Inspection on 01/06/05 for Camelot Nursing Home

This inspection was carried out on 1st June 2005.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Poor. 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 01/12/05

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 Diane Peel 1 st Unannounced June 2005, 09.00am, V222462 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 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 H60-H11 S24127 Camelot V222462 020605 Stage 4.doc Version 1.30 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 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 Mrs S Munroe Vacant CRH 30 Category(ies) of OP-30 registration, with number of places Camelot Nursing Home H60-H11 S24127 Camelot V222462 020605 Stage 4.doc Version 1.30 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 26/10/04 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 H60-H11 S24127 Camelot V222462 020605 Stage 4.doc Version 1.30 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This unannounced inspection took place over 5 hours on the 1st June 2005. The inspector arrived at 9.35am and was welcomed by the new manger of Camelot Nursing Home. There were two nurses on duty, which included the manager and five care assistants. A housekeeper, a cook and a kitchen assistant were supporting the care staff. A full tour of the home took place and the majority of residents were spoken with to find out if they felt that their needs were being met. During the visit the inspector met with a social worker and a relative visiting residents living at the home. The care records of 4 residents were inspected during the visit along with other records, which showed how care needs are to be met. The records of three staff were also inspected and two staff were interviewed. The manager was available to assist the inspector and the provider was present for part of the inspection. What the service does well: Residents spoken with felt that staff are hard working and kind. Meals are varied, nicely presented and offer choice. Residents spoken with were satisfied with the standard of entertainment and activities provided. Staff and residents spoken with had confidence in the new managers approach to running the home. Camelot Nursing Home H60-H11 S24127 Camelot V222462 020605 Stage 4.doc Version 1.30 Page 6 What has improved since the last inspection? 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 H60-H11 S24127 Camelot V222462 020605 Stage 4.doc Version 1.30 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 Standards Statutory Requirements Identified During the Inspection Camelot Nursing Home H60-H11 S24127 Camelot V222462 020605 Stage 4.doc Version 1.30 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 standard(s) 5 Prospective residents, their relatives and friends have an opportunity to visit the home to look at the facilities available and assess its suitability before moving in for a trial period. EVIDENCE: One resident explained how they had come to live at the home when their informal carer had gone on holiday. The carer had visited the home on their behalf and the resident had trusted their judgement. Camelot Nursing Home H60-H11 S24127 Camelot V222462 020605 Stage 4.doc Version 1.30 Page 9 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 standard(s) 7,8,9,and 10 Some care plans, do not give enough information to assist with all aspects of health, personal and social care needs and so residents needs may not be met. 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. Camelot Nursing Home H60-H11 S24127 Camelot V222462 020605 Stage 4.doc Version 1.30 Page 10 EVIDENCE: Individual care plans are available but they do not all ensure that all aspects of heath, personal and social care needs are met. The manager stated that she is currently updating the care planning system. Two out of the four care plans inspected were seen to be in the new format and showed a much improved plan of care which has the facility to be reviewed monthly. Records showed that the physical heath of residents is regularly monitored. All visits by Doctors and other heath care professionals are recorded and outcomes to visits detailed. Some residents spoken with were able to confirm that their medical needs are attended to by medical professionals visiting the home or by attending hospital appointments. Accidents records viewed were clear and detailed. Medication procedures are in place to protect residents from the mishandling of medicines. Records viewed were well kept and up to date. Medicines were being stored in safe lockable trolleys in a locked room. There were no controlled drugs in store. The manager confirmed that only trained nurses administer medication. Residents now have a labelled storage container in their rooms to store topical creams currently in use. Staff members were seen to speak to residents in a respectful manner; they knocked on doors before entering bedrooms and were heard to offer residents choices at lunchtime. Camelot Nursing Home H60-H11 S24127 Camelot V222462 020605 Stage 4.doc Version 1.30 Page 11 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 standard(s) 12,13,14and 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 so that they can satisfy their social and emotional needs. EVIDENCE: When the inspector arrived at Camelot Nursing Home at 9.35 am the majority of residents were either having breakfast in their rooms or in the process of being assisted to get up. The majority of residents were spoken with during the visit to the home and most had positive things to say about the staff. One resident said, “that some carers were better than others but on the whole they were very good considering the amount of work which they have to do.” Other residents commented that the staff were friendly and helpful. Camelot Nursing Home H60-H11 S24127 Camelot V222462 020605 Stage 4.doc Version 1.30 Page 12 The notice board in the entrance hall at the home was seen to advertise visiting entertainers in June and July and also gave dates for a home shopping service and a clothes show and shop at the home. A resident commented that the visiting entertainers were good and that they especially liked the lady who comes in to play the piano. Another resident said that they were looking forward to the musical visitors on the 30th June. Some residents spoken with did not want to take part in activities and events and stated that they do not feel pressured into doing so. They like to stay in their rooms and watch television or read. Residents spoke about their visitors and how they could visit whenever they wanted. The visitors book records regular visitors to the home. A visitor spoken with confirmed that they are always made to feel welcome and can visit at any reasonable time. Lunch is served in the dining room or in individual bedrooms. The tables in the dining room were set in attractive pink table covers with matching serviettes. The meal was roast chicken, cauliflower, potatoes, carrots and brussel sprouts. Two residents in the dining room had a variation from the main meal. One had soup and bread and the other chose to have the main meal but without the chicken. There was a choice of desserts but most residents had pears. All residents spoken with during the inspection were satisfied with the standard of food and said that they could ask for something different if they didn’t want what was on the menu. Camelot Nursing Home H60-H11 S24127 Camelot V222462 020605 Stage 4.doc Version 1.30 Page 13 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 standard(s) 16 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. 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 has been no complaints made directly to the Commission for Social Care Inspection (CSCI) since the last inspection and there have been no complaints entered in the homes own record of complaints since the last complaint investigated by the CSCI. A visitor spoken with during the visit assured the inspector that they knew how to make a complaint and felt that if they had any complaints that they would be acted upon. Camelot Nursing Home H60-H11 S24127 Camelot V222462 020605 Stage 4.doc Version 1.30 Page 14 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 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. The management and staff have made much improvement to the cleanliness and hygiene in the home. Residents now have a clean home to live in. Comfortable bedrooms are provided which residents have personalised to make homely. Aids and adaptations are available but some are in need of maintenance or replacing to ensure the comfort of residents. The hot water supply is unreliable and so residents cannot always have a good wash or bath. Camelot Nursing Home H60-H11 S24127 Camelot V222462 020605 Stage 4.doc Version 1.30 Page 15 EVIDENCE: The inspector toured the home, visiting every resident’s private accommodation and all other areas of the home. Camelot Nursing Home was observed to be clean and fresh, well maintained and a pleasant home for residents to live in. Many residents have brought personal items to display in their rooms. Some residents have brought small items of furniture to the home. During the visit one resident reminded the inspector that their access to the office, main entrance and conservatory is limited because of a step. The resident has to rely on help from care staff. This matter has been brought to the attention of the provider at the previous inspection and will now become a statutory requirement following this visit to the home. A hand rail positioned at the side of the toilet to assist residents in a downstairs bathroom was seen to be rusty and in need of repair/replacement to ensure the comfort of residents and to promote infection control. One commode chair was seen to be in need of a thorough clean to promote infection control. Two residents mentioned that there was a continuing problem with the lack of hot water. One resident had not been able to have a bath because of this and another resident said that their had not been any hot water for a proper wash. This matter was discussed with the manager during the inspection and she assured the inspector that a plumber had been asked to attend to the problem, however this is problem is ongoing at the home and a solution must be achieved. Camelot Nursing Home H60-H11 S24127 Camelot V222462 020605 Stage 4.doc Version 1.30 Page 16 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 considers Standards 27, 29, and 30 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 27,29,30 The staffing numbers are set at level, which allows residents assessed needs to be met. Recruitment procedures do not safeguard and protect residents at the home. Staff are provided with the training to do their jobs to make sure that residents assessed needs can be met. EVIDENCE: When the inspector arrived at 9.35 am there were two nurses and five carers on duty. The rotas show that between 2pm and 8pm there is one trained nurse and four carers on duty. Between 8pm and 8am the next day there is one trained nurse and two carers on duty. The staff files of three members of staff were fully inspected during the visit and other records were viewed to make sure that CRB and POVA clearance is sought for all staff. Records showed that four staff did not have the results of checks on file. The inspector was told by the manager that the documents for two staff have recently been sent to the Criminal Records Bureau but this was after they had started work at the home. There was no record of an application for the two other members of staff available. This practice does not provide protection to residents living at the home. Camelot Nursing Home H60-H11 S24127 Camelot V222462 020605 Stage 4.doc Version 1.30 Page 17 Staff interviewed told the inspector that the training which they had been able to attend in the past year provided them with skills to assist them do the their jobs. Staff records viewed showed that training in the past year included: health and safety, fire safety, and manual handling and, food hygiene. Camelot Nursing Home H60-H11 S24127 Camelot V222462 020605 Stage 4.doc Version 1.30 Page 18 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 33, 35 and 38 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 37 and 38 The homes record keeping does not fully safeguard the resident’s best interests. Staff are able to undertake safe working practices, to ensure the safety and welfare of residents. Some practices do not promote and safeguard the health and safety of residents living at the home. Camelot Nursing Home H60-H11 S24127 Camelot V222462 020605 Stage 4.doc Version 1.30 Page 19 EVIDENCE: Staff records do not all include evidence of Criminal Record Bureau and POVA clearance, to protect the safety of residents. Staff records showed that staff are given the opportunity to increase their knowledge and awareness of working safely by attending regular training. Procedures for protecting residents against the spread of a fire are not being adhered to. During the visit sixteen bedroom doors were observed to be wedged open. The rear door of the lounge, which is a fire door, could not be fully opened because it was being blocked from the inside by an armchair. Two windows on the upper floor were found to not have window restrictors in place; this could place residents at risk of falling. Camelot Nursing Home H60-H11 S24127 Camelot V222462 020605 Stage 4.doc Version 1.30 Page 20 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 ENVIRONMENT Standard No 1 2 3 4 5 6 Score Standard No 19 20 21 22 23 24 25 26 Score x x x x 3 x HEALTH AND PERSONAL CARE Standard No Score 7 2 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 1 2 3 1 3 3 1 2 STAFFING Standard No Score 27 3 28 x 29 1 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score Standard No 16 17 18 Score 3 x x x x x x x x 1 1 Camelot Nursing Home H60-H11 S24127 Camelot V222462 020605 Stage 4.doc Version 1.30 Page 21 yes 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 22,19 Regulation 23.2(n) Requirement After consultation with an occupational therapist suitable adaptions must be made to allow residents to access all parts of the building as required. The provider must inform the CSCI as to what action has been taken to make sure that there is constent hot water at the home to enable residents to have a bath or wash when they wish. A criminal record bureau and protection of vulnerable adult clearence must be requested for all new staff before they start work at the home. Window restrictors should be in place for all windows above ground floor level. (Timescale of 15/11/04 not met) The Fire Officer must be consulted about the practice of wedging beroom doors open.(the provider should inform the CSCI of what action has been taken within 28 days of the inspection) Timescale for action 1st August 2005 2. 25 12.1 1st August 2005 3. 29,37 19 1st June 2005 4. 38,19,25 13.4(a)(c) 1st June 2005 1st June 2005 5. 38 23.4 Camelot Nursing Home H60-H11 S24127 Camelot V222462 020605 Stage 4.doc Version 1.30 Page 22 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 7 38 26 26 Good Practice Recommendations All care plans care plans must be expanded to provide clear guidence to staff on actions to be taken to meet all their heath and welfare needs Sharps boxes should be dated on opening to make sure that they are returned after three months or when full. This ensures effective disposal of clinical waste. All commodes frames Should be regulaly cleaned The hand rail in the bathroom downstaires should be replaced or repainted. Camelot Nursing Home H60-H11 S24127 Camelot V222462 020605 Stage 4.doc Version 1.30 Page 23 Commission for Social Care Inspection 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 H60-H11 S24127 Camelot V222462 020605 Stage 4.doc Version 1.30 Page 24 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. 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