Inspection on 22/05/07 for Cameron House

This inspection was carried out on 22nd May 2007.

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

Cameron House 18/07/06

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 22nd May 2007 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.V339811.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.V339811.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@schealthcare.co.uk www.southerncrosshealthcare.co.uk Ashbourne (Eton) Limited Beverley Hickey Care Home 44 Category(ies) of Old age, not falling within any other category registration, with number (44) of places Cameron House DS0000018044.V339811.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 18th July 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 £413.29 to £633.00. 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.V339811.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 11 hours. During this visit a number of records and documents were examined in relation to individual resident’s care plans and associated documentation, staff rosters, staff employment files, staff training records, Statement of Purpose and Service Users Guide etc. In addition to the above a tour of the premises was undertaken and discussion took place with the registered manager, senior staff, care staff and several residents. Following the inspection 10 surveys were forwarded to a random selection of resident’s relatives. The purpose of the surveys was to seek their views as to whether or not they feel that the home is providing appropriate care. It was disappointing that only 5 surveys were returned to the Commission, however comments received were very positive. Comments recorded included “all staff are skilled and friendly, even though they may sometimes be short staffed and busy”, “we cannot imagine ever having to make a complaint against the home, we are very pleased”, “all the staff are friendly and approachable. The home is always clean and tidy and smells nice. I was surprised that my mum’s room was even cleaned on Christmas Day” and “my mother is very happy”. What the service does well: What has improved since the last inspection? At the last inspection 6 Statutory Requirements and 6 Recommendations were highlighted. It was positive to note at this inspection that only 5 Statutory Requirements and 4 Recommendations have been recorded. It is evident that Cameron House DS0000018044.V339811.R01.S.doc Version 5.2 Page 6 the registered manager has dealt effectively with issues previously raised and continued progress has been made. The homes care planning system has improved greatly and from discussions with the registered manager/senior on duty, the value of having good detailed care plans has been recognised. Care plans inspected were seen to be person centred and a working document, which is regularly reviewed and updated to reflect individuals changing needs. Training for staff has been a major focus and it is recognised that this is much improved within core areas (food hygiene, first aid, health and safety, manual handling, medication etc). 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. The summary of this inspection report can be made available in other formats on request. Cameron House DS0000018044.V339811.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 Cameron House DS0000018044.V339811.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. JUDGEMENT – we looked at outcomes for the following standard(s): 1, 3 and 6 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. Prospective residents and their representatives are given the necessary information to make an informed choice as to whether or not Cameron House is the right care home. The home has a good system for assessing the needs of prospective residents. EVIDENCE: The home has a Statement of Purpose and Service Users Guide that is specific to the individual home. All people who reside at the care home are provided with a copy of the Service Users Guide. A copy of both documents was provided to the inspector on the day of inspection and examined post inspection. Minor amendments are required in relation to the Operations Director named as being incorrect and the complaints procedure needing to be updated to reflect that the Commission for Social Care Inspection no longer has a statutory responsibility to investigate complaints. Additionally the Service Users Guide needs to be amended in relation to a `pooled banking Cameron House DS0000018044.V339811.R01.S.doc Version 5.2 Page 9 facility` for resident’s personal monies. This has not been agreed formally with the Commission for Social Care Inspection. Prospective residents are not admitted to the care home until a full needs assessment has been undertaken. In addition to the assessments undertaken by the home, information had been sought from hospitals and/or placing authorities. On inspection of three care files for the newest residents, all were noted to have a pre admission assessment completed. Information recorded in general terms was satisfactory however some elements were recorded on the pre admission assessment but not transferred to the individuals care plan. For example one pre admission assessment detailed that the individual may have unrealistic expectations of them-self and tends to state that they are OK. Additionally the assessment details, that they suffer with expressive dysphasia/can become frustrated as a result, has suffered with iron deficiency and is prone to sudden falls in their blood pressure. None of the above was transferred to the individuals care plan. It was positive to note that there was evidence to indicate that wherever possible information had been sought from the resident and/or their representative. A letter confirming that the care home was able to meet the residents needs had been issued to two out of three newly admitted people and there was evidence to suggest that individuals resident’s are invited to visit the care home prior to admission. Formal assessments relating to pressure ulcer risk assessment, dependency, moving and handling, nutrition, malnutrition, urinary continence, bowel assessment and falls risk assessment were completed for all new admissions. The home does not provide intermediate care. Cameron House DS0000018044.V339811.R01.S.doc Version 5.2 Page 10 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. 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 home has a good comprehensive system/format for recording individual resident’s health, personal and social care needs. The homes medication procedures and records were seen to be appropriate. EVIDENCE: On inspection of five individual care plans, all were observed to have a plan of care available within each file. Formal assessments relating to dependency, moving and handling, continence, nutrition, pressure ulcer risk assessment and falls were completed within each care plan. Care plans were much improved, written in plain simple language, person centred and evidence suggested that they were being used as a working document. The registered manager was advised to consider grouping some of the individual elements of the care plan, as these were similar in nature. Care plans were noted to be, reviewed and updated regularly, to reflect changes to individuals needs. As stated previously some elements as detailed within Cameron House DS0000018044.V339811.R01.S.doc Version 5.2 Page 11 individual’s pre admission assessments had not been transferred to the care plan. The care plan for the most complex resident was examined. The formal assessment for nutrition detailed they were at high risk, however no care plan had been devised in relation to eating and drinking. Daily care records were written daily and in most cases after every shift. The registered manager was advised that comments such as “all care given” are unhelpful and inappropriate. The registered manager was advised that daily care records are a good source of evidence to show that care is being provided, as detailed in the care plan. Daily care records when well written help ensure a consistent approach and good quality of care for residents. Detailed daily care records assist the manager to audit the care being provided to residents and ensure that staff are following the guidelines within the care plans. It is in the homes interests to be able to show what they have done, along with providing the evidence on which to base the monthly review and to record that they are following the assessment of needs. For the newest residents admitted to the care home there was evidence to suggest that a formal review had been undertaken with the care home, placing authority, resident and/or their representative. Some minor improvement is required detailing the outcomes of healthcare professional visits from GP, Chiropody, Optician, District Nurse Services etc. For example the care plan for one resident stated that a GP visited as a result of the person being sick. No information was recorded detailing the outcome of the doctor’s visit. Risk assessments were devised for the majority of areas of assessed risk. However one care plan detailed that the resident displayed both verbal and physical aggression/inappropriate behaviours on occasions. No risk assessment was devised detailing the specific nature of the risk, possible known triggers or specific guidelines for staff identifying support to be provided to the individual resident. The manager’s monthly home audit for 23.4.07 scored 97.4 compliance with care planning and on 23.5.07 scored 98.5 compliance. The homes medication storage facilities and Medication Administration Records (MAR) were examined for both the ground and first floors. Storage systems were observed to be satisfactory and medication stored securely. No omissions of staff signatures were noted on the MAR sheets. Senior staff who administered medication to residents were observed to do this in line with the Royal Pharmaceutical Guidelines for the Safe Administration of Medication. Where bottles/packets of medication are opened, the senior in charge was advised that these must be signed/dated when opened. Additionally PRN (as and when required medication) protocols still need to be devised. Cameron House DS0000018044.V339811.R01.S.doc Version 5.2 Page 12 Controlled Drug medication and records were audited and seen to be satisfactory. On inspection of the homes training matrix, it was evident that all staff who administer medication to residents had received Safe Handling of Medication training. Cameron House DS0000018044.V339811.R01.S.doc Version 5.2 Page 13 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected. 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. The home has a good system for involving people within a meaningful programme of activities. EVIDENCE: The home has recently recruited a new activities co-ordinator and they are contracted to work 28 hours per week. In addition to the activities coordinator, there is an expectation that care staff will also initiate and implement activities whilst on shift. The range of activities provided at Cameron House included dominoes, music, group discussion, film hour, gentle exercise, afternoon tea dance, reminiscence, sing-a-long, external entertainers etc. Additionally the hairdresser visits the home on a weekly basis. It was positive to note that effort is being made to integrate the care home within the local community. The registered manager advised the inspector that students from Basildon College have been involved in painting a mural on one of the communal bathroom walls and in tidying the garden at Cameron House. The Annual Quality Assurance Assessment, which was forwarded to the Commission details that over the next 12 months there are plans for the garden to be landscaped, for a themed/sensory garden to be created and for a Cameron House DS0000018044.V339811.R01.S.doc Version 5.2 Page 14 summer house to be purchased. Cameron House has been lucky to be accepted as one of the recipients for a Department of Health grant of £25,000. Cameron House has devised a newsletter so as to assist residents and other interested parties to keep up to date with what goes on in the care home. The home continues to operate an `open visiting` policy whereby visitors can see their member of family/friend at any reasonable time. Several visitors were noted on the day of inspection and interaction between staff and visitors was observed to be positive. Observation of the lunchtime and teatime meal was undertaken during this site visit. The meals provided to residents were seen to be plentiful and of an appropriate quality. Alternatives to the menu were available and residents were able to choose where they had their meal, for example within the dining room, in the lounge area of in the privacy of their bedroom. Comments from individual residents were complimentary “food is very good”, “food is lovely, no complaints” and “its excellent, I can’t fault it”. Care staff were observed to assist residents appropriately e.g. in a friendly manner, the lunchtime/teatime meal was unhurried, residents were asked if they had finished their meal before the plate was removed and rapport between staff and residents was sensitive and attentive. Cameron House DS0000018044.V339811.R01.S.doc Version 5.2 Page 15 Complaints and Protection The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be. 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 an open culture that allows residents, their representatives and other interested parties to express their views and concerns. The home has a clear policy and procedure for safeguarding adults and staff working at the care home know how to report incidents. EVIDENCE: The Annual Quality Assurance Assessment details that over the past 12 months the home has received two complaints and has dealt with one protection of vulnerable adults issue. On inspection of the homes complaints records, there was clear evidence detailing the specific nature of the complaint, investigation, action taken and outcome. One complaint remains outstanding in relation to issues pertaining to an outstanding newspaper payment and this is being dealt with by the organisations Head Office. The registered manager was advised that the homes complaints procedure needs to be amended to reflect that the Commission for Social Care Inspection no longer has any statutory responsibility to investigate complaints. Any complaints received at the Commission will be referred back to the registered provider or to the local authority of they are contractually involved. As part of the inspection process inspectors will examine how the registered provider has dealt with issues and as to whether regulations are being met. Evidence of Cameron House DS0000018044.V339811.R01.S.doc Version 5.2 Page 16 letters and cards of compliment to the registered manager and her staff team were readily available. The home was observed to have policies and procedures for safeguarding adults. The home has dealt with one issue since the last `key` inspection satisfactorily and from discussions with both senior and care staff, staff were able to demonstrate a sound knowledge and understanding of safeguarding procedures. On evidence of the homes training matrix/statistics, records indicate that 98 of staff have undertaken training relating to Protection of Vulnerable Adults and 79 of staff have received training pertaining to challenging behaviour. Cameron House DS0000018044.V339811.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. 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 premises are well maintained and the people who reside at the care home live within a safe environment. EVIDENCE: The home is maintained in good decorative order and at this site visit no health and safety issues were highlighted. There is a programme for on-going redecoration and refurbishment, and on the day of the inspection the dining room on the first floor was being upgraded. On a tour of the premises all areas of the home were seen to be clean, tidy and odour free. On inspection of a random sample of individual resident’s bedrooms these were observed to be personalised and individualised to suit individual tastes. The reception area within the home is welcoming and homely and promotes a good first impression. Cameron House DS0000018044.V339811.R01.S.doc Version 5.2 Page 18 The Annual Quality Assurance Assessment details that over the next 12 months, new carpets and additional pictures are to be purchased. Cameron House DS0000018044.V339811.R01.S.doc Version 5.2 Page 19 Staffing The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users’ needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission consider all the above are key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 27, 28, 29 and 30 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. Staffing levels within the care home are appropriate on most occasions. The homes recruitment procedure is not as robust as it should be. Training is recognised as being important, however there are some gaps. EVIDENCE: The registered manager advised the inspector that staffing levels remain at 2 senior staff and 4 care staff between 07.00 a.m. and 21.00 p.m. and during the night there should be 1 senior member of staff and 3 care staff between 21.00 p.m. and 07.00 a.m. The registered manager’s hours are supernumerary Monday to Friday and the deputy manager has 2 days whereby she is supernumerary. The homes maintenance person is employed for 40 hours and the administrator is employed for 37.5 hours per week. On inspection of four weeks staff rosters, these indicated on most occasions that the staffing levels as detailed above were maintained. However, some shortfalls were identified (especially on the night shift) and it was unclear on occasions as to who specifically provided cover, as these were not detailed on the staff roster. On a positive note the staff roster was observed to be clear and detailed the full names of staff working at the care home on any specific Cameron House DS0000018044.V339811.R01.S.doc Version 5.2 Page 20 day. Staff do not appear to be working long hours and there are sufficient off duty shifts undertaken. The inspector was advised that since the last inspection, six new members of staff have been employed. On inspection of these staff files, the following observations were noted: the employment history for one person only explored from 1994 to 2001, only one referee detailed on the application form for one employee, no recent photograph of the employee within three employment files, the Criminal Record Bureau check for one night carer was not an `enhanced` disclosure but a `standard` disclosure, 1 written reference/referee received was not detailed on the application form and it was unclear from the application that they had worked at this care home for two applicants, only 1 written reference for one employee and one POVA 1st received was from another care home within the organisation. There was no evidence to indicate that whilst the care home was waiting for Criminal Record Bureau checks to be returned, newly employed staff were supervised by another member of staff. All staff were noted to have a record of induction and this was in line with Skills for Care. The registered manager advised the inspector that since the last inspection, a `bank` system has been created so as to ensure that regular staff, are working at the care home and consistency of care is provided to residents. On inspection of the homes training matrix/statistics, this evidenced 100 of staff have attained fire safety, 62 have undertaken fire drill training, 96 have received training relating to food hygiene, 100 of staff have attained moving and handling training, 17 of staff have attained COSHH (Control of Substances Hazardous to Health) training, 98 of staff have attained health and safety training, 96 of staff have achieved infection control training, 92 of staff have attained care planning training, 2 of staff have received training pertaining to dementia awareness, 70 of staff have attained training relating to safe use of bed rails and 22 members of staff have received training pertaining to first aid. The registered manager was advised that not only must continued focus remain in ensuring that staff receive regular training/updated training for the above but to explore specific training relating to the those conditions associated with the needs of older people. For example this refers to pressure area care, falls monitoring, risk assessing, sensory impairment, nutrition, Parkinsons Disease etc. The training matrix details that 6 staff have attained NVQ Level 2, 3 staff have attained NVQ Level 3 and 18 staff are currently undertaking NVQ Level 2. The registered manager has completed NVQ Level 4. Cameron House DS0000018044.V339811.R01.S.doc Version 5.2 Page 21 The manager monthly home audit for 23.4.07 scored 75 compliance for personnel files and 100 for training records. For 23.5.07 personnel files scored 87.5 and training records scored 100 . Cameron House DS0000018044.V339811.R01.S.doc Version 5.2 Page 22 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. JUDGEMENT – we looked at outcomes for the following standard(s): 31, 33, 36 and 38 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The registered manager has the required qualifications and experience to run the care home. EVIDENCE: Since the last inspection the registered manager has completed the Registered Manager’s Award qualification. In recent weeks the registered manager has been absent from the care home as she is providing support to another care home within the organisation. Although the Commission recognises that this has not had any detrimental effect on the care provided at Cameron House and that the deputy manager is undertaking the day to day role of managing the care home, the registered provider as agreed must ensure that the registered manager is returned to Cameron House as soon as possible, so as to ensure its Cameron House DS0000018044.V339811.R01.S.doc Version 5.2 Page 23 continued progress and continuity of care/management for those people residing at the care home. Home audits are undertaken on a monthly basis and regular staff meetings and residents meetings are held. On inspection of a random sample of staff employment files, evidence suggested that regular supervision for staff is being conducted in line with regulatory requirements. The registered manager advised the inspector that since December 06 she has only received one group supervision session, but did receive telephone support and advice from the then Operations Director and `relief` Operations Manager. The registered provider must ensure that the registered manager receives regular supervision and support and that records are available. A random sample of records as required by regulation were inspected. Records relating to fire door checks, emergency lighting/alarms, fire drills and the homes fire risk assessment, hot and cold water temperatures, employers liability certificate, gas and electrical certificates, passenger lift and portable appliance testing were seen to be satisfactory. Cameron House DS0000018044.V339811.R01.S.doc Version 5.2 Page 24 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 2 X 2 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 2 28 3 29 2 30 2 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X 3 X X 3 X 3 Cameron House DS0000018044.V339811.R01.S.doc Version 5.2 Page 25 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. 2. 3. Standard OP1 OP7 OP27 Regulation 4 and 5 13(4)(c) 18(1)(a) Requirement Ensure that the Statement of Purpose and Service Users Guide is amended and updated. Ensure that risk assessments are devised for all areas of assessed risk. Ensure that at all times sufficient numbers of staff are on duty to meet the needs of residents residing at the care home. This refers specifically to the night duty roster. Previous timescale of 28.8.06 not met. Ensure that all records as required by regulation are sought. Previous timescale of 1.4.06 and 7.9.06 not met. Ensure that all staff working at the care home receive appropriate training to the work they perform. This refers specifically to training pertaining to the needs of older people. Timescale for action 14/08/07 14/08/07 01/08/07 4. OP29 19 01/08/07 5. OP30 18(1)(c) 01/11/07 Cameron House DS0000018044.V339811.R01.S.doc Version 5.2 Page 26 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. 4. Refer to Standard OP3 OP7 OP9 OP16 Good Practice Recommendations Ensure that information from the pre admission assessment is transferred to the individual resident’s care plan document. Ensure that daily care records are detailed and comprehensive. Ensure that where packets/bottles of medication are opened, these are signed and dated. Ensure that the homes complaints procedure is amended and updated to reflect that the Commission no longer has any statutory responsibility to investigate complaints. Cameron House DS0000018044.V339811.R01.S.doc Version 5.2 Page 27 Commission for Social Care Inspection South Essex Local Office Kingswood House Baxter Avenue Southend on Sea Essex SS2 6BG National Enquiry Line: Telephone: 0845 015 0120 or 0191 233 3323 Textphone: 0845 015 2255 or 0191 233 3588 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.V339811.R01.S.doc Version 5.2 Page 28 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. 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