Inspection on 11/12/06 for Camowen

This inspection was carried out on 11th December 2006.

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

Camowen 09/11/05

Camowen 07/07/05

Similar services:

The Shelley

Springfield House

Sutton Lodge Nursing Home

St Helier`s Residential Hotel

St Joseph`s

Ridgemount

Wingham Court

Old Hastings House

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

CARE HOMES FOR OLDER PEOPLE Camowen 30 Parkfield Road West Tarring Worthing West Sussex BN13 1ER Lead Inspector Mrs V Gay Unannounced Inspection 09:30 11 December 2006 th 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 Camowen DS0000062981.V322457.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. Camowen DS0000062981.V322457.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Camowen Address 30 Parkfield Road West Tarring Worthing West Sussex BN13 1ER 01903 202111 01903 200711 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) Asa Care Ltd Mrs Ley Jayne Little Care Home 20 Category(ies) of Old age, not falling within any other category registration, with number (20) of places Camowen DS0000062981.V322457.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. Only persons over the age of 65 years may be admitted Date of last inspection Brief Description of the Service: Camowen is a Care Home registered to provide care and accommodation to twenty service users in the category OP, Old age not falling within any other category. The registered premises is a converted property situated in the village of Tarring. Accommodation is provided on two floors in single occupancy rooms, nineteen of which provide en suite facilities. Communal space for service users is provided in two small lounge areas, a dining room and conservatory lounge. Ms. Amershi was registered as the provider in respect of Camowen in January 2005 and the registered manager is Mrs. Ley Little. Camowen DS0000062981.V322457.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This key inspection was unannounced and was conducted on Monday 11th December 2006 between 9-30am and 2pm. The deputy manager on duty kindly assisted the inspector with her enquiries. The inspector met and spoke with ten residents individually and a group of residents sitting in the conservatory who talked with the inspector about living at Camowen. The inspector toured the premises and noted changes and developments that have been made since the last inspection. The inspector also met staff on duty and gained their views on what it was like to work at the home. Records in relation to care planning, meals, quality assurance, accidents, health and safety issues were reviewed. A visiting relative gave a glowing report of the home, and the admission procedure used to admit her mother. Five residents were case tracked to ensure their needs were being met. These included new admissions since the last inspection in November 2005. Two files for new staff members were examined as part of the inspection process. Residents praised the home in every respect. Comments included the following; “ You couldn’t fault the care…I am very satisfied here …it is so clean and fresh…and the food is of a good quality”. No requirements were made during this inspection. The scale of charges range from £325 to £550 per week , residents pay direct for chiropody, hairdressing and other personal requisites. Where there have been no changes the report remains the same. What the service does well: Some very positive comments were made about the standard of care provided and the conduct of the staff at the home. Residents said that they are well looked after and comments included “ I am very comfortable here…there are various activities for us during the week… the staff are very kind and answer my call bell in a friendly manner…and the food is always very good, plenty of choice, but sometimes too much”. Care records are consistently comprehensive and well maintained at Camowen. Camowen DS0000062981.V322457.R01.S.doc Version 5.2 Page 6 Camowen offers a homely and well-maintained environment that is the subject of ongoing improvements. Comments from staff and residents indicates that they are invited to provide feedback about the service. Relatives have been provided with questionnaires to comment on the service, the results of which have been collated and made available in the home. 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. Camowen DS0000062981.V322457.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 Camowen DS0000062981.V322457.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): 3,6 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents needs and preferences are assessed prior to them being admitted to the home. Camowen does not provided intermediate care. EVIDENCE: Prior to residents being admitted to the home a pre-assessment is carried out. This is followed by a trial short stay during which time a full assessment of needs are undertaken to ensure the home can meet their individual requirements and preferences. Records showed that residents and their families are involved in this process. One resident who has recently been admitted said she was made to feel very welcome by residents and staff. A relative explained the admission procedure that the home had followed and it was evident that it underpinned the home’s Statement Of Purpose. Camowen DS0000062981.V322457.R01.S.doc Version 5.2 Page 9 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, & 10 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Care records set out residents needs. Arrangements are in place for the safe storage, handling, recording and disposal of prescribed medication. Resident’s health needs are met with the support of health professionals. EVIDENCE: Care records at Camowen are consistently comprehensive and well maintained. Information about residents’ needs and abilities is kept up to date. Care records include risk assessments with clear actions being taken to minimise risks to residents’ health, safety and wellbeing. Resident’s feedback clearly indicates that they are regularly asked if they are satisfied with the care provided to them. Care plans examined included the signature of the resident involved in the review. Residents said that the home met their varying needs and that staff were kind and attentive. One resident said he thought he had made the right choice coming into the home. Camowen DS0000062981.V322457.R01.S.doc Version 5.2 Page 10 During the course of the inspection staff were observed to approach the residents in a respectful, manner and knock on their bedroom doors, awaiting permission before entering. Medication is managed safely, and residents who wish to self medicate would be able to do so following a risk assessment. Only staff who have received the relevant training, administer medication. A pharmacy report dated 17 October 2006 confirmed that arrangements in respect of medication were found to be satisfactory and no recommendations were made. Records and discussions with residents indicate that support is sought to ensure their health needs are met, including the provision of specialist equipment such as adjustable beds and pressure relieving equipment. Camowen DS0000062981.V322457.R01.S.doc Version 5.2 Page 11 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, &15 Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. People living at Camowen are able to make the day-to-day decisions about how they want to live their life. There is a range of activities for those who wish to participate, and residents are encouraged to maintain contact with all their old friends and family wherever possible. The food is of a high standard, and offers a choice of menu, with people able to eat either with other residents or in their own room should they prefer. EVIDENCE: There were a variety of activities on offer at Camowen, and the majority of residents told the Inspector that they felt they were free to choose, no restrictions were placed upon them. Several residents said they thought that the home did its best to meet their varying needs. An external activities organiser is employed on a sessional basis to broaden the scope of activities available to the residents. A resident made a point of telling the inspector about the many planned activities arranged for the week running up to Christmas. Residents said they had enjoyed a party the night before which was most enjoyable, with professional entertainment in which they could participate. Camowen DS0000062981.V322457.R01.S.doc Version 5.2 Page 12 The inspector noted that the dining room was attractively presented and the tables were laid with linen tablecloths and good quality china. The meal was very appetising and served in a way that encourages an appetite. The meal was cheese and potato pie or chilli, green beans carots and red cabbage. Followed by a choice of three desserts. One resident told the Inspector “the food was really good always a choice of menu and if she required an omelette the cook was happy to provide”. From direct observation, the Inspector noted that the mealtime appeared to be unhurried, with residents being afforded sufficient time to eat their meal. Residents now have a choice of a cooked breakfast daily. On the day of inspection, the choice was hot croissants. The cook consults daily with residents to discuss the menu with them. The cook qualified and experienced in working with elderly people and therefore knew the likes and dislikes of the residents. Camowen DS0000062981.V322457.R01.S.doc Version 5.2 Page 13 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): 16,18 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents said that they knew who to make a complaint to, if anything was concerning them. Systems are in place to protect residents from abuse EVIDENCE: Residents told the inspector that if they had any concerns they would discuss them with the manager. The Responsible Individual carries out monthly visits to the home, to ensure the standards are being maintained. Reports of these visits are sent to the Commission for Social Care Inspection. The deputy manager was able to demonstrate a clear understanding of what action would be taken in the event of an allegation being made involving a resident. Staff on duty told the inspector that they had attended training in the safe guarding of adults. No issues in respect of these have been made to the Commission For Social Care Inspection and no complaints have been reported. Camowen DS0000062981.V322457.R01.S.doc Version 5.2 Page 14 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): 19,26 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents live in a safe well maintained home. Standards of hygiene and cleanliness through the home were of a high standard. EVIDENCE: The inspector toured the building. All areas of the home used by residents are spotlessly clean and attractively presented. Risk assessments have been undertaken to ensure the safety of residents and to enable them to enjoy a fulfilled life. The deputy manager confirmed that the last fire safety report stated that standards in the home were satisfactory at that time. The radiators are guarded and temperatures risk assessed to safeguard residents from unnecessary burns. The laundry area was clean and organised. Camowen DS0000062981.V322457.R01.S.doc Version 5.2 Page 15 Safety notices are displayed in resident’s rooms to ensure they know what action to take in the event of a fire. Staff confirmed that they received regular mandatory training in fire safety and records supported this. Resident said they were very pleased with their bedrooms. One resident said she was pleased to have her own en-suite toilet. Camowen DS0000062981.V322457.R01.S.doc Version 5.2 Page 16 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 & 30 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents are in safe hands at all times. A robust recruitment procedure is followed to ensure the right type of staff is employed to care for vulnerable people. Staff have the necessary skills and confidence to perform their role in a professional manner. EVIDENCE: The deputy manager informed the Inspector that all staff members had received induction training together with fire safety, manual handling, health and safety, and adult protection. In addition the Inspector was told that all staff members who administer medication, receive up to date training. The inspector spoke with the staff on duty and asked residents if there were sufficient staff for the help and support they needed. They confirmed that staff were always available and one said “ they are available during the night if I need assistance” The deputy manager, senior carer, two care assistants were on duty supported by a cook, handyperson and cleaner. Records and discussion with residents showed that there was a nucleus of long serving staff who knew the residents needs and wishes very well. Camowen DS0000062981.V322457.R01.S.doc Version 5.2 Page 17 There has been only one change in the staff team since the previous inspection and that was a part-time cleaner who has since left. This position is being advertised in the New Year. The home has reached the target of standard 28.2 by ensuring 50 of staff are trained to National Vocational Training level 2 or 3. All staff have obtained a satisfactory Criminal Records Bureau Disclosure to ensure they are suitable to work with vulnerable residents. The files of three most recent staff were examined. They were found to contain the necessary documentation required by Schedule 2 of the Care Regulations. Camowen DS0000062981.V322457.R01.S.doc Version 5.2 Page 18 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, & 38 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The registered manager is qualified and competent. Residents, relatives and staff are asked to comment on the service. Records are made of resident’s money stored by the home for safekeeping. The security of the premises has been improved to ensure the health, safety and welfare of residents and staff. EVIDENCE: The registered manager is experienced and holds a City and Guilds Advanced Management in Care qualification. She has now completed an NVQ Level 4 in care to meet the National Minimum Standard and plans to undertake the additional units required to achieve the Registered Manager’s Award. Camowen DS0000062981.V322457.R01.S.doc Version 5.2 Page 19 The deputy manager on duty at the time of the inspection informed the inspector that she had completed National Vocational Training level 3 and was hoping to commence level 4 . Staff said they are trained and feel supported and told the inspector that handovers, supervision and meetings are held regularly. Feedback from staff demonstrates a commitment to meeting resident’s individual needs and preferences on a daily basis. Resident’s feedback demonstrates conclusively that the care worker with responsibility for liaison with them regularly asks for feedback and their comments about the services offered. It is recommended that the quality assurance policy be expanded further and outcomes be made available to all interested parties. Records of money stored on behalf of residents were seen. The deputy manager confirmed that procedures had been reviewed and systems were now in place to ensure residents could access their own personal allowance at any time they wish. The security of the home is enhanced by security (CCTV) cameras. Camowen DS0000062981.V322457.R01.S.doc Version 5.2 Page 20 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 3 X X 3 HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 3 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 4 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 3 28 4 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X 3 X 3 X X 3 Camowen DS0000062981.V322457.R01.S.doc Version 5.2 Page 21 Are there any outstanding requirements from the last inspection? NO STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 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. Refer to Standard Good Practice Recommendations Camowen DS0000062981.V322457.R01.S.doc Version 5.2 Page 22 Commission for Social Care Inspection Hampshire Office 4th Floor Overline House Blechynden Terrace Southampton SO15 1GW National Enquiry Line: Telephone: 0845 015 0120 or 0191 233 3323 Textphone: 0845 015 2255 or 0191 233 3588 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk © This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. 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