Inspection on 06/02/06 for Camelot Retirement Home

This inspection was carried out on 6th February 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 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 Retirement Home 23/09/06

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 Unannounced Inspection 6th February 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.V254510.R01.S.doc Version 5.1 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.V254510.R01.S.doc Version 5.1 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 Care Home 17 Category(ies) of Old age, not falling within any other category registration, with number (17) of places Camelot Retirement Home DS0000021066.V254510.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. That a maximum number of service users to be accommodated must not exceed seventeen (17). That service users be older people aged sixty-five (65) years or over on admission. 6th June 2005 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 service users 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. 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. Camelot Retirement Home DS0000021066.V254510.R01.S.doc Version 5.1 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was an unannounced inspection and there were sixteen service users in residence on the day. The inspection was undertaken over five hours and its purpose was to check that the requirements of previous inspections had been met and inspect additional standards. A number of documents and records were viewed; including personnel files, medication charts and care plans. A tour of the premises was carried out. Four service users, one staff member and the Registered Manager/Providers were spoken with. Comment cards were left at the home at the last inspection and two relatives and four service users returned the completed cards. The Registered Manager is also one of the Registered Providers, the other Provider being his wife and both work in the home full time. This is the second inspection of this year and therefore this report should be read in conjunction with the report from the announced inspection carried out on 6 June 2005. What the service does well: What has improved since the last inspection? Service users care plans are now reviewed monthly and service users or their representatives are involved in the review process. Information on healthcare needs, hairdressing and leisure preferences are now included in care plans to ensure staff are guided on the provision of all aspects of care. Risk assessments have been expanded to identify and minimise risks to service users both within and outside the home. Staff training is now more structured and this encompasses an induction and foundation training programme. Additional training in health and safety, medication, challenging behaviour and Camelot Retirement Home DS0000021066.V254510.R01.S.doc Version 5.1 Page 6 adult protection has also been provided for staff and systems put in place to ensure their care skills remain up to date. 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.V254510.R01.S.doc Version 5.1 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.V254510.R01.S.doc Version 5.1 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): 3 and 4. Standard 6 is not applicable Satisfactory pre-admission assessments are carried out prior to service users moving into the home which ensure that service users needs are identified and can be planned for. EVIDENCE: 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 home has had three recent admissions and the Manager is undertaking on-going assessment of one service user who has become disorientated since admission. At the time of admission information is sought from social and healthcare professionals to ensure all needs are clearly identified and planned for and that the home is able to meet service users assessed needs. Camelot Retirement Home DS0000021066.V254510.R01.S.doc Version 5.1 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, 10 and 11 The care planning system is clear and consistent and provides staff with the information to provide good quality care. Service users are protected by satisfactory systems for the recording, handling and storing of medication and their privacy and dignity is protected. EVIDENCE: Since the last inspection a lot of work has been carried out to ensure care plans are more detailed to ensure staff are directed in all aspects of service users’ care. The home maintains daily notes and these provide an effective tool for care plan reviews. The plans are reviewed on a regular basis, the manager and staff have a good understanding of service users needs and were able to discuss them and explain the support that is provided. Satisfactory risk assessments are carried out for all activities both within and outside the home. During their induction training new staff are made aware of the home’s philosophy and practice regarding promoting the rights, privacy and dignity of service users. Throughout the inspection it was evident that all staff have developed a good rapport with service users. The service users spoke positively about the care they receive and that they felt they could discuss any issues with staff or the Camelot Retirement Home DS0000021066.V254510.R01.S.doc Version 5.1 Page 10 manager. Staff were observed to treat service users with respect and it was evident that staff and service users are comfortable with each other. Medication recording charts were viewed and found to be complete and accurately record administered medication. Camelot Retirement Home DS0000021066.V254510.R01.S.doc Version 5.1 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 and 15 Social activities and meals are both well managed, creative and provide daily variation and interest for people living in the home. EVIDENCE: There is a daily programme of activities based on service users preferences. Activities are included on the agenda for service users meetings. One such meeting was held on the day and the inspector joined service users for the meeting. It was clear that service users welcomed this opportunity to give an opinion of past activities and suggest ones for the future. A volunteer from Canine Concern brought her dog in during the inspection and it was evident that service users appreciated the opportunity to pet the dog and chat to the volunteer. One comment card stated that the service user would like more outings and the Manager said he intends to review outings when the weather improves. All service users 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 and it was found that they are varied and balanced. Service users are encouraged to take meals in the dining room but may eat in their rooms if they wish. The staff member preparing breakfast confirmed that service users may have breakfast at a time of their choosing. Camelot Retirement Home DS0000021066.V254510.R01.S.doc Version 5.1 Page 12 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): 18 Systems are in place to protect service users from abuse and staff have an understanding of adult protection procedures. EVIDENCE: The home has policies and procedures in respect of adult protection. Training in Adult Protection and Whistle blowing is now provided for all the staff and the Manager has a good understanding of the issues regarding adult protection and what action needs to be taken should there be any concerns. Camelot Retirement Home DS0000021066.V254510.R01.S.doc Version 5.1 Page 13 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, 22, 24 and 26 The standard of décor is good, providing service users with a safe, homely and attractive place in which to live. Laundry facilities are satisfactory and service users 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. Since the last inspection the extension has been finished and all communal areas have been redecorated and carpets replaced. A suitably qualified person has made an assessment of the grounds and premises and the recommendations made have been addressed to ensure all service users needs are met. Service users are encouraged to personalise their rooms and many have done so with ornaments and pictures. Service users spoken with said they felt their rooms were really comfortable and that they felt able to treat Camelot as their home. Camelot Retirement Home DS0000021066.V254510.R01.S.doc Version 5.1 Page 14 The laundry was clean, tidy and equipped to ensure service users are protected from cross infection. Camelot Retirement Home DS0000021066.V254510.R01.S.doc Version 5.1 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 The deployment and number of staff at key times is sufficient to meet service users assessed needs. Training programmes have been developed to ensure staff have the skills to meet service users needs. The recruitment practice is robust and provides safeguards for the protection of service users. EVIDENCE: There are three carers on duty during the morning shift and two during the afternoon shift. Cooks, domestics and one waking night staff member are also employed. The Registered Manager and the other Registered Provider also work full time in the home and provide an out of hours on-call duty. Service users spoken with said that staff are less rushed now the extension has been finished and there is more time for a chat. Recruitment records were viewed and it was found that all staff had provided the required documentation prior to appointment and all necessary checks had been undertaken. Staff induction and foundation training programmes have been developed that meet the Care Skills Sector specifications and all new staff are provided with this training. Three members of staff have NVQ qualifications, one is a registered nurse and the two Registered Providers have both the Registered Managers Award and NVQ 4 in care. Two members of staff are due to begin NVQ 2 training in care. Camelot Retirement Home DS0000021066.V254510.R01.S.doc Version 5.1 Page 16 This demonstrates that the home meets the required standard of 50 of staff trained to at least NVQ 2 level. Camelot Retirement Home DS0000021066.V254510.R01.S.doc Version 5.1 Page 17 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, 36 and 38 The Manager provides good leadership and direction to staff to ensure service users receive consistent care, therefore service users benefit from a supported staff team. The ethos of the home is open and systems are in place to regularly consult with both service users and staff giving them the opportunity to influence how the home is run. Systems are in place to protect residents’ financial interests. The home has yet to develop quality monitoring and quality assurance systems to enable the provider to objectively examine the service provided. All aspects of service users safety and welfare is promoted and protected. 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 able to provide guidance and support to staff. Camelot Retirement Home DS0000021066.V254510.R01.S.doc Version 5.1 Page 18 The Manager has begun to gather documentation, including service users surveys to inform the quality monitoring process but has yet to collate and evaluate all the necessary information. The implementation of formal quality assurance and quality monitoring systems would enable him to objectively evaluate the service and ensure it is run in service users best interests. Minutes from staff and service users meetings were viewed and it was evident that both groups are given the opportunity to influence how the home is run. As mentioned under Standard 12 a service users’ meeting was held on the day of the inspection and service users were clearly happy to raise any issues during this meeting. Other service users spoke with confirmed they would be happy to approach either of the Registered Providers or staff if they had any concerns. The home does not take responsibility for the finances of service users; some service users manage their own money while relatives or solicitors support others. When staff buy items of behalf of service users a receipt is obtained and satisfactory records kept. Staff supervision is undertaken and it is evident that these sessions are used effectively to identify staff training and raise awareness of good practice issues. Emergency lighting systems are regularly tested, as are electrical equipment and systems. Documents relating to safe working practices and Health and Safety were available and found to be satisfactory as were accident records. All staff have been trained in moving and handling, fire safety, first aid and infection control. Training for all staff has been booked in food hygiene and first aid to ensure they remain up to date with current good practice. Camelot Retirement Home DS0000021066.V254510.R01.S.doc Version 5.1 Page 19 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 X X 3 3 X N/a HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 3 10 3 11 3 DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 X 14 X 15 X COMPLAINTS AND PROTECTION Standard No Score 16 X 17 X 18 3 3 X X 3 X 3 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 2 X 3 3 X 3 Camelot Retirement Home DS0000021066.V254510.R01.S.doc Version 5.1 Page 20 Are there any outstanding requirements from the last inspection? yes STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1 Standard OP33 Regulation 24(1-3) Requirement That quality assurance and quality monitoring systems be developed and implemented. (timescale of 06/09/05 not met) Timescale for action 06/04/06 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. Refer to Standard Good Practice Recommendations Camelot Retirement Home DS0000021066.V254510.R01.S.doc Version 5.1 Page 21 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.V254510.R01.S.doc Version 5.1 Page 22 - 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. The policy of www.bestcarehome.co.uk is to use all legal avenues to pursue such offenders, including recovery of costs. You have been warned!