience good outcomes in this area because needs are met in a person centred way. Evidence: Personal support required is noted in the care plans. Care plans detailed daily evaluation sheets, key worker notes and goals, professional visits and treatment. Risk assessments are in place. Staff spoken to stated that the home is run in the interests of the residents and they feel that they meet the needs of people who use the service in a caring manner. They understand the key worker system and interventions to be employed to manage difficult behaviours. People who use the service are facilitated to access health care in the community such as general practitioner, district nurse, dentist, chiropodist and opticians.The requirement of the last inspection on medication has been met. There are new protocols in place to assist in the safe handling of medicines. Medicines are received, stored, administered, recorded and returned correctly. Medicine administration charts inspected were up to date. The home does not currently have a drugs fridge and the provider agreed to purchase one. Care Homes for Adults (18-65 years) Page 14 of 24 Care Homes for Adults (18-65 years) Page 15 of 24 Concerns, complaints and protection These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: If people have concerns with their care, they or people close to them, know how to complain. Their concern is looked into and action taken to put things right. The care home safeguards people from abuse, neglect and self-harm and takes action to follow up any allegations. There are no additional outcomes. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People using this service experience good outcomes in this area because they are protected from harm. Evidence: There is a pictorial complaints procedure in each bedroom and it is included in the Statement of Purpose. Complaints are clearly recorded and dealt with in a timely manner. Staff have received safeguarding adults training. Staff spoken to demonstrated an awareness of procedures.The home reports to the commission any incident that may pose a risk to the health and safety of residents. Care Homes for Adults (18-65 years) Page 16 of 24 Environment These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People stay in a safe and well-maintained home that is homely, clean, comfortable, pleasant and hygienic. People stay in a home that has enough space and facilities for them to lead the life they choose and to meet their needs. The home makes sure they have the right specialist equipment that encourages and promotes their independence. Their room feels like their own, it is comfortable and they feel safe when they use it. People have enough privacy when using toilets and bathrooms. This is what people staying in this care home experience: Judgement: People using this service experience adequate quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People using this service experience adequate outcomes in this area because there are some shortfalls in maintenance. Evidence: The home is comfortable and decorated in a domestic manner. It is close to local amenities and transport and is in keeping with the local community. Furniture is mostly of good quality but the material covering on one divan bed was torn; some bedrooms have been painted. The home is without a maintenance man and there are some outstanding maintenance tasks outstanding such as some flooring lifting, some broken drawers, some broken toilet seats, and the wooden surround of some pipe work under a sink needs to be repaired. The home is recruiting a maintenance man at present. The home meets the requirements of the local Fire and Environmental Health Authority. Each person who uses the service has an individual risk assessment for evacuation in the event of fire.Laundry facilities are sited away from areas of food preparation and storage. Hand washing facilities are available. Paper hand towels were available in the laundry but not in the ensuite bathrooms. This was discussed with the registered manager. The washing machines have the required temperatures to deal with all laundry. Care Homes for Adults (18-65 years) Page 17 of 24 Care Homes for Adults (18-65 years) Page 18 of 24 Staffing These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have safe and appropriate support as there are enough competent, qualified staff on duty at all times. They have confidence in the staff at the home because checks have been done to make sure that they are suitable. People’s needs are met and they are supported because staff get the right training, supervision and support they need from their managers. People are supported by an effective staff team who understand and do what is expected of them. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People using this service experience good outcomes in this area because needs are met by a well-trained staff. Evidence: Staff rota show sufficient staff on duty to meet the needs of people who use the service. Staff files inspected had all required documentation, two references, criminal records bureau clearance and POVA check. The registered manager has put in place a new recruitment policy. All staff have contracts and terms and conditions. Staff spoken to stated that the home is a supportive place to work and that the management is approachable. There is a staff training and development programme in place. There is a training matrix in place detailing all training and completion dates. It covers safeguarding, fire, first aid, food hygiene, health and safety, moving and handling and Control of Substances Hazardous to health. There is further training in autism Aspergers syndrome, epilepsy and managing difficult behaviour. Training records and induction portfolios were seen. The home has nearly achieved 100 staff trained to NVQ level 2 with just one carer to working towards completion. Staff supervision is up to date and records were available. Care Homes for Adults (18-65 years) Page 19 of 24 Conduct and management of the home These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have confidence in the care home because it is run and managed appropriately. People’s opinions are central to how the home develops and reviews their practice, as the home has appropriate ways of making sure they continue to get things right. The environment is safe for people and staff because health and safety practices are carried out. People get the right support from the care home because the manager runs it appropriately, with an open approach that makes them feel valued and respected. They are safeguarded because the home follows clear financial and accounting procedures, keeps records appropriately and makes sure staff understand the way things should be done. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People using this service experience good outcomes in this area because the home is well managed and run in the best interests of the people who use the service.eeds are met by a well-trained staff Evidence: The registered manager has met the criteria for registration with the Commission. She has worked in the care sector for approximately twenty years. Her experience over this time has been from working with older people with physical disabilities and dementia. She has obtained NVQ 2 and has been undertaking NVQ level 4 and the RMA since August 2007 and is due to complete soon. There are quality assurance systems in place. The provider undertakes regulation 26 reports, has completed and submitted an AQAA; the AQAA could have been more detailed. Information is sought from social workers and families on how the service meet needs. Families are surveyed six monthly and any issues highlighted are dealt with. These were available for inspection in the quality assurance folder. The registered manager has attended a Health and safety day and ensures the Health and Safety of people who use the service and staff Care Homes for Adults (18-65 years) Page 20 of 24 Evidence: by the provision of mandatory training. Hazardous substances are stored safely. Accidents, injuries are recorded and reported. The home meets the requirements of the local Fire and Environmental Health Authority. Each person who uses the service has an individual risk assessment for evacuation in the event of fire. Staff training is up to date. Care Homes for Adults (18-65 years) Page 21 of 24 Are there any outstanding requirements from the last inspection? Yes £ No R Outstanding statutory requirements These are requirements that were set at the previous inspection, but have still not been met. They say what the registered person had to do to meet the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards No. Standard Regulation Requirement Timescale for action Care Homes for Adults (18-65 years) Page 22 of 24 Requirements and recommendations from this inspection: Immediate requirements: These are immediate requirements that were set on the day we visited this care home. The registered person had to meet these within 48 hours. No. Standard Regulation Requirement Timescale for action Statutory requirements These requirements set out what the registered person must do to meet the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The registered person(s) must do this within the timescales we have set. No. Standard Regulation Requirement Timescale for action Recommendations These recommendations are taken from the best practice described in the National Minimum Standards and the registered person(s) should consider them as a way of improving their service. No. Refer to Standard Good Practice Recommendations Care Homes for Adults (18-65 years) Page 23 of 24 Helpline: 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 We want people to be able to access this information. If you would like a summary in a different format or language please contact our helpline or go to our website. Copyright © (2009) Commission for Social Care Inspection (CSCI). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CSCI copyright, with the title and date of publication of the document specified. Care Homes for Adults (18-65 years) Page 24 of 24 - 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!