Inspection on 25/07/07 for Cameron House Nursing Home

This inspection was carried out on 25th July 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 Nursing Home 27/06/06

Cameron House Nursing Home 16/03/06

Cameron House Nursing Home 22/09/05

Cameron House Nursing Home 27/01/05

Cameron House Nursing Home 11/05/04

Similar services:

Chirnside House

Keer Sands Residential Home

Ruskin Lodge

Bushell House

Langrigg House

Parkside

Dystlegh Grange

Thornton Lodge

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

CARE HOMES FOR OLDER PEOPLE Cameron House Nursing Home Cameron Street Bury Lancashire BL8 2QH Lead Inspector Stuart Horrocks Unannounced Inspection 25th July 2007 09:30 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 Nursing Home DS0000017340.V334509.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 Nursing Home DS0000017340.V334509.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Cameron House Nursing Home Address Cameron Street Bury Lancashire BL8 2QH 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) 0161 764 8571 0161 763 3695 cameron.house@fshc.co.uk www.fshc.co.uk Ringdane Limited (wholly owned subsidiary of Four Seasons Health Care Limited) ** Post Vacant *** Care Home 40 Category(ies) of Old age, not falling within any other category registration, with number (40), Physical disability (1) of places Cameron House Nursing Home DS0000017340.V334509.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. The home is registered for a maximum of 40 service users, to include: Up to 40 service users in the category of OP (Older People) and 1 named service user in the category PD (Physical disability under 65 years of age) The service should employ a suitably qualified and experienced Manager, who is registered with the Commission for Social Care Inspection. 27th June 2006 2. Date of last inspection Brief Description of the Service: Cameron House Nursing Home provides nursing and personal (‘residential’) care for older people. Both permanent and respite places are available. The home is owned by Four Seasons Healthcare (a large national company). It is a modern, detached building on two floors (with a lift). All the bedrooms are singles. The home has a dining room, two lounges and a conservatory. There is a small, enclosed garden to the rear and car parking to the front and side. The home is in a residential area, with a main road and public transport nearby. Bury town centre is approximately one mile away. A Service User Guide (Residents Information Guide) and a Statement of Purpose describing the home’s services are available and the provider gives other information about the home to new and prospective residents and their families verbally. A copy of the latest inspection report is available in the entrance area of the home. Fees range from £355.11 to £470.00 per week. Additional charges are made for personal chiropody, hairdressing and newspapers. Cameron House Nursing Home DS0000017340.V334509.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This key inspection, which the home did not know was going to take place, included a site visit that was started at 9:00am on the 25th July 2007. It took place over one and a half days and it lasted for about thirteen hours. The time was split between talking to the acting manager and checking records, looking around the home, watching what was happening and talking to residents, a relative and other staff. Four residents, one relative and five staff were spoken with. A completed provider’s self-assessment survey information document (Annual Quality Assurance Assessment) was received before the inspection. The care services (case tracking) provided to three specific residents were used a basis for the process of the inspection. What the service does well: What has improved since the last inspection? Improvements in the environment continue to be made with new floor coverings, lounge chairs, carpets, wheelchairs, profiling beds and bed linen being purchased. Corridors and bedrooms have also recently been redecorated, making the home much more attractive. Training in relation to safeguarding adults has been undertaken and further training is also planned so as to ensure residents are protected. Cameron House Nursing Home DS0000017340.V334509.R01.S.doc Version 5.2 Page 6 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 Nursing Home DS0000017340.V334509.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 Nursing Home DS0000017340.V334509.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): 3 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. Pre-admission visits, and the initial assessment process, enable all parties, including potential residents and their relatives, to reach a decision as to whether the home will be able to meet their needs. EVIDENCE: Three residents files were chosen for inspection. On examination of the care plans they all contained a pre-admission assessment of the individuals care needs. This information was provided either by the placing authority or by the home’s internal assessment process. All potential residents undergo an “inhouse” pre-admission needs assessment, irrespective of their funding arrangements. Senior staff visits them at home or in hospital prior to their admission. The “in-house assessment pre-admission needs document is detailed and includes the scoring of each need and also allows for comments to be made for each need. All scores were completed but little comment had Cameron House Nursing Home DS0000017340.V334509.R01.S.doc Version 5.2 Page 9 been made in the plans. This needs to be addressed to ensure detailed information relating to all care needs are identified, recorded and planned for, in order to guide staff providing care. Discussion with residents and staff confirmed that potential residents and their families are welcome to visit the home before admission. They can have a meal and spend some time in the home to help them make a decision if the home can meet their needs. Cameron House Nursing Home DS0000017340.V334509.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 adequate. This judgement has been made using available evidence including a visit to this service. Care plans show the health and personal care needs of residents are on the whole satisfactorily met though there are gaps that require attention so not as to put people at risk. EVIDENCE: Three residents files were chosen for inspection. The files were of a general resident, a resident who requires nursing support and a resident who was supported as part of “rapid response”. The home provides a “rapid response” service on a contracted basis in conjunction with the local Health Authority. This provides short-term care (often for two weeks) for people who require care and assessment whose condition does not necessarily require admission to hospital. At the end of the assessment period some of these people will return to their homes or may need admission to permanent residential care. Cameron House Nursing Home DS0000017340.V334509.R01.S.doc Version 5.2 Page 11 As stated earlier pre-admission assessments are in place and these provide the basis for which care is to be delivered. The general and nursing residents files showed that they are regularly reviewed and updated, covering core areas such areas as personal care, continence, manual handling, bed rail risk assessments, social needs, skin integrity, day and night progress records, records of GP and Community Nurses visits. They also contained an identity photograph. There were Malnutrition Universal Screening Tools (MUST) in place but these were not being used and regular weight checks were not being undertaken. These short falls need to be addressed to ensure residents are weighed regularly in order to ensure that they do not loose too much weight and to ensure action is taken if weight loss is identified There were care plan agreements in place but these were not signed. These require signing by either the resident or if they are unable to do so, by a relative. The residents file supported under rapid response had a Pre-admission assessment, initial action plan, skin integrity risk assessment and their medication was noted. All of this information was provided by the placing worker. Daily progress reports were in place, which included visits from health care professionals. The home however does not routinely formulate a care plan for Rapid Response residents but relies on the initial action plan for the delivery of care. There were no risk assessments in place for safe manual handling or nutrition and there was no information recorded regarding social needs. There was no identity photograph in place. It is important that that residents receiving the rapid response care service are provided with an in-house care plan in line with other residents at the home even though they may only be staying at the home a short period of time. Talking to residents, the manager and the staff and looking at records showed that the resident’s health care needs are taken care of and that when necessary health workers such as doctors, nurses and opticians are called. All medicines were safely stored in a dedicated treatment room and lockable Controlled Drugs storage is also available and the random checking of these found the quantity kept corresponded as required with the amount recorded in the Register. The residents’ medicines are provided in pre-filled blister packs with preprinted prescription/recording sheets also provided. These records were found to be properly completed and to be up to date. The medications supplied are checked in to the home and medicines returned to the pharmacy are also recorded. No resident was self-medicating at the time of this inspection. Cameron House Nursing Home DS0000017340.V334509.R01.S.doc Version 5.2 Page 12 Those staff that give out medicines have been given the necessary training for this task. The home has a satisfactory medicines policy and procedure that includes guidance for the self-administration of medicines and the use of homely remedies. In discussion the residents said that they are given their medicines regularly and as prescribed. Records looked at emphasised the need for the residents privacy and dignity to be respected at all times, and the staff gave examples of how the residents privacy and dignity were promoted in the home, such as when giving personal care. This was observed during the inspection. Residents said that the staff treat them with respect and that their dignity is valued, for example they said that the staff knocked on their bedroom doors before entering. Those residents spoken with said that the staff were “respectful”, “considerate”, “pleasant” and that “they (the staff) talk to us properly”. Cameron House Nursing Home DS0000017340.V334509.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 activities offered within the home mean that residents have opportunities to participate in stimulating activities. Residents have choice about their daily routines and are happy with the food provided. EVIDENCE: The Home employs a part time social activities co-ordinator 20 hours per week and there is also some care staff involvement in providing social activities. Advertised activities were displayed on the wall near to the lounge and dining room. Activities included were Light Music, Hair & Nails, Bingo, Carpet Bowls, Music & Movement, and Film Shows. One to One sessions were also available for those residents with memory loss and communication difficulties. A game of dominoes took place during the afternoon of inspection. Trips outside the home are limited though discussion with staff and viewing records confirmed a few residents had recently been taken to the Millgate Cameron House Nursing Home DS0000017340.V334509.R01.S.doc Version 5.2 Page 14 Shopping centre in Bury. A Company mini bus is available for trips out. Records also showed a reminiscence session had recently taken place. Detailed social needs assessments were seen in the files of two of the three residents that were case tracked but none in the file of the “rapid response” resident. A social activities plan and a record of activities taken part in was seen in one of the files of the three residents that were case tracked but none in the other two. Residents spoken to were aware of the available activities although some chose not to join in. The home has an unrestricted visiting policy. There are no restrictions placed when people visit and this was evident with visitors observed during the course of the inspection. This was further evidenced in the visitors book and in discussion with residents and staff. Issues regarding residents choice are described in a variety of documentation including the home’s Service User Guide and Statement of Purpose. Those residents spoken with said that they had choice about such things as what time to go to bed and get up, which clothes to wear, which lounge they sat in, how they spent their day and whether or not to participate in activities. For those residents who may have a limited ability to make decisions and choices about their day-to-day living arrangements the staff said that they try to assist them with this by offering choices about such things as what clothing to wear, when to rise and retire and helping them to choose from the menu. The residents are able to, and do bring personal items in to the home such as televisions, radios, photographs, pictures and ornaments to personalise their rooms. There is a Four week menu cycle, which offered a varied choice of nutritional food. The main meal is served at lunchtime and a lighter meal at teatime. Breakfast is served on a flexible basis. Warm food is always offered at midday and a warm choice is usually available at teatime. Food choices were available at both mealtimes with a wide choice of alternatives available. Resident choice of food is sought in advance of mealtimes so they are aware of what food is available to them. Menus were displayed on some of the tables in the dining room. There is a separate dining room with tables that seat four with linen tablecloths, serviettes and condiments. The inspector sampled food, which was to an acceptable standard. Those residents spoken with were satisfied with food in terms of quantity, quality and choice. Cameron House Nursing Home DS0000017340.V334509.R01.S.doc Version 5.2 Page 15 The residents also said that drinks and snacks were available at most times of the day. For residents who required their food to be liquidised it was prepared “separated” therefore making the food look more appetising and appealing. Cameron House Nursing Home DS0000017340.V334509.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. 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 policies and procedures of the home protect residents from abuse and ensure that any complaints are appropriately dealt with ensuring all views are listened to an acted upon. EVIDENCE: There is a satisfactory complaints procedure in place that states how a complaint is to be made, who to and that an initial response will be provided within seven days with a final outcome forwarded within 28 days. The facility of making concerns known directly to the CSCI is also included in this paperwork. The complaints procedure is included in the Service user guide and there is a Complaints notice displayed in the entrance area of home. Both require updating to include the current contact details for CSCI Those staff spoken with knew what to do should a complaint be made to them. Residents and a relative spoken with also knew how to complain and seemed comfortable about this. All said that they would not hesitate to discuss any concerns with staff if the need arose. A complaints log is maintained, which showed that two complaints had been made to the home in last twelve months. Both had been properly investigated and recorded and both complaints were upheld. Cameron House Nursing Home DS0000017340.V334509.R01.S.doc Version 5.2 Page 17 Two complaints were made directly to CSCI in same period. There is a very good corporate Adult Protection and Prevention of abuse policy in place, which incorporates whistle blowing. In addition the home also has copy of Bury Social Services Protection of Vulnerable Adults policy. Examination of records showed that 15 staff had been provided with adult protection training in 2007. Discussion with staff showed knowledge of POVA procedures, and three further staff POVA training sessions are due to take place shortly. There have been two recorded POVA incidents in the last twelve months, one of which appears to have been dealt with appropriately, whilst the other lead to some criticism of the previous manager of the home allegedly failing to investigate the incident promptly and losing documentation. Cameron House Nursing Home DS0000017340.V334509.R01.S.doc Version 5.2 Page 18 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 standard of the environment in the home continues to improve providing residents with a clean, comfortable and pleasant place to live EVIDENCE: The inspector toured the building. Cameron house is well maintained both internally and externally. It was clean and tidy and free of malodours. There was domestic style lighting, furniture and decoration throughout the home. A sample of resident’s bedrooms was examined and all were properly equipped, decorated and furnished with evidence of personalisation. These residents were satisfied with the standard of accommodation. Cameron House Nursing Home DS0000017340.V334509.R01.S.doc Version 5.2 Page 19 Corridors have recently been redecorated and as bedrooms become vacant they are usually redecorated as well. New lounge chairs have been purchased as previously required New carpets have all so been recently fitted in all ground floor communal areas. New wheelchairs, profiling beds and bed linen have recently been purchased. New floor covering recently ordered for eight bedrooms. This planned programme of renewal within the home should continue as a matter of good practice so as to provide a pleasant environment for residents to live in. There is a properly equipped laundry and those residents spoken with had no issues with laundry service. Policies and procedures in relation to infection control were found to be in place and it was evident from staff records that many staff had been trained in this topic in February 2007. Staff was provided with protective aprons and gloves and there was liquid soap and paper towels provided near to hand washing facilities Cameron House Nursing Home DS0000017340.V334509.R01.S.doc Version 5.2 Page 20 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. Staff recruitment and training is satisfactory but staffing levels need to be kept under review therefore ensuring that the needs of the residents can always be met. EVIDENCE: The Staff complement at the home comprises of: Acting manager (RGN), qualified nurses, senior care assistants, care assistants, domestic workers, catering staff, a maintenance worker and the home’s administrator. Staff duty rotas for period 23/07/07 to 05/08/07 showed one RGN, one senior care assistant and four care assistants on duty during the morning period and one RGN, one senior care assistant and three care assistants on duty during the afternoon and evening periods of that day. One RGN and three care assistants cover the nighttime period with on call support being provided. The acting manager is also available during normal office hours from Monday to Friday. When questioned as a group the staff appeared reluctant to comment as to whether the above-described staffing levels were sufficient to meet the needs of the residents. Cameron House Nursing Home DS0000017340.V334509.R01.S.doc Version 5.2 Page 21 Individual staff did however say that due to high levels of dementia and general dependency needs amongst the residents that the staff did get frustrated at times and that they had little spare time to sit and chat with the residents. The files of four workers selected randomly were checked for safe & proper recruitment. All of these people were overseas workers. • • • • • • • • • • All had completed a job application form. Two has signed a criminal convictions declaration. No health status declarations were in place. All had provided a work history. Three people had two written references. The other person had an “open”, undated “to whom it may concern reference and a reference obtained by a telephone call. All had a CRB check in place. Two also had POVA 1st check in place. Identity confirmed by various means e.g. passports, residence permits and driving licence. All had a contract of employment. Recruitment was generally safe apart from the acceptance of “open” type and telephone references for the one person referred to above and lack of health status confirmations. Information obtained from the provider’s self-assessment survey information document (Annual Quality Assurance Assessment) showed that there had been a considerable turnover of care staff in the last twelve months with 18 people having left the home during that time. This is quite a high number. Discussions with the acting and deputy manager revealed that following their recruitment many of these people had left in some instances after working only one day at the home stating that the nature of the work was not what they expected or that the work was simply too difficult. Many of the staff employed are overseas workers who spoke an acceptable level of the English language apart from one person who was having English Language lessons at a local college. The inspector tested an alarm call response time from a resident’s bedroom with staff responding promptly. Some staff training information was kept on individual staff files and a staff training matrix was also available. The staff training matrix showed: • 10 staff had completed manual handling training including one person trained to deliver this training. DS0000017340.V334509.R01.S.doc Version 5.2 Page 22 Cameron House Nursing Home • • • • • • • • 11 staff had completed infection control training. 15 staff had completed POVA training. 5 staff had completed dementia care training. 8 staff had completed medication administration training. 5 staff had completed customer care training. 5 staff had completed fire safety training. 2 staff had completed first aid training. No staff shown as having completed food hygiene or health and safety training. Discussion with staff confirmed the provision of the above training. The company has a 12-week new staff induction process that meets the Common Induction Standards. Of the 17 care staff employed at the home four have got a National Vocational Qualification in Care at either Level 2 or 3. A further six care staff are due to start this training soon. 24 of the staff is therefore trained to the required NVQ level. Cameron House Nursing Home DS0000017340.V334509.R01.S.doc Version 5.2 Page 23 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 home is run in the best interests of the residents who are consulted about the way that the service is run so that both improvements can be made and problems can be dealt with. EVIDENCE: Standard 31 could not be fully assessed as an acting manager was in post at the time of the inspection. This person came in to post shortly before the inspection and they are in the process of seeking approval and registration with the CSCI. Cameron House Nursing Home DS0000017340.V334509.R01.S.doc Version 5.2 Page 24 A requirement of Standard 33 is that care homes must use quality assurance systems that are largely based on seeking the views of residents, their relatives and visiting health care workers to measure the home’s success in meeting the home’s aims and objectives. In January 2007 the home the home sought the views of residents and their families and by the use of survey questionnaires. These questionnaires give these people the opportunity to comment upon various aspects of the services provided by the home. The results of this survey were then brought together with the many positive and some less positive answers returned with action being taken to deal with the latter. Further internal and external quality systems are in place such as staff and relatives meetings. A relatives meeting was held in May 2007 when the findings of the above survey were discussed and the acting manager has scheduled a further such meeting for August 2007. A full staff team meeting took place on the 5th July 2007. The acting manager also intends to implement internal quality audits for items such as residents care plans, the home’s medication arrangements, kitchen operation and staff training. The home holds money for a number of residents for safekeeping. This system was checked with the details found to be properly recorded. The money is held in a “pooled” bank account with the total and individual balances being recorded in such a way that these can be readily checked and verified. This bank account is only used for the holding and transactions of residents’ funds with the amounts held being regularly checked by the home’s administrator and by company audits. The home is safely maintained with fire precautions tests done regularly, the details of accidents are properly recorded and hot water temperatures at sinks are controlled in such a way as to prevent accidental scalding. Random sampling of records and maintenance certificates showed that these were up to date and they confirmed that the home’s equipment, fixtures and fittings are regularly serviced. As mentioned previously under the staffing standards staff health and safetytraining needs must be assessed with any shortfalls being dealt with. Cameron House Nursing Home DS0000017340.V334509.R01.S.doc Version 5.2 Page 25 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 X X 2 X X N/A HEALTH AND PERSONAL CARE Standard No Score 7 2 8 2 9 3 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 2 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 2 29 2 30 2 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score X X 3 X 3 X X 3 Cameron House Nursing Home DS0000017340.V334509.R01.S.doc Version 5.2 Page 26 Are there any outstanding requirements from the last inspection? STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1. Standard OP1 Regulation 5,22 Requirement The Service user guide and complaints procedure must be updated to include current CSCI information Allegations of abuse must be investigated promptly and all paperwork kept safely All sections of the pre admission assessment documentation must be completed to ensure areas of need are adequately addressed Rapid response residents must be provided with an in-house care plan that includes risk assessments, moving and handling, nutrition, social needs assessment and an identity photograph. All residents must have their nutritional status established and must be weighed and reviewed on a regular basis. A social activities plan should be compiled for all residents with a record of activities undertaken being completed. Staffing levels must be kept under constant review to ensure DS0000017340.V334509.R01.S.doc Timescale for action 20/12/07 2. 3. 13,17 14 20/10/07 20/12/07 4. 15 20/10/07 5. 15 20/10/07 6. 16 20/12/07 7. 18 20/10/07 Cameron House Nursing Home Version 5.2 Page 27 8. OP30 18 that there are no shortfalls and that the needs of residents can be safely met All staff members must receive up to date health and safety training relevant to their post. The use of open-ended references must be avoided to ensure staff is safely recruited and residents are protected. 20/01/08 9. OP29 19 20/10/07 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 OP18 OP19 OP28 Good Practice Recommendations To ensure staff are fully conversant in abuse procedures all staff should be provided with updated training. The planned programme of refurbishment in the home should continue. 50 of staff must be in receipt of NVQ level 2. Cameron House Nursing Home DS0000017340.V334509.R01.S.doc Version 5.2 Page 28 Commission for Social Care Inspection Manchester Local office 11th Floor West Point 501 Chester Road Manchester M16 9HU 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 Nursing Home DS0000017340.V334509.R01.S.doc Version 5.2 Page 29 - 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!