Inspection on 06/04/05 for Cameroon

This inspection was carried out on 6th April 2005.

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

Cameroon 03/05/07

Cameroon 31/10/06

Cameroon 13/06/06

Cameroon 14/03/06

Similar services:

2 Perhaver Park

The Vicarage

7 Hyde Road

St George`s

5 Seafield Road

Credence House

Radfords

Trevaylor Manor

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

CARE HOME ADULTS 18-65 Cameroon Heath Cross Whitestone Exeter EX4 2HR Lead Inspector James Rose Announced 06/04/05 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 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 Stationary 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. Cameroon D54-D07 Cameroon S63214 Cameroon V214542 060405 Stage 4.doc Version 1.20 Page 3 SERVICE INFORMATION Name of service Cameroon Address Heath Cross, Whitestone, Exeter, Devon, EX4 2HR Telephone number Fax number Email address Name of registered provider(s)/company (if applicable) Name of registered manager (if applicable) Type of registration No. of places registered (if applicable) 01483 772901 Honeybourne House Limited Vacant Care Home 13 Category(ies) of Learning disability (13), Old age, not falling registration, with number within any other category (13), Physical of places disability (13) Cameroon D54-D07 Cameroon S63214 Cameroon V214542 060405 Stage 4.doc Version 1.20 Page 4 SERVICE INFORMATION Conditions of registration: PD - Physical disability, 13 service users male of female LD - Learning disability, 13 service users male of female OP - Old Age, not falling within any other category There will be a maximum of 13 beds Date of last inspection 10/08/2004 Brief Description of the Service: Cameroon is a Registered Home for up to 13 service users with learning difficulties and a physical disability. The home is a large detached single story building with one double bedroom, the remainder are singles, it stands in its own grounds with extensive views over the surrounding countryside. It is situated within walking distance of the village of Whitestone and is four and half miles from Exeter. The communal areas of the home are comfortably furnished, there is a large lounge and meals are taken in a separate dining room, the kitchen is also spacious and has a central table. The home is well maintained and adaptations have been made to meet the needs of the service users. A mini bus is provided to transport service users to appointments and to take them out on excursions. Outside the home there is off road parking and well-tended gardens. A lawn area is also available with seating provided for service users. Cameroon D54-D07 Cameroon S63214 Cameroon V214542 060405 Stage 4.doc Version 1.20 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This announced inspection took place over 7 hours on 6th April 2005. A pre inspection questionnaire had been received from the home. Since the last inspection the proprietors have changed and the home is about to have a new Registered Manager. A complete tour of the premises was undertaken during the inspection, five residents were consulted and three carers and three sets of care records were examined. What the service does well: What has improved since the last inspection? With the change of ownership a plan is being drawn up to refurbish areas of the home that require attention and a decking area is going to be provided to make access easier for residents to take advantage of the garden. The quality of the diet has improved and this has meant that residents who required regular enemas no longer need them. Cameroon D54-D07 Cameroon S63214 Cameroon V214542 060405 Stage 4.doc Version 1.20 Page 6 The care offered has been reviewed and this has led to one resident in particular being able to go out on trips for the first time in at least 12 months, this development was particularly welcomed by the person concerned. The administration of medication has improved and no deficits were found at this inspection. What they could do better: Please contact the provider for advice of actions taken in response to this inspection. The full report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. Cameroon D54-D07 Cameroon S63214 Cameroon V214542 060405 Stage 4.doc Version 1.20 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 Standards Statutory Requirements Identified During the Inspection Cameroon D54-D07 Cameroon S63214 Cameroon V214542 060405 Stage 4.doc Version 1.20 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 1 - 5 Comprehensive information is available to ensure that prospective residents are able to make an informed decision about admittance before moving in. Good quality assessment is undetaken and time is taken to ensure that new residents understand the service available at the home. Prospective residents are encouraged to visit the home prior to moving in and use the services and a written contact/terms and conditions document is provided promptly. EVIDENCE: A clear statement of purpose is readily available and a detailed service user guide, these were examined and found to be appropriate. Residents consulted stated that they had time and were able to undertake visits and had sufficient information about the home before they were admitted. Care and social needs were recorded in detail and regular reviews were undertaken by the home. Four assessments of people living at the home were examined and full comprehensive detail was provided. A sample contract was seen at the inspection and covered all the areas needed, these documents were provided promptly when a resident was admitted into the home. Cameroon D54-D07 Cameroon S63214 Cameroon V214542 060405 Stage 4.doc Version 1.20 Page 9 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 6 - 7 Residents were well informed and participated in all aspects of life at the home. They were able to take appropriate risks and live as indepedently as possible. Residents felt that their confidences would be kept by the home. EVIDENCE: An individual plan of care was available for each person receiving a service at the home and this was based on the comprehensive assessment that had been undertaken and the whole document was regularly reviewed this ensured that an appropriate service was always provided. Any restrictions on residents were clearly stated and agreed with the person concerned and recorded in the plan of care provided. Activities were risk assessed which demonstrated that issues were appropriately considered by the home and the resident. Since the new management has taken over the risk assessment processes have been reviewed and this has enabled a resident to go out on trips, something they have not been able to do for at least 12 months. Cameroon D54-D07 Cameroon S63214 Cameroon V214542 060405 Stage 4.doc Version 1.20 Page 10 Residents consulted during the inspection felt sure that their confidences would be kept by the home and that they could rely on the care team to provide them with appropriate assistance when required. Cameroon D54-D07 Cameroon S63214 Cameroon V214542 060405 Stage 4.doc Version 1.20 Page 11 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 11 - 17 A comprehensive range of leisure activities are accessed in the local community and opportuites are provided for personal development. Residents are able to have appropirate relationships with family and friends and a healthy diet is always available. EVIDENCE: The plans of care provided for each person receiving a service at the home demonstrate goal related activities to assist personal development. A comprehensive range of activities is available and service users consulted could not suggest any additions that they would like to add. The home has an unrestricted visiting policy and friends of residents visit the home and they in turn are able to make visits. Detailed recording of these events is available for each resident in the home. Residents confirmed that they felt able to invite friends and family as they wished. Service users rights were respected and recognised. The way care was delivered was observed during the inspection and residents were seen to be treated with respect and dignity. Cameroon D54-D07 Cameroon S63214 Cameroon V214542 060405 Stage 4.doc Version 1.20 Page 12 A good quality healthy diet is offered at the home, which was much appreciated by the residents who also confirmed that choice was always available. Since the new management have been in place the diet for residents has improved which has been demonstrated by the fact that residents no longer require regular enemas as this function is now carried out normally. Cameroon D54-D07 Cameroon S63214 Cameroon V214542 060405 Stage 4.doc Version 1.20 Page 13 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 18 - 21 Personal support is provided in ways agreed with the resident. Physical and emotional needs are met. All medication is administered by the home on completion of a risk assessment. Appropriate service is provided to a resident during the terminal phase of their life EVIDENCE: Residents consulted during the inspection advised that they were supported the way they liked and that they could make changes if they wished. Detailed recording was undertaken of the monitoring undertaken of residents emotional and physical health. Currently the district nurse visits the home twice weekly. The home has in place a policy and procedure that uses the approach that any resident that is able can self-administer their medication. Currently no resident has the capacity to manage this process but should a resident be admitted that could this would be undertaken and appropriate facilities provided. The home has a policy and procedure that deals with the terminal phase of a person’s life and many thank you letters have been seen for the service that has been provided by the home. Hospice training has been provided for the care team. Cameroon D54-D07 Cameroon S63214 Cameroon V214542 060405 Stage 4.doc Version 1.20 Page 14 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 22, 23 Residents consulted were confident that if they raised an issue with the management they would be taken seriously and a resolution would be found quickly to their satisfaction. Residents were appropriately protected from abuse. EVIDENCE: The home has a clear complaints procedure in place and service users know how to use it if required. Residents were clear and confident that if they raised an issue it was listened to and acted on without delay and a solution was found to their satisfaction. No complaints have been made since the last inspection and none were received on the day of this inspection. The home has available an appropriate policy and procedure to ensure that all residents are protected from abuse, an alerters guide is also available and all carers have had training in its use. This training element forms part of the induction undertaken by the home. Cameroon D54-D07 Cameroon S63214 Cameroon V214542 060405 Stage 4.doc Version 1.20 Page 15 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 24 - 30 Cameroon is a well maintained, safe and comfortable environment for residents to live in. EVIDENCE: A complete tour of the home’s facilities was undertaken during the inspection. The communal areas were comfortably furnished and the lounge was provided with a large television and sound equipment. Meals were taken in a separate dining area. A large kitchen is available where some residents like to sit around a central table. Resident’s bedrooms are well furnished and decorated to a good standard to the taste of the service user. The new proprietors are drawing up a list of refurbishments for the home, which they hope to undertake in the near future. This includes the introduction of a large decking area at the front of the home, which will improve access to the garden for residents. Cameroon D54-D07 Cameroon S63214 Cameroon V214542 060405 Stage 4.doc Version 1.20 Page 16 Cameroon D54-D07 Cameroon S63214 Cameroon V214542 060405 Stage 4.doc Version 1.20 Page 17 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 35 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 31 - 36 The home has a robust recruitment policy and procedure that provides the necessary safeguards to offer protection to people living in the home and service users are supported by a competent care team. EVIDENCE: The home has available clear job descriptions for all employees. Carers understood what their role was and readily accepted training. A training and development programme is in place. The deployment and number of staff available throughout the day and night is sufficient to meet the needs of the residents. At the time of the inspection some supervision of carers was outstanding, this was discussed with the proposed registered manager who advised that this would be undertaken without delay. All residents consulted during the inspection advised that they were well supported by their carers and that they had their trust. Cameroon D54-D07 Cameroon S63214 Cameroon V214542 060405 Stage 4.doc Version 1.20 Page 18 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 39, and 42 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 37 - 43 Competent leadership is provided by the manager who in turn is supported by the proprietors to ensure that residents receive quality care. Health and safety issues are treated as important and receive high priority in the home. EVIDENCE: The new proposed registered manager has currently adopted the quality assurance system that was in place previously and consults the residents regularly on the quality of the service received, this ensures that the service is delivered in a way preferred by residents. Health and safety issues in the home are taken very seriously and every necessary precaution is taken to ensure the welfare of service users and staff. A solid risk assessment approach is taken to any hazard to ensure that all persons are adequately protected. Basic training is undertaken by all staff in health and safety and moving and handling. The COSHH regulations are in place and appropriate records are Cameroon D54-D07 Cameroon S63214 Cameroon V214542 060405 Stage 4.doc Version 1.20 Page 19 available to ensure safety. Appropriate fire precautions are undertaken and recorded, electrical appliances are regularly tested and a certificate is available of the electrical installation, the RIDDOR regulations are in place and are understood this ensures the safety of residents and staff in the home. 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. Where there is no score against a standard it has not been looked at during this inspection. 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 CONCERNS AND COMPLAINTS Standard No 1 2 3 4 5 Score 3 3 3 3 3 Standard No 22 23 ENVIRONMENT Score 3 3 INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score 3 3 3 3 3 Standard No 24 25 26 27 28 29 30 STAFFING Score 3 3 3 3 3 3 3 Standard No Cameroon D54-D07 Cameroon S63214 Cameroon V214542 060405 Stage 4.doc Score Version 1.20 Page 20 LIFESTYLES Standard No 11 12 13 14 15 16 17 Score 3 3 3 3 3 3 3 31 32 33 34 35 36 3 3 3 3 3 3 CONDUCT AND MANAGEMENT OF THE HOME PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 3 3 Standard No 37 38 39 40 41 42 43 Score 3 3 3 3 3 3 3 Cameroon D54-D07 Cameroon S63214 Cameroon V214542 060405 Stage 4.doc Version 1.20 Page 21 no 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 Regulation Requirement Timescale for action 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 Good Practice Recommendations Cameroon D54-D07 Cameroon S63214 Cameroon V214542 060405 Stage 4.doc Version 1.20 Page 22 Commission for Social Care Inspection Unit D1 Linhay Business Park Ashburton TQ13 7UP National Enquiry Line: 0845 015 0120 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk © This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. 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