Inspection on 12/12/05 for Camelot Lodge Residential Care Home

This inspection was carried out on 12th 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 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

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

Camelot Lodge Residential Care... 01/02/07

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 Joseph Harris Announced Inspection 12th December 2005 9:30 Camelot Lodge Residential Care Home DS0000023373.V262987.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 Camelot Lodge Residential Care Home DS0000023373.V262987.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. Camelot Lodge Residential Care Home DS0000023373.V262987.R01.S.doc Version 5.0 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 12 Category(ies) of Mental disorder, excluding learning disability or registration, with number dementia (12) of places Camelot Lodge Residential Care Home DS0000023373.V262987.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: 1. 12 People with mental health difficulties between 21 and 65 years of age 27th July 2005 Date of last inspection Brief Description of the Service: Camelot Lodge is a home for up to 12 people with enduring mental health problems owned by ACL Care Homes. The service is on a residential road close to the centre of Folkestone. The organisation has a larger home situated opposite Camelot Lodge. The home is set out over three floors with the first floor comprising mainly of bedrooms. The ground floor is dedicated to communal spaces such as lounges and dining room. The basement is a mixture of bedrooms, kitchen, laundry and office space. There is a small garden to the rear of the home, which is accessible. The home is approximately 1/2 mile from the centre of Folkestone. The town has a good range of amenities and shops. There are sports centres, theatres, cinemas and other recreational facilities in the vicinity. Camelot Lodge Residential Care Home DS0000023373.V262987.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This inspection took place on the 12th December 2005 and lasted for around 7 hours. During the course of the visit there were opportunities to talk with service users, staff, the registered manager and Directors of the organisation. A range of documentation was viewed including individual support plans, personnel files, training records and health and safety documents. A tour of the premises was also undertaken. What the service does well: What has improved since the last inspection? What they could do better: Only 1 recommendation has been made as a result of this inspection regarding recruitment and personnel files. A number of staff are employed through overseas staffing agencies and it was noted that the references for these staff are addressed to ‘Whom it may concern’. All references should be addressed and received directly to the employer to ensure their validity. This issue was Camelot Lodge Residential Care Home DS0000023373.V262987.R01.S.doc Version 5.0 Page 6 discussed with the registered manager and one of the service directors, who agreed to address this with the agency that they use. 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.V262987.R01.S.doc Version 5.0 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.V262987.R01.S.doc Version 5.0 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 and 4. The needs and aspirations of service users are assessed and there are opportunities to spend time in the home prior to choosing whether to move in. EVIDENCE: The home and organisation have developed good processes of assessment for prospective service users ensuring that needs and individual aims are assessed. The registered manager and company directors visit prospective residents following the referral being made to get to know the individual and to assess suitability. Thereafter a graded process of visits to the home are arranged dependent on the needs of the individual. Throughout this process the home continues to gather further information regarding needs, likes and dislikes, assessing whether the home will be able to meet these issues. Background information is requested from the referrer including Care Programme Approach information, medical history, risk assessments and other relevant information. In addition to care management documentation the organisation has developed it’s own assessment tools, which provide comprehensive information covering holistic needs. Camelot Lodge Residential Care Home DS0000023373.V262987.R01.S.doc Version 5.0 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, 8 and 9. The home develops individual plans covering assessed needs. Residents are consulted with and are able to participate in the running of the home. There is a robust and enabling risk management process. EVIDENCE: The registered manager and staff team have continued to develop individual plans of care to good effect. The plans contain a summary of needs and pen portrait, which provide a good level of information in a concise and accessible fashion detailing the main areas of need and risk. Personal care plans are also developed by residents, in conjunction with their key workers, focussing on personal short and long-term goals. Both care plans and risk assessments satisfactorily address assessed needs and are positively written to enable residents to work towards greater levels of independence. Residents are actively encouraged to take a positive role in the day-to-day running of the home. The registered manager and staff consult with service users on an on-going basis to identify their views and wishes. The home also holds regular resident meetings encouraging feedback and ideas. The organisation also has a positive philosophy towards user involvement and the Directors welcome feedback to enable the service to continue to develop. Camelot Lodge Residential Care Home DS0000023373.V262987.R01.S.doc Version 5.0 Page 10 Camelot Lodge Residential Care Home DS0000023373.V262987.R01.S.doc Version 5.0 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 and 17. Residents are able to take part in a range of activities in the home and local community. A healthy, balanced diet is offered. EVIDENCE: Some residents access local community resources such as colleges, day centres and work experience projects. Identified needs are documented by the staff team and monitored to demonstrate progress towards goals. Personal plans have been developed by the registered manager to encourage service users to work 1 to 1 with their key workers to identify aspirations and work to achieve them in a structured and supportive manner. The home ensures that a good range of activities are available to service users both in and out of the home. These include leisure activities such as cinema and theatre trips. Interest groups and individual activities in the home are arranged dependent on the wishes of the service user group. A number of service users attend regular groups at the sister home including arts and crafts, cooking and other life skills. Service users have the opportunity of an annual holiday. Menu records were viewed, which show that a varied and healthy diet is offered, with choices available at every mealtime. A number of residents made very positive comments about the quality of food available in the home. Where Camelot Lodge Residential Care Home DS0000023373.V262987.R01.S.doc Version 5.0 Page 12 a resident has special dietary needs the home ensures that this is catered for and additional support is requested from dieticians where required. The dining room has recently been attractively refurbished, which also attracted many positive comments. Mealtimes are relaxed and unhurried, with service users being able to choose when and where to eat. Residents are involved in the planning of meals and can take part in the preparation of some meals. Camelot Lodge Residential Care Home DS0000023373.V262987.R01.S.doc Version 5.0 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): 21. Issues surrounding ageing, illness and death are sensitively handled. EVIDENCE: The home has developed adequate policies and procedures in relation to illness and death covering all relevant issues. The home monitors the changing needs and healthcare issues of service users, ensuring that needs continue to be met. The home liaises with families and significant others as appropriate. Where a service user suffers with illness additional specialist support is received as required. Camelot Lodge Residential Care Home DS0000023373.V262987.R01.S.doc Version 5.0 Page 14 Concerns, Complaints and Protection The intended outcomes for Standards 22 – 23 are: 22. 23. Service users feel their views are listened to and acted on. Service users are protected from abuse, neglect and self-harm. The Commission considers Standards 22, and 23 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 22 and 23. There is a comprehensive complaints procedure and ethos in place. EVIDENCE: The organisation has developed a clear, accessible and comprehensive complaints process covering all relevant aspects. The registered manager aims to deal with any concerns on an informal basis in the first instance, but should the complainant be unsatisfied thereafter then the formal processes would be referred to. The company directors take a ‘hands on’ approach and are available to address any issues that occur. There are a variety of forums available for service users such as resident meetings, key worker meetings and satisfaction questionnaires for views to be raised. There are clear policies and procedures in place to ensure that service users are protected from abuse. Staff cover these issues through the induction process and are provided with additional training in this regard. The home’s processes with regard to service users finances are clear and ensure safety in all respects. The registered manager has a good understanding of issues surrounding adult protection protocols and POVA lists. Camelot Lodge Residential Care Home DS0000023373.V262987.R01.S.doc Version 5.0 Page 15 Environment The intended outcomes for Standards 24 – 30 are: 24. 25. 26. 27. 28. 29. 30. Service users live in a homely, comfortable and safe environment. Service users’ bedrooms suit their needs and lifestyles. Service users’ bedrooms promote their independence. Service users’ toilets and bathrooms provide sufficient privacy and meet their individual needs. Shared spaces complement and supplement service users’ individual rooms. Service users have the specialist equipment they require to maximise their independence. The home is clean and hygienic. The Commission considers Standards 24, and 30 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 24, 26, 27, 28 and 30. The home is suitable for the needs of the service users. There is adequate space throughout and good standards of cleanliness. EVIDENCE: The home is comfortable, well maintained and spacious. There is only one double bedroom, which is shared by two people who are happy to do so. All bedrooms are of adequate sizes and have been personalised according to individual taste. There are adequate numbers of toilet and bathing facilities throughout the building, with redecoration planned or completed for the main bathrooms. There is adequate communal space with a large, homely lounge and a dining/activity room, which has been recently refurbished to a good standard. There is a small, but functional garden to the rear of the home, that is accessible to service users providing they have reasonable levels of mobility. The home is maintained to a good standard of cleanliness and hygiene. The laundry facilities are adequate for the needs of the home. They are located in a room off the kitchen, but a policy is in place to ensure that laundry is not taken through at times when food is being prepared. The home has adequate policies and procedures in place regarding the control of infection and some staff have had additional training in this regard. Camelot Lodge Residential Care Home DS0000023373.V262987.R01.S.doc Version 5.0 Page 16 Staffing The intended outcomes for Standards 31 – 36 are: 31. 32. 33. 34. 35. 36. Service users benefit from clarity of staff roles and responsibilities. Service users are supported by competent and qualified staff. Service users are supported by an effective staff team. Service users are supported and protected by the home’s recruitment policy and practices. Service users’ individual and joint needs are met by appropriately trained staff. Service users benefit from well supported and supervised staff. The Commission considers Standards 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): 31, 32, 33, 34, 35 and 36. Staff have clear roles and responsibilities. The home offers good training, NVQ and career development opportunities. There are adequate numbers of staff on duty at all times with suitable recruitment practices in place. Staff are adequately supervised. EVIDENCE: There is a stable and relatively experienced staff team in place who are clear about their roles and responsibilities. All staff work through an induction programme and are provided with job descriptions and other staff information. The home is working positively towards NVQ targets for all staff and is currently in excess of the 50 of NVQ qualified staff required. There are adequate numbers of staff on duty at all times. At least 2 members of staff are on duty at all times with additional staff rostered to meet the needs of the home. The registered manager is on duty mainly during office hours and there is an effective on-call system for out of hours issues. In the event of emergencies further staffing cover can be provided from the sister home, which is located nearby. There are relatively low sickness and turnover rates. The registered manager and directors review staffing levels where the needs of the service user group change. A number of recruitment files were viewed, which contained well-organised and detailed information including two references, application forms and CRB/POVA checks. It was noted that references for staff who have been employed through overseas agencies were addressed to ‘Whom it may concern’. It was discussed with the home’s management that these need to be Camelot Lodge Residential Care Home DS0000023373.V262987.R01.S.doc Version 5.0 Page 17 addressed specifically to the employer. The registered manager agreed to take this issue up with the recruitment agency. Refer to recommendation 1. Training records were viewed showing that all mandatory training is up to date and the organisation continues to provide positive support to staff to enable to develop training needs and knowledge through additional courses and the organisation’s own internet training resources. The registered manager provides regular and adequate supervision sessions on a formal basis at least once every two months Camelot Lodge Residential Care Home DS0000023373.V262987.R01.S.doc Version 5.0 Page 18 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 and 42. There is a well qualified and experience registered in the home who has developed a positive atmosphere in the home. The health, safety and welfare of service users, staff and visitors is protected. EVIDENCE: The registered manager has been in post for a number of years and is well experienced in the field of mental health care. She has achieved her NVQ4/RMA and is now investigating further management courses. She is supported by an enthusiastic staff team and hands on Directors. The registered manager has developed a positive and collaborative atmosphere in the home empowering service users to gain greater independence. The home maintains all aspects of health, safety and welfare adequately ensuring maintenance checks are routinely carried out, updating policies and procedures regarding safe working practices and providing good staff training. Environmental risk assessments are completed and the home complies with the requirements of the fire and environmental health departments. Fire safety records and accident logs were up to date and maintained to a satisfactory standard. Camelot Lodge Residential Care Home DS0000023373.V262987.R01.S.doc Version 5.0 Page 19 Camelot Lodge Residential Care Home DS0000023373.V262987.R01.S.doc Version 5.0 Page 20 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Adults 18-65 have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME CONCERNS AND COMPLAINTS Standard No 1 2 3 4 5 Score X 3 X 3 X Standard No 22 23 Score 3 3 ENVIRONMENT INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score 3 X 3 3 X Standard No 24 25 26 27 28 29 30 STAFFING Score 3 X 3 3 3 X 3 LIFESTYLES Standard No Score 11 X 12 3 13 3 14 3 15 X 16 X 17 Standard No 31 32 33 34 35 36 Score 3 3 3 2 3 3 CONDUCT AND MANAGEMENT OF THE HOME 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score X X X 3 Standard No 37 38 39 40 41 42 43 Score 3 4 X X X 3 X Camelot Lodge Residential Care Home DS0000023373.V262987.R01.S.doc Version 5.0 Page 21 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. Standard Regulation Requirement Timescale for action RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1 Refer to Standard YA34 Good Practice Recommendations To ensure that references for all staff are addressed to the organisation. Camelot Lodge Residential Care Home DS0000023373.V262987.R01.S.doc Version 5.0 Page 22 Commission for Social Care Inspection Kent and Medway Area Office 11th Floor International House Dover Place Ashford Kent TN23 1HU 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 Camelot Lodge Residential Care Home DS0000023373.V262987.R01.S.doc Version 5.0 Page 23 - 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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