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Inspection on 12/12/06 for Camplehaye Residential Home

Also see our care home review for Camplehaye Residential Home for more information

This inspection was carried out on 12th December 2006.

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.

What follows are excerpts from this inspection report. For more information read the full report on the next tab.

What the care home does well

Residents benefit from a dependably high level of personal and health care, delivered by senior care with many years of experience. They work with health care experts, and the Commission, toward continuing improvement. The home aims to provide an individual service, providing choice. Staff understand behaviours, which might be considered challenging. Food at the home is enjoyed. There are regular organised activities.

What has improved since the last inspection?

Residents are now living in a safer home. Better recruitment practice now protects them from staff unsuitable to work with vulnerable adults. Care is better planned and recorded. The home is better maintained, generally cleaner and better meets the needs of residents with dementia. Most previous risks have reduced or been removed. Staff health and safety training are improved.

What the care home could do better:

All areas of the home must be clean, contain an acceptable standard of furnishings, be adequately lit and safe. Should the laundry room continue to be unclean enforcement action may be taken. The handling of medication, although approached in a professional way, still needs to be handled more safely. Prospective residents must receive, in writing, confirmation that their assessed needs can be met by the home. This gives them legal protection. It is a repeat requirement. The contractual arrangements between the resident and provider must clearly state for what reasons an increase in fee is made. It must also include an updated complaints policy. Complaints and protection policies need to be updated, so that vulnerable residents are further protected. Fire exits must not be obstructed. The procedure for what actions to take should the fire alarm sound during the night, should be reviewed, taking into account any fire service recommendations.

CARE HOMES FOR OLDER PEOPLE Camplehaye Residential Home Lamerton Tavistock Devon PL19 8QD Lead Inspector Anita Sutcliffe Unannounced Inspection 12th December 2006 10:00 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 Camplehaye Residential Home DS0000060069.V320625.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. Camplehaye Residential Home DS0000060069.V320625.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Camplehaye Residential Home Address Lamerton Tavistock Devon PL19 8QD 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) 01822 612014 01822 611480 Avens Care Homes Ltd Mrs Samantha Avens Care Home 28 Category(ies) of Dementia - over 65 years of age (28), Old age, registration, with number not falling within any other category (28), of places Physical disability (28), Physical disability over 65 years of age (28) Camplehaye Residential Home DS0000060069.V320625.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. PD category is for people who are over 55 years of age. Date of last inspection 06/06/06 Brief Description of the Service: Camplehaye is a large detached period house set in its own grounds on the outskirts of the village of Lamerton. It is registered to provide residential accommodation and personal care, for a maximum of 28 persons over the age of 65 for reasons of old age, physical disability or dementia. In addition the home may provide accommodation for Service Users with a physical disability from the age of 55. The home provides 2 lounge rooms and dining room on the ground floor and 24 single bedrooms and 2 double bedrooms. All of the bedrooms have en suite facilities or a toilet and sink for personal use close by. The home has 5 bathrooms, and 3 shower facilities. Stair lifts provide access to the upper floors, however a small number of rooms are accessible by a short flight of stairs. The gardens are attractive with seating provided. Information provided May 2006: Fees are between £260 and £500 per week. Additional charges are made for hairdressing, chiropody, toiletries, papers and magazines. Prospective residents are sent a brochure including the home’s Statement of Purpose, Service Users’ Guide, confidentiality, privacy and dignity policies and the summary of the most recent inspection report. Camplehaye Residential Home DS0000060069.V320625.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. Information toward this key inspection was collected since the last key inspection on 6th June. There was a random visit to the home 16th August. This was specifically to assess the home’s compliance with key National Minimum Standards, those being robust and safe recruitment of new staff, and adequate assessment and planning of care. On that occasion recruitment was still not safe, but assessment and care planning showed a degree of improvement. Toward this inspection ten survey cards were sent to the home for service user (resident’s) family to complete anonymously. Seven were returned. The home was visited on two occasions, the visits taking ten hours in all. The majority of residents were met, but few were able to provide information about the service they receive. Staff were observed working with residents. The home was toured on both occasions. The care of two residents was examined in detail. Assessment, care, medication, accident, fire safety, staff recruitment and training records were examined. A lunchtime meal was tasted and two activity sessions observed. The manager designate (care manager), deputy, registered manager and representative of the company each contributed information during the two days. What the service does well: What has improved since the last inspection? What they could do better: Camplehaye Residential Home DS0000060069.V320625.R01.S.doc Version 5.2 Page 6 All areas of the home must be clean, contain an acceptable standard of furnishings, be adequately lit and safe. Should the laundry room continue to be unclean enforcement action may be taken. The handling of medication, although approached in a professional way, still needs to be handled more safely. Prospective residents must receive, in writing, confirmation that their assessed needs can be met by the home. This gives them legal protection. It is a repeat requirement. The contractual arrangements between the resident and provider must clearly state for what reasons an increase in fee is made. It must also include an updated complaints policy. Complaints and protection policies need to be updated, so that vulnerable residents are further protected. Fire exits must not be obstructed. The procedure for what actions to take should the fire alarm sound during the night, should be reviewed, taking into account any fire service recommendations. 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. Camplehaye Residential Home DS0000060069.V320625.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 Camplehaye Residential Home DS0000060069.V320625.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): 2, 3 & 4 (Standard 6 does not apply to Camplehaye) Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. The home’s contractual information should be clearer. Care needs are met following assessment and planning, which has been much improved. Current residents needs are met by the way the home is run. EVIDENCE: The care of one newly admitted resident was examined in detail. Another resident spoke of their admission to the home. It was established that the manager of care at the home visits each prospective resident in their home or in hospital to undertakes an assessment of his or her needs. The assessment records seen included all areas, which might pose a risk, such as falls, moving and handling, and pressure sore prevention. Where a resident was funded Camplehaye Residential Home DS0000060069.V320625.R01.S.doc Version 5.2 Page 9 through Social Services, or discharged from hospital, those assessments were also available. The standard of assessment was very much improved. The contract between one resident and the provider of the home was examined. It was not sufficiently clear under what circumstances fees could be increased. In addition, the complaints procedure within the contract did not meet the necessary standard to fully protect residents. (See also Standard 16). The home’s contractual information should be reviewed in line with the Office of Fair Trading guidelines and National Minimum Standards. Currently residents are not informed in writing, prior to admission, that their assessed needs can be met by the home. There was a previous requirement for this as it provides residents with legal protection. A residents who is wheelchair bound said he was quite satisfied with the care he receives and the way the home manages his disability. The environment for residents with dementia has been improved through pictorial signage of key facilities, such as toilets, sitting and dining rooms and individual bedrooms. Staff have received training in dementia, and the manager was able to demonstrate her understanding of needs specific to those with the illness. Most staff observed were working sensitively with residents although the impersonal term “darling” was heard several times. The care manager was already aware this was happening and said she was dealing with it. Camplehaye Residential Home DS0000060069.V320625.R01.S.doc Version 5.2 Page 10 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 adequate. This judgement has been made using available evidence including a visit to this service. Care planning is adequate, based on the wishes of the resident, or their representative, and health and care needs are fully met. The handling of medication does not protect residents as well as it should. Residents are treated with respect and with regard for their privacy and dignity. EVIDENCE: The home has a good record of managing personal and health care needs, and residents looked well cared for. Staff felt that the care they provide is good. One resident said “I am very comfortable here”. The manager reported that no resident had pressure sores, and previous conversation with district nurses confirmed they were very satisfied with the care provided. A resident Camplehaye Residential Home DS0000060069.V320625.R01.S.doc Version 5.2 Page 11 representative said: “The standard of care is good”. Three others felt they were not consulted as often as they should be or kept informed of important matters. One said: “A little more daily attention to personal care is needed”. Two care plans were examined in detail. The standard of care planning is very much improved and now provides up to date information on how most care needs should be met. Where residents have not been able to contribute to the care planning this still needs to be made clear. There was, however, good evidence of health and social care professional consultation. It was discussed for a second time with the care manager that care plans should also include events which enhance the daily life of the resident, not only concentrate on problems to be prevented. Medication was examined in detail and a staff member was observed doing a medication ‘round’. Although the home’s approach to medication is systematic and thought through, there were several ways in which it should be improved: • • • • • The circumstance under which ‘as required’ medication is given must be clearly described and be part of planned care. Tablets brought into the home must be recorded (in every case). Medication must never be signed as given until it is taken. Each external medication, when opened, should be dated. The controlled drugs register should be ‘tided up’, as currently it is hard to find records of medication in use and it is coming apart. Staff receive training in ‘the safe handling of medicines’, but the handling of medication at the home is still not safe enough. A previous requirement for this to be so is still not met in full, and will therefore be repeated. Enforcement action will be considered if this requirement continues unmet. Residents said that staff knock before entering their room. This was also observed. Interaction between staff and residents appeared respectful. One resident said that ‘most’ staff are kind and helpful. All rooms are single occupancy except for one for which a screen is available as required. The daily record of events at the home is written in respectful and professional manner. Most doors can be locked if a resident chooses to do so and all seven of the comment cards received stated that residents can be visited in private. Camplehaye Residential Home DS0000060069.V320625.R01.S.doc Version 5.2 Page 12 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 good. This judgement has been made using available evidence including a visit to this service. Residents are able to make choices as to how they live and individuality is supported. Residents receive a nutritious varied diet, which meets individual choice and health care requirements. EVIDENCE: Residents were seen taking breakfast at varied times and very few residents were up and about when the visit started at 8:30 am. They are involved in choosing how they spend their time. On both visits there were organised activities in the afternoon. Where previously some residents appeared socially isolated staff are working to reduce this. One resident, who likes to spend time in her room, was observed enjoying skittles. There were musical events over the Christmas period, and there is a programme of regular events at the home. Camplehaye Residential Home DS0000060069.V320625.R01.S.doc Version 5.2 Page 13 The design of the home lends itself quite well to residents who need to wander. The kitchenette, which is particularly cosy and domestic in nature, is used a lot; and now made safer. There is a variety of communal space, with a large dining room, large lounge and a second quieter lounge at ground level. Some rooms are very personalised. Individual behaviour, which in some circumstances would be challenging, appears to be well managed to the advantage of the resident. The main comments received from residents were concerning the standard of food at the home. They included: “The food is good”, “The food is very good” and “The porridge is done just the way I like it”. A relative commented: “Lovely meals. I stayed and had a meal today”. The lunch tasted by the inspector was enjoyed. A resident confirmed that they always get a second choice of meal and the menu showed that there is a choice for breakfast lunch and tea. A record is kept of diet taken by residents. This should be more detailed, but where in the past the diet has been of particular concern, this has been well recorded and specialist foods provided. Camplehaye Residential Home DS0000060069.V320625.R01.S.doc Version 5.2 Page 14 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 adequate. This judgement has been made using available evidence including a visit to this service. Residents benefit from the accessibility of the care manager, in whom they have confidence to complain or make concerns known. Residents are protected from abuse, but this could be further improved. EVIDENCE: Neither the home nor the Commission has received complaints about Camplehaye. Four of the seven comments received from resident’s family said they were unaware of a complaints procedure, despite it being displayed. The complaints procedure in its current form does not fully protect residents. It is stated that the Commission can be contacted if the complainant is unhappy with the home’s management of the complaint. It should be made clear that they can be contacted ‘at any stage’ of a complaint. Neither are there contact details for the Commission. (See also Standard 2). Residents said they would speak with the manager if they were unhappy, and they were clear who she was. A relative said: “The care manager and her deputy are always willing to listen and to help however busy they are”. Many Camplehaye Residential Home DS0000060069.V320625.R01.S.doc Version 5.2 Page 15 residents would be unable to use a formal complaints process so the accessibility and understanding of the manager is very important. All staff have now received training in how to protect vulnerable adults from abuse. The manager said she makes staff responsibilities quite clear, and they know what they should do if they had concerns. However, the whistle blowing policy is kept within the office rather than in a place easily accessible to care staff. It does not contain the contact details for the Commission or the Local Authority Adult Protection team, which further protects residents. Camplehaye Residential Home DS0000060069.V320625.R01.S.doc Version 5.2 Page 16 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, 25 & 26 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. Residents benefit from good communal accommodation, but the standard of personal accommodation is varied, some being of a poor standard. The standard of maintenance and hygiene could be further improved. EVIDENCE: The home was toured during both inspection visits. Cleanliness was generally satisfactory, except in the laundry room which continues to look unclean despite previous requirements to be kept dust free to reduce the likelihood of cross infection. Should this requirement not be met enforcement action will be considered. Camplehaye Residential Home DS0000060069.V320625.R01.S.doc Version 5.2 Page 17 The standard of décor and maintenance was also generally improved, although one corridor carpet was still taped up in several places. This requires replacement at the first opportunity. There were some pockets of odour during both visits. All communal areas were clean, warm and adequately furnished. Some bedrooms were homely, well furnished and two residents said they liked their room, one adding: “I’m very comfortable here”. However, two rooms appeared impoverished, with worn furniture, thin duvets, lacking cleanliness and with poor lighting. Comment received about the home from a visitor included: “I feel the furniture, carpet etc. in the rooms should be renewed.” Some of the furniture belonged to the residents occupying a poorly furnished room; it was discussed how appropriate improvement might be made. It has been a previous requirement to replace worn and damaged carpets and furniture. This will be repeated. The thin duvet was replaced with a thicker one between visits. The room was warm during both visits. Currently a new extension is under construction next to the existing home. In consequence of this the garden looks like, and is, a building site. The inspector was told that the building works would be completed by late spring. Parts of the new building are blocking light from existing bedrooms. There must be an adequate amount of light available for all part of the home used by residents. No immediate health and safety issues were identified connected with maintenance at the home. Safety catches on first floor windows were seen in place, the manager said that all baths and showers have temperature control valves to prevent scalds, and all radiators seen had safety covers to prevent contact burns. Each cupboard containing unsafe material or equipment was locked. Equipment was serviced, fire safety improved, and some environmental changes, which help residents with dementia make sense of their environment, are now in place. (See also Standard 4). Staff have protective clothing available to them, are able to wash their hands in each place where there is soiled linen or personal care delivered. The home has a ‘none’ touch’ method for dealing with soiled laundry. Laundry equipment is adequate to meet the needs of the home and protect residents from infection. Camplehaye Residential Home DS0000060069.V320625.R01.S.doc Version 5.2 Page 18 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 adequate. This judgement has been made using available evidence including a visit to this service. Residents’ benefit from improved staff recruitment and deployment. Staff are competent. EVIDENCE: A resident said: “Everybody’s been so friendly”. Comments about staff suggested that they are liked, do their best for residents, and are skilled and knowledgeable. A resident commented that not all staff can understand him, and the inspector found interviewing a new member of care staff very difficult as her understanding of English was limited. All staff must be able to converse with residents and understand, in full, all training given. The care manager said they work hard to support staff employed from abroad. The home was fully occupied for the second inspection visit and the number of staff appeared satisfactory during the two visits. There is now increased staffing during the evening period; there were previous concerns with only two on duty and a number of residents who wander, and were unsupervised. The care manager said that either she or the deputy are available should further Camplehaye Residential Home DS0000060069.V320625.R01.S.doc Version 5.2 Page 19 staff be required during the evening or night. Five of the seven residents’ representatives felt that there are always sufficient numbers of staff on duty. The recruitment records of three recently employed staff were examined. All documentation required for the safe employment of staff was in place, thus protecting residents from those unsuitable to work with them. The home’s recruitment practice is much improved. Records of staff training were examined. Training received includes fire safety, protection of vulnerable adults and dementia care. Newly employed staff had completed records of their induction to the home. They also confirmed that they are initially able to shadow an experienced member of staff. Staff are continuing to undertake the National Vocational Qualification (NVQ) in care, which is an indicator of competence. In addition, some staff employed from overseas, are qualified nurses in their country of origin. Camplehaye Residential Home DS0000060069.V320625.R01.S.doc Version 5.2 Page 20 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, 37 & 38 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. Residents’ safety and well-being have been improved through new ways of working at the home. EVIDENCE: There has been much work done to improve the standard of service to residents at Camplehaye, mostly through improved cleanliness, maintenance and record keeping. However, time must demonstrate whether those improvements will continue, and the home is still only rated as adequate. To this end the registered provider should be proactive in monitoring what happens at the home, identifying where improvements are necessary and implementing them. Already there are regular staff and resident meetings and Camplehaye Residential Home DS0000060069.V320625.R01.S.doc Version 5.2 Page 21 formal staff supervision sessions. These should provide the opportunity for people to ‘have their say’ and therefore influence decisions made. Currently the care manager is taking action to ensure the standard of laundry is improved. The home is safer than previously. Mandatory health and safety training for staff is up to date and maintenance and servicing improved. Concerns identified during this inspection were: • • • A hoist stored which obstructs a fire exit. Worn carpet taped in several places, posing a potential trip hazard. The cleanliness in the laundry, compromising hygiene. None have been made immediate requirements, but where requirements have been repeated enforcement action will be considered should improvement not now be made within the timescale agreed. It was discussed whether the procedure for response to a fire alarm is sufficient during night hours, when staff numbers will be low. Currently the fire brigade are not called automatically. The registered provider is looking into how the Disability Discrimination Act 2005 and Mental Capacity Act 2005 should be implemented, as these as specifically relevant to the needs of residents at the home. Camplehaye Residential Home DS0000060069.V320625.R01.S.doc Version 5.2 Page 22 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 2 2 3 X N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 2 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 2 17 X 18 2 2 X X X X X 2 2 STAFFING Standard No Score 27 3 28 3 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 2 Camplehaye Residential Home DS0000060069.V320625.R01.S.doc Version 5.2 Page 23 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 OP3 Regulation 14(1)(d) Requirement You are required to ensure that no service user is admitted to the home unless the registered person has confirmed in writing that having regard to the assessment the care home is suitable for the purpose of meeting the service user’s needs. (Amended, as met in part, from 30th November 2006) The circumstance under which ‘as required’ medication is given must be clearly described and be part of planned care. A record must be made of (the quantity of) all medicines received into the home. (Amended, as met in part, from 16th August 2006) Medicines must not be removed from their original packaging prior to administration, or signed for as administered when they have not been so. The copy of the complaints procedure must include the name, address and telephone number of the Commission DS0000060069.V320625.R01.S.doc Timescale for action 01/01/07 2 OP9 13(2) 01/01/07 3 OP9 13(2) 01/01/07 4 OP9 13(2) 01/01/07 5 OP16 22 31/01/07 Camplehaye Residential Home Version 5.2 Page 24 6 OP19 23 7 OP26 23(2)(d) 8 OP38 13(4) relating to the care home. 28/02/07 Worn and damaged furniture and carpets must be replaced or mended. (Amended requirement carried forward from 31st. August 2006) The registered person shall 31/01/07 having regard to the number and needs of the service users ensure that all parts of the home are kept clean. [This refers to the unclean laundry] (This amended requirement has been carried forward from 11th June 2006. Further failure to comply may involved enforcement action) The registered person shall 31/01/07 ensure that unnecessary risks to the health or safety of service users are identified and so far as possible eliminated. This refers to: • Obstructed fire exit • Laundry cleanliness 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 OP2 Good Practice Recommendations The clarity of the contract should be increased so as to protect the resident, as well as the proprietor of the home, and be based on the guidelines of the Office of Fair Trading. [This refers to lack of clarity regarding reasons for increasing fees]. External medicines should have the date recorded that they are opened. The controlled drugs register should be in a more usable DS0000060069.V320625.R01.S.doc Version 5.2 Page 25 2 3 OP9 OP9 Camplehaye Residential Home 4 OP16 5 6 7 8 OP18 OP19 OP25 OP38 state. It should be clear within the complaints procedure that a complaint could be referred to the Commission ‘at any stage’ and not only if unhappy with the home’s response or investigation. The whistle blowing policy should be openly available to staff and contain the contact details for the Local Authority Adult Protection team and the Commission. The home should be adapted, as part of the continuing upgrading, to more effectively meet the needs of its service users with dementia. The adequacy of lighting in service user accommodation should be reviewed. In consultation with the fire authority the home should review its policy for what actions to take should the fire alarms be activated during night hours. Camplehaye Residential Home DS0000060069.V320625.R01.S.doc Version 5.2 Page 26 Commission for Social Care Inspection Ashburton Office Unit D1 Linhay Business Park Ashburton TQ13 7UP 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. Extracts may not be used or reproduced without the express permission of CSCI Camplehaye Residential Home DS0000060069.V320625.R01.S.doc Version 5.2 Page 27 - 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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