Inspection on 01/12/05 for Camelot Nursing Home

This inspection was carried out on 1st December 2005.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Adequate. 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 there to be outstanding requirements from the previous inspection report but made no statutory requirements on the home.

Other inspections for this house

Camelot Nursing Home 16/10/07

Camelot Nursing Home 04/07/06

Camelot Nursing Home 01/06/05

Camelot Nursing Home 26/10/04

Camelot Nursing Home 07/06/04

Similar services:

The Shelley

Springfield House

Sutton Lodge Nursing Home

St Helier`s Residential Hotel

St Joseph`s

Ridgemount

Wingham Court

Old Hastings House

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

CARE HOMES FOR OLDER PEOPLE Camelot Nursing Home 6/8 Tennyson Road Worthing West Sussex BN11 4BY Lead Inspector Mrs D Peel Announced Inspection 1st December 2005 09:30 X10015.doc Version 1.40 Page 1 The Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Reader Information Document Purpose Author Audience Further copies from Copyright Inspection Report CSCI General Public 0870 240 7535 (telephone order line) This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI www.csci.org.uk Internet address Camelot Nursing Home DS0000024127.V260168.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 Older People. They can be found at www.dh.gov.uk or obtained from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering: www.tso.co.uk/bookshop This report is a public document. Extracts may not be used or reproduced without the prior permission of the Commission for Social Care Inspection. Camelot Nursing Home DS0000024127.V260168.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service Camelot Nursing Home Address 6/8 Tennyson Road Worthing West Sussex BN11 4BY 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) 01903 203660 Ms Susan Munro Ms Julia Galloway Care Home 30 Category(ies) of Old age, not falling within any other category registration, with number (30) of places Camelot Nursing Home DS0000024127.V260168.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 1st June 2005 Brief Description of the Service: Camelot Nursing Home is a care home able to provide personal care and nursing care for up to 30 older people. It is a detached property situated within walking distance of Worthing town centre, close to shops and other community facilities. Communal areas include: a lounge, a dining room and a conservatory. There are 24 single bedrooms and 3 double bedrooms. A number of rooms have en suite facilities with additional bathrooms and toilet facilities available throughout the home. The upper floors include two mezzanine levels that can only be accessed by stairs. Camelot Nursing Home DS0000024127.V260168.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This unannounced inspection took place over 5.5 hours on the 1st December 2005. This was the second visit to the home this year and it was carried out to complete Camelot Nursing Homes annual inspection programme for the year 2005 required by the Care Standards Act 2000. The inspector arrived at 9.25 am and was welcomed by the manger of Camelot Nursing Home. A full tour of the home took place, resident’s care records and staff records were inspected along with other documentation, which showed how care needs are to be met and how the home is being managed. During the visit the inspector spoke with five residents at length about the service and joined residents for a meal at lunchtime. One visitor took the time to discuss their relative’s care and the service being provided. The inspector spoke to a number of staff informally during the visit. Eight service user comment cards and one relative/visitors comment card was returned to the inspector prior to the visit all giving positive comments about the home. What the service does well: What has improved since the last inspection? Residents say that the home is a nicer place to live and that the manager has made “ big improvements”. Care plans have improved and now provide staff with the information, which they need to provide a care service to each resident. The décor of the home has continued to improve and there is a commitment to improve the environment. Ramps have been installed to provide level access throughout the ground floor. A new boiler has been installed to improve the provision of hot water and heating in the home. Camelot Nursing Home DS0000024127.V260168.R01.S.doc Version 5.0 Page 6 Staff records at the home have improved to make sure that all staff have Criminal Record Bureau and Protection of Vulnerable Adults checks. This is to protect residents living at the home. Residents told the inspector that they weren’t allowed to have their bedroom doors wedged open anymore. Although not all residents spoken with were happy with this they did understand that this was for their protection from a fire hazard. Windows on the upper floors now have window restrictors fitted to ensure that residents are not placed at risk. Sharps boxes are now to be dated on opening to make sure that they are returned after three months or when full. This ensures effective disposal of clinical waste. The cleaning of commodes frames has been added to the cleaning schedule and were much cleaner on the day of the visit. The hand rail in the bathroom identified to the manager at the last visit has now been repainted. 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 Nursing Home DS0000024127.V260168.R01.S.doc Version 5.0 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–6) Health and Personal Care (Standards 7-11) Daily Life and Social Activities (Standards 12-15) Complaints and Protection (Standards 16-18) Environment (Standards 19-26) Staffing (Standards 27-30) Management and Administration (Standards 31-38) Scoring of Outcomes Statutory Requirements Identified During the Inspection Camelot Nursing Home DS0000024127.V260168.R01.S.doc Version 5.0 Page 8 Choice of Home The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 1,2,3,4,5,6 Prospective residents and their families are provided with the information they need to make an informed choice about the home. There is no contract/statement of terms and conditions to ensure that residents know what is covered in the fee paid. Residents are assessed prior to moving into the home to make sure that the home can provide a care plan which residents or their families know will meet their needs. EVIDENCE: Camelot Nursing Home has a Statement of Purpose and Service User Guide, which sets out the aims and objectives of the home and describes the facilities available. This document has recently been revised to update information about the management team and enables prospective residents and their relatives/advocates to help them make a choice about where the prospective resident wants to live. At present the Service User Guide does not include a terms and conditions of occupancy/ contract which explains what the overall care and services are covered by the fee. Residents records viewed did not include a contract or Camelot Nursing Home DS0000024127.V260168.R01.S.doc Version 5.0 Page 9 statement of terms and conditions although those residents who are assisted to pay their fees by a local authority have local authority contracts. The manager gave an example of how they had been to visit a resident at their previous care home to assess that persons needs and then used the information to develop a care plan. Care plans viewed at this visit included needs assessments. A visitor to the home commented that they had been able to visit the home after it had been recommended to them by a friend. They had been able to look at the room, which had just been redecorated and thought it suitable for their relative now living at the home. Camelot Nursing Home does not offer intermediate care but can offer periods of respite care. Camelot Nursing Home DS0000024127.V260168.R01.S.doc Version 5.0 Page 10 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 7,8,9,10 Care plans provide enough information to assist with all aspects of health, personal and social care needs so that resident’s needs are being addressed. Resident’s healthcare needs are being addressed by healthcare professionals to make sure that these identified needs are being met. The medication at Camelot Nursing Home is well managed, promoting good health. Residents are treated with dignity and their right to privacy is respected. EVIDENCE: Four care plans were examined at this visit. There had been a vast improvement in the information available to staff to be able to assist residents. The plans seen had developed from assessments of need and had been regularly updated to show the changing needs of individual residents. Resident’s health care needs are recorded in their care records. Visits from other heath care professionals are recorded. Accident records viewed at this visit were clear and informative. Medication procedures are in place to protect residents from the mishandling of medicines. Records viewed were well kept and up to date. Medicines are stored in safe lockable trolleys and during the visit this was used to transport medication around the home. There were no controlled drugs in store. Camelot Nursing Home DS0000024127.V260168.R01.S.doc Version 5.0 Page 11 Residents now have a labelled storage container in their rooms to store topical creams currently in use. A resident spoken with reported that they now felt that their needs were being met. This person had asked for a lock to be fitted to their bedroom door to have a choice of locking it when they went out. The lock is now in place and the resident is satisfied that their right to privacy has been upheld. Camelot Nursing Home DS0000024127.V260168.R01.S.doc Version 5.0 Page 12 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 12,13,14,15 The home provides a lifestyle that respects privacy, dignity and choice, matching resident’s expectations and individual preferences. Meals are well managed and provide choice and variation. Residents are encouraged to maintain contact with their family and friends so that they can satisfy their social and emotional needs. EVIDENCE: Residents spoken with at length during this visit all felt that the home was trying to meet their social needs and commented upon the bingo, exercise classes and visiting entertainers who come to the home. One resident said that they go to the weekly stroke club. They commented that it was nice to be able to go out and meet a different group of people. Information provided prior to the date of the visit reported` that church services are held monthly, there are quarterly jazz sessions and special seasonal events and parties. One out of seven resident comment cards returned felt that the home doesn’t provide suitable activities whilst four cards report that suitable activities are provided and two suggested that suitable activities were sometimes provided. Discussion with the manager confirmed that further activities are being introduced such as art and crafts. Camelot Nursing Home DS0000024127.V260168.R01.S.doc Version 5.0 Page 13 A visitor to the home commented on how they feel that they are able to visit at any reasonable time and that they are always made to feel welcome. They said that “the staff are wonderful and are always carry out regular checks of their relative during the time that they are visiting”. The one relative returning a comment card reported that they were welcomed into the home and can visit in private if they wish. They felt that they are consulted about their relatives care. The inspector joined residents for lunch in the dining room. The mealtime was well organised with staff available to assist residents with their meal. Other staff were able to assist residents who eat in their bedrooms. The meal was pork casserole, boiled potatoes swede, broccoli and cabbage followed by stewed fruit and custard. The cook confirmed that diabetic diets are provided. Five out of the seven residents returning comment cards to the inspector reported that they liked the food whist two residents reported that they sometimes liked the food. All residents spoken with in private on the day of the visit said that they still liked the food. Camelot Nursing Home DS0000024127.V260168.R01.S.doc Version 5.0 Page 14 Complaints and Protection The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 16,18 There is a clear complaints procedure, which enables those using the service to have the confidence that their complaint will be responded to within a maximum of 28 days. Residents are protected by the homes adult protection procedure and staff have attended training in how to protect vulnerable adults. EVIDENCE: The complaints procedure is included in the Service Users Guide and on display in the entrance hall. It assures residents, relatives and visitors that all complaints will be taken seriously and acted upon. There have been no complaints made directly to the Commission for Social Care Inspection (CSCI) since the last inspection. There has been three complaints made directly to the manager. Records showed that the homes complaints procedure had been followed and the investigations into the complaints thoroughly documented. Information provided prior to the visit to the home confirmed that the home has its own policies and procedures for responding to suspicion or evidence of abuse or neglect in addition to the West Sussex Multi-Agency Policy for protecting vulnerable adults from abuse. Staff training records viewed showed that training has been provided for the majority of staff to ensure that those in daily contact with residents are aware of their responsibilities in recognising and reporting abuse. Camelot Nursing Home DS0000024127.V260168.R01.S.doc Version 5.0 Page 15 Environment The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 19,20,21,22,23,24,25,26 There is an ongoing maintenance plan to improve the decoration of the home, which is providing the residents living at the home with a more homely, safe, comfortable surroundings. Bathrooms have been redecorated to provide more modern facilities for residents. Comfortable bedrooms are provided which residents have personalised to make homely. Access is limited to two mezzanine floors making it difficult for residents with poor mobility to use communal space. The sluicing facilities at the home do not readily provide good infection control practices. EVIDENCE: The inspector visited all parts of the home during this visit and found the home to be clean and well maintained. In the past year there have been many improvements made to the environment, which has made the home feel more homely and comfortable. Camelot Nursing Home DS0000024127.V260168.R01.S.doc Version 5.0 Page 16 Since the last visit the lounge has been redecorated and with permission from the Fire officer an unused door has been sealed. Four more bedrooms have been redecorated, continuing the ongoing programme of redecorating bedrooms. Two more bathrooms have been redecorated, with a new shower being provided in one. Ramps have been installed to provide level access throughout the ground floor and safety gates have been fitted to the cellar doorways. There are plans to install a reconditioned stair lift to one of the mezzanine floors to provide better access for residents accommodated in the rooms on this floor. The hand rail in the bathroom identified to the manager at a previous visit has now been repainted. The boiler has now been replaced to over come the problems, which the home had been experiencing with, lack of hot water. Records of hot water temperatures seen showed that water temperature continue to be monitored. The home has two sluices. The downstairs sluice had an unpleasant smell and is in need of servicing. The upstairs sluice room is not well planned with little access to the wash hand basin, which could not be accessed without squeezing past the clinical waste bin. Camelot Nursing Home DS0000024127.V260168.R01.S.doc Version 5.0 Page 17 Staffing The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users’ needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission consider all the above are key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 27,28,29,30 The staffing numbers are set at a level, which allows residents assessed needs to be met. Recruitment procedures have improved and procedures are taken to protect residents at the home. The staff-training programme provides staff with the majority of skills, which they need to do their job, and enables them to provide a reasonably safe environment for residents. EVIDENCE: There is a core staff team at the home, who offer consistency to the residents. Staffing levels are set to meet the changing needs of residents. Rotas provided show that there is ancillary staff provided to support the care team. Six out of 15 care staff hold the equivalent of an N.V.Q level 2 or above, qualification, which does not yet meet the target of 50 by 2005. Staff records seen at this visit had improved since the last visit. There remains two outstanding CRB/POVA checks, which have yet to be returned from the Criminal Record Bureau. A recommendation has been made that the manager confirms when these have been retuned from the Criminal record Bureau. Camelot Nursing Home DS0000024127.V260168.R01.S.doc Version 5.0 Page 18 Training records show that staff have the opportunity to attend training, which in the past year has, include: Adult Abuse Infection Control Food Hygiene Moving and Handling Fire Training First Aid Health and Safety Camelot Nursing Home DS0000024127.V260168.R01.S.doc Version 5.0 Page 19 Management and Administration The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. Service users’ rights and best interests are safeguarded by the home’s record keeping, policies and procedures. The health, safety and welfare of service users and staff are promoted and protected. The Commission considers Standards 31, 33, 35 and 38 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 31,33,35,38 The home is well managed providing leadership and guidance for staff. The provider cannot demonstrate the regular monitoring of the homes performance to ensure that resident’s needs are being met. The views of resident’s families and friends are not being sought to measure how successful the home is at meeting its aims and objectives and the Statement of Purpose of the home Some practices do not promote and safeguard the health and safety of residents living at the home. EVIDENCE: The manager has over two years experience as a manager and is a registered nurse. This standard is not fully met as the manager has not undertaken a management qualification by the target date of 2005 but has successfully registered on a course, which begins in January 2006. Residents spoken with all had complimentary things to say about the new manager. One comment made was that “she is a working matron’, helping on Camelot Nursing Home DS0000024127.V260168.R01.S.doc Version 5.0 Page 20 the floor. She is very kind” Another resident said “she has turned the place around in 6 months” A visitor to the home commented that the manger was very approachable. There is no formal quality assurance system in use at the home, which seeks the views of residents and measures its success in meeting the aims and objectives and Statement of Purpose of the home. The provider has not provided the CSCI with monthly written reports of unannounced visits to the home as required by Regulation 26 of the Care Homes Regulations 2001. Monies are kept on behalf of a few residents living at the home. There are detailed records kept of transactions made. These were sampled by the inspector and found to be in good order. Two heath and safety matters came to the attention of the inspector during this visit: COSHH materials were being stored in unlocked sluice rooms in large quantities. The fire exit at the front to the house was bolted shut and the bolt was at a level, which could not be reached. Camelot Nursing Home DS0000024127.V260168.R01.S.doc Version 5.0 Page 21 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 2 1 3 3 3 N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 3 10 3 11 x DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 x 18 3 2 3 3 2 3 3 3 2 STAFFING Standard No Score 27 3 28 2 29 2 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 2 x 1 x 3 x x 1 Camelot Nursing Home DS0000024127.V260168.R01.S.doc Version 5.0 Page 22 Are there any outstanding requirements from the last inspection? yes 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 OP2 Regulation 5(b)(c) Requirement All residents must have a contract/statement of terms and conditions of residency at the home. A formal quality assurance system must be established Monthly reports must be forwarded to the CSCI and the registered manager. COSHH materials must be kept in a locked cupboard. The fire officer must be consulted with regard to the bolt on the front door. Timescale for action 01/03/06 2 3 4 5 OP33 OP33 OP38 OP38 24.1 26 13.4 13.4 01/03/06 01/02/06 02/12/06 01/02/06 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1 2 Refer to Standard 1 19/22 Good Practice Recommendations The statement of purpose and service user guide should be expanded to include all items listed in standard 1.2 The provider should action has been taken to ensure that residents who have bedrooms on the mezzanine floors can DS0000024127.V260168.R01.S.doc Version 5.0 Page 23 Camelot Nursing Home 3 4 5 6 26 28 29 31 access communal areas. It is recommended that the sluice rooms are improved Further care staff should be encouraged to take undertake a NVQ in Care. The manager should confirm when the two outstanding Criminal record Bureau checks have been returned. The manger should confirm when they have finished their management qualification. Camelot Nursing Home DS0000024127.V260168.R01.S.doc Version 5.0 Page 24 Commission for Social Care Inspection Worthing LO 2nd Floor, Ridgeworth House Liverpool Gardens Worthing West Sussex BN11 1RY 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 Nursing Home DS0000024127.V260168.R01.S.doc Version 5.0 Page 25 - 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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