Inspection on 07/07/05 for Camowen

This inspection was carried out on 7th 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 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 11/12/06

Camowen 09/11/05

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 Worthing West Sussex BN13 1ER Lead Inspector Mrs Kerry Leppard Announced 7 July 2005, 09:00, V227268 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 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 H60-H11 S62981 Camowen V227268 070705 Stage 4.doc Version 1.30 Page 3 SERVICE INFORMATION Name of service Camowen Address 30 Parkfield Road, Worthing, West Sussex, BN13 1ER 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) 01903 202111 01903 200711 ASA Care Ltd Mrs Ley Jane Little CRH(PC)-Care home only 20 Category(ies) of OP-Old age, 20 registration, with number of places Camowen H60-H11 S62981 Camowen V227268 070705 Stage 4.doc Version 1.30 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. L Little. Camowen H60-H11 S62981 Camowen V227268 070705 Stage 4.doc Version 1.30 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This inspection is the first since Ms. Amershi was registered as the provider in respect of Camowen in January 2005; it was an announced inspection and was conducted between 9am and 4pm on Thursday 7th July 2005. Prior to the inspection one resident and eight relative/visitor comment cards were received and during the inspection the inspector met and spoke with eight residents individually and had lunch with two other residents. Findings and comments from surveys and residents have been included in this report. The registered provider accompanied the inspector on a tour of the premises and discussed changes that had been made since the registration in January. The inspector also met and spoke with four staff individually. What the service does well: What has improved since the last inspection? This is the first inspection of Camowen since the registration of Ms. Amershi in January 2005. Camowen H60-H11 S62981 Camowen V227268 070705 Stage 4.doc Version 1.30 Page 6 What they could do better: Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. Camowen H60-H11 S62981 Camowen V227268 070705 Stage 4.doc Version 1.30 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 Standards Statutory Requirements Identified During the Inspection Camowen H60-H11 S62981 Camowen V227268 070705 Stage 4.doc Version 1.30 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 3 & 5 Residents’ needs are assessed before they come to live at Camowen. Prospective residents and their representatives are invited to look around the home. EVIDENCE: Records showed that assessments had been provided by social services and/or the home had conducted their own assessment of need in relation to two newer residents. The inspector met and spoke with two newer residents who said that they and/or their family had visited the home before they came to live at Camowen. One resident also said that she had been made welcome and comfortable since arriving at the home. Camowen H60-H11 S62981 Camowen V227268 070705 Stage 4.doc Version 1.30 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 7, 8, 9 & 10 Care records set out residents needs. Health needs are met with the support of health professionals. Residents self-administer when assessed as safe to do so. Medication is managed safely by the home. Residents’ privacy and dignity is respected. EVIDENCE: Care records are comprehensive and 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, including falls, pressure areas and self-administration of medicines. A district nurse visited two residents on the day of the inspection. One resident told the inspector that a district nurse visits daily to monitor a particular aspect of her health, another said that she had recently seen her GP regarding a medication review. Camowen H60-H11 S62981 Camowen V227268 070705 Stage 4.doc Version 1.30 Page 10 Medication is stored securely and records are generally complete in relation to medication that has been given by staff. The inspector observed staff knocking on doors to resident’s rooms and was told by residents that their choice to stay in their room and their privacy is respected. Camowen H60-H11 S62981 Camowen V227268 070705 Stage 4.doc Version 1.30 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 13, 14 & 15 Residents maintain contact with family and friends. Residents are able to make choices in their daily life. A good choice and standard of food is provided. EVIDENCE: All of the relatives and visitors who completed a survey said they were welcomed into the home at anytime and that they could visit their friend or relative in private. Residents said that their visitors were welcomed into the home and one said that they use the small lounge during their visit. Residents said that their choices about how they spend their time are respected. One resident told the inspector of trips out of the home he takes independently and another said she goes out with relatives. One resident told the inspector that staff had encouraged and supported her choice to return to bed after breakfast and the support she needed was provided later in the morning. Feedback from residents about the choice and standard of food was good and the inspector noted positive comments about the vegetables and some different meals, which have recently been offered. Camowen H60-H11 S62981 Camowen V227268 070705 Stage 4.doc Version 1.30 Page 12 On the day of inspection a buffet supper was provided at 4pm after some musical entertainment had been provided for residents. The timing of supper was an issue raised by two residents in a recent quality assurance exercise. The registered persons said that snacks are offered during the evening to ensure the time between supper and breakfast does not exceed 12 hours, as good practise would recommend. This will be monitored at future inspections. Camowen H60-H11 S62981 Camowen V227268 070705 Stage 4.doc Version 1.30 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 inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 16 & 18 The complaints procedure is displayed and people know who to speak to about any dissatisfaction. Staff are aware of their responsibilities for reporting to protect residents from abuse. EVIDENCE: Two of the eight relatives who completed a comment card said that they were not aware of the home’s complaints procedure. The complaints procedure is posted in the main entrance hallway of the home but the registered persons may wish to consider positioning it more conspicuously. The resident survey indicated that the respondent does know who to speak to if they are unhappy with the care and feedback indicates that the registered manager and staff encourage good relationships within which concerns can be raised if needed. Staff who spoke with the inspector were aware of their responsibility to report any suspicion or allegation of abuse even if they did not recognise the term whistle blowing. Training in abuse awareness is provided annually. Camowen H60-H11 S62981 Camowen V227268 070705 Stage 4.doc Version 1.30 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 19, 20, 21, 22, 24, 25 & 26 The internal and external environment is safe, well maintained and suitable for the needs of residents. Sufficient toilet and washing facilities are provided. Residents are facilitated to personalise their own rooms and a programme of redecoration and refurbishment is in operation. The home is safe and hygienic. EVIDENCE: The registered provider has sought reports from the Fire and Environmental Health authorities and an occupational therapist. The registered provider has also taken action to address the recommendations made in these reports to ensure the indoor and outdoor environment is safe and suitable to the needs of the residents. Camowen H60-H11 S62981 Camowen V227268 070705 Stage 4.doc Version 1.30 Page 15 The home has been subject to significant redecoration and refurbishment since January 2005 and the atmosphere is homely and welcoming. Plans to continue these works include replacement dining room chairs purchased from a specialist provider. A comment included on a relative/visitor comment card was “very beautiful environment-very positive that pets are in the home”. En suite toilet and wash hand basins are provided in nineteen of the twenty rooms. An assisted shower facility is currently being installed so the home meets the standard in relation to assisted bathing/showering facilities. Residents told the inspector that they had been able to bring items of their own belongings into the home. Locks have now been fitted to residents’ private accommodation to ensure privacy; one resident said she has a key to both her door and lockable drawer. Some armchairs in individual bedrooms need replacing and new furniture should continue to include a lockable facility. Most radiators have now been covered and window restrictors are in place to ensure the health and safety of residents. The home employs cleaning staff to maintain the cleanliness of the home and a new washing machine has been installed, which meets the required disinfection standards. Camowen H60-H11 S62981 Camowen V227268 070705 Stage 4.doc Version 1.30 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 considers Standards 27, 29, and 30 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 27, 28, 29 & 30 Staffing levels reflect the needs of the residents. The recruitment procedure could be improved to ensure the protection of residents. Staff are trained to do their work. EVIDENCE: All relatives and visitors who completed a comment cards said that in their opinion the home was always sufficiently staffed. The rotas provided show that the morning shift is covered by two staff from 8.30am – 4.30pm with an additional carer between 9am and 12noon. Two staff cover the afternoon shift and two staff cover the night duty, one of whom is waking and one of whom sleeps between midnight and 6am, the waking hours have recently been increased. The registered manager works full time in addition to these figures and the home’s deputy managers have days allocated for providing care and office tasks. Records of recruitment were seen in relation to two new care staff. These did not include a CRB and PoVA disclosure obtained by the home before the member of staff commenced employment. Gaps in employment should also be explored. Since the inspection, action has been taken to ensure that the home recruitment process is robust and protects residents. One of the newer members of staff had completed the TOPSS induction workbook. The home has a yearly plan of training updates in core training Camowen H60-H11 S62981 Camowen V227268 070705 Stage 4.doc Version 1.30 Page 17 topics such as food hygiene, manual handling, first aid and abuse awareness. The home is working toward achieving the target of 50 of staff trained to NVQ Level 2, currently achieving 44 and staff said they are being supported to enrol on NVQ training and that some specialist training in dementia is also planned. Camowen H60-H11 S62981 Camowen V227268 070705 Stage 4.doc Version 1.30 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 33, 35 and 38 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 32, 33, 36 & 38 Residents are asked for feedback and staff are supported by the management structure. The health, safety and welfare of service users and staff are promoted and protected. EVIDENCE: Residents were enthusiastic about changes that have occurred in the home recently. Staff said they felt involved in the process of change, listened to and supported, staff also said that they receive regular supervision. The home has a staff member identified to liaise with residents for quality assurance, including completing satisfaction questionnaires with residents regularly. The registered persons should collate the results of these and use them to prepare an action plan for developing the home in the best interests of the residents. Camowen H60-H11 S62981 Camowen V227268 070705 Stage 4.doc Version 1.30 Page 19 Equipment is serviced regularly and accident records are completed. Accident records are linked to individual plans of care to address any issues and prevent accidents reoccurring where possible. A fire risk assessment has been completed and is being monitored regularly. Camowen H60-H11 S62981 Camowen V227268 070705 Stage 4.doc Version 1.30 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 ENVIRONMENT Standard No 1 2 3 4 5 6 Score Standard No 19 20 21 22 23 24 25 26 Score x x 3 x 3 N/A 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 x 13 3 14 3 15 3 COMPLAINTS AND PROTECTION 3 3 3 3 x 3 3 3 STAFFING Standard No Score 27 3 28 3 29 1 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score Standard No 16 17 18 Score 3 x 3 x 3 3 x x 3 x 3 Camowen H60-H11 S62981 Camowen V227268 070705 Stage 4.doc Version 1.30 Page 21 na 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 29 Regulation 19(1) Requirement Staff records must include the information and documents specified within Schedule 2. Timescale for action 7th August 2005 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 Camowen H60-H11 S62981 Camowen V227268 070705 Stage 4.doc Version 1.30 Page 22 Commission for Social Care Inspection 2nd Floor, Ridgeworth House Liverpool Gardens Worthing, West Sussex BN11 1RY 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 Camowen H60-H11 S62981 Camowen V227268 070705 Stage 4.doc Version 1.30 Page 23 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. 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