Inspection on 04/07/06 for Camelot Nursing Home

This inspection was carried out on 4th July 2006.

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 16/10/07

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 D Peel Unannounced Inspection 4th July 2006 10:00 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.V296402.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.V296402.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 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.V296402.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 1st December 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, one which can be accessed by a stair lift and the other, which can only be accessed by stairs. Camelot Nursing Home DS0000024127.V296402.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This unannounced inspection was carried out by Mrs Diane Peel on the 4th July 2006. The intended outcomes for 33 standards were assessed; these included the key standards for care homes providing a service to older people. Prior to the visit to the home the inspector reviewed information provided by the manager in a pre inspection questionnaire completed at the request of the inspector some weeks prior to the visit and other information received from the provider since the last visit to the home on the 1st December 2005. A case tracking exercise for six residents was undertaken to look at how the assessed needs of this group of residents with diverse needs were being met. Where possible residents were spoken with to gain some information about what it is like to live at the home, those residents able to express an opinion made positive comments. The inspector visited all communal and the majority of private accommodation during the visit and discussed the improvements in the accommodation with the manager and maintenance person. The records of five staff were inspected and staff were spoken with informally during the visit to find out what it is like to work at the home and what training had been provided. Staff were observed interacting with residents in the dining room and lounge. Six service user/relative surveys were returned to the inspector after the visit all reporting satisfaction with the service at the home. Samples of other records required to be kept by the home were viewed during the visit to ensure that the provider is meeting their obligations with regard to the administration of the home. The current scale of fees being charged at the home is from £456 to £795 per week. Camelot Nursing Home DS0000024127.V296402.R01.S.doc Version 5.2 Page 6 What the service does well: What has improved since the last inspection? The Statement of Purpose and Service User Guide now includes the terms and conditions of residency and describes the limited access to some accommodation on the mezzanine floors. The manager has given an assurance that each resident has a contract/statement of terms and conditions, which set out what a resident can, expect for the fee being paid and what additional charges are for services not included in the fee. The sluicing facilities have been refurbished to ensure better infection control practice. The provider now carries out unannounced visits to the home and provides Regulation 26 reports to the CSCI and the manager of the home. A formal quality assurance system has been introduced to measure the success in meeting the aims and objectives of the home and its Statement of Purpose. The fire officer has been consulted about the bolt on the front door and its position for accessibility. Camelot Nursing Home DS0000024127.V296402.R01.S.doc Version 5.2 Page 7 Ramps have been installed to provide level access throughout the ground floor and a stair lift has been installed to give better access to one of the mezzanine floors. The décor of the home has continued to improve and there is a commitment to improve the environment. 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.V296402.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.V296402.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 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 and are encouraged to visit the home before making a choice. Residents and their relatives/advocates have a contract/terms and conditions of living at the home so that they know what the fee paid covers. Residents are assessed prior to moving into the home to make sure that the home can meet their needs. The outcomes for residents are good. EVIDENCE: Camelot Nursing Home has a Statement of Purpose and Service user Guide. This document was observed to be available in the entrance hall for reference in addition to being provided to prospective residents and their representatives when making a decision about moving into a Care Home. Camelot Nursing Home DS0000024127.V296402.R01.S.doc Version 5.2 Page 10 The most recent version was provided to the inspector some weeks prior to the visit to the home and was observed to provide informative information, which would assist prospective residents and relatives to make a choice about the suitability of the home. Residents living at the home have a contract/terms and conditions of living at the home. Since the last visit to the home contracts has been revised and the manager assured the inspector that all residents will have the new version. All relatives returning surveys to the inspector reported that they had received a contract. Since the last visit to the home in December 2005 six residents have been admitted to the home. Three of these residents were included in the case tracking activity-undertaken during this inspection. The inspector discussed the process of moving to Camelot Nursing home with two of the three residents. Both residents confirmed that a relative had visited the home on their behalf before they moved in. They both felt that although they had not been well enough to visit the home themselves they had been given enough information to agree to have a “trial period” to see if the home met their needs. All relatives returning surveys to the inspector felt that they had received enough information about the home before helping their relative choose the home. Care records observed for the three residents case tracked who had moved to the home since the last visit in December 2005 included an assessment of need which had been carried out prior to the residents moving into the home by a senior member of staff. Camelot Nursing Home does not offer Intermediate Care. Camelot Nursing Home DS0000024127.V296402.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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 7,8,9,10 Systems for care planning give clear information to assist with all aspects of health, personal and social care needs. The homes medication procedures ensure that medication is well managed. Staff respect the privacy and dignity of residents so that residents are treated as individuals and can be assured of confidentiality. Outcomes for residents are good. EVIDENCE: All residents have a robust care plan, which has been developed from an assessment of need. At this visit to the home six care plans were examined and a case tracking exercise was undertaken to find out if the assessed needs of residents had been developed into a care plan which staff were following to meet individual residents needs. Camelot Nursing Home DS0000024127.V296402.R01.S.doc Version 5.2 Page 12 An example of this was that each individual resident has a moving and handling assessment, which identifies how resident’s mobility should be managed. For one resident case tracked this assessment identified that the resident should be helped out of bed by using a hoist into a wheelchair and that this process should be carried out by two carers. When discussing care practices with this resident they said “two carers get them out of bed using a hoist”. The plans observed had been updated monthly and recorded any changing needs of residents and the initial plan had been agreed with either the resident or their representative. Residents have a separate individual nursing care plan, which qualified nurses carry out. Residents have access to the normal medical professionals, which include Doctors, Chiropodists and Opticians. One the day of the visit a Dentist visited one resident at the home. Records kept within care plans record Doctors visits to each resident. The home has a medication policy, which was provided prior to the visit to the home. This policy had been revised in January 2006. The inspector observed the secure storage and administration of medication during the visit to the home and observed the administration of medication at lunchtime to see if the policy was being followed. The induction training at the home includes privacy and dignity. Most staff have attended training in confidentiality and individuality and diversity for residents. Residents spoken with were of their opinion that staff respect their need for privacy and do respect their right to dignity. One resident who had recently moved to the home said, “Staff always knock on the door before they their bedroom”. Camelot Nursing Home DS0000024127.V296402.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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 12,13,12,15, The routines of the home are planned around the resident’s needs and wishes so that there is some flexibility in the service. Activities are offered and some residents access facilities in the community so that they can pursue their individual interests. Residents are encouraged to maintain contact with their family and friends so that they so that they can satisfy their social and emotional needs. The home can support residents to find independent advocates so that they can continue to have some control over their lives. Home cooked food is provided to a good standard with choices of alternatives available. Outcomes for residents are good. EVIDENCE: The home displays information about events and activities on the notice board in the entrance hall. Camelot Nursing Home DS0000024127.V296402.R01.S.doc Version 5.2 Page 14 Regular activities include arts and crafts; keep fit and music reminiscence. A clothes show is planned for September and there are occasional musical entertainers visiting the home. On the afternoon of the visit a keep fit exercise was taking place. At lunch time one resident told the inspector how much they looked forward to the exercise class because they had seen some improvements in the use of their arm in a particular exercise. Those residents who are able are encouraged to access local facilities outside the home some residents attend the local Stoke Club. When residents have a particular interest every effort is made by staff to help the resident maintain that interest. One resident spoke about going out shopping with staff to make purchases so that they could continue with their hobby of gardening. The home has a visitor’s book, which shows that there are regular visitors to the home. All residents spoken with at this visit felt that their visitors were always made to feel welcome and that they could meet their visitors in the privacy of their own rooms if they wanted. An experienced cook is responsible for providing home cooked food, which residents say, is of a good standard. The inspector spoke with the cook who was able to confirm that there is always an alternative to the main meal of the day and there are various choices at teatime. The cook is familiar with the dietary requirements recorded in care plans and provides a diet that meets their individual needs. The cook records what residents have chosen to eat each day and keeps these records for reference and so that residents diets can be monitored. The inspector joined residents for the main meal of the day, which was gammon, accompanied by, sauté potatoes, carrots and Brussels sprouts followed by lemon sponge with a lemon sauce. It was observed that some residents chose an alternative of various salads and an alternative desert was provided for residents who have diabetes. Care staff were available to assist residents who have difficulty in eating and this was observed to be carried out sensitively. Camelot Nursing Home DS0000024127.V296402.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 inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 17,18 The complaints procedure is clear and enables those using the service to have the confidence that their complaint will be responded to within a maximum of 28 days. The registered person has arrangements in place to protect residents from being placed at risk of harm or abuse. Outcomes for residents are adequate. EVIDENCE: The home has a clear complaints procedure, which is on display in the entrance hall and in The Statement of Purpose and Service User Guide. The manager has received six complaints since the last visit to the home by the inspector in December 2006. Records viewed showed that the manager had taken each complaint seriously and had followed the homes complaints process by responding to the complaint within 28 days. Outcomes to each complaint are recorded. The Commission for Social Care Inspection has received no complaints since the last visit to the home. Relatives returning surveys to the inspector all reported that they knew how to make a complaint. Camelot Nursing Home DS0000024127.V296402.R01.S.doc Version 5.2 Page 16 The home has its own adult protection policy in addition to the West Sussex Multi Agency Policy and procedure. Staff training records show that all care staff have undertaken adult protection training. The inspector has recommended that this training be provided to ancillary staff. Camelot Nursing Home DS0000024127.V296402.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 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. Bedrooms are comfortable and meet the needs of the residents. Residents are encouraged to contribute to making their bedrooms their own by having their own personal possessions around them. Outcomes for residents are good. EVIDENCE: The service provides a homely environment. It has an ongoing programme to improve the decoration, fixtures and fittings. The manager told the inspector that the provider has agreed to replace the carpets in the entrance hall and corridors. All communal areas of the home were observed to be clean and the décor and furniture was of a good standard. Camelot Nursing Home DS0000024127.V296402.R01.S.doc Version 5.2 Page 18 Since the last visit to the home a stair lift has been installed to provide better access to on of the two mezzanine floors, which does not have access via the passenger lift. The manager told the inspector that it is hoped that the other mezzanine floor will have a stair lift installed. The home has 24 single bedrooms and 2 double rooms, which are used as single rooms unless two people choose to share a room. The Statement of Purpose and Service User Guide state, “ where possible residents are accommodated in single rooms. In some cases, two residents may share a room, but only if they agree to do so”. Bedrooms have been personalised by residents and some residents have brought items of furniture to the home. The carpet in one bedroom identified to the manager is in need of being replaced. Although it has been cleaned stains have not been removed and the carpet is now unsightly. A requirement has been made that this carpet is replaced. Since the last visit to the home the sluice rooms have been refurbished to remove the unpleasant smells. The upstairs sluice room is now better laid out so that there is access to the wash hand basin, which could not be accessed at the last visit without squeezing past the clinical waste bin. Camelot Nursing Home DS0000024127.V296402.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 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 level, which allows residents assessed needs to be met. Recruitment procedures safeguard and 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. Outcomes for residents are good. EVIDENCE: Rotas show that there are qualified nurses on duty at the home 24 hours a day they are supported by care assistants and ancillary staff. The records of five staff were examined during the visit to see if recruitment policies of the home were being followed and to ensure that employed had Criminal Record Bureau Clearance and Protection of Vulnerable Adult Clearance. It was noted that one person recently employed was awaiting the return of the CRB and POVA clearance. This person had worked at the home previously and had a clear CRB and POVA but as they had left and now returned, another CRB and POVA has been applied for. Camelot Nursing Home DS0000024127.V296402.R01.S.doc Version 5.2 Page 20 The manager had decided to let this person restart work under supervision. The manager was reminded that references for new staff should include a reference from the last employer. Other required documentation was in place. The home has a comprehensive training programme, which is focused on improving outcomes for residents. Staff are encouraged to undertake training beyond the basic requirements and records of staff training show that the majority of staff have attended a variety of training in the past twelve months. Residents spoken with report that staff know what they are meant to do and the majority feel that their needs are being met. Camelot Nursing Home DS0000024127.V296402.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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 31,32,33,35,37,38 The home is well managed providing leadership and guidance for staff. The views of residents, their families and friends are sought to measure how successful the home is at meeting its aims and objectives and the statement of purpose of the home. Residents may be at risk from the lack of locking facility to the sluice rooms. Outcomes for residents are adequate. 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 hopes to complete the course shortly. Camelot Nursing Home DS0000024127.V296402.R01.S.doc Version 5.2 Page 22 A quality assurance system is now in use which encourages residents, their families and friends to give feedback about the service so that the provider and manager can measure how successful the home is a meeting its aims and objectives. Regulation 26 reports are being received by CSCI, which provides information about progress and events at the home. It was noted that the sluice rooms do not have a lockable facility to lock the rooms when not in use. A requirement has been made that locks are fitted to ensure that residents do not go in and harm themselves. Camelot Nursing Home DS0000024127.V296402.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 3 3 3 3 X 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 2 3 3 3 3 3 1 3 3 STAFFING Standard No Score 27 3 28 3 29 2 30 2 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 2 3 3 X 3 x 3 1 Camelot Nursing Home DS0000024127.V296402.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 2 Standard OP24 OP38 Regulation 16.2(c) 13.4 (a)(c) Requirement The carpet in bedroom 25 must be replaced. The sluice rooms must be kept locked when not in use. Timescale for action 01/08/06 01/08/06 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 Refer to Standard OP18 OP30 Good Practice Recommendations It is recommended that adult protection training be provided to ancillary staff. Camelot Nursing Home DS0000024127.V296402.R01.S.doc Version 5.2 Page 25 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.V296402.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. 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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