Inspection on 07/02/07 for Cameron House

This inspection was carried out on 7th February 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 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 01/12/08

Cameron House 14/02/06

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

CARE HOMES FOR OLDER PEOPLE Cameron House 78 Pellhurst Road Ryde Isle Of Wight PO33 3BS Lead Inspector Annie Kentfield Key Unannounced Inspection 7th February 2007 11:30 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 DS0000065253.V325798.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 DS0000065253.V325798.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Cameron House Address 78 Pellhurst Road Ryde Isle Of Wight PO33 3BS 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) 01983 564184 01983 811798 Make All Ltd Miss Sarah Margaret Floyd Care Home 18 Category(ies) of Dementia - over 65 years of age (18) registration, with number of places Cameron House DS0000065253.V325798.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. The Manager must achieve NVQ Level 4 in Care and NVQ Level 4 Registered Manager`s Award by December 2007 14th February 2006 Date of last inspection Brief Description of the Service: Cameron House is registered to provide care for up to 18 older people who have a dementia. The home is one of two care homes owned by Make All Ltd and is managed by a registered manager – Sarah Floyd. The home is a detached period property that has been converted to provide accommodation on the ground and first floors and is situated in a residential area of Ryde. The bedrooms are mostly single with some double rooms, and access to the first floor is via a stair lift. There is off road parking at the front of the house with level access to the home. The current scale of charges is from £435.05 - £490 per week. There are additional charges for hairdressing (£4.50) and chiropody (£5.00). Cameron House DS0000065253.V325798.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This report details the results of an evaluation of the quality of the service provided by Cameron House and brings together accumulated evidence of activity in the home since the last inspection on 14 February 2006. Part of the process has been to consult with people who visit the service; including relatives, and health and social care professionals. Written comment cards were received from 6 relatives and the inspector made telephone contact with the Older Persons’ Community Mental Health Team based at St Mary’s Hospital. The residents in the home are not able to take part in this process due to varying levels of cognitive impairment and frailty. Included in the inspection process was an unannounced site visit to Cameron House by an inspector on 7 February 2007. During the visit the inspector spoke with staff on duty, the manager of the home and also three relatives who were visiting the home at the time. The inspector toured the building with the manager and looked at a selection of records. The inspector was able to observe how care staff interacted well with residents who all appeared to be well cared for. Some of the evidence for this report is also taken from preinspection information provided in advance of the visit by the registered manager. The responses from the consultations were very positive. What the service does well: It was evident from all the responses (both verbal and written) from relatives that Cameron House provides a high quality of care for those who live there. T Two visiting relatives of a resident said that several homes had been visited before Cameron House was chosen. It was felt that it had been a good decision and the relatives were very satisfied with the care provided. The manager and staff demonstrate a good understanding of the particular care needs of older people with dementia. Overall, the management of the home is organised and efficient and it is evident that residents benefit from the attention given to maintaining detailed records of their health and personal care needs and the home works closely with health care professionals to ensure that residents’ health care needs are monitored and met. The manager has a good knowledge of residents’ medication and this is regularly reviewed with the local GP practice. Cameron House DS0000065253.V325798.R01.S.doc Version 5.2 Page 6 What has improved since the last inspection? What they could do better: Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. The summary of this inspection report can be made available in other formats on request. Cameron House DS0000065253.V325798.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 DS0000065253.V325798.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): 2, 3 and 6 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Each resident or their representative has a written contract/statement of terms and conditions with the home. The manager ensures that the care needs of the people who live at Cameron House will be met by undertaking an assessment of their care needs prior to them moving into the home. The home does not provide dedicated accommodation for short-term intermediate care or specialised facilities for rehabilitation. EVIDENCE: The manager confirmed that all residents or their representatives are given a contract, or ‘agreement between Cameron House and resident’. Visiting Cameron House DS0000065253.V325798.R01.S.doc Version 5.2 Page 9 relatives confirmed that they had been given a contract in respect of the residents they represented. The inspector looked at how the home managed the admission of the newest resident, who moved into Cameron House three months ago. Records showed that a full pre-admission assessment of the individual’s needs was carried out. The home uses a clear assessment form, which covers all the necessary information needed to start a plan of care for daily living. A copy of the assessment was available on the resident’s file. The assessment included a copy of the hospital discharge summary and wherever possible, the assessment would involve the resident’s family or representative. Residents at Cameron House tend to be long term. The home does not provide dedicated accommodation for short-term intermediate care or specialised facilities for rehabilitation. However, respite care is provided if there is a room available. Cameron House DS0000065253.V325798.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 system of care planning with an individual plan for each resident. They provide a good demonstration that residents’ health and social care needs are identified and met and include risk assessments and monthly reviews. The home promotes and maintains residents’ healthcare and ensures that access to healthcare services is available at all times. The home ensures that staff respect residents’ privacy and dignity at all times, especially with regard to the arrangements for health and personal care. The systems for the administration of medication are good, however, consideration must be given to arranging additional secure storage for medicines. EVIDENCE: Cameron House DS0000065253.V325798.R01.S.doc Version 5.2 Page 11 The home has a system of care planning with an individual personal plan for each resident. The inspector looked at a sample of three plans. The inspector noted the structure and content of the sampled plans to be clear, and of a good standard. Each resident’s plan includes a pre-admission assessment, appropriate charts and records, plan of care for problems and needs, specific falls and manual handling risk assessments, personal and social care routine, daily recording of information and guidance for staff on completing the plans. Good practice was noted in a number of areas and it was clear that the meticulous recording of all aspects of residents’ daily care ensures that their health care needs are being monitored and met. Staff spoken with confirmed that care plans are reviewed and updated monthly. The inspector noted that reviews were up to date. In terms of the home’s approach to privacy and dignity within the service, the inspector was shown a statement of the home’s philosophy of caring for people with dementia and this is given to all members of staff. This clearly demonstrates a commitment to providing care that values the individual qualities of each resident. Two of the relatives spoken to confirmed this and gave as an example the fact that staff take extra care to ensure that their relative is dressed in outfits that match and care is taken with hair “so that the resident looks as they would have wished had they been able to do it themselves”. In the shared bedrooms, there is screening available to ensure privacy. In discussion with the manager it was clear that while a minority of residents were vulnerable to pressure sores none had them at the time of the inspector’s visit. This was due to the use of equipment and good practice by staff, in close co-operation with the district nurses. Medication is dispensed by means of a monitored dosage (blister pack) system by staff that have completed medication training, and deemed competent by the manager. The home has a policy and system to ensure residents’ medication is administered and recorded safely. During the site visit the inspector looked at the arrangements in place and mostly this was satisfactory. Some recommendations were made in discussion with the manager for the storage of medication to be reviewed. Lack of space meant that some medication was being stored in a separate cupboard in the office cupboard that was not secure. Some form of secure storage is also needed when medication is being dispensed by staff. There is guidance for staff on dispensing medication that is prescribed to be given ‘as and when needed’ but this needs to be in place for all PRN medication. The manager was also recommended to include a photograph of the service user with the individual care plans and medication charts as an additional safety measure. Cameron House DS0000065253.V325798.R01.S.doc Version 5.2 Page 12 All residents are registered with a GP practice and one of the GP’s does a regular three monthly ‘house visit’ to review the health and medication of all of the residents, GP’s will also visit as requested. All relatives spoken with were full of praise for the staff and their approach to care. Residents can use the facility of the home’s phone to make and receives calls. Cameron House DS0000065253.V325798.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. Friends and family are made to feel welcome and can visit at any time. Residents’ nutritional needs are satisfied with a varied and balanced diet of good quality food. The lifestyle in the home is suitable to the needs of the residents. EVIDENCE: Residents in the home are not able to express verbally their choices and preferences with regard to social and leisure activities; however, the manager and staff try to offer a range of gentle games and activities that the residents will enjoy. There is occasional musical entertainment, some arts and crafts activities and the opportunity for religious worship. On the day of the inspection a member of staff was doing some craft activity. Visitors spoken to during the inspection said that they are always made welcome and can visit at any time. Cameron House DS0000065253.V325798.R01.S.doc Version 5.2 Page 14 Mealtimes are an important part of the day and residents are encouraged to walk to the dining room to take their meals, but meals can also be taken in bedrooms if residents prefer. The home employs a chef who has worked in the home for some time and is very knowledgeable about residents’ likes and dislikes. Attention is given to providing a choice of menu that is wholesome and nutritious and residents were seen enjoying a lunch of roast pork. Food is liquidised for those who need it and assistance provided to residents who are unable to eat without support. The home has heated plates and plate guards for residents who need this. Daily records are maintained of meals taken and where the need is identified, fluid intake is also recorded. In discussion with the manager it was recommended as good practice that food be separately liquidised to make the meal more attractive and tasty, however, it was observed that one resident was clearly enjoying their meal that had been liquidised as a whole. Residents’ bedrooms were inspected and it was evident that residents are encouraged to personalise their rooms with furniture and items of personal importance. One visiting family said that their relative always liked to have flowers to arrange and that this continued to provide pleasure for them. Cameron House DS0000065253.V325798.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 treats complaints seriously and responds appropriately. The home’s policies, procedures and practices ensure that residents are safeguarded from abuse. EVIDENCE: The home has a complaints procedure in place. Residents in the home would not be able to use the complaints procedure but the information is made available for relatives and visitors. All of the relatives who responded in the consultation process said they were aware of how to make a complaint but had never had to make use of it. The home has a policy and procedure in place to respond to any concerns or allegations of harm to the residents. This is a written policy and is made available to staff in the home. The inspector spoke to three members of staff who said they were aware of the policy and would know how to respond if they had any concerns about a resident. Awareness of adult protection policy and procedures is covered in the staff training induction programme. The manager said she was planning for staff to undertake some training that was being offered locally in ‘safeguarding vulnerable adults’, the training is due to start in the next few months. Cameron House DS0000065253.V325798.R01.S.doc Version 5.2 Page 16 The policy of the home is that relatives or resident representatives deal with residents’ financial affairs and the home has a clear written policy that neither the staff nor the manager has any involvement at all in residents’ financial or legal affairs. The registered manager and finance director recently attended a training day on the new Mental Capacity Act that comes into effect in April 2007. Cameron House DS0000065253.V325798.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, 22, 23 and 26 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The location and layout of the home is suitable for its stated purpose in providing a safe and comfortable environment for those who live and work there. Decoration and maintenance are ongoing. All areas of the home are kept clean, hygienic and there are no unpleasant odours. EVIDENCE: Cameron House has been a residential care home for older people for many years and whilst not purpose built has been adapted over the years to be suitable for its stated purpose of providing a safe, manageable and comfortable environment for the people who live there. Cameron House DS0000065253.V325798.R01.S.doc Version 5.2 Page 18 The inspector toured the whole premises with the manager and all areas of the home were very clean and tidy with no unpleasant odours detected anywhere. There are a number of single rooms on the ground floor and all have a wash hand basin with access to toilets and a bathroom with an assisted bath. Bedrooms upstairs are single and shared with some having en-suite facilities. There are also toilets and a bathroom on the first floor. Bedrooms are attractively and individually decorated and personalised with residents’ own possessions. Where bedrooms are carpeted, the home uses carpet that is fully washable and easy to maintain. One bedroom had a vanity unit where the laminate had worn but the manager confirmed that rooms are regularly checked and repairs and replacement arranged as part of the ongoing maintenance of the home. Bedrooms, toilets and bathrooms have a pull cord alarm system in place and the home’s records confirm that this is serviced annually. Other equipment including the hydraulic bath seat and the stair lift is also regularly serviced. The communal areas of the home are attractively decorated and comfortably furnished and thought has been given to making the environment homely and attractive for the residents with pictures, ornaments and flowers. There is one sitting room and a separate dining room and in the summer month’s residents have access to a safe and secluded garden area. The home does not have a separate area for residents to meet with visitors in private but relatives spoken to during the inspection said that they could always go and sit in the resident’s bedroom if they want privacy. The home does not have a passenger lift and access to the first floor is via a stair lift. Residents need assistance to use this. The first floor bedrooms would not be suitable for residents who are not fully mobile but the home does have the opportunity of offering some bedrooms on the ground floor. Some of the residents use wheelchairs and these are stored under the stairs, the home has a hoist but this is not being used at present. Toilets and bathrooms are equipped with raised seats and handrails. The home has a laundry and sluice and there are hand-washing facilities available such as liquid soap and paper towels. All cleaning materials are kept locked in a cupboard and have all been assessed for use. All staff undertake training in health and safety and infection control procedures and have access to gloves and aprons as required. Cameron House DS0000065253.V325798.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 good. This judgement has been made using available evidence including a visit to this service. To ensure residents are in safe hands arrangements are made for staff to undertake the National Vocational Qualification (NVQ) in care. The home operates a robust staff recruitment procedure, which ensures service users are protected. The staff training and development programme ensures the residents’ needs are met in line with the aims of the home. EVIDENCE: The home employs 17 care staff and the staff rota shows that there is always three care staff on duty with two wakeful care staff at night. From 7am – 8am there is four care staff on duty. The manager, finance director, chef and cleaner are in addition to the care staff. Comments from relatives and observation during the inspection demonstrated that there are sufficient staff to meet the needs of the residents. The inspector spoke to three members of staff who clearly enjoyed working in the home and it is evident that staff work well as a team and are prepared to cover gaps in the rota themselves – the home does not employ agency staff. Cameron House DS0000065253.V325798.R01.S.doc Version 5.2 Page 20 Care staff feel well supported and have sufficient training to meet the needs of the residents. Supervision arrangements are in place for regular one to one supervision with the manager, this includes regular observation of practice in the home and annual appraisals. The manager is responsible for staff training and development and arranges staff training using a combination of in-house training and the use of training videos with external and distance training. Staff training covers a planned induction programme for new staff using agreed national standards for induction of care staff, mandatory training in safe working practice and a programme of NVQ training in care. At the moment the home does not meet the recommended 50 of care staff with a minimum of NVQ level 2 in care but with 7 members of staff enrolled to achieve this, they are working towards this. Night care staff follow the same training programme as day care staff. The manager confirmed that training in awareness of protecting vulnerable adults is to be arranged as and when training becomes available. It is also recommended that staff be offered specialist training in dementia awareness, suitable to the needs of the residents in the home. The home has a procedure for recruiting new staff that is designed to protect the residents and inspection of staff files confirms this. The recruitment policy and procedure follows regulatory requirements for pre-employment checks, there is also evidence that the home monitors equal opportunity during recruitment and the requirements of the Data Protection Act. New staff are provided with a code of practice, job description, and staff handbook. The manager said that as good practice, the home would be renewing staff criminal record checks every three years. Cameron House DS0000065253.V325798.R01.S.doc Version 5.2 Page 21 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, 35 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 experience together with the relevant management qualifications to run the home and meet its stated purpose, aims and objectives. There are good quality assurance measures in place to ensure the home continues to meet its aims and objectives. The home has no involvement with service users’ financial affairs. Policies, procedures and practices ensure so far as is reasonably practicable the health, safety and welfare of service users and staff. EVIDENCE: Cameron House DS0000065253.V325798.R01.S.doc Version 5.2 Page 22 The registered manager has been in place for just over a year but previously worked in the home as a senior carer. Since becoming manager she has worked hard to achieve the Registered Manager Award and hopes to complete the NVQ level 4 in care within the next three months. In addition she has undertaken professional development and training in dementia care, appraisal techniques, fire safety risk assessment and the Mental Capacity Act. In discussion with the manager it was recommended that further professional development and training in the home’s specialist area of dementia care would ensure that the manager is able develop the care provided and demonstrate continued good practice in this area. Comments from staff and relatives demonstrate that the manager has a calm and friendly approach and the home is well run in the best interests of the residents. The manager works closely with the finance director (who is also an accredited training assessor), and the registered owner, to ensure that there are efficient management systems in place. The management team have systems in place to ensure that the home continues to meet the needs of the residents and to ensure that the home is meeting its stated purpose. There are a number of quality assurance checks such as review of care and care plans, review of medication, staff supervision and appraisals, manager’s monthly checks of all aspects of the service, and the regular inspections that are carried out by the owner and recorded under Regulation 26 of the Care Homes Regulations 2001. (These reports were looked at during the inspection) In addition, relatives and professional visitors are asked to complete a quality questionnaire annually. In discussion with the manager it was recommended that a summary of the outcome of the home’s quality assurance systems should be made available to relatives and other visitors on a regular basis. Residents’ financial affairs are managed by relatives or representatives that are invoiced monthly for any additional expenditure such as hairdressing or chiropody. The manager is aware that some residents have official appointees but would refer anyone to an independent advocacy service if any resident lacked someone to represent them. The home has a number of policies and procedures for promoting and looking after the health, safety and welfare of the residents and staff. As well as ongoing training for staff in all aspects of safe working practice, the manager confirmed that all maintenance and servicing of equipment and fire safety equipment in the home is carried out as required by regulation. The fire logbook was up to date and the manager confirmed that the fire risk assessment was reviewed in November 2006. Fire safety training is carried out every six months with a twice-yearly fire drill. The manager was recommended to keep a written record of fire practices and a list of people Cameron House DS0000065253.V325798.R01.S.doc Version 5.2 Page 23 who attended. The home was inspected for food safety by the Environmental Health Department in May 2006 and two minor recommendations have been met. Cameron House DS0000065253.V325798.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 X 3 3 X X N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 2 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 3 3 X X 3 STAFFING Standard No Score 27 3 28 3 29 3 30 2 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X 3 X 3 X X 2 Cameron House DS0000065253.V325798.R01.S.doc Version 5.2 Page 25 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. 2. Standard OP9 OP9 Regulation 13(2) 13(2) Requirement Timescale for action 30/03/07 Medication must be securely stored at all times. PRN medication must be 30/03/07 individually recorded with written guidance for care staff. 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. Refer to Standard OP30 Good Practice Recommendations The staff training and development programme should include training in the home’s specialist area of dementia care. Fire safety drills or practices should be recorded and a record kept of staff that attended. OP38 Cameron House DS0000065253.V325798.R01.S.doc Version 5.2 Page 26 Commission for Social Care Inspection Southampton, Portsmouth and Isle of Wight 4th Floor Overline House Blechynden Terrace Southampton SO15 1GW 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 DS0000065253.V325798.R01.S.doc Version 5.2 Page 27 - 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. 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