Inspection on 08/08/07 for Cameron Lodge

This inspection was carried out on 8th August 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. These are things the inspector asked to be changed, but found they had not done. The inspector also made 5 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

Cameron Lodge 20/08/08

Cameron Lodge 08/08/06

Cameron Lodge 14/11/05

Cameron Lodge 14/06/05

Cameron Lodge 25/02/05

Cameron Lodge 05/05/04

Similar services:

Insight - Eastchurch

Southfields

Thorndene

Magenta

Seabourne House

33 St John`s Church Road

Dovedale Court

Lyncol House

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

CARE HOME ADULTS 18-65 Cameron Lodge 142 Church Path Deal Kent CT14 9TU Lead Inspector Anne Butts Unannounced Inspection 8 August 2007 09.30 th Cameron Lodge DS0000023372.V345695.R01.S.doc Version 5.2 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 Lodge DS0000023372.V345695.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 Adults 18-65. 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 Lodge DS0000023372.V345695.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Cameron Lodge Address 142 Church Path Deal Kent CT14 9TU 01304 373650 F/P 01304 373650 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) Cameron Lodge Limited Post Vacant Care Home 12 Category(ies) of Learning disability (12) registration, with number of places Cameron Lodge DS0000023372.V345695.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. 5 places on ground floor can also be used for residents who, in addition to their mental handicap, have a significant physical disability 27th February 2007 Date of last inspection Brief Description of the Service: Cameron Lodge is a detached property situated in a residential area of Deal. The home is within walking distance of local shops, a pub, and leisure facilities. Public transport is available nearby. The home is registered to provide accommodation to 12 adults with learning disabilities and complex needs, with a particular focus on those people with autistic spectrum disorder. The home is arranged in three units with the main house currently offering five spaces and each of the two smaller bungalow units providing three beds each. All three units are self-contained from each other, although service users can move freely from the smaller units to the main house if they choose. One of the bungalows provides accommodation to more independent service users who undertake some personal care and domestic tasks for themselves, and require no sleep in facility. A second bungalow, which is detached and set back slightly from the other units, provides a quieter environment for more dependent or physically frail service users currently in residence. The main house provides spacious accommodation for a mixed group of five service users with more complex behavioural needs. Accommodation is arranged over two floors with two ground floor bedrooms and three on the first floor, communal space and washing facilities are adequate for the number of service users throughout the main house and bungalows. The current fees for the service at the time of the visit are £706.95 to £2525.76 per week. Currently any additional charges are not detailed. Information on the home’s services and the CSCI reports for prospective service users/relatives will be discussed verbally with service users/relatives and the Manager says this will also be referred to in the Service User Guide. Cameron Lodge DS0000023372.V345695.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was a Key Unannounced inspection that took place over the course of one day. Part of the process of a key inspection includes a pre-inspection assessment of service information obtained from a variety of sources including an annual self-assessment and surveys. It is now a legal requirement for services to complete and return an Annual Quality Assurance Assessment (AQAA). The AQAA was retuned prior to the home visit. On the day of the visit time was spent touring the building, talking to some people living in the home, talking to staff and reviewing a selection of assessments, service user plans, medication records, staff files and other relevant documents. The Manager and Deputy Manager were both on duty and the Quality Assurance Manager for the larger organisation was also working in the home on the day of the inspection. At all times the manager and staff were helpful and demonstrated a pro-active approach to ensuring that service users were being supported to the best of their abilities and resources. This report contains evidence and judgements made from observation, conversation and records. Judgements have been made with regards to each outcome area in this report, based on records viewed, observations and verbal responses given by those people who were spoken with. These judgements have been made using the Key Lines of Regulatory Assessment (KLORA), which are guidelines that enable The Commission for Social Care Inspection (CSCI) to be able to make an informed decision about each outcome area. Further information can be found on the CSCI website with regards to the IBL process including information on KLORA’s and AQAA’s. What the service does well: Families are encouraged to visit and are involved in the care planning of their relatives. The routines of the home are flexible in order to support the individual and diverse needs of the people living in the home. People are actively encouraged to express their concerns and can be confident that they will be listened to. Cameron Lodge DS0000023372.V345695.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 Lodge DS0000023372.V345695.R01.S.doc Version 5.2 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–5) Individual Needs and Choices (Standards 6-10) Lifestyle (Standards 11-17) Personal and Healthcare Support (Standards 18-21) Concerns, Complaints and Protection (Standards 22-23) Environment (Standards 24-30) Staffing (Standards 31-36) Conduct and Management of the Home (Standards 37 – 43) Scoring of Outcomes Statutory Requirements Identified During the Inspection Cameron Lodge DS0000023372.V345695.R01.S.doc Version 5.2 Page 8 Choice of Home The intended outcomes for Standards 1 – 5 are: 1. 2. 3. 4. 5. Prospective service users have the information they need to make an informed choice about where to live. Prospective users’ individual aspirations and needs are assessed. Prospective service users know that the home that they will choose will meet their needs and aspirations. Prospective service users have an opportunity to visit and to “test drive” the home. Each service user has an individual written contract or statement of terms and conditions with the home. The Commission consider Standard 2 the key standard to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 1, 2 and 5 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. Service users are not benefiting from having access to full information and details of their contracts in order that they can make an informed choice about the home. EVIDENCE: The Statement of Purpose and Service Users Guide were seen; a previous requirement for the inclusion of charges and identification of how mobility money is used has been included in this document. There is still no information about the costs of any extras e.g. hairdressing and chiropody. The Manager stated that there was still some further work to be completed for the Statement of Purpose and that they had not as yet managed to obtain contracts from the purchasing authorities. These requirements remain partially outstanding. There have been no new service users in the home since June 2004 and therefore it was not possible to fully assess this standard. The Manager was aware of the procedures and was able to describe the processes for taking new people into the home. There is a possibility that a new service user may be moving into the home in the near future. There is a full assessment process in Cameron Lodge DS0000023372.V345695.R01.S.doc Version 5.2 Page 9 place and the individual needs are taken into consideration when looking at prospective service users. People are only accepted into the home if they can meet individual needs. There is evidence of assessments in place, which involves introductory visits and overnight stays. There is detailed information in place with regard to service users background. It was identified in one case that the home had become used to certain behaviour by a service user, and had not looked at ways of further supporting the individual in managing this behaviour. Discussions were held around the review process at the time of the visit. Cameron Lodge DS0000023372.V345695.R01.S.doc Version 5.2 Page 10 Individual Needs and Choices The intended outcomes for Standards 6 – 10 are: 6. 7. 8. 9. 10. Service users know their assessed and changing needs and personal goals are reflected in their individual Plan. Service users make decisions about their lives with assistance as needed. Service users are consulted on, and participate in, all aspects of life in the home. Service users are supported to take risks as part of an independent lifestyle. Service users know that information about them is handled appropriately, and that their confidences are kept. The Commission considers Standards 6, 7 and 9 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 6, 7, 9 and 10 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. Service users have an individual plan that meets their needs, however the ongoing development of these plans will further benefit service users. Service users are supported to participate in all aspects of life in the home and to make their own decisions. EVIDENCE: On the day of the visit the Quality Assurance Manager was in the home. She is currently setting up a new care planning format for service users and is assisting the home by preparing two of the care plans so that they have a format to follow. The previous inspection had highlighted that there were shortfalls in the care planning process and the organisation is now addressing this. Cameron Lodge DS0000023372.V345695.R01.S.doc Version 5.2 Page 11 An updated care plan was viewed and this showed that there is an in-depth life story in place. Assessments of well-being are in place and the care plan sets out how the individual should be supported with detailed guidelines. The care plan also takes in to account what a person can mange for themselves in order to promote independence and autonomy where possible. Due to the nature of some of the service users it will not be possible for everyone to participate in their care planning. A family who was visiting at the time did confirm, however, that they had been fully involved in care planning decisions and that the home contacted them on a regular basis. Care plans are being re-written so that they are reflective of the individual needs and contain far more detail than previously. The care plans acknowledge the diverse needs of people and takes into account any religious choices and are developing goals and acknowledging individual aspirations. Although it is acknowledged that the home is working towards improving the care plans, this requirement has only been partially met and therefore remains outstanding. Risk assessments are also being updated in line with the care plans and the risk assessments will inform how the service can support people. Behavioural guidelines were in place in the updated care plan and recognised how to assist people. There are records of daily activities maintained. The majority of service users have communication or behavioural difficulties and staff demonstrated their understanding and knowledge of service user needs. The updated care plan also identified communication needs. Records are maintained confidentially and held securely in locked cabinets. Cameron Lodge DS0000023372.V345695.R01.S.doc Version 5.2 Page 12 Lifestyle The intended outcomes for Standards 11 - 17 are: 11. 12. 13. 14. 15. 16. 17. Service users have opportunities for personal development. Service users are able to take part in age, peer and culturally appropriate activities. Service users are part of the local community. Service users engage in appropriate leisure activities. Service users have appropriate personal, family and sexual relationships. Service users’ rights are respected and responsibilities recognised in their daily lives. Service users are offered a healthy diet and enjoy their meals and mealtimes. The Commission considers Standards 12, 13, 15, 16 and 17 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 14, 15, 16 and 17. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Service users are well supported by staff in meeting their daily needs, but staffing levels can result in not all service users being able to participate in their preferred activities or pastimes. Service users benefit from meals that support choice and offer a balanced and nutritious diet. EVIDENCE: The individual needs of the people living in the home vary, with some people having complex and diverse behavioural needs. This has made it difficult for the home to implement formal meetings for service users where they can contribute to the running of the home. However they encourage people to discuss issues with them at any time and hold an open door policy that supports service users in talking to any members of staff or the Manager. Cameron Lodge DS0000023372.V345695.R01.S.doc Version 5.2 Page 13 All service users undertake a range of activities both in the home and out and about in the community. People participate in pastimes such as swimming, snooker, visits to the pub or meals out. In-house discos are arranged and other get togethers. Staff were also observed during the course of the visit playing games with people. People are encouraged to visit the local shops and take part in the planning of the shopping. A concern was raised at the visit as sometimes due to staffing levels not all service users could take part in their activities. For example; one service user had been unable to go swimming one week, as another service user had wanted to go out and there hadn’t been enough staff to cover both activities. The issue around staffing levels had been raised at the last visit and as yet has not been resolved. Service users are supported with daily living tasks around the home and encouraged with activities such as cooking and cleaning, where they are able. Care plans are reflective of individual capabilities. The home is relaxed and routines are flexible around service user choice and needs. Family contact is promoted in the home and relatives visit on a regular basis. Some service users go home to their parents on a regular basis and staff says the home is well supported by relatives of service users. People are also taken on holiday. Meals are flexible and where possible people are encouraged to help with the cooking or prepare themselves snacks and drinks. Support staff do the cooking and on the day of the visit the main meal was liver and mashed potatoes with vegetables. There was a selection of fresh fruit and individual preferences are catered for. Cameron Lodge DS0000023372.V345695.R01.S.doc Version 5.2 Page 14 Personal and Healthcare Support The intended outcomes for Standards 18 - 21 are: 18. 19. 20. 21. Service users receive personal support in the way they prefer and require. Service users’ physical and emotional health needs are met. Service users retain, administer and control their own medication where appropriate, and are protected by the home’s policies and procedures for dealing with medicines. The ageing, illness and death of a service user are handled with respect and as the individual would wish. The Commission considers Standards 18, 19, and 20 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 18, 19, 20 and 21. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The personal and health care needs of residents are well met, promoting and protecting residents’ privacy, dignity and independence There are robust systems in place for the management of medication, however service users would be further protected by staff receiving training in this area. EVIDENCE: The care planning system that is currently being introduced is gradually replacing the existing care plans. These are providing information on how an individual can be supported with their personal care and their individual preferences and wishes. Staff were able to demonstrate their awareness of individual needs. People are supported in accessing healthcare professionals and individual health needs are documented in the care plans. Staff accompany people to appointments and the support from professionals is good. Cameron Lodge DS0000023372.V345695.R01.S.doc Version 5.2 Page 15 The last visit showed several shortfalls in medication with requirements being made. Since that visit a Deputy Manager is now in post and he has responsibility for medication. He has implemented systems to safeguard medication and service users. This includes regular audits and competency checks on the records and staff. Where any errors are identified a full investigation is carried out and appropriate action taken to rectify them. Medication is stored appropriately with separate cabinets for ‘over the counter’ medication. The home has sought the intervention of a GP and there are guidelines in place for homely remedies for all service users. The Deputy Manager did state that there was a shortfall in accredited training for staff in medication and this does need to be addressed. Overall medication was well managed and monitored. Discussions with the Manager and Quality Assurance Manager demonstrated that the home is currently reviewing peoples wishes to end of life matters. They were both able to evidence their awareness of this being a sensitive area and are treating this accordingly with individual service users and their families. Cameron Lodge DS0000023372.V345695.R01.S.doc Version 5.2 Page 16 Concerns, Complaints and Protection The intended outcomes for Standards 22 – 23 are: 22. 23. Service users feel their views are listened to and acted on. Service users are protected from abuse, neglect and self-harm. The Commission considers Standards 22, and 23 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 22 and 23 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. Service users are encouraged and supported to voice their concerns and they can be confident that they are listened to. There are robust adult protection protocols in place, however service users would be further protected by staff who have received appropriate training and guidance. EVIDENCE: The complaints log was viewed and there have been no complaints from service users or families. There had been a complaint from a neighbouring property but the complaints record fully evidenced the action taken at the time. There is a full complaints procedure in place and is in a pictorial format that can be understood by the service users. The Manager stated that service users are encouraged to voice their feelings throughout the day, and that their views were listened to. Discussions with family members also supported this. There are clear guidelines in place for safeguarding adults and the home also uses the Kent & Medway Adult Protection protocols. There are also pictorial guidelines for service users so as to encourage them to identify if they have any worries. Staff spoken with were clear about their responsibilities with regard to protecting the people in their care. Staff, however, have not been trained in Adult Protection and the home needs to address this as a matter of urgency. Cameron Lodge DS0000023372.V345695.R01.S.doc Version 5.2 Page 17 Environment The intended outcomes for Standards 24 – 30 are: 24. 25. 26. 27. 28. 29. 30. Service users live in a homely, comfortable and safe environment. Service users’ bedrooms suit their needs and lifestyles. Service users’ bedrooms promote their independence. Service users’ toilets and bathrooms provide sufficient privacy and meet their individual needs. Shared spaces complement and supplement service users’ individual rooms. Service users have the specialist equipment they require to maximise their independence. The home is clean and hygienic. The Commission considers Standards 24, and 30 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 24, 26, 27, 28 and 30 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Service users benefit from living in an environment that is largely well maintained and reflects their choices and lifestyle, individual bedrooms are in accordance with people needs. Equipment is in place to support and maximise service users independence. EVIDENCE: The premises consist of three separate properties with a main house and two bungalows located in the grounds. It is situated in a residential area in the outskirts of Deal and has easy access to local transport and shops. All of the buildings were clean and tidy. Overall, however, there is a need for some maintenance and refurbishment with areas of the properties showing signs of ‘wear and tear’. The manager explained that there was maintenance and redecoration programme in place and a copy of this was provided, this Cameron Lodge DS0000023372.V345695.R01.S.doc Version 5.2 Page 18 demonstrated that there is ongoing works happening in the home. They were also currently waiting for the delivery of a new suite for use in the central lounge in the main house. It was noted that there is still frosted glass in the room of one service user, as identified in the last report and therefore this recommendation remains outstanding. Other windows around the properties also needed some maintenance and in one bathroom there were no restrictors on the window, which could pose a health and safety risk. The Manager was advised at the time and agreed that she would check all windows and request that the maintenance officer address this – a recommendation is being made with regards to this. There is plenty of garden area, which is well maintained and people can access the gardens as they wish. Bedrooms are reflective of people’s individual needs and furnished accordingly. One service user showed her bedroom and this contained personal possessions that she had chosen. Bedroom doors are locked for safety with some having keypads, and people are able to access their room as they wish. The home has a separate laundry facilities with hand washing facilities and polices and procedures are in place to reduce the risk of infection. The kitchens were all clean and organised in accordance with health and safety. The home is using the ‘Safer Food Better Business’ as provided by the Environmental Health Office. The returned AQAA stated that regular maintenance and safety checks are carried out for the environment including fire risk assessments, gas checks and electrical appliances. Cameron Lodge DS0000023372.V345695.R01.S.doc Version 5.2 Page 19 Staffing The intended outcomes for Standards 31 – 36 are: 31. 32. 33. 34. 35. 36. Service users benefit from clarity of staff roles and responsibilities. Service users are supported by competent and qualified staff. Service users are supported by an effective staff team. Service users are supported and protected by the home’s recruitment policy and practices. Service users’ individual and joint needs are met by appropriately trained staff. Service users benefit from well supported and supervised staff. The Commission considers Standards 32, 34 and 35 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 32, 33, 34 and 35. Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. The service users benefit from being cared for by staff who have a good understanding of their needs, although limited training and staff shortages doe not serve to fully support and protect service users. Service users are protected by the home’s thorough and robust recruitment procedures. EVIDENCE: The home has a number of experienced staff who have worked with the service users for some considerable time. Conversations with staff showed their knowledge and awareness of service users and how to meet their needs. Staff stated that they were aware of their responsibilities and observations during the visit demonstrated their patience and understanding of peoples needs. Comments from relatives were also supportive of the staff. Samples of staff files were viewed and these all showed that there are robust recruitment procedures in place, with the home obtaining references and Cameron Lodge DS0000023372.V345695.R01.S.doc Version 5.2 Page 20 appropriate checks such as Criminal Records Bureau (CRB) and Protection of Vulnerable Adults (POVA). There is also an updated induction training programme in place that covers the Skills for Care topics. Staff undertake this over a three month period and it includes written answers and observational supervision. There are two main concerns with regards to staffing, however, this includes the training and staffing levels. As identified in other areas of this report there are several areas of outstanding training required for staff. The home provided a matrix that also shows several shortfalls. Training needs updating for the majority of staff in health and safety, adult protection, medication, infection control amongst others. There was also limited evidence to show that staff are trained in the specific needs of the service users in areas such as managing challenging behaviour. Staff, however, are registered on NVQ courses and the home is well on course for meeting this standard. A requirement is being made with regards to training. Staffing levels are a concern in the home and as identified elsewhere in this report service users are on occasions not able to participate in their chosen external activities due to staffing levels. The home is currently recruiting. There had also been previous concerns with regards to the level of staff on night duty and the sleep-in member of staff for the bungalows. On the day of the inspection the Area Manager was visiting to review staffing levels and responsibility at night. They are looking at replacing the sleep-in member of staff in the bungalows with waking night staff, and will trial this for a threemonth period. Although it is evident that the home is aware of the staffing levels, the requirement currently remains outstanding. Cameron Lodge DS0000023372.V345695.R01.S.doc Version 5.2 Page 21 Conduct and Management of the Home The intended outcomes for Standards 37 – 43 are: 37. 38. 39. 40. 41. 42. 43. Service users benefit from a well run home. Service users benefit from the ethos, leadership and management approach of the home. Service users are confident their views underpin all self-monitoring, review and development by the home. Service users’ rights and best interests are safeguarded by the home’s policies and procedures. 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 are promoted and protected. Service users benefit from competent and accountable management of the service. The Commission considers Standards 37, 39, and 42 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 37, 38, 39 and 42. Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. Service users benefit from living in a home that has a good understanding of their needs and has quality assurance processes in place that identifies concerns. EVIDENCE: There is a Manager in post who has experience of working with people with learning and complex needs. She has completed her NVQ 4 and Registered Managers Award. A Deputy Manager and a team of support staff support her on a daily basis. She is aware of the issues around staffing levels and staff training and is working with the larger organisation to address these. Cameron Lodge DS0000023372.V345695.R01.S.doc Version 5.2 Page 22 The home creates an open and positive atmosphere encouraging and enabling staff and service users to actively have their say. As the Quality Assurance Manager was in the home on the day of the visit, this enabled an opportunity to fully review their procedures. Her role is to support individual home’s in improving their services and addressing shortfalls. She is currently reviewing care plans for Cameron Lodge and providing guidance on how to write effective and supportive care plans that are person centred. She also carries out quality assurance visit and provides the home with feedback. Regulation 26 visits are also carried out and these form part of any improvement strategies for the home. Evidence of the audit and Regulation 26 visits were seen at the time of this visit. Questionnaires had also been sent out to stakeholders earlier in the year, although only a minimal amount had been returned. These were viewed and all contained positive comments including; “Everyone is friendly” – “the house is always clean” and “all staff are approachable and friendly”. All questionnaires stated that they had not complaints and praised the support given by staff. There are systems and structures in place for maintaining the health and safety of service users, with regular maintenance checks being carried out and fire drills and a Fire risk assessment in place in accordance with the new fire regulations. Accidents and incidents are monitored and reported where appropriate. Staff training, however, is not fully supporting service users and this has been discussed in more detail in the staffing section of this report. Overall this was a positive inspection with the home recognising shortfalls and demonstrating a commitment to addressing these. Cameron Lodge DS0000023372.V345695.R01.S.doc Version 5.2 Page 23 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Adults 18-65 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 2 2 3 X 4 X 5 2 INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 3 23 2 ENVIRONMENT Standard No Score 24 2 25 X 26 2 27 2 28 3 29 X 30 3 STAFFING Standard No Score 31 3 32 2 33 2 34 3 35 2 36 X CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 2 3 X 3 3 LIFESTYLES Standard No Score 11 X 12 3 13 3 14 2 15 3 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 2 3 3 3 3 X X 2 X Cameron Lodge DS0000023372.V345695.R01.S.doc Version 5.2 Page 24 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 Home’s Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1. Standard YA1 Regulation 4&5 Requirement Statement of Purpose and Service user guide to state clearly charges levied including use of mobility monies. Partially met at this visit. Timescales of the 30/09/06 and 30/04/07 not met. Terms & conditions, and contract information to clearly state charges payable by service users including use of mobility monies, contracts to be amended to include changes and funding authorities/care managers and relatives to be advised of changes. Out-standing requirement from 2 previous inspections. Timescales of the 30/09/06 and 31/05/07 not met. The registered person must ensure that all staff are suitably qualified and competent in meeting the needs of the service users within the home. A training needs programme should be produced and forwarded to the Commission within the timescale stated. To review night staffing levels in DS0000023372.V345695.R01.S.doc Timescale for action 30/09/07 2. YA5 5(1)(b)(c) 30/09/07 3 YA35 18 (1) (c) 30/09/07 4 YA33 18 (1) (a) 30/09/07 Page 25 Cameron Lodge Version 5.2 5 YA33 18 (1) (a) the home in such numbers as are appropriate for the health and welfare of service users. Out-standing requirement from previous inspections. Timescales of the 30/09/06 and 31/03/07 not met. It is acknowledged that the home is in the process of addressing this. Staffing levels must reflect the 30/09/07 needs of the service users in that there is sufficient staff to support people with their programme of activities. RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1. Refer to Standard YA6 Good Practice Recommendations Home to continue to review format of care plans to make information more accessible to stakeholders. All care plans, risk assessments and behaviour management guidelines to be routinely signed off by all stakeholders including the service user where possible. This recommendation has been partly met as some work has been completed on 2 care plans. It is strongly recommended that windows are risk assessed and where appropriate measures should be taken to reduce any health and safety risks. Consideration should be given to restrictors. Further consideration should be given to the replacement of frosted glass in one user bedroom with reflective film. 2 YA24 3 YA26 Cameron Lodge DS0000023372.V345695.R01.S.doc Version 5.2 Page 26 Commission for Social Care Inspection Maidstone Local Office The Oast Hermitage Court Hermitage Lane Maidstone ME16 9NT 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 Lodge DS0000023372.V345695.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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