Inspection on 18/07/06 for Cameron House

This inspection was carried out on 18th 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

Cameron House 22/05/07

Cameron House 21/02/06

Cameron House 06/07/05

Cameron House 14/02/05

Cameron House 23/08/04

Cameron House 25/03/04

Similar services:

Claremont House

Oak Ridge

Sun Court Nursing Home

Ashville House

Bilney Hall

Hill Barn

Mabbs Hall Nursing Home

Henrietta House

Extracts from inspection reports are licensed from CQC, this page was updated on 08/07/2008.

CARE HOMES FOR OLDER PEOPLE Cameron House Plumleys Pitsea Essex SS13 1NQ Lead Inspector Michelle Love Unannounced Inspection 18th July 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 Cameron House DS0000018044.V308784.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. Cameron House DS0000018044.V308784.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Cameron House Address Plumleys Pitsea Essex SS13 1NQ 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) 01268 556060 01268 556161 cameronhouse@ashbourne.co.uk www.southerncrosshealthcare.co.uk Ashbourne (Eton) Limited Vacant Post Care Home 44 Category(ies) of Old age, not falling within any other category registration, with number (44) of places Cameron House DS0000018044.V308784.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 21st February 2006 Brief Description of the Service: Cameron House provides care and accommodation for forty-four older people, it is not registered for people with dementia. It is a modern, purpose built home comprising of two floors with a passenger lift and stairs access to both floors. There are 42 single and 2 double bedrooms all with ensuite facilities. There is a dining room and separate sitting room on both floors. There is a range of bath and shower facilities and a separate hairdressing room. The home is situated in a residential area and is close to local shops in Basildon town centre. The weekly fees charged to residents range from £426.09 for a single bedroom, £540.00 for a private single bedroom and £600.00 for a private/double bedroom. Additional charges for residents relate to hairdressing, chiropody, newspapers/magazines, personal toiletries, sweets and carers to provide escort for individual residents to hospital/GP appointments etc. The above information was detailed within the homes pre inspection questionnaire. The homes Statement of Purpose and Service Users Guide is readily available, within the homes main reception area. Each resident is issued with a copy of the homes Service Users Guide and these are located within their own bedroom. Cameron House DS0000018044.V308784.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This `key` site inspection was undertaken by Michelle Love, over a period of approximately 10.5 hours. During this visit a number of records and documents were looked at i.e. individual resident’s care plans and associated documentation, staff rosters, the homes Statement of Purpose and Service Users Guide, staff recruitment records, staff training records etc. In addition to the above a tour of the premises was undertaken, discussion took place with the acting manager, Operations Manager for Southern Cross Healthcare, both senior staff and care staff on duty and several residents. A number of questionnaires were forwarded to resident’s representatives and visiting professionals to seek their views as to whether or not they feel that the home is providing appropriate care. Comments were very positive and have been included within the main text of the report. What the service does well: What has improved since the last inspection? At the last inspection 13 Statutory Requirements and 6 Recommendations were highlighted. It was positive to note at this site visit that only 6 Statutory Requirements and 6 Recommendations have been recorded. It is evident that the acting manager has dealt effectively with issues previously raised and that as a result of her continuing commitment, keenness, professionalism and understanding of the National Minimum Standards and Care Homes Regulations for Older People, significant progress has been made. Cameron House DS0000018044.V308784.R01.S.doc Version 5.2 Page 6 It has been very positive to see the change in staff morale and the important effect this has had on care delivery from staff to residents within Cameron House. Although at the time of the site visit there was no activities co-ordinator in post, the acting manager has ensured that, an activities programme has been implemented by care staff. The homes care planning system is gradually being transferred from the homes old system to Southern Cross Healthcare’s new format. Senior staff within the care home appear to have a very good understanding of the care planning processes. The acting manager has revamped her office and filing systems have been introduced. The office is better organised and there is a clear sense of `order` and calmness within the home. The acting manager has ensured that the percentage of staff who have up to date mandatory training has improved significantly, however there is a shortfall pertaining to night staff. What they could do better: The registered provider/acting manager must continue to make improvements to the homes care planning processes and ensure that over a reasonable timeframe all care plans/associated documentation are transferred to the new care plan format. The registered provider/acting manager must ensure that staffing levels are appropriate for the numbers and needs of existing residents. This will ensure that residents are supported appropriately and efficiently and have their care needs met within a timely manner. The acting manager must ensure that night staff working within the home also receive mandatory training and regular updates where required. Additionally where possible night staff should be encouraged to attend staff meetings or at least one representative could attend and feedback to other staff members. Overall the Commission is pleased with the homes progress and recognises the hard work carried out by the acting manager, deputy manager and senior care staff. Cameron House DS0000018044.V308784.R01.S.doc Version 5.2 Page 7 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. Cameron House DS0000018044.V308784.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 Cameron House DS0000018044.V308784.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, 5 and 6 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The homes Statement of Purpose and Service Users Guide has been reviewed and updated. Prospective residents are formally assessed prior to admission. All residents are issued with a contract/statement of terms and conditions. EVIDENCE: Since the last inspection to the care home, the homes Statement of Purpose and Service Users Guide has been reviewed and updated to reflect the change of provider and some services/systems at the home. The acting manager and Operations Manager were advised that one sentence in the Service Users Guide needs to be amended pertaining to “our team of qualified staff provide nursing care to our service users”. The acting manager and Operations Manager were advised that Cameron House is not a nursing home. A copy of both documents was observed to be readily available within the homes main reception area and all residents are issued a copy of the homes Service Users Guide. Cameron House DS0000018044.V308784.R01.S.doc Version 5.2 Page 10 Southern Cross Healthcare had introduced a new pre admission assessment format since the last inspection. A random sample of four individual care files, were inspected for the newest residents. It was positive to note that a pre admission assessment had been completed for all four residents and information recorded was observed to be detailed and informative. In addition to the home’s information, where appropriate information had been sought from residents placing authorities. To enhance the pre admission assessment format, formal assessments relating to dependency, moving and handling, waterlow pressure area risk assessment, nutrition and continence assessment were completed. All residents are issued with a written contract depicting their terms and conditions. The acting manager was advised that of those inspected, not all were signed and dated. Cameron House DS0000018044.V308784.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 and 11 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. A plan of care was readily available for individual residents. There was evidence to indicate that resident’s health care needs are identified and met. The homes medication records were in general terms satisfactory with minor issues highlighted. EVIDENCE: On inspection of four individual plans of care, these were seen to be detailed and included information relating to residents healthcare, physical, emotional, personal and social care needs. The Commission recognises that the new care plan format is time consuming for staff to complete and that sufficient time will be needed to transfer the `old style` care plans onto the new format, if they are to meet the regulatory requirements. It was positive to note that both senior staff and care staff were very positive about the changes that have occurred with the implementation of the new care plan format. They advised that they could see the value of having detailed and comprehensive care plans in place for individual residents. Cameron House DS0000018044.V308784.R01.S.doc Version 5.2 Page 12 The acting manager was advised at the site visit of minor issues requiring further input i.e. one care plan made reference to a specific resident being underweight and requiring small portions. No information was recorded as to the rational for this decision and how these issues were to be monitored by care staff. Additionally in some cases information relating to activities/leisure, day and night routines were not recorded. The acting manager was also advised that in some instances it would be useful to look at grouping and combining some headings i.e. under the heading of personal care to include personal hygiene/foot care/mouth care/hairdressing and dressing/undressing etc. One survey received from a care manager stated “ the care home has adopted a good, open minded approach to person centred assessments and care planning”. It was positive to note that `life histories` were completed within all files inspected and in most cases these were seen to be very detailed and comprehensive. Senior staff spoken with advised the inspector of the value of this information and how this could assist in `breaking the ice` when talking to a new resident and trying to enable them to settle in to the home environment. Not all formal assessments had been reviewed in line with recommendations as detailed within the National Minimum Standards for Older People. The acting manager must look at ways of ensuring that all elements documented within individual care plans are reviewed and reflect where appropriate changes to residents needs. Risk assessments were not devised for all areas of assessed risk i.e. one residents care plan made reference to them having a reduced appetite/at risk of weight loss/needs to have food cut up and to have their weight monitored. No risk assessment was noted to have been completed pertaining to the above, or that they were at risk of falls, had difficulty sleeping and had difficulty communicating on occasions. It was positive to note that within all care files examined, daily care records were written daily, after every shift and included very good detailed and informative information. The Commission recognises that the acting manager/deputy manager have provided much support and instruction to both senior staff and care staff pertaining to care planning. It is evident that although there is still some work required, staff appear committed and keen to get this area right and now have a better understanding of how to relate their training to everyday practice. Rapport between care staff and residents is very good and it is clear through discussions with them that they have a very good understanding of individual residents needs. Comments detailed within relatives surveys were complimentary i.e. “It is a great care home and all staff are very Cameron House DS0000018044.V308784.R01.S.doc Version 5.2 Page 13 understanding of my fathers needs and feelings and they do care about who they are looking after”, “ satisfied with overall care”, “I find Cameron House offers an excellent caring service” and “the caring staff who are excellent”. On inspection of the homes medication administration records (MAR) it was positive to note that only one omission was observed, whereby no staff signature was evident indicating that medication had been administered to and received by the resident. On inspection of one resident’s MAR record it was apparent that the timings for medication to be administered are inaccurate i.e. the MAR record details that medication should be administered at 14.30, however the medication container states “take one in the evening”. The acting manager was advised that this must be reviewed with the resident’s GP/Pharmacy. Records indicate that one resident self medicates, however the risk assessment evidencing that they remain competent and able to undertake this task had not been updated or reviewed since 15.2.06. An audit of medication/records was conducted relating to those residents who receive controlled drug medication. Records and actual medication available were noted to tally. The list of staff signatures, initials and names of staff able to administer medication to residents needs to be updated as it still makes reference to the homes previous manager and other senior staff who have since left the homes employment. A copy of the Royal Pharmaceutical Guidelines for The Safe Administration of Medication in Care Homes was available, as was a copy of the homes own medication policy and procedures. Cameron House DS0000018044.V308784.R01.S.doc Version 5.2 Page 14 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. An activity programme is in force despite no activities co-ordinator currently being in place. Residents are actively encouraged and empowered to maintain contact with family and friends. Meals provided to residents are varied and appropriate. EVIDENCE: At the time of the site visit the home was without an activities co-ordinator in post. The acting manager advised the inspector that a new person has been employed for this post, but they are awaiting confirmation that all recruitment checks as required by regulation had been completed and are satisfactory. As a result of the above, the acting manager has instigated that all staff working at the care home are responsible for carrying out an activity programme for residents. The acting manager advised that monies are available to fund external entertainers and to purchase items required for an activity. On the day of the site visit a photocopy of the homes activity programme was given to the inspector. On inspection of the programme and from discussion with individual residents and care staff, activities undertaken by residents has included music hour, dominoes, film afternoons, gentle exercises, tea dances, Cameron House DS0000018044.V308784.R01.S.doc Version 5.2 Page 15 reminiscing, strawberries and cream, bingo, memory lane, manicures, footspar, craft work and external entertainers etc. The inspector was advised that one member of staff is currently looking to organise transport for residents so that they can access the community. Much work has been undertaken to seek residents’ views pertaining to their likes/dislikes relating to leisure pursuits, interests and hobbies. A newsletter has been compiled by the acting manager, which enables feedback to be given to relatives, advising them of new staff starting at the care home, forthcoming events, activities undertaken by residents, what training staff are to receive, details of relative meetings and to advise them as to how donations of money are being spent i.e. recently a gazebo was purchased for the garden. Residents spoken with appeared happy with the range of activities provided. Staff appeared motivated and keen to undertake these tasks and it is hoped that once the newly appointed activities co-ordinator is in post, staff will continue to be involved in providing activities for residents. The home operates a four week rolling menu. It was positive to note that menus displayed tallied with the meal provided to residents. In addition to two choices of main meal, alternatives are also offered i.e. sandwiches, omelette, jacket potato, soup etc. The lunchtime meal for residents was observed on both the ground and first floor. Tables were pleasantly laid and condiments were readily available. Those resident’s who require assistance, were seen to be supported appropriately by care staff. Portions served to residents were observed to look appetising and plentiful and residents spoken with were very complimentary regarding food provided. The only negative comment and observation was that the only choice of drink provided to residents at lunchtime was orange juice. Throughout the day it was positive to note that residents had access to drinks and these were offered regularly throughout the day. Nutritional records for residents were readily available for individual residents and in most cases had been completed. Cameron House DS0000018044.V308784.R01.S.doc Version 5.2 Page 16 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 adequate. This judgement has been made using available evidence including a visit to this service. The home has a clear complaints and protection of vulnerable adults policy and procedure. Not all staff had received training relating to protection of vulnerable adults. EVIDENCE: The home has a clear complaints procedure in place, which is located within the homes main reception area. Since the last inspection Southern Cross Healthcare has implemented a complaints register. This details that one complaint remains outstanding, however the Commission for Social Care Inspection is aware of the issue and this has been referred to the registered provider’s Operations Director for further investigation. A number of surveys/relatives comments received highlighted that a number of relatives appear not aware of the home’s complaints procedure. No protection of vulnerable adults issues have been highlighted since the last inspection. The homes pre inspection questionnaire records that at the time of the site visit no residents exhibited challenging behaviour. Training records indicate, that not all staff (night staff) had undertaken training pertaining to protection of vulnerable adults. This issue must be addressed as a matter of priority. Cameron House DS0000018044.V308784.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 and 26 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents live in a homely, safe and well-maintained environment. EVIDENCE: The home was observed to be clean, odour free, safe and well maintained. A random sample of individual resident’s bedrooms, were inspected and these were noted to be personalised and individualised. All bedrooms were observed to have en-suite facilities i.e. toilet and wash hand basin. Of those resident’s spoken with, all were complimentary regarding the décor of the home and of their own individual space. No health and safety issues were highlighted at this site visit. Cameron House DS0000018044.V308784.R01.S.doc Version 5.2 Page 18 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 poor. This judgement has been made using available evidence including a visit to this service. On some occasions staffing levels within the home have appeared insufficient to meet the needs of current residents. Minor gaps were observed pertaining to staff recruitment practices. Concern was noted in relation to training undertaken by night staff. EVIDENCE: The inspector was advised by the acting manager, that currently staffing levels should be 2x senior staff and 4x care staff between 07.00 and 21.00. During the night there should be 1x senior and 3x care staff between 21.00 and 07.00. The acting manager’s hours are supernumerary the deputy manager has 2x days whereby she is supernumerary and the maintenance person works 40 hours per week Monday to Friday. Staff rosters inspected for the period 19TH June 2006 to 18th July 2006 inclusive, evidence that on some occasions there have been insufficient numbers of staff on duty i.e. on 20.6.06 there were only 3x staff on the a.m. shift. This details that there were also only 1x senior instead of 2 on duty. On 24.6.06 the staff roster detailed that only 1x senior member of staff was on duty during the late shift. On 27.6.06 rosters detail that there were only 3x care staff on the p.m. shift and on 1.7.06 only 1x senior member of care staff on the p.m. shift etc. This is unacceptable and should staffing levels fall below the minimum staffing levels in future the Commission should be notified on a Regulation 37 Notification form. Additionally evidence should be available within the home to indicate what measures were taken to address the shortfall. Cameron House DS0000018044.V308784.R01.S.doc Version 5.2 Page 19 The Commission is aware that for a short period of time night staffing levels were reduced from 4 to 3 on duty. Discussion took place between the inspector, acting manager and Operations Manager pertaining to this issue. The Commission believes this reduction to be unacceptable and inadequate for the numbers and needs of existing residents. The pre inspection questionnaire details that 13 residents require two or more staff to under their personal care. With only 3 staff on duty at night some residents could have to wait for personal care for some time, additionally more than one person could require hoisting. The response/number of surveys received from relatives were very positive. However the majority made comment about there needing to be more staff on duty and that they felt that there were insufficient numbers of staff available on occasions. On inspection of six staff recruitment files it was evident that most of the records as required by regulation had been sought by the acting manager. However it was evident that one application started by the homes previous manager did not include information pertaining to proof of identification, health declaration and there was no photograph. The acting manager was advised that one file did not include referees/references from the employee’s last employer. A copy of a job description was not included within every file examined. No record of induction was available for two staff files inspected. The homes training matrix indicates that since the last inspection staff have received mandatory training relating to moving and handling, health and safety, food hygiene, fire awareness, infection control, appointed first aid and protection of vulnerable adults. It is concerning to note that a number of night staff have not attained updated mandatory training and many gaps in their actual training exist i.e. on inspection of one file there was only evidence of them having attained fire safety training (19.2.05) and manual handling training on (15.12.04). This is unacceptable and must be addressed as a matter of urgency as this significantly impacts on the care provided to residents by this member of night staff. The acting manager provided the inspector with a photocopy of planned training for the months July 06 to October 06 inclusive. Training planned includes falls awareness, medication, managing aggression and violence, first aid, understanding risk, catheter care, activities and reminiscing, care file training and skin care. The homes pre inspection questionnaire details that 5x staff have attained NVQ Level 2. Cameron House DS0000018044.V308784.R01.S.doc Version 5.2 Page 20 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, 36, 37 and 38 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home is well run and managed. Records as required by regulation were readily available and deemed satisfactory. Staff working within the care home, are formally supervised. EVIDENCE: It is very clear that the acting manager has worked very hard to meet previous identified shortfalls. It is evident that the home is well run and that there is a clear sense of direction, leadership and all members of the management team are pulling in the same direction. The acting manager remains focused, committed and keen to ensure that Cameron House achieves its aims and objectives. The atmosphere in the home is much lighter and staff morale is better. This was confirmed by both senior and care staff working at the care home. Staff Cameron House DS0000018044.V308784.R01.S.doc Version 5.2 Page 21 were complimentary regarding the acting manager and stated that they felt supported. Staff, appeared less anxious about inspection and were very cooperative throughout the day of the site visit. Since the last inspection the acting manager has implemented staff, resident and relative meetings. A random sample of minutes, were inspected on the day of the site visit. In addition to the above the acting manager attends senior and regional manager meetings. The Operation Manager for the home visits Cameron House regularly and offers support and advice to the acting manager where appropriate. A random sample of records as required by regulation were inspected pertaining to the homes passenger lift certificate, employers liability, hoists, fire equipment, hot water, fire drills, emergency lighting/alarms etc. All records inspected were seen to be satisfactory. All staff working within the home are formally supervised and records were readily available. Cameron House DS0000018044.V308784.R01.S.doc Version 5.2 Page 22 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 2 3 X 3 N/A HEALTH AND PERSONAL CARE Standard No Score 7 2 8 3 9 2 10 3 11 3 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 X X X X X X 3 STAFFING Standard No Score 27 2 28 2 29 2 30 2 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 3 X X X 3 3 3 Cameron House DS0000018044.V308784.R01.S.doc Version 5.2 Page 23 Are there any outstanding requirements from the last inspection? NO STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1. Standard OP7 Regulation 15(1) Requirement The registered person must ensure that individual residents care plans are detailed and comprehensive. The registered person must ensure that risk assessments are devised for all areas. The registered person must ensure that all staff receive POVA training. The registered person must ensure that at all times sufficient numbers of staff are on duty which meet the needs of residents residing at the care home. The registered person must ensure that all records as required by regulation are sought and are readily available. Previous timescale of 1.4.06 not met. The registered person must ensure that all staff receive training appropriate to the work they perform. This refers specifically to night care staff. Timescale for action 01/10/06 2. 3. 4. OP7 OP18 13(4) 13(6) 18(1)(a) 01/10/06 01/01/07 28/08/06 OP27 5. OP29 19 07/09/06 6. OP30 18(1)(c) 01/10/06 Cameron House DS0000018044.V308784.R01.S.doc Version 5.2 Page 24 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. 2. 3. Refer to Standard OP2 OP7 OP9 Good Practice Recommendations Ensure that all resident’s contracts are signed and dated. Ensure that all formal assessments are reviewed and updated. Ensure that the list of staff able to administer medication to residents is updated and that residents self medication assessments are reviewed and updated to reflect their continued competence. Ensure that visitors to the home know where the homes complaints procedure is located. 50 of staff should attain NVQ Level 2 or equivalent. The manager should attain NVQ Level 4. 4. 5. 6. OP16 OP28 OP31 Cameron House DS0000018044.V308784.R01.S.doc Version 5.2 Page 25 Commission for Social Care Inspection South Essex Local Office Kingswood House Baxter Avenue Southend on Sea Essex SS2 6BG 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 Cameron House DS0000018044.V308784.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. 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!