Inspection on 21/07/05 for Camilla Road, 64

This inspection was carried out on 21st July 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 found there to be outstanding requirements from the previous inspection report but made no statutory requirements on the home.

Other inspections for this house

Camilla Road, 64 19/03/07

Camilla Road, 64 05/01/06

Camilla Road, 64 09/02/05

Camilla Road, 64 16/11/04

Similar services:

Ashlong House

Norbury Crescent (30)

Edenvale

Wadham Avenue

Chatsworth Care - Dawson House

Cowden Road, 52 - 54

Chatsworth Care - Tudor Lodge

Foxley Lane (121a)

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

CARE HOME ADULTS 18-65 64, Camilla Road 64 Camilla Road London SE16 3NJ Lead Inspector Mark Stroud Unannounced 21 July 2005, 10:00 st 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. 64, Camilla Road G52-G02 7110 Camilla Rd 232664 210705 Stage 4 uiv.doc Version 1.30 Page 3 SERVICE INFORMATION Name of service 64 Camilla Rd Address 64 Camilla Rd, London SE16 3NJ 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) Category(ies) of registration, with number of places 0207 252 0074 Choice Support Ms Verona Smith Care Home 3 64, Camilla Road G52-G02 7110 Camilla Rd 232664 210705 Stage 4 uiv.doc Version 1.30 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection Brief Description of the Service: Camilla Road is a care home providing personal care and accommodation for 3People with a learning disability. There is currently one male and two females living at the home, over the age of 60.Choice Support, a voluntary organisation, manages the service. The landlord is Habinteg Housing Association.The home is located in Bermondsey, close to shops, pubs, the postoffice and other amenities.The home consists of single storey building, providing wheelchair access to all parts of the home.All the home’s bedrooms are single. The home has a garden to the rear. 64, Camilla Road G52-G02 7110 Camilla Rd 232664 210705 Stage 4 uiv.doc Version 1.30 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. A single inspector made the inspection visit over an afternoon. Both service users, a staff member and the manager were spoken with. What the service does well: 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. 64, Camilla Road G52-G02 7110 Camilla Rd 232664 210705 Stage 4 uiv.doc Version 1.30 Page 6 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 64, Camilla Road G52-G02 7110 Camilla Rd 232664 210705 Stage 4 uiv.doc Version 1.30 Page 7 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) 2 Service users know that staff understand what their needs are. EVIDENCE: Service users are kept up to date at annual reviews, led by a social worker from the authority that placed them. Before service users move in, the home obtain a full assessment that describes their needs, written by a professional from the authority that wants to arrange for them to live at the home. This ensures the home can decide whether of not they can support the service user. There is currently a vacancy at the home, and staff are clear that service users will be consulted, and get to meet any prospective service users before arrangements are made for them to live at the home. 64, Camilla Road G52-G02 7110 Camilla Rd 232664 210705 Stage 4 uiv.doc Version 1.30 Page 8 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, 9 & 10 Service users know they have staff who listen and understand what they want and support them to be independent, based on safe, sound decisions. EVIDENCE: The home knows about the important events in service users lives, their general wishes, and what is important to them. The home use this to support service users to agree plans about how they will be supported, and what goals are important to them. Service users have a worker they can talk to, say how they feel, and what they might want to change. The home needs to update one Service Users Plan following a review of their support, and future plans. Where records like risk assessments, that check service users are safe, and independent as possible, these need to be kept on their individual files, so that this information is private to them, and can be found easily by staff. 64, Camilla Road G52-G02 7110 Camilla Rd 232664 210705 Stage 4 uiv.doc Version 1.30 Page 9 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) 12,13, 15, 16 & 17 Service users make decisions about their day to day life and are supported to be as independent as possible managing their personal affairs. Service users need more support to return to previous levels of activity they enjoy. EVIDENCE: One service user plans to go on holiday in September, the home currently arranging this with them. Service users are supported to manage their own bank accounts, including help with budgeting, going to withdraw money, and thinking about how to spend it. A picture book of the meals service users enjoy, and the ingredients that go towards making them, are kept to support them to plan weekly menus, and try new foods. Service users participate in the local community, using local shops and the pub, and go with staff for the homes food shopping. Services users go to activities in the day where they can meet their immediate peers, and support each other. Service users are supported to see friends and family, both entertaining and visiting. Recently service users have not been going out so much, but there are good reasons for this. Staff need to support service users to return to a higher level of activity, so that they can receive the support and stimulation they need. 64, Camilla Road G52-G02 7110 Camilla Rd 232664 210705 Stage 4 uiv.doc Version 1.30 Page 10 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, 19, 20 & 21 Service users are understood and are supported to understand others. Service users are supported well with medication they are prescribed, are kept safely independent, and their privacy and dignity are respected. EVIDENCE: One staff member was seen communicating well with a service user, supporting me to communicate with the service user. The home keep a record with service users of the health checks they have had and the ones they need. Service users are supported to understand correspondence for them, where their sight is impaired letters read to them, while they can touch the letters and envelope to understand what it is. Staff know how to support service users in wheelchairs, now careful to ensure footplates are used if they are pushing the chair. Staff have reviewed the way they fill in forms that try to understand service users behaviour better, when this becomes difficult. Information is now better, so that staff can come up with ideas as to why a service user is doing something, and what effect the actions of staff may have. A speech and language therapist is going to work with a service user and staff to improve support further. A gap around the toilet door has been filled with a plastic strip so that service users have good privacy when using the bathroom now. A Pharmacist from the Primary Care Trust has visited the home and found staff competent now administering medication. The home knows how to support service users though ill health and death, including support with a will, and 64, Camilla Road G52-G02 7110 Camilla Rd 232664 210705 Stage 4 uiv.doc Version 1.30 Page 11 working with their family and friends. Staff are supported with counselling when they need it. 64, Camilla Road G52-G02 7110 Camilla Rd 232664 210705 Stage 4 uiv.doc Version 1.30 Page 12 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) None of these Standards were assessed, but at the last inspection service users were supported to complain and were kept safe. EVIDENCE: 64, Camilla Road G52-G02 7110 Camilla Rd 232664 210705 Stage 4 uiv.doc Version 1.30 Page 13 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 Service users live in a comfortable home decorated how they would like, but they need more support to look after the garden, so they can enjoy it. The home needs to review support to maintain hygiene and infection control for service users. EVIDENCE: Service users have been supported to choose the decoration of their room with pictures from catalogues, planning which shops to buy items from. The garden has become overgrown, and service users not regularly supported to maintain it. One service user has some personal care needs that are not clearly planned for, their clothes thrown away on occasions as a result. 64, Camilla Road G52-G02 7110 Camilla Rd 232664 210705 Stage 4 uiv.doc Version 1.30 Page 14 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) 33 Staff are confident and clear, but staffing arrangements do not always clearly reflect the needs of service users. EVIDENCE: The staff member in charge of the home at the start of the inspection visit was calm and confident. The staff member was clear that staff absence would be covered in future. There are now two service users at the home. They are supported by a single member of staff on occasions 2 to 4pm, and 5 pm onwards overnight at times, but the home have do not have a policy regarding lone workers, so that staff know what to do on their own in an emergency, and what they should expect to happen. Also, staff understand that one service user needs two staff to support them out in their car, and it is unclear whether staffing is provided flexibly afternoons and evenings so this can happen. Staff know how to communicate with service users, and support the service users and other people to communicate together. 64, Camilla Road G52-G02 7110 Camilla Rd 232664 210705 Stage 4 uiv.doc Version 1.30 Page 15 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, 40 & 42 Service users know the home is managed by a competent person, and what to do if there is a fire. EVIDENCE: The manager is now registered with the Commission for Social Care Inspection (CSCI). They are working towards an NVQ Level 4, a nationally recognised qualification for care home managers, and expect to finish this by the end of the year. Fire equipment and procedures are checked regularly, the last fire drill 18/03/05, where all service users worked well to get out of the building quickly and safely. The home doesn’t have procedures and policies for staff working alone at the home. 64, Camilla Road G52-G02 7110 Camilla Rd 232664 210705 Stage 4 uiv.doc Version 1.30 Page 16 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 CONCERNS AND COMPLAINTS Standard No 1 2 3 4 5 Score x 3 x x x Standard No 22 23 ENVIRONMENT Score x x INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 LIFESTYLES Score 2 3 x 3 x Score Standard No 24 25 26 27 28 29 30 STAFFING Score 2 x x x x x 2 Standard No 11 12 13 14 15 16 17 x 3 3 x 3 3 3 Standard No 31 32 33 34 35 36 Score x x x x 2 x CONDUCT AND MANAGEMENT OF THE HOME PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 64, Camilla Road Score 3 3 3 3 Standard No 37 38 39 40 41 42 43 Score 3 x x 2 x 3 x G52-G02 7110 Camilla Rd 232664 210705 Stage 4 uiv.doc Version 1.30 Page 17 yes 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 6 Regulation 15 Requirement Timescale for action 30.10.05 2. 33 18(1)(a) 3. 24 23(2)(o) 4. 30 13(3) The Registered Provider must ensure that service users needs are agreed and recorded in individual care plans, and that these are regularly updated to reflect the changing needs, and that agreed changes are recorded and actioned. (timescale of 28/02/2004, 31.12.04 , and now 31.03.05 not met) Continued failure to comply with this requirement may lead to consideration being given to enforcement action. The Registered Provider must 30.10.05 ensure that there are enough staff to reasonably support the service user discussed in the community, according to their needs and wishes, a description of supprot provided to the CSCI, Southwark. The Registered Provider must 30.10.05 ensure service users are supported to agree how to maintain the garden, and provide supprot for them to do so. The Registered Provider must 30.10.05 ensure that soiled laundry is sluiced. (Timescale of 31.03.05 Version 1.30 64, Camilla Road G52-G02 7110 Camilla Rd 232664 210705 Stage 4 uiv.doc Page 18 not met). 5. 40 12(1) The Registered Person must ensure therem is a policy regardiong staff working alone, understood by staff and the manager, and kept up to date at the home. 30.10.05 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1. 2. Refer to Standard 13 10 Good Practice Recommendations Staff need to support service users to return to a higher level of activity, so that they can receive the support and stimulation they need Service users infomration needs to be kept in individual files, including risk assessments, to respect their privacy and confidentiality. 64, Camilla Road G52-G02 7110 Camilla Rd 232664 210705 Stage 4 uiv.doc Version 1.30 Page 19 Commission for Social Care Inspection Ground Floor 46 Loman Street Southwark SE1 OEHddress 4 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. Extracts may not be used or reproduced without the express permission of CSCI 64, Camilla Road G52-G02 7110 Camilla Rd 232664 210705 Stage 4 uiv.doc Version 1.30 Page 20 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. 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