Inspection on 06/06/05 for Camelot Retirement Home

This inspection was carried out on 6th June 2005.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Adequate. 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 06/02/06

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 6 June 2005 11:00 The Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Reader Information Document Purpose Author Audience Further copies from Copyright Inspection Report CSCI General Public 0870 240 7535 (telephone order line) This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI www.csci.org.uk Internet address This is a report of an inspection to assess whether services are meeting the needs of people who use them. The legal basis for conducting inspections is the Care Standards Act 2000 and the relevant National Minimum Standards for this establishment are those for Care Homes for Older People. They can be found at www.dh.gov.uk or obtained from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering: www.tso.co.uk/bookshop This report is a public document. Extracts may not be used or reproduced without the prior permission of the Commission for Social Care Inspection. Camelot Retirement Home H59-H10 s21066 Camelot v218875 060605 stage 4.doc Version 1.20 Page 3 SERVICE INFORMATION Name of service Camelot Retirement Home Address 7 Darley Road Eastbourne East Sussex BN20 7QQ 01323 735996 Telephone number Fax number Email address Name of registered provider(s)/company (if applicable) Name of registered manager (if applicable) Type of registration No. of places registered (if applicable) Mr Anthony White Mr Anthony White Care Home 13 Category(ies) of Old age, not falling within any other category registration, with number (OP) 13 of places Camelot Retirement Home H59-H10 s21066 Camelot v218875 060605 stage 4.doc Version 1.20 Page 4 SERVICE INFORMATION Conditions of registration: 1. The number of service users to be accommodated must not exceed thirteen (13). 2. Service users must be older people aged sixty-five (65) or over on admission. Date of last inspection 16 December 2004 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 eleven 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 lounge, and dining area. Access to all floors is facilitated by a passenger lift. Work is in progress to increase the number of bedrooms by four, provide additional communal space, bathrooms and toilets and modernise the kitchen and laundry. Camelot Retirement Home H59-H10 s21066 Camelot v218875 060605 stage 4.doc Version 1.20 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was an unannounced inspection and there were nine service users in residence on the day with one service user in hospital. The inspection was undertaken over five hours and its purpose was to check that the requirements of previous inspections had been met. Fifteen key standards and nine of the remaining standards were inspected. A number of records and documents were viewed; including personnel files, medication records and care plans. A tour of the premises was carried out. Four service users, one staff member and the Registered Manager were spoken with. What the service does well: What has improved since the last inspection? What they could do better: Service users care plans need to be reviewed monthly and include information on healthcare needs, hairdressing and leisure preferences. Evidence needs to be provided to demonstrate service users are involved in compiling and reviewing care plans. Service users need to be given the opportunity to self-medicate within a risk assessed framework. Risk assessments need to be more detailed and include the management of identified risks. Staffing levels need to be reviewed. A more structured staff training programme needs to be implemented, for all staff, including induction foundation training, health and safety, medication, challenging behaviour and adult protection. Camelot Retirement Home H59-H10 s21066 Camelot v218875 060605 stage 4.doc Version 1.20 Page 6 Quality assurance and quality monitoring systems need to be devised and implemented. A suitably qualified person needs to make an assessment of the grounds and premises to ensure the needs of all service users are met. Please contact the provider for advice of actions taken in response to this inspection. The full report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. Camelot Retirement Home H59-H10 s21066 Camelot v218875 060605 stage 4.doc Version 1.20 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–6) Health and Personal Care (Standards 7-11) Daily Life and Social Activities (Standards 12-15) Complaints and Protection (Standards 16-18) Environment (Standards 19-26) Staffing (Standards 27-30) Management and Administration (Standards 31-38) Scoring of Standards Statutory Requirements Identified During the Inspection Camelot Retirement Home H59-H10 s21066 Camelot v218875 060605 stage 4.doc Version 1.20 Page 8 Choice of Home The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 3, 4 and 5 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 and all sections were completed. Service users spoken with said they believed the home met their needs. The member of staff spoken with was knowledgeable about service users care needs. Service users are encouraged to visit the home prior to admission and a trial period of four weeks is offered. There was no evidence to demonstrate that service users are notified, in writing, when their stay becomes permanent and that the home can meet their needs. Camelot Retirement Home H59-H10 s21066 Camelot v218875 060605 stage 4.doc Version 1.20 Page 9 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 7, 8 and 9 Service users care plans are clear but need to include all the information from the pre-admission assessment sheets and be regularly reviewed and include detailed risk assessments, to ensure all aspects of care are met. The systems for administering, storing and recording medication are satisfactory. EVIDENCE: Care plans are not regularly reviewed and there was no evidence to show that service users or their representatives are involved in compiling and reviewing the plans. One service user’s plan showed that she is becoming more frail but no evidence as to how her condition is to be managed. All information from the pre-admission document needs to be included in care plans, in particular healthcare needs, relating to chiropody, dental, hearing, eyesight, incontinence needs and leisure preferences. Basic risk assessments had been carried out but they do not clearly identify the hazards nor include sufficient detail for the management of risks. Medication recording charts were viewed and found to be complete and accurately record administered medication. Service users need to be given the opportunity to self-medicate within a risk assessed framework. Camelot Retirement Home H59-H10 s21066 Camelot v218875 060605 stage 4.doc Version 1.20 Page 10 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 12, 13 and 15 Social activities and meals are both well managed, creative and provide daily variation and interest for people living in the home. EVIDENCE: The home’s activities are listed in the communal areas, although one service user said she did not think it was always implemented. This was raised with the Manager who said he would address the matter. Not all care plans included information on service users leisure preferences. Visitors are welcome at all reasonable times and evidence was available in service users care plans to show they are enabled to go out into the community. Service users spoken with said they go out to shops or to other towns either alone or with family and friends. 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. Camelot Retirement Home H59-H10 s21066 Camelot v218875 060605 stage 4.doc Version 1.20 Page 11 Complaints and Protection The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 16 and 18 The home has a satisfactory complaints procedure with evidence that complaints are recorded and actions taken to resolve any issues. Systems are in place to protect service users from abuse. Staff would benefit from training to improve their understanding of adult protection procedures. EVIDENCE: The complaints records were viewed and it was evident that complaints are recorded, investigated and actioned. Some staff have been trained in adult protection and this needs to be extended to all staff. The home has policies and procedures on adult protection and the one member of staff spoken with was able to demonstrate an understanding of what constitutes abuse but was unclear about the procedures for investigating allegations and this needs to be rectified. Camelot Retirement Home H59-H10 s21066 Camelot v218875 060605 stage 4.doc Version 1.20 Page 12 Environment The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 19, 22, 24, 25 and 26 The standard of décor is good, providing service users with a homely and attractive place in which to live. An assessment of the premises in respect of adaptations and equipment needs to be undertaken. The heating, hot water supply and ventilation meet health and safety requirements. Laundry facilities are satisfactory. EVIDENCE: A tour of the premises was carried out and the home is generally well maintained, although work on the extension inevitably causes some disruption. All parts of the home were clean, tidy and free from offensive odours. Service users bedrooms were tastefully decorated and ensure comfort and privacy. The Manager confirmed that a suitably qualified person was booked to carry out an assessment of the premises and grounds. The visit had been delayed until the extension could be included in the assessment. The laundry was clean and equipment that can wash soiled laundry at high temperatures, including a sluice has been installed. Since the last inspection the laundry floor and walls have been made impermeable and readily cleanable. Camelot Retirement Home H59-H10 s21066 Camelot v218875 060605 stage 4.doc Version 1.20 Page 13 Staffing The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission considers Standards 27, 29, and 30 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 27, 28, 29 and 30 The deployment and number of staff at key times needs to be reviewed to ensure service users care needs are met. Training programmes are in progress 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: The staffing rota was available to view and showed tat the totalled 189 care hours per week. The total care hours required has been calculated using the Residential Forum Staffing Tool and a minimum of 242 care hours should be provided. The Manager told the Inspector that he and his wife also provide direct care. One night sleeping staff is also employed. On the day of the inspection care staff were providing personal care to service users resident on four floors within the home and were also seen to be also responsible for cooking and domestic tasks, including laundry. Therefore, staffing levels need to be reviewed. Service users said staff are very kind and caring but do not have much time for a chat. Evidence was available to demonstrate that four members of staff are either in the process of gaining NVQ 2 and NVQ 3 qualifications or have already achieved it. 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. The Manager was unable to confirm staff induction and foundation training programmes meet the Care Skills Sector specifications. Camelot Retirement Home H59-H10 s21066 Camelot v218875 060605 stage 4.doc Version 1.20 Page 14 Management and Administration The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. Service users’ rights and best interests are safeguarded by the home’s record keeping, policies and procedures. The health, safety and welfare of service users and staff are promoted and protected. The Commission considers Standards 33, 35 and 38 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 31, 32, 33, 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. The home has yet to develop quality monitoring and quality assurance systems to enable the provider to critically examine the service provided. Service users safety and welfare would be better protected if staff received appropriate training. EVIDENCE: The Manager has the required qualifications in care and management and has owned and managed the home for a number of years. 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. Both staff and service users said that they would be happy to approach the manager with any concerns. Camelot Retirement Home H59-H10 s21066 Camelot v218875 060605 stage 4.doc Version 1.20 Page 15 On the day of the inspection the manager was meeting with advisors from the Investors in People programme with a view to implementing this system as a quality monitoring system for the home. However, additional monitoring systems need to be developed to enable the provider to critically evaluate all aspects of the service. A sample of personnel records were inspected and these showed that staff receive regular supervision that these sessions ensure good practice is maintained. Not all staff have up to date training in manual handling, first aid and infection control and this needs to be addressed. There were records showing the regular testing of call bells, emergency lighting and fire alarms and that fire equipment and systems are regularly serviced. All staff have received fire safety training. All electrical appliances are now tested annually. Camelot Retirement Home H59-H10 s21066 Camelot v218875 060605 stage 4.doc Version 1.20 Page 16 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. Where there is no score against a standard it has not been looked at during this inspection. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME ENVIRONMENT Standard No 1 2 3 4 5 6 Score Standard No 19 20 21 22 23 24 25 26 Score x x 3 4 2 N/A HEALTH AND PERSONAL CARE Standard No Score 7 2 8 2 9 2 10 x 11 x DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 x 15 3 COMPLAINTS AND PROTECTION 3 x x 2 x 3 3 3 STAFFING Standard No Score 27 2 28 3 29 3 30 1 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score Standard No 16 17 18 Score 3 x 2 3 3 1 x x 3 x 2 Camelot Retirement Home H59-H10 s21066 Camelot v218875 060605 stage 4.doc Version 1.20 Page 17 yes Are there any outstanding requirements from the last inspection? STATUTORY REQUIREMENTS This section sets out the actions which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1. Standard 7 Regulation 15 (2) (b) (c) and 13 (4) (b) (c Requirement Timescale for action 06.09.05 2. 7 3. 7 4. 8 5. 9 6. 7. 18 22 That service users care plans are reviewed monthly. That risk assessments are more detailed, regularly reviewed. (timescale of 16.1.04 not met). 13 (4) (a- Risk assessments need to be c) under taken for all service users activities both within and outside the home. 15 (2) (b) That evidence be provided to (c) demonstrate service users or their representatives are involved in compiling and reviewing care plans. 12 (1) That care plans include (a&b) and information on dental, hearing, 13 (1) (b) eyesight, continence and 16 management and leisure (1) (2) (n) preferences. 12 (2) (3) That all service users are able to self-medicate within a risk (4) (a) and 13 assessed framwork. (timescale (4) (a-c) of 16.12.04 not met). and 15 (2) (b&c) 13 (6) That all staff are trained in adult protection procedures. (timescale of 16.12.04 not met) 16 (1) (2) An assessment of the premises (c) and 23 needs to be undertaken by a (2) (n) suitably qualified person to H59-H10 s21066 Camelot v218875 060605 stage 4.doc 06.09.05 06.09.05 06.09.05 06.09.05 06.09.05 06.09.05 Camelot Retirement Home Version 1.20 Page 18 8. 27 Reg 18 (1) (a) 9. 30 18 (1) (a) (c) (i) (ii) and 13 (4) (c) Reg 24 (1) (2) (3) Reg 12(1)(a) and 13 (3) (4) (5) and 16 (2) (j) 10. 11. 33 38 ensure the needs of all service users are met. (timescale of 12.03.05 not met). That staffing is reviewed to ensure that at all times suitably qualified, competent and experienced persons are working at the care home in such numbers as are appropriate for the health and welfare of service users. (timescale of 16.12.04 not met). Staff receive induction, and foundation training programmes need to meet Care Skills Sector specification. (timescale of 16.03.05 not met). That quality assurance and quality monitoring systems be developed and implemented. That a programme is in place to ensure staff have been trained in first aid, manual handling and infection control. (timescale of 31.03.04 not met) 06.09.05 06.09.05 06.09.05 06.09.05 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 5 Good Practice Recommendations Service users need to be informed, in writing, when their stay becomes permenant. Camelot Retirement Home H59-H10 s21066 Camelot v218875 060605 stage 4.doc Version 1.20 Page 19 Commission for Social Care Inspection 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. 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