Inspection on 01/02/07 for Camelot Lodge Residential Care Home

This inspection was carried out on 1st February 2007.

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 2 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

Camelot Lodge Residential Care... 12/01/09

Camelot Lodge Residential Care... 12/12/05

Camelot Lodge Residential Care... 27/07/05

Camelot Lodge Residential Care... 12/01/05

Camelot Lodge Residential Care... 25/08/04

Camelot Lodge Residential Care... 17/02/04

Camelot Lodge Residential Care... 04/11/03

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

CARE HOME ADULTS 18-65 Camelot Lodge Residential Care Home 19 Christchurch Road Folkestone Kent CT20 2SJ Lead Inspector Sally Gill Key Unannounced Inspection 1st February 2007 09:35 Camelot Lodge Residential Care Home DS0000023373.V302398.R01.S.doc Version 5.2 Page 1 The Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Reader Information Document Purpose Author Audience Further copies from Copyright Inspection Report CSCI General Public 0870 240 7535 (telephone order line) This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI www.csci.org.uk Internet address Camelot Lodge Residential Care Home DS0000023373.V302398.R01.S.doc Version 5.2 Page 2 This is a report of an inspection to assess whether services are meeting the needs of people who use them. The legal basis for conducting inspections is the Care Standards Act 2000 and the relevant National Minimum Standards for this establishment are those for Care Homes for Adults 18-65. They can be found at www.dh.gov.uk or obtained from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering: www.tso.co.uk/bookshop This report is a public document. Extracts may not be used or reproduced without the prior permission of the Commission for Social Care Inspection. Camelot Lodge Residential Care Home DS0000023373.V302398.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Camelot Lodge Residential Care Home Address 19 Christchurch Road Folkestone Kent CT20 2SJ 01303 251215 01303 267886 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) ACL Care Homes Limited Mrs Linda Patricia Davis Care Home 10 Category(ies) of Mental disorder, excluding learning disability or registration, with number dementia (10) of places Camelot Lodge Residential Care Home DS0000023373.V302398.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. 10 People with mental health difficulties between 21 and 65 years of age 12th December 2005 Date of last inspection Brief Description of the Service: Camelot Lodge is registered to provide accommodation for up to 10 adults with mental health issues. Currently the mental health needs of those living at Camelot Lodge are mainly stable therefore the dependency is low to medium. The directors of ACL Care Homes Ltd are on hand to support the registered manager, Mrs Linda Davis who has day-to-day control. A larger sister home is located on the opposite side of the road. The organisation has developed a website and online learning tools accessible to all. The home aims to work with service users to maintain and where possible improve independence. The home is arranged over four floors and has benefited from redevelopment and modernisation. Bedrooms are situated in the basement and first and second floors. One bedroom is shared and has ensuite facilities and there are eight single rooms one with ensuite. There are also two bathrooms and two additional toilets. In addition service users have access to a lounge and dining room. There is a kitchen, drink making facilities and laundry, which are access with staff presence. There is a well-maintained rear garden with borders and lawn area. The premise is set in a residential area of Folkestone approximately half a mile from the town centre but close to local shops and amenities. On street parking can be limited. The current fees range from £340.00 to £545.00 per week. Additional charges are made for some holiday costs, hairdressing, chiropody, toiletries, newspapers and magazines. A copy of the latest inspection report is available on request at the home. Camelot Lodge Residential Care Home DS0000023373.V302398.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The key inspection was carried out over a period of time and concluded with an unannounced site visit to the home between 9.35am and 3.40pm. The inspector spoke to service users, staff and registered manager. She also spoke to the deputy manager from the sister home who is responsible for overall training. Observations included interactions between the service users and staff. The inspection process consisted of information collected before, during and after the visit to the home. Feedback was received from service users and health & social care professionals. Health care professionals are satisfied with the home and care provided to service users. Various records were viewed during the inspection. The inspector accessed most parts of the home. What the service does well: What has improved since the last inspection? Where medication is prescribed ‘as and when’ written instructions are in place for staff to ensure it is administered consistently. A duplicate book is used to return any medication to the pharmacy. When recruiting staff references are obtain direct from referees to ensure they are valid, rather than accepting a reference to ‘who it may concern’. Camelot Lodge Residential Care Home DS0000023373.V302398.R01.S.doc Version 5.2 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. Camelot Lodge Residential Care Home DS0000023373.V302398.R01.S.doc Version 5.2 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 Outcomes Statutory Requirements Identified During the Inspection Camelot Lodge Residential Care Home DS0000023373.V302398.R01.S.doc Version 5.2 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 the following standard(s): 2, 4 & 5 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Service users needs are assessed prior to admission. There are opportunities to visit the home prior to deciding whether to move in. Service users agree a statement of terms and conditions of residency. EVIDENCE: Service users confirmed that staff from the home had visited them in their own surroundings prior to admission. The home uses this time to undertake its own assessment and information is added during any visits made to the home by the prospective service user. Service users confirmed that they had visited the home prior to deciding whether to move in. A copy of the service user guide is located in each bedroom. Assessments are also obtained together with any background information from any professionals involved in the service users care. Service user files contained copies of terms and conditions that they have agreed with the home. Camelot Lodge Residential Care Home DS0000023373.V302398.R01.S.doc Version 5.2 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 the following standard(s): 6, 7, 8, 9 & 10 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Service users assessed needs; aims and goals are reflected in their care plans. Service users are encouraged to make decisions and participate in day-to-day life within the home. Risk assessments support an independent lifestyle but these should evidence review. Information is generally handled maintaining confidentiality. However storage of accident reports should be reviewed. EVIDENCE: Service users confirmed that they have a care plan, which sets out their needs. In addition service users have action plans for aims and goals. Care plans are linked to detailed Care Programme Approach documentation. Staff are aware Camelot Lodge Residential Care Home DS0000023373.V302398.R01.S.doc Version 5.2 Page 10 of the content of action plans. Service users have key workers although they were not all clear who that actually was. Service users confirmed that are able to make their own decisions. They can if they wish and are encouraged to participate in daily life within the home and local community. Service users are supported to manage their own finances. Regular service users meetings are held. At the most recent service users had suggested different meals they would like. Surveys are also used to gain feedback and improve life within the home. Risk assessments are in place with clear strategies to minimise that risk. However these do not at present evidence review, which they should. Staff upheld the principles of confidentiality during the visit and records were store securely. However the storage of accident reports should be reviewed to ensure information about staff is confidential. Camelot Lodge Residential Care Home DS0000023373.V302398.R01.S.doc Version 5.2 Page 11 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): 12, 13, 14, 15, 16 & 17 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Service users are free to access the local community and participate in a range of leisure activities. Friends and family contact is encouraged and supported. Service users are encouraged to take responsibility for their daily lives and their rights are respected. Service users enjoy a variety of meals and have a say in planning the menus. EVIDENCE: All service users are encouraged to access the community and join local clubs and groups as well as use other facilities in the town. Some service users confirmed that they make the most of these and go out most days. Others are Camelot Lodge Residential Care Home DS0000023373.V302398.R01.S.doc Version 5.2 Page 12 happy just to take a daily walk nearby but spend the majority of their time in the home. Independent travel is encouraged using public transport and again individuals do make the most of this travelling to see friends. Internet access is available within the home. Activities are mainly individual with the majority enjoying reading, television, DVD’s and videos, music or simply socialising as a group. Service users have the opportunity to go on holiday each year aboard. Day trips are also organised. Service users confirmed that the home encourages the continuing support and involvement of families and a variety of friends. Involvement in household tasks is encouraged although service users confirmed they do not all participate. One service user is working towards more independent living with staff assisting them to achieve this aim. Service users said the food is “quite good” to “good”. There are a variety of meals, which are planned the previous day. Alternatives can be requested prior to mealtime. Service users help themselves to meals at mealtime. They lay the tables, clear and wash up after themselves. Camelot Lodge Residential Care Home DS0000023373.V302398.R01.S.doc Version 5.2 Page 13 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, 19 & 20 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Service users receive personal support, as they prefer and when require. Service users healthcare needs are met. Robust medication systems are in place. EVIDENCE: Some service users need encouragement or support with personal care. Staff described how this is achieved ensuring service users privacy and dignity is maintained. Staff have been working with one service user in relation to dignity and appearance. It is felt with encouragement further progress could be achieved. Staff give appropriate support and guidance to ensure healthcare needs are met. Service users are encouraged to take responsibility for their own healthcare where possible. Any concerns are closely monitored and recorded. The home has developed good links with the local health care professionals that provide advice and support as necessary. Camelot Lodge Residential Care Home DS0000023373.V302398.R01.S.doc Version 5.2 Page 14 Staff take responsibility for service users medication. This is supplied mainly in a monitored dosage system, which is stored securely. All records were in order. Staff have received medication training. Recently written instructions for staff administering PRN medication have been developed. However the name of the medication needs to be added. Camelot Lodge Residential Care Home DS0000023373.V302398.R01.S.doc Version 5.2 Page 15 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): 22 & 23 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Service users said they felt their views and any concerns are listened to and acted upon. Service users are protected from abuse. But reporting of incidents to the commission must be improved as should service users savings records. EVIDENCE: No complaints have been received since the last inspection. Service users have received a copy of the complaints procedure. The home tries to resolve all issues at an early informal stage and uses regular meetings to ask about concerns and views. The registered manager has agreed to make changes suggested at the recent meeting regarding different meals. In discussions there were a few concerns about things not working or needing repair in bedrooms, which were passed onto the registered manager. It is suggested this is an agenda item at future meetings. The home has robust policies relating to the protection of vulnerable adults from abuse. Staff demonstrated a good knowledge of the routes to report abuse. Staff have received training in adult protection which they are also able to access on line. Some recent incidents were discussed which should have been reported to the commission under regulation 37 and were not. The home must report all incidents/accidents in accordance with regulation 37. The home does hold some savings for individual service users. However the records for these should be improved to show a clear audit trail of the money. Camelot Lodge Residential Care Home DS0000023373.V302398.R01.S.doc Version 5.2 Page 16 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, 25, 26, 27, 28, 29 & 30 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Service users have benefited from refurbishment and redecoration within the home, which is clean, comfortable and mainly homely. Service users safety and independence may be enhanced by provision of equipment. EVIDENCE: The premises are comfortable and homely and has benefited from considerable redecoration work in recent years. The home is situated close to the town centre, which is convenient for service users. There is sufficient communal space with a spacious lounge and dining room. There is also a kitchen; laundry and drinks making area with can be accessed with staff presence. Furnishings and fittings are of good quality and the home is bright, airy, clean and free from offensive odours. Service users all confirmed that the home is always clean. Bathrooms are basic and consideration could be given to making them more homely. There is a wellCamelot Lodge Residential Care Home DS0000023373.V302398.R01.S.doc Version 5.2 Page 17 maintained rear garden with borders and lawn area. There are plans to provide a smoking and art and craft room at the rear of the garden. Service users are happy with their bedrooms and have personalised these reflecting interests. There were some concerns about things not working in bedrooms, which were passed to the registered manager. One door did not close properly which could also be a fire hazard. Discussions with service users highlighted the ageing needs of some service users particularly when bathing. It is recommended that an appropriate professional assess the environment to see if any equipment needs to be provided in order to maintain the independence of service users. Camelot Lodge Residential Care Home DS0000023373.V302398.R01.S.doc Version 5.2 Page 18 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 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Competent, trained and qualified staff support service users. Recruitment procedures should be strengthened to fully protect service users. EVIDENCE: There is a caring and stable staff team who have a good understanding of the service users and their needs. Staff commented they feel well supported by the registered manager. One comment received on a survey indicated that at times communication can be difficult with staff because of language barriers, this was discussed with the registered manager who herself felt it was not a concern but agreed to raise staff awareness in relation this. There is a good induction process in place, which is to Skills for Care specification. The target of 50 of staff qualified to National Vocational Qualification (NVQ) level 2 has been more than exceeded. Staff files were viewed. The application form does not lend itself to obtaining the full employment history as per the amended Care Homes Regulations 2002. It is recommended the form be reviewed. Any gaps in employment Camelot Lodge Residential Care Home DS0000023373.V302398.R01.S.doc Version 5.2 Page 19 history will also then need to be explored and the reasons recorded. Apart from this adequate checks are in place. Staff felt they had plenty of access to training and have received training in core and specialist subjects. Camelot Lodge Residential Care Home DS0000023373.V302398.R01.S.doc Version 5.2 Page 20 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, 38, 39 & 42 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The views and opinions of service users are taken onboard in this well run home. The manager works hard to create an open, positive and inclusive home. The health, safety and welfare of service users are protected. EVIDENCE: The registered manager has extensive experience with a good understanding of people with mental health issues. She has achieved her registered manager award (RMA) NVQ level 4. Service users said, “the manager is very nice”. Staff comments were “she’s very good, she’s on our level and knows what’s going on” and “she’s fair and keeps us informed”. The owners and a stable staff team support her. Camelot Lodge Residential Care Home DS0000023373.V302398.R01.S.doc Version 5.2 Page 21 Service users felt that their opinions and views were taken into account. It was apparent that the manager adopts an open culture and continually looks for ways to improve the outcomes for service users. An annual quality assurance survey is undertaken involving service users, professionals and families. Service users have regular meetings to air their views. Regular staff supervision and team meetings are in place. Records indicated that regular servicing and maintenance of equipment and services is carried out. Staff have received training in health and safety matters. Camelot Lodge Residential Care Home DS0000023373.V302398.R01.S.doc Version 5.2 Page 22 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Adults 18-65 have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 X 2 3 3 X 4 3 5 3 INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 3 23 2 ENVIRONMENT Standard No Score 24 3 25 3 26 3 27 3 28 3 29 2 30 3 STAFFING Standard No Score 31 X 32 3 33 X 34 2 35 3 36 X CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 3 3 3 2 2 LIFESTYLES Standard No Score 11 X 12 3 13 3 14 3 15 3 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 3 X 3 4 3 X X 3 X Camelot Lodge Residential Care Home DS0000023373.V302398.R01.S.doc Version 5.2 Page 23 Are there any outstanding requirements from the last inspection? N/A 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 YA23 Regulation 37 19 & Schedule 2 Requirement The home must report all incidents/accidents in accordance with regulation 37 A full employment history must be obtained for prospective employees. Any gaps must be check and a record made. Timescale for action 09/02/07 2 YA34 09/02/07 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 2 3 4 Refer to Standard YA9 YA10 YA23 YA29 Good Practice Recommendations Risk assessments must reviewed at least six monthly Review the storage of accident reports to ensure information regarding staff is held confidentially The records of service user monies should show a clear audit trail of the money An appropriate professional should assess the environment to see if any equipment needs to be provided in order to maintain/improve the independence of service users DS0000023373.V302398.R01.S.doc Version 5.2 Page 24 Camelot Lodge Residential Care Home Commission for Social Care Inspection Kent and Medway Area Office The Oast Hermitage Court Hermitage Lane Maidstone Kent ME16 9NT 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. 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