Inspection on 16/10/07 for Camelot Nursing Home

This inspection was carried out on 16th October 2007.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Good. The way we rate inspection reports is consistent for all houses, though please be aware that this may be different from an official CSCI judgement.

The inspector 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 Nursing Home 04/07/06

Camelot Nursing Home 01/12/05

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 A Taggart Announced Inspection 16th October 2007 09:45 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.V347387.R01.S.doc Version 5.2 Page 2 This is a report of an inspection to assess whether services are meeting the needs of people who use them. The legal basis for conducting inspections is the Care Standards Act 2000 and the relevant National Minimum Standards for this establishment are those for Care Homes for 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.V347387.R01.S.doc Version 5.2 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 F/P 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.V347387.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. One service user under 65 years of age. Date of last inspection 4th July 2006 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, one, which can be accessed by a stair lift, and the other, which can only be accessed by stairs. Current fees are £425 to £800 per week and extra charges are made for hairdressing, chiropody and toiletries. Camelot Nursing Home DS0000024127.V347387.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. In preparation for the visit an Annual Quality Assurance Assessment (AQAA) was sent to the manager of the home for completion. This is a document where the manager gives us current information about the home. The AQAA was returned to CSCI within the given timescales and it contained comprehensive information. Survey forms were sent to service users, families and professionals involved in the home. Six service user, five family and three professionals surveys were returned, all were positive about the standards in the home and comments from these have been used in the report. We read the last two inspection reports and any other relevant documentation and correspondence relating to the home. The visit was carried out at 9.45am and lasted for 5 hours. The home had been advised the day before that the visit was being undertaken because the inspector was being accompanied by David Mowat from the Department of Health, who was observing the inspection process. David was building his knowledge of social care inspection to help development of a new regulatory system for both health and social care, planned for the future. We spent time talking with service users both in their private bedrooms and in communal areas and we also spoke with two regular visitors the home and the staff on duty. Four care plans with all supporting documentation were tracked and any issues that we needed to know more about were discussed with the service user or the staff team on duty. Four staff files were seen and all contained the required documentation including a current Criminal Bureau Check (CRB) We saw the main meal of the day being prepared and served, looked at food records and spoke to service users about their satisfaction with the choice of meals being provided. Records for the running of the business were seen including fire check and staff fire training, the complaints book, accidents and incidents reports and health and safety records. The Registered Manager Mrs. Galloway was present in the home and received feedback following the visit. Camelot Nursing Home DS0000024127.V347387.R01.S.doc Version 5.2 Page 6 What the service does well: What has improved since the last inspection? There have been a number of improvements made to the environment. The outside of the house has been painted and the drive resurfaced. Several bedrooms have been refurbished and new carpets purchased. In order to ensure that people have the specialist equipment they need, several new adjustable beds and reclining chairs have been purchased and a new larger bathroom is being fitted with a specialist bath. Camelot Nursing Home DS0000024127.V347387.R01.S.doc Version 5.2 Page 7 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. The summary of this inspection report can be made available in other formats on request. Camelot Nursing Home DS0000024127.V347387.R01.S.doc Version 5.2 Page 8 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.V347387.R01.S.doc Version 5.2 Page 9 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. JUDGEMENT – we looked at outcomes for the following standard(s): 1 3 5 and 6 Outcomes for service users in this area are considered good. This judgement has been made using available evidence including a visit to this service. Prospective service users and their families can be confident that they will be given information about the home, that their needs will be assessed and recorded and that they will be able to make visits to the home prior to moving in. EVIDENCE: The home has a Statement of Purpose and Service User Guide in place and in the AQAA the manager tells us that these documents can be provided in a variety of formats to suit individual requirements. In order to ensure that the home can meet the diverse needs of prospective service users, a thorough pre-admission assessment procedure is carried out and both service users and families confirmed that they were involved in the process Camelot Nursing Home DS0000024127.V347387.R01.S.doc Version 5.2 Page 10 We saw the records of one recently admitted person and the assessment contained comprehensive information about both the social and nursing support that the person would need and a contract of terms and conditions of residency had been agreed and signed. Comments from a service users and a family member included, “ We were treated with nothing but kindness when we visited the home and the manager came to where I was living and spoke to me about what the home could offer and the care I would need”. Evidence is also available in records to show that the diverse needs of service users have been met for some people by the involvement of interpreters and other professionals. Camelot does not provide Intermediate Care. Camelot Nursing Home DS0000024127.V347387.R01.S.doc Version 5.2 Page 11 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. JUDGEMENT – we looked at outcomes for the following standard(s): 7 8 9 and 10 Outcomes for service user in this area are considered good. This judgement has been made using available evidence including a visit to this service. The people living in the home receive good healthcare support; have access to specialist equipment and other healthcare professionals. Medication is well managed. EVIDENCE: For each person living in the home there is care plan in place that has been developed using information gained from the pre-admission assessment. We tracked the care plans for four service users and all contained comprehensive information regarding both nursing and social needs, risk assessments, personal care routines and nutritional assessments. A number of people in the home were being nursed in bed and for these people there were up to date records of when nutritional and pressurerelieving care was given. Camelot Nursing Home DS0000024127.V347387.R01.S.doc Version 5.2 Page 12 Specialist equipment such as adjustable nursing beds are in use and in the AQAA the manager, Mrs. Galloway told us that several new specialist beds and reclining chairs had been provided in the last year. Records show that in order to meet the diverse needs of the people being cared for, the home works with a variety of healthcare professionals including local doctors, physiotherapists and mental health teams. Comments about the care provided were very positive and included, from a healthcare professional survey, “I have no concerns regarding Camelot and I am kept informed regarding the service users and asked for advice totally appropriately regarding complex issues. I feel the service does well on: respect for diversity issues, empowerment and independence as service user’s autonomy is in evidence since placement, the home corresponds with other professionals and are totally co-operative re advice and information given. I believe this is an excellent service” and from a service user, “ I was very ill indeed when I came here and if it wasn’t for the care and kindness I have received I wouldn’t be alive today”. Policies and procedures are in place regarding medication management and only trained nurses administer medication in the home. We saw the Medication Recording Sheets and medication storage and tracked the records for two controlled drugs. Medication was well managed and records were current and in good order. A service user commented on how well the home supports them in following a homeopathic regime with diet and access to advice. From speaking to service users and observing staff practice, it was clear that individual needs and wishes are taken account of and that people are treated with kindness, dignity and respect. Camelot Nursing Home DS0000024127.V347387.R01.S.doc Version 5.2 Page 13 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. JUDGEMENT – we looked at outcomes for the following standard(s): 12 13 14 and 15 Outcomes for service users in this area are considered good. This judgement has been made using available evidence including a visit to this service. The people living in the home are offered a programme of activities and entertainment, their cultural and religious beliefs are addressed and they are provided with a variety of fresh, home cooked meals. EVIDENCE: Several events including gentle keep fit, visiting musicians and a quiz were displayed in the hall of the home and people confirmed that they could choose if they wished to attend. Some people said that they preferred to stay in their rooms but also said that the staff came and spent time with them. A service user said, “ The staff are so kind, they always have time for you and are very helpful” Records show that some people attend a Stroke Club outside of the home and one person helps in the garden. Another person had a pet bird in their room, which they said was very important to them. Although it was clear that the home provides opportunities for stimulation and interest for people, attendance at sessions or outings was not recorded in daily Camelot Nursing Home DS0000024127.V347387.R01.S.doc Version 5.2 Page 14 records. This was discussed with the Mrs Galloway, who said that she would ensure that this was done in future. One service user commented that they were able to see the clergy who regularly visit the home and the care manager for another service user commented, “The home contacted our department to discuss a service user’s religious needs and to find out about the potential supply of religious material for them, showing mindfulness of diversity issues”. Visitors to the home said that they were made welcome at any time and that they were kept up to date with any concerns about their relatives. From looking at menus, food records and from talking to service users it is clear that the home provides a variety of fresh, home cooked meals. We saw lunch, which was the main meal of the day being prepared and served and service users said that it was tasty and enjoyable. Specialist diets are provided and advice is gained from a dietician. Service users confirmed that they were given a choice and that if they did not like the choice on offer another meal would be made for them. Comments included, “Since my husband has been at Camelot we couldn’t ask for better care, he is treated well by all of the staff and very well fed, the meals are excellent. We are very grateful to all concerned” and from a service user, “ I am looked after pretty well, the home contacts my GP or other services when I need it, I enjoy the bingo, music groups and arts and crafts. All meals are made at my request and if I had a complaint I would tell the qualified staff”. Camelot Nursing Home DS0000024127.V347387.R01.S.doc Version 5.2 Page 15 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. JUDGEMENT – we looked at outcomes for the following standard(s): 16 17 and 18 Outcomes for service users in this area are considered area is good. This judgement has been made using available evidence including a visit to this service. The home’s policies, procedures and working practices are designed to protect service users from risk of abuse and people can be confident that their complaints and concerns will taken seriously, recorded and acted upon EVIDENCE: The home has a complaints procedure in place, a copy of which is included in the Service user Guide and displayed in the home. Records show that complaints are recorded and acted upon and the people living in the home said that if they needed to make a complaint they felt sure their concerns would be listened to and acted upon by the manager. A service user commented, “ I have never needed to complain but if I did, the manager would look into it and put it right”. There are policies and procedures in place regarding the safety of service user’s personal monies. Each person has an individual record of expenditure in place, receipts are kept for monitoring purposes and the manager carries out random audits. We checked one set of records and found them to be correct. In order to ensure that the people living in the home are protected from risk of abuse, Protection of Vulnerable Adults risk assessments are carried out for each person and kept on individual care plan files. Records show that the staff Camelot Nursing Home DS0000024127.V347387.R01.S.doc Version 5.2 Page 16 team receive regular training updates and the manager has recently attended the West Sussex updated safeguarding training. Staff members spoken to during the visit showed an awareness of their responsibilities and said that they would report any suspected abuse straight away. One staff member commented that the care staff on duty always work in pairs, usually with a senior carer or nurse so that they can be supported and monitored in their care practice. Camelot Nursing Home DS0000024127.V347387.R01.S.doc Version 5.2 Page 17 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. JUDGEMENT – we looked at outcomes for the following standard(s): 19 22 24 and 26 Outcomes for service users in this area are considered good. This judgement has been made using available evidence including a visit to this service. Camelot offers a comfortable, homely and well-maintained environment for the people who live there and this will be further improved when the programme of refurbishment is completed. EVIDENCE: Camelot provides a comfortable, homely and pleasant environment for the people who live there. There is an ongoing programme of refurbishment and redecoration being carried out and in the last year a number of improvements has been completed. As bedrooms become vacant they are redecorated and refurnished, some new carpets have been fitted to communal areas and some bedrooms, specialist beds and reclining chairs have been purchased and the outside of the building decorated. The drive has been resurfaced and the garden is well maintained. Camelot Nursing Home DS0000024127.V347387.R01.S.doc Version 5.2 Page 18 In order to meet the individual assessed needs of service users, a large bathroom containing a specialist bath is currently being fitted and service users said they were very much looking forward to using this facility. In the AQAA, the manager identified other areas of the home still needing improvement and said that these were discussed with the provider at regular monthly visits. Service user’s private bedrooms have been personalised with furniture and belongings brought to the home and people said they were happy with their private space. At the last visit a Requirment was made for the carpet in a bedroom to be replaced. This has been met but two further carpets, identified to the manager, also need replacing as they are badly stained despite being cleaned . The home was generally clean and hygienic and the care staff on duty were seen to wear protective clothing and use alcohol hand wash gel in between caring for people. A service user said, “My room is beautifully kept and cleaned on a regular basis, I get very good care. Everybody is very kind, I am just happy to be here”. Camelot Nursing Home DS0000024127.V347387.R01.S.doc Version 5.2 Page 19 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. JUDGEMENT – we looked at outcomes for the following standard(s): 27 28 29 and 30 Outcomes for service users in this area are considered good. This judgement has been made using available evidence including a visit to this service. A competent and well-trained staff team supports the people living in the home. Recruitment practices are robust and are designed to ensure that people are protected from harm EVIDENCE: There were two registered nurses, three senior care assistants and two care assistants on duty supported by the cook, cleaner and maintenance person. The staffing rotas showed that this was the normal ratio of staff available during the day and at night there is one registered nurse and two care assistants on duty. Service users, families and other professionals were very complimentary about the staff team and said that they were experienced, kind, competent and caring. Comments included, “ the staff are lovely, they come as quickly as they can when I use the buzzer and I receive good support from the nursing staff” and “ The staff are lovely, they will do anything they can to help you, nothing is too much trouble.” The staff members on duty were well informed about the individual needs and wishes of the people they are supporting and some of the trained nurses had specific skills in areas such as pressure wound management. In the AQAA the Camelot Nursing Home DS0000024127.V347387.R01.S.doc Version 5.2 Page 20 manager tells us that there is a very small turnover of staff and that this provides consistency of care and stability for service users. In order to ensure that service users are safeguarded, a robust recruitment process in place. We saw the records of four staff, two had recently been employed and two who had worked at the home for some time. All contained the required documentation including a current Criminal Bureau Check (CRB) and two references. The home is to be commended on the training it provides for the staff team. An in-house trainer and the manager provide regular training sessions for all staff and records show that issues such as diversity, bereavement and loss, nutrition, dementia care, confidentiality and communication skills are addressed as well as mandatory training, external courses and specialist nurse training. Camelot Nursing Home DS0000024127.V347387.R01.S.doc Version 5.2 Page 21 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. JUDGEMENT – we looked at outcomes for the following standard(s): 31 33 35 36 and 38 Outcomes for service user in this area are considered good. This judgement has been made using available evidence including a visit to this service. The home is managed by a competent and caring manager and is run in the best interests of service users. EVIDENCE: The manager of the home is a registered nurse and has now completed a relevant management qualification. Service users, the staff members on duty and families were very complimentary about the skills, competence and leadership style of Mrs. Galloway and comments included, from a family member, “I find the manager very approachable, she has always answered my questions and sorted out any problems or concerns I have. The staff are also very caring, my mother was asked to leave another nursing home after three months but Camelot took her in and the matron and staff really care for her despite all her health Camelot Nursing Home DS0000024127.V347387.R01.S.doc Version 5.2 Page 22 difficulties” and from a staff member, “ the manager is very knowledgeable and kind and we can always go to her for support with anything”. Records show that Regulation 26, Registered Provider’s visits are carried out each month and a report is kept on file. The visits include informal quality assurance surveys with service users, families and other professionals but as yet no formal quality assurance process has been carried out for this year. Mrs. Galloway said that this would be completed before the end of 2007 and this will be monitored at the next visit. There is a programme of staff supervision in place and as the manager works as part of the team each day she provides “on the job “ support and supervision to the staff team. Not all formal supervision are up to date and the manager said that there was a plan to delegate some of the supervisions to senior nurses to ensure that they were kept up to date. We saw records for the running of the business including maintenance records, fire checks records and daily health and safety checks. Most of the fire training for the staff team was current but some needed updating, the manager had a plan in place for this to be carried out in the near future. Camelot Nursing Home DS0000024127.V347387.R01.S.doc Version 5.2 Page 23 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 3 X 3 X 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 3 18 3 3 X X 3 X X X 2 STAFFING Standard No Score 27 3 28 3 29 3 30 4 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X 3 X 3 3 X 3 Camelot Nursing Home DS0000024127.V347387.R01.S.doc Version 5.2 Page 24 Are there any outstanding requirements from the last inspection? No 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 OP24 Regulation 16.2(c) Requirement To ensure that the home is clean and hygienic throughout the carpets identified to the manager in two bedrooms must be replaced. Timescale for action 01/12/07 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. Refer to Standard Good Practice Recommendations Camelot Nursing Home DS0000024127.V347387.R01.S.doc Version 5.2 Page 25 Commission for Social Care Inspection Hampshire Office 4th Floor Overline House Blechynden Terrace Southampton SO15 1GW National Enquiry Line: Telephone: 0845 015 0120 or 0191 233 3323 Textphone: 0845 015 2255 or 0191 233 3588 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.V347387.R01.S.doc Version 5.2 Page 26 - 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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