Inspection on 09/11/05 for Camowen

This inspection was carried out on 9th November 2005.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Adequate. 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

Camowen 11/12/06

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 K Leppard Unannounced Inspection 9th November 2005 11:00 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.V259282.R01.S.doc Version 5.0 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.V259282.R01.S.doc Version 5.0 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.V259282.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: 1. Only persons over the age of 65 years may be admitted Date of last inspection 7th July 2005 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.V259282.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The inspection was unannounced and was conducted on Wednesday 9th November 2005 between 11am and 4pm. The inspector met and spoke with five residents individually and a group of residents sitting in the conservatory lounge 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, attended a staff meeting and spoke with three staff privately. What the service does well: What has improved since the last inspection? The home is subject to ongoing improvements, since the last inspection new dining chairs have been purchased, the installation of a shower room has been completed and individual bedrooms are being redecorated and refurbished as they become vacant. Camowen DS0000062981.V259282.R01.S.doc Version 5.0 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 DS0000062981.V259282.R01.S.doc Version 5.0 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.V259282.R01.S.doc Version 5.0 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 the following standard(s): 1, 2 & 6 The home’s Statement of Purpose should be updated. Contracts should reflect changes in occupancy. Intermediate care service are not provided at Camowen EVIDENCE: A good amount of information is available to residents and their representatives. Extracts from the home’s Statement of Purpose, including the complaints procedure are displayed in the main entrance along with the most recent inspection report and quality assurance results. The Statement of Purpose should be updated to reflect staffing changes and the correct communal space provided at the home. It was evident that in situations where residents have moved rooms, contracts have not been amended to reflect the change and that a process of consultation and agreement had been undertaken with the resident and their representatives. It is recommended that this be addressed. Camowen DS0000062981.V259282.R01.S.doc Version 5.0 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 the following standard(s): 7&8 Care records set out residents needs. 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. However, those asked do not recall having their care plan shared with them and this should be considered as part of the quality assurance process. The inspector was pleased to note residents comments about the support they receive with their personal care, comments included “they’re not over powering….I am surprised by their consideration…they know their job” and one Camowen DS0000062981.V259282.R01.S.doc Version 5.0 Page 10 resident said the carer who had assisted on the morning of the inspection was “nice, very polite”. Records and discussions with residents indicates 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.V259282.R01.S.doc Version 5.0 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 the following standard(s): 12 & 15 Activities are provided. Some action should be taken to ensure residents religious and recreational needs are better met. A choice of food is offered and the standard of food is good. EVIDENCE: The inspector observed an exercise session conducted by a visiting facilitator on the morning of the inspection, six residents attended and later told the inspector that this is provided twice a week. Other activities include musical entertainment and a ‘shop’. One resident said that staff ‘make events memorable’ when she recalled Halloween a couple of weeks ago. Some residents said they like to spend time alone in their room amusing themselves with their own interests such as music, reading and writing and some have friends and family locally who support them to go out and maintain links in the community. Some suggestions made to the inspector about activities were that more frequent accompanied trips into the village and opportunities to practise religion would be appreciated. It is therefore recommended that through the home’s good system of obtaining resident’s feedback they seek information about resident’s religious and recreational interests and needs. Camowen DS0000062981.V259282.R01.S.doc Version 5.0 Page 12 Residents commented positively on the choice and standard of food at the home, one resident said, “the food is delicious, I’m always consulted about choice”. Feedback from the majority of residents indicates that the time at which supper is served meets their needs and they do not feel the gap between supper and breakfast is too long. Camowen DS0000062981.V259282.R01.S.doc Version 5.0 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 the following standard(s): Outcomes for these standards were not assessed at this inspection. EVIDENCE: Camowen DS0000062981.V259282.R01.S.doc Version 5.0 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 the following standard(s): 19 The home is subject to ongoing redecoration and refurbishment. EVIDENCE: The home has been subject to significant redecoration and refurbishment since the new owner was registered. Since the last inspection the dining room refurbishment has been completed with the addition of new chairs and the conservatory lounge has had new flooring laid. The downstairs shower room has also been completed. The majority of residents who were asked provided positive feedback about the programme of work and the chosen finishes. Resident’s comments included that the new flooring in the dining room and conservatory is more hygienic as it is easier to keep clean. At the time of the inspection, two bedrooms were being redecorated and refurbished. The registered person confirmed that this is being undertaken in each room as they become vacant. The inspector was pleased to note that new Camowen DS0000062981.V259282.R01.S.doc Version 5.0 Page 15 chairs are being purchased through this process as some are in need of replacement. Camowen DS0000062981.V259282.R01.S.doc Version 5.0 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 29 The recruitment procedure must be improved to ensure the protection of residents. EVIDENCE: Records of recruitment were seen in relation to two new care staff. One was a good example of robust recruitment. The other did not demonstrate that gaps in employment had been explored and did not include a full CRB disclosure. Although records indicate that the employee is working supervised, a PoVAFirst check has not been obtained and induction training has not commenced. The Department of Health guidance clearly states that staff can commence work prior to receipt of a CRB disclosure only in exceptional circumstances and only when all other checks have been made, including a PoVAFirst check. At which time the member of staff may begin induction training and work under supervision. The requirement for action therefore remains outstanding. Camowen DS0000062981.V259282.R01.S.doc Version 5.0 Page 17 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 31, 33, 35 & 38 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 safe keeping. 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.V259282.R01.S.doc Version 5.0 Page 18 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. Results of a quality assurance exercise involving relatives have been displayed in the home and the registered provider provides the Commission for Social Care Inspection with monthly Regulation 26 reports on the home. It is recommended that outcomes from all quality assurance exercises and the home’s development plan be provided to interested parties, including the Commission for Social Care Inspection. Records of money stored on behalf of residents were seen. These records could not be checked against the actual money stored due to the fact that the person in charge did not have access to this. The registered persons have confirmed in writing following the inspection that procedures are in place to ensure residents have access to money at all times. This will be monitored at future inspections. The home has reported incidents to the Commission for Social Care Inspection where the security of the home has been breached and risks identified. From the registered provider’s monthly reports and observations during this inspection it is evident that actions have been taken to minimise these risks and ensure the health, safety and welfare of residents and staff. Camowen DS0000062981.V259282.R01.S.doc Version 5.0 Page 19 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 3 2 X X X N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 X 10 X 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 2 13 X 14 X 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 X 17 X 18 X 3 X X X X X X X STAFFING Standard No Score 27 X 28 X 29 1 30 X MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X 3 X 3 X X 3 Camowen DS0000062981.V259282.R01.S.doc Version 5.0 Page 20 Are there any outstanding requirements from the last inspection? Yes STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1 Standard OP29 Regulation 19(1) Requirement Staff records must include the information and documents specified within Schedule 2. (Previous timescale of 7 August 2005 not met) Timescale for action 09/12/05 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 3 Refer to Standard OP1 OP2 OP12 Good Practice Recommendations It is recommended that the home’s Statement of Purpose be updated. It is recommended that contracts reflect consultation with residents and their agreement to move rooms within the home. It is recommended that arrangements for residents to be accompanied into the village more frequently and have any religious needs met are put in place. Camowen DS0000062981.V259282.R01.S.doc Version 5.0 Page 21 Commission for Social Care Inspection Worthing LO 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 DS0000062981.V259282.R01.S.doc Version 5.0 Page 22 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. 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