Inspection on 23/09/06 for Camelot Retirement Home

This inspection was carried out on 23rd September 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 Retirement Home 06/02/06

Camelot Retirement Home 06/06/05

Camelot Retirement Home 16/12/04

Camelot Retirement Home 20/04/04

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 Retirement Home 7 Darley Road Eastbourne East Sussex BN20 7PB Lead Inspector Gwyneth Bryant Key Unannounced Inspection 23rd October 2006 08:00 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 Retirement Home DS0000021066.V312759.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 Retirement Home DS0000021066.V312759.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Camelot Retirement Home Address 7 Darley Road Eastbourne East Sussex BN20 7PB 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) 01323 735996 Mr Anthony White Mrs Margaret White Mr Anthony White Mrs Margaret White Care Home 17 Category(ies) of Old age, not falling within any other category registration, with number (17) of places Camelot Retirement Home DS0000021066.V312759.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. That a maximum number of residents to be accommodated must not exceed seventeen (17). That residents be older people aged sixty-five (65) years or over on admission. 6th February 2006 Date of last inspection Brief Description of the Service: Camelot is a semi-detached property on four floors, situated a short distance from the seafront in Meads, a residential area of Eastbourne. Eastbourne town centre with its shops, bus and rail routes are approximately a quarter of a mile away, and nearby Meads village with shops and a post office are also available. There is a garden area at the rear of the home, which residents can access. Service user bedroom accommodation comprises of fifteen single rooms and one double room with all but one having en-suite toilet and washbasin facilities, and located on three of the floors. The double room is currently only used for couples. There are three bathrooms of which one has a hoist. The double room has an en-suite shower facility. On the ground floor is a large lounge, a dining area and smaller lounge at the rear of the extension. Access to all floors is facilitated by a passenger lift. The service provides prospective residents with a copy of the homes brochure and an offer to visit in the first instance. A copy of the residents guide and verbal contract is supplied at the time of the preadmission assessment process. A statement of purpose is made available to residents in the home. The range of fees charged as from 1 April 2006 is from £337 to £420 in-house activities and basic toiletries are included in the fees. Additional charges are made for hairdressing, chiropody, newspapers and dry cleaning. Intermediate care is not provided. The homes email address is Camelot1@btconnect.com. Currently the home does not have a website. Camelot Retirement Home DS0000021066.V312759.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The reader should be aware that the Care Standards Act 2000 and Care Homes Regulations`2001 uses the term ‘residents’ to describe those living in care home settings. For the purpose of this report, those living at Camelot will be referred to as ’residents’ at their own request. This was an unannounced inspection and there were sixteen residents in residence on the day. The inspection was undertaken over six hours and a number of documents and records were viewed; including personnel files, medication charts and care plans. A tour of the premises was carried out. Six residents, four relatives, one staff member and the Registered Manager/Providers were spoken with. Prior to the inspection a pre-inspection questionnaire was sent to the home to be completed with information required as part of the inspection process. This was returned and information detailed is used in this report. The Registered Manager is also one of the Registered Providers, the other Provider being his wife and both work in the home full time. What the service does well: The home has a satisfactory care planning system that ensures residents’ needs are identified and planned for. The atmosphere in the home was very comfortable and communication between the staff and residents was friendly and relaxed. All parts of the home are clean, tidy and well maintained. The home has a core team of staff who have a good understanding of the needs of the people living at the home and staff were observed to treat residents with care and respect. Routines are flexible enabling residents to maintain control over their daily lives. Residents are encouraged to undertake varied activities both within and outside the home, therefore providing mental and physical stimulation. Those residents spoken with all remarked on the kindness of staff and the care given. Comments included: ‘its 100 times better than the last place’. ‘I never knew life could be so good’. ‘I can’t praise them (staff) enough’ Systems for dealing with complaints are satisfactory ensuring that residents and relatives feel their concerns are listened to. There are satisfactory systems in place to ensure residents health, safety and welfare is promoted and protected. Comments from relatives included: ‘the standard of care is very high’ ‘I’m always made welcome and offered a cup of tea’. ‘Just a very, very friendly lot’. Camelot Retirement Home DS0000021066.V312759.R01.S.doc Version 5.2 Page 6 ‘They (staff) seem to put them (residents) first – it’s a happy place’. ‘I don’t think I could wish for anywhere better for him’. 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 Retirement Home DS0000021066.V312759.R01.S.doc Version 5.2 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 Retirement Home DS0000021066.V312759.R01.S.doc Version 5.2 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 and 3. Standard 6 is not applicable Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Satisfactory pre-admission assessments are carried out prior to residents moving into the home that ensure that residents needs are identified and can be planned for and they are provided with detailed information on services provided by the home. EVIDENCE: The homes current statement of purpose and residents guide includes sufficient information to enable residents and their representatives to make an informed choice about Camelot prior to moving into the home. A sample of pre-admission documents were viewed and found to include all the information as required under the standard ensuring that all care needs were identified. The Manager is clear in respect of ensuring that those residents moving into the home are within the homes registration category and that staff are able to meet residents identified needs. Two residents spoken with recalled the manager coming to visit prior to them moving into the home. Relatives spoken with recalled being given a brochure, a contract and offer to visit prior to their family member moving into the home. Intermediate care is not provided. Camelot Retirement Home DS0000021066.V312759.R01.S.doc Version 5.2 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 the following standard(s): 7, 8, 9 and 10 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The care planning system is clear and consistent and provides staff with the information to provide good quality care. Residents are protected by satisfactory systems for the recording, handling and storing of medication and their privacy and dignity is protected. EVIDENCE: Four care plans were viewed and it is evident that residents care needs are identified and that pre-admission assessments are used to inform the care planning process. The home maintains daily notes and these provide an effective tool for care plan reviews. Care planning documents included information on meeting residents’ healthcare needs such as dental, hearing and eyesight checks and also provided clear direction to staff as to how residents daily care needs are to be met. One relative said that the manager took a lot of time to fix up the residents’ television to ensure the headphones worked properly. Risk assessments had been carried out and they clearly identified the hazards and included sufficient detail for the management of risks. There was evidence to show that residents were involved in the care Camelot Retirement Home DS0000021066.V312759.R01.S.doc Version 5.2 Page 10 planning process and three residents who were spoken with confirmed they were involved in the compilation of their care plans. The residents spoke positively about the care they receive and that they felt they could discuss any issues with staff or the manager. Relatives spoken with confirmed they are consulted on the care given and notified of any adverse events. Staff were seen to treat residents with care and respect. Residents spoken with said staff always knock before entering their rooms and they are able to make choices about their daily lives. Medication records and storage arrangements were viewed and systems remain effective. Medication administration charts were up to date, accurate and clear. Only staff who have been trained administer medication and this was confirmed by staff spoken with. Refresher training in safe handling of medication had been booked and this was confirmed by the carer spoken with. Camelot Retirement Home DS0000021066.V312759.R01.S.doc Version 5.2 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 the following standard(s): 12, 13, 14 and 15 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. There are systems in place for residents to experience a lifestyle that matches their expectations, choice and preferences in respect of both leisure and meals EVIDENCE: The home has a daily programme of activities and outings to local attractions or shopping are also arranged. Activities provided include music for health, exercises, quizzes, art and crafts and visiting entertainers. A volunteer from Canine Concern brings her dog once a month and residents spoken with said they liked the dog and the two cats that live in Camelot. Daily notes included information on the activities in which residents participated and comments as to whether or not they enjoyed them. One resident said they chose not to participate in the activities, as they preferred their own company and keep busy with their chosen activities. One relative said that their parent enjoyed the visit from the dog and the exercises. Another relative said that they take her parent for walks and one carer is particularly wonderful for doing this. One relative spoken with said they would like their parent to have regular outings in the winter as well as those provided in the summer. All residents spoken with said that the food was always good and that they are given choices both over the food and the time they eat. Menus were viewed Camelot Retirement Home DS0000021066.V312759.R01.S.doc Version 5.2 Page 12 and it was found that they are varied and balanced. Residents are encouraged to take meals in the dining room but may eat in their rooms if they wish. Relatives spoken with confirmed they are made welcome at all times and offered refreshments. Comments from residents included: ‘the food is lovely’ ‘food is excellent and the staff are wonderful’ ‘we are always given a choice (for meals)’. Camelot Retirement Home DS0000021066.V312759.R01.S.doc Version 5.2 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 the following standard(s): 16 and 18 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home has a satisfactory complaints procedure with evidence that residents feel that their views are listened to and acted upon and residents are further protected by satisfactory adult protection systems. EVIDENCE: The home has detailed policies and procedures on complaints and the preinspection questionnaire showed that it is regularly reviewed. The homes complaints book is in the homes hallway and it demonstrates that complaints are recorded and any actions taken to address any issues. There is also a suggestions box in the hallway, in which residents and visitors may make any comments. Residents spoken with said they would be happy to talk to staff or the manager if they had any problems. Relatives confirmed that the manager and his wife are approachable and that they acted on any concerns raised. The home has policies and procedures on adult protection and staff are expected to be familiar with this document. The manager and staff are aware of adult protection procedures and the pre-inspection information confirmed that nine staff have received this training and additional training is planned for the near future. Camelot Retirement Home DS0000021066.V312759.R01.S.doc Version 5.2 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 the following standard(s): 19 and 26 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The standard of décor is good, providing residents with a safe, homely and attractive place in which to live. Laundry facilities are satisfactory and residents protected by effective infection control systems. EVIDENCE: A tour of the premises was carried out and all parts of the home are well maintained, including the gardens and décor is also good. All repairs and maintenance is carried out promptly and satisfactorily. Laundry facilities are clean and hygienic. Systems are in place for the control of infection and all staff have been trained in this area and were observed to be working in ways that minimised the risk of infection, by wearing gloves and aprons when required. Camelot Retirement Home DS0000021066.V312759.R01.S.doc Version 5.2 Page 15 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 and 30 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The number of staff and the skill mix is such that residents’ needs are met and consistent care is provided. The recruitment practice is robust and provides sufficient safeguards for the protection of residents. EVIDENCE: Staff rotas were viewed and demonstrated that there are sufficient staff deployed at all times to ensure residents needs are met. The Registered Manager and the other Registered Provider also work full time in the home and provide an out of hours on-call duty. Residents spoken with said that call bells were answered quickly and that staff are aware of their needs and respond appropriately. The carer spoken with confirmed that they had an induction period and that they had received some training. This carer also said that ‘they work as a team’. The pre-inspection information included information on staff training and indicated that four staff currently hold National Vocational Qualifications in Care at level 2 or above and that four are in the process of gaining this qualification. In addition all staff have been trained in manual handling, infection control, food hygiene and Protection of Vulnerable Adults. Recruitment records for the last two staff recruited were viewed and it was found that they had provided the required documentation prior to appointment and all necessary checks had been undertaken including Criminal Record Bureau checks and Protection of Vulnerable Adults First Checks. Camelot Retirement Home DS0000021066.V312759.R01.S.doc Version 5.2 Page 16 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, 36 and 38 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Staff and residents benefit from clear leadership and direction and all aspects of residents’ health, safety and welfare are protected and promoted. EVIDENCE: The Manager has the required qualifications in care and management and has owned and managed the home for a number of years. The other Registered Provider also has the required management qualifications. Thus, they are both qualified to provide guidance and support to staff. The manager has begun to gather documentation, including residents surveys to inform the quality monitoring process and has reviewed the quality assurance systems to enable him to objectively evaluate the service and ensure it is run in residents best interests. Although the process is not yet complete the manager is clear about what information to gather and how best to collate it as an on-going process. Camelot Retirement Home DS0000021066.V312759.R01.S.doc Version 5.2 Page 17 Residents are responsible for their own finances if appropriate; relatives and solicitors support others. When items are purchased on behalf of residents the cost is added to the monthly invoice. Staff records showed that regular supervision is provided and the carer spoken with confirmed they had received supervision and that they found it useful. Minutes from staff and residents meetings were viewed and it was evident that both groups are given the opportunity to influence how the home is run. Information in the pre-inspection document confirmed that safety checks are carried out on all electrical and gas systems and appliances and that they are serviced annually. In addition documents relating to safe working practices and Health and Safety are available and regularly reviewed. Accident records were viewed and found to be satisfactory. A detailed fire risk assessment has been carried out and a recent report from the fire officer found that fire safety systems are satisfactory. Camelot Retirement Home DS0000021066.V312759.R01.S.doc Version 5.2 Page 18 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 X 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 3 X X X X X X 3 STAFFING Standard No Score 27 3 28 3 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 3 3 X 3 3 X 3 Camelot Retirement Home DS0000021066.V312759.R01.S.doc Version 5.2 Page 19 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. Standard Regulation Requirement Timescale for action RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. Refer to Standard Good Practice Recommendations Camelot Retirement Home DS0000021066.V312759.R01.S.doc Version 5.2 Page 20 Commission for Social Care Inspection East Sussex Area Office Ivy House 3 Ivy Terrace Eastbourne East Sussex BN21 4QT 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 Retirement Home DS0000021066.V312759.R01.S.doc Version 5.2 Page 21 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. 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