Inspection on 27/07/05 for Camelot Lodge Residential Care Home

This inspection was carried out on 27th July 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... 12/12/05

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 19 Christchurch Road Folkestone Kent CT20 2SJ Lead Inspector Joseph Harris Unannounced 27/07/05 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 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 Stationary 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 H56-H05 S23373 Camelot Lodge V236709 270705 Stage 4.doc Version 1.40 Page 3 SERVICE INFORMATION Name of service Camelot Lodge Address 19 Christchurch Road, Folkestone, Kent CT20 2SJ Telephone number Fax number Email address Name of registered provider(s)/company (if applicable) Name of registered manager (if applicable) Type of registration No. of places registered (if applicable) 01303 251215 01303 267886 info@kentcare.com ACL Care Homes Limited Mrs Linda Patricia Davis Registered Care Home 12 Category(ies) of Mental Disability registration, with number of places Camelot Lodge H56-H05 S23373 Camelot Lodge V236709 270705 Stage 4.doc Version 1.40 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 12/01/05 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. The service caters for people with longer term mental health problems and is considered a home for as long as someone needs it. Camelot Lodge H56-H05 S23373 Camelot Lodge V236709 270705 Stage 4.doc Version 1.40 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was an unannounced inspection that took place on 27th July 2005. The inspection lasted for around 4.5 hours. During the visit a range of documentation was viewed including information relating to service users, health and safety and other records. A tour of the premises was also undertaken. Discussions were also held with the registered manager, staff and service users. The home maintains a good standard of care and continues to develop as a service. No requirements were made as a result of this inspection. What the service does well: What has improved since the last inspection? The registered manager and staff team have continued to develop the care planning processes, which now offer improved levels of guidance for staff to promote a consistent approach. The team have also introduced a new system Camelot Lodge H56-H05 S23373 Camelot Lodge V236709 270705 Stage 4.doc Version 1.40 Page 6 assisting service users to focus on short and long-term goals with their key workers. Personal profiles have also been developed providing a good overview of service users needs, wishes and aspirations. The environment continues to be well maintained and any maintenance issues are identified and addressed in a timely fashion. 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 H56-H05 S23373 Camelot Lodge V236709 270705 Stage 4.doc Version 1.40 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 Standards Statutory Requirements Identified During the Inspection Camelot Lodge H56-H05 S23373 Camelot Lodge V236709 270705 Stage 4.doc Version 1.40 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 standard(s) 1, 3, 5. Prospective service users are provided with adequate information to enable them to make an informed choice about the home and know that their needs and aspirations will be met. All service users receive a statement of terms and conditions of residency. EVIDENCE: The home has developed a clear statement of purpose outlining the key aspects of the service and a service users guide ensuring that prospective service users are aware of the facilities and services available. The documents are regularly reviewed and updated. The home has developed positive links with specialist community mental health services and other healthcare facilities. The staff team have a good level of knowledge about general mental health issues and those specific to the service users. The needs and preferences of people with minority interests are considered and catered for as required. There is a strong process of assessment prior to any new service users entering the home and good systems for on going review ensuring that the service continues to meet the needs of service users. The registered manager is also developing a monthly goal setting tool, which is completed by service users with support from their key workers. This provides an opportunity for residents to clearly identify short and long-term goals and aspirations and enables the staff team to help the individuals to work towards these goals in a positive and structured manner. Camelot Lodge H56-H05 S23373 Camelot Lodge V236709 270705 Stage 4.doc Version 1.40 Page 9 A comprehensive statement of terms and conditions of residency has been developed and is signed and agreed by service users and/or their representatives on admission to the home. This contract covers all relevant areas of residency. Camelot Lodge H56-H05 S23373 Camelot Lodge V236709 270705 Stage 4.doc Version 1.40 Page 10 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 standard(s) 6, 7, 9 and 10. Individual plans are developed for all service users. Service users are enabled to make decisions about their lives. There is a positive risk management process. Information relating to service users is handled in a confidential manner. EVIDENCE: A number of individual support plans were viewed, which have been further developed since the last inspection. There is still room for greater detail to enable staff to consistently address the needs of service users and provide support. However the plans are completed in sufficient detail and are developed with service users and reviewed on a regular basis. The plans are accessible and easy to read covering salient issues. Each plan has a personal profile outlining preferences, likes and dislikes. This profile also provides a good overview of the needs and risks associated for each resident. If a particular issue is prevalent at any one time a management plan is developed providing very clear guidance for all staff. Key workers support service users to identify short and long-term goals including measures to enable individuals to work towards achieving those goals. Service users are enabled to make decisions about their lives and there is a good ethos of empowerment. Service users are given information to make Camelot Lodge H56-H05 S23373 Camelot Lodge V236709 270705 Stage 4.doc Version 1.40 Page 11 informed choices about their lives, which are documented and monitored. One service user stated that “staff help me to do what I want to do and another resident said that the staff are “very supportive”. The home does not take on an appointee role and service users are supported to manage their own finances where appropriate. The home has a positive process of risk management enabling service users to take responsible risks supported by the staff team. Risks are clearly identified in the support plans and are regularly reviewed. Changing needs are monitored and addressed as required through support plans and risk assessments. Service user information is handled in a confidential manner and kept securely. The induction process in the home covers the boundaries confidentiality and staff demonstrated a good awareness of these issues. Camelot Lodge H56-H05 S23373 Camelot Lodge V236709 270705 Stage 4.doc Version 1.40 Page 12 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 standard(s) 11, 12, 13, 14, 15 and 16. Service users have opportunities for personal development and leisure activities within the local community. Residents are enabled to maintain personal relationships and rights and responsibilities are respected. EVIDENCE: Service users are assisted to work towards personal goals and have opportunities for personal development. Staff work positively with service users to support them to achieve these targets and develop greater independence. 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 Camelot Lodge H56-H05 S23373 Camelot Lodge V236709 270705 Stage 4.doc Version 1.40 Page 13 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. One service users said that he had “flown for the first time to Spain and now I can’t wait for my next holiday”. Two residents returned from a trip together to the shops and have organised a book lending arrangement with each other. The home assists service users to maintain and develop relationships. Families and friends are welcomed into the home and staff showed excellent awareness of the impact that visits can have for some individuals, therefore managing this sensitively. Service users have built positive relationships within the home and have opportunities to develop friendships with others. Advice is given on sexuality and intimate relationships where appropriate. Staff allow service users to choose how to arrange their day-to-day lives and only intervene where there is an assessed need. Residents choose times for getting up and going to bed and when and what to eat. Support is provided when required by staff. Residents hold keys to allow freedom of movement. There is an expectation that people contribute to the upkeep of the home, completing household tasks. There are clear rules for smoking and drinking, etc. Camelot Lodge H56-H05 S23373 Camelot Lodge V236709 270705 Stage 4.doc Version 1.40 Page 14 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 standard(s) 18, 19 and 20. Service users receive appropriate personal support and their healthcare needs are met. Medication arrangements meet all relevant requirements. EVIDENCE: Service users are provided with personal support in a sensitive and dignified manner. The majority of service users are fully self-caring and only require support and encouragement. Levels of support are clearly documented and preferences in relation to this are understood by the staff team. Service users are encouraged to verbalise their needs and are enabled to do so. Where intimate support is required this is provided in private and sensitively. There is a key worker system in operation and the home liaises well with specialist community healthcare services. All service users are registered with a local GP of their choice and receive input from psychiatric services and other complimentary healthcare services such as chiropodists and dentists. The home documents healthcare issues clearly and ensures that on going needs are monitored and addressed as appropriate. Staff support service users to attend appointments with healthcare professionals. The home has clear policies and procedures relating to medication and enable service users to self-medicate where appropriate. Medication records were well maintained and up to date and storage facilities adequate for the needs of the home. Staff administering medication are provided with adequate training. Camelot Lodge H56-H05 S23373 Camelot Lodge V236709 270705 Stage 4.doc Version 1.40 Page 15 Camelot Lodge H56-H05 S23373 Camelot Lodge V236709 270705 Stage 4.doc Version 1.40 Page 16 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 standard(s) 22 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. Camelot Lodge H56-H05 S23373 Camelot Lodge V236709 270705 Stage 4.doc Version 1.40 Page 17 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 standard(s) 24 and 30 The home is comfortable, safe, clean and hygienic. EVIDENCE: The home has been maintained to a good standard throughout and maintenance and redecoration issues are monitored and addressed in a timely fashion. There is adequate communal space for the needs of the home including a large dining room and a homely and well equipped lounge. The premises are bright, well ventilated and clean. There is access to good facilities and public transport in the local vicinity. The home meets the requirements of the fire and environmental health departments. There is a small, but well proportioned garden to the rear of the home. On inspection the home was clean, hygienic and free from offensive odours. There are adequate hand washing facilities throughout and the laundry facilities are adequate for the needs of the service. There are policies and procedures in place for the control of infection, which are adhered to. The housekeeper has also achieved an NVQ in domestic duties. Camelot Lodge H56-H05 S23373 Camelot Lodge V236709 270705 Stage 4.doc Version 1.40 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 35 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 33 and 35. There are sufficient and competent staff team in the home and a positive staff development programme. EVIDENCE: There is an effective and relatively experienced staff team in the home. Some of the staff have worked in the home for a number of years providing a stable, core team. There are sufficient 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. There are regular staff meetings and a positive culture of inclusion and collaboration within the organisation. The organisation has developed a good staff training and development programme. Mandatory training requirements are maintained and staff are able to access additional courses as required such as adult protection training and mental health issues. The home also utilises on-line training resources and has developed a website with a wide range of information and skills training. Camelot Lodge H56-H05 S23373 Camelot Lodge V236709 270705 Stage 4.doc Version 1.40 Page 19 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 39, and 42 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 39, 40 and 42. The home is well run with a positive ethos and accountable management. The health, safety and welfare of service users are protected by the organisation practices. EVIDENCE: The registered manager has been in post for a number of years and has recently achieved her NVQ 4/Registered Manager’s Award. She also continues to attend additional courses to keep her knowledge base up to date. The registered manager demonstrates positive management qualities ably supported by the company directors who take a hands on approach. There is a strong ethos of inclusion and collaboration within the home. The views and ideas of staff and service users are taken into account and acted upon. There is a clear management structure within the home and organisation, including opportunities for regular feedback about service development and new initiatives. Health and safety documentation was up to date and well maintained with evidence of routine checks relating to fire safety, utilities and services in place. Camelot Lodge H56-H05 S23373 Camelot Lodge V236709 270705 Stage 4.doc Version 1.40 Page 20 The home has well developed policies and procedures relating to welfare issues and staff receive good induction and training programmes ensuring health and safety issues are covered. Environmental risk assessments have been developed. The accident book and fire safety logs were up to date and the home complies with any requirements made by the relevant departments. Camelot Lodge H56-H05 S23373 Camelot Lodge V236709 270705 Stage 4.doc Version 1.40 Page 21 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 3 x 3 x 3 Standard No 22 23 ENVIRONMENT Score 3 x INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 LIFESTYLES Score 3 3 x 3 3 Score Standard No 24 25 26 27 28 29 30 STAFFING Score 3 x x x x x 3 Standard No 11 12 13 14 15 16 17 3 3 3 3 3 3 x Standard No 31 32 33 34 35 36 Score x x 3 x 4 x CONDUCT AND MANAGEMENT OF THE HOME PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Camelot Lodge Score 3 3 3 x Standard No 37 38 39 40 41 42 43 Score 3 4 x x x 3 x H56-H05 S23373 Camelot Lodge V236709 270705 Stage 4.doc Version 1.40 Page 22 No Are there any outstanding requirements from the last inspection? STATUTORY REQUIREMENTS This section sets out the actions which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1. Standard 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 Good Practice Recommendations Camelot Lodge H56-H05 S23373 Camelot Lodge V236709 270705 Stage 4.doc Version 1.40 Page 23 Commission for Social Care Inspection 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. 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