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Inspection on 18/08/05 for Camplehaye Residential Home

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

This inspection was carried out on 18th August 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.

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

Camplehaye provides care of a satisfactory standard in accommodation that is spacious, homely, comfortable and clean. There are attractive level gardens. Meals provided are of good quality and quantity.

What has improved since the last inspection?

The premises continue to be upgraded and rooms are redecorated and refurbished when they become vacant.

What the care home could do better:

There have been several changes in staff, including the manager, and the proprietors must ensure that recruitment procedures are always followed so as to protect service users. The following should be addressed to improve the safety of the environment for service users: The programme to install covers to radiators and pipe work, and temperature control valves to hot water outlets accessible to service users, should be completed. The cupboard containing hazardous chemicals must be kept locked.

CARE HOMES FOR OLDER PEOPLE Camplehaye Residential Home Lamerton Tavistock Devon PL19 8QD Lead Inspector Margaret Crowley Announced 18 August 2005 th 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. Camplehaye Residential Home D54-D07 S60069 Camplehaye V231773 180805 Stage 4.doc Version 1.40 Page 3 SERVICE INFORMATION Name of service Camplehaye Residential Home Address Lamerton, Tavistock, Devon, PL19 8QD 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) 01822 612014 01822 611480 prestburycourt@tesco.net Avens Care Homes Ltd Mrs Samantha Avens Care Home 26 Category(ies) of Dementia - over 65 years of age (26), Old age, registration, with number not falling within any other category (26), of places Physical disability (26), Physical disability over 65 years of age (26) Camplehaye Residential Home D54-D07 S60069 Camplehaye V231773 180805 Stage 4.doc Version 1.40 Page 4 SERVICE INFORMATION Conditions of registration: PD category is for people who are over 55 years of age. Date of last inspection 02/10/2004 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 26 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 a 2 lounge rooms and dining room on the first floor and 21 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. Camplehaye Residential Home D54-D07 S60069 Camplehaye V231773 180805 Stage 4.doc Version 1.40 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The inspection was announced and took place over one day on 18 August 2005. A tour of the premises took place, and records were inspected. Service users were spoken with and questionnaires received from service users and relatives. Staff on duty were observed and spoken with in the course of their daily duties. Discussions took place with Mr and Mrs Avens, the proprietors, Mrs Mary Heppell acting manager of Camplehaye, and Mrs Roz Nolan general manager Avens Care Homes Ltd. What the service does well: What has improved since the last inspection? What they could do better: Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by Camplehaye Residential Home D54-D07 S60069 Camplehaye V231773 180805 Stage 4.doc Version 1.40 Page 6 contacting your local CSCI office. Camplehaye Residential Home D54-D07 S60069 Camplehaye V231773 180805 Stage 4.doc Version 1.40 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 Camplehaye Residential Home D54-D07 S60069 Camplehaye V231773 180805 Stage 4.doc Version 1.40 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 Admission procedures are in place so that service users needs are assessed and known prior to their admission. EVIDENCE: Evidence was seen of assessments undertaken with service users admitted most recently and were satisfactory. The proprietor said that the former registered manager had not always adhered to the company’s assessment, care planning and review procedures, but this is being addressed. The new service users spoken with were satisfied that their needs are being met. They should be informed in writing that their needs can be met prior to admission Camplehaye Residential Home D54-D07 S60069 Camplehaye V231773 180805 Stage 4.doc Version 1.40 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) 7,9 Service users have care plans that enable their health, personal and social care needs to be met, but these have not been reviewed systematically to ensure that their changing needs are met. EVIDENCE: Care plans inspected contained relevant information relating to the individual service user’s care, but not all had been signed by the service user or their representative. The care plans have not been reviewed on a monthly basis. New care plan and review formats are being introduced and the new acting manager is in the process of updating these. Service users were satisfied with the standard of care given and have confidence in the new manager who has worked in Camplehaye for some years. They said that the manager and care staff are kind and helpful. However they were concerned about the number of staff changes and said that care staff were very busy. There are policies and procedures for the administration and storage of medicines. However, there continue to be discrepancies in the recordings in the controlled drugs register. This was identified at the last inspection. The registered providers must ensure that procedures comply with those recommended by the Royal Pharmaceutical Society The Administration and Camplehaye Residential Home D54-D07 S60069 Camplehaye V231773 180805 Stage 4.doc Version 1.40 Page 10 Control of Medicines in Care Homes (2003). The cupboard containing dressings, scissors and some homely remedies was unlocked and in a corridor accessible to service users. Camplehaye Residential Home D54-D07 S60069 Camplehaye V231773 180805 Stage 4.doc Version 1.40 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) 12,13,15 Service users are provided with a flexible life style, with some activities provided for those who wish to participate. EVIDENCE: Service users said some activities are provided in the lounge. On the afternoon of the inspection some service users enjoyed a trip out in the minibus with the manager. Some service users prefer to spend time in their rooms. However, service users and relatives commented on the lack of staff time to spend sitting and talking with service users. Activities should be tailored to meet the needs of the service users with dementia. There is a varied rotating menu, which is adapted to suit service users’ dietary needs. A new cook has recently been appointed. Service users said the quality of the meals was of a good standard. There is an open visiting policy and service users said that their visitors are made welcome. Camplehaye Residential Home D54-D07 S60069 Camplehaye V231773 180805 Stage 4.doc Version 1.40 Page 12 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 Procedures are in place to enable service users to complain and to protect them from abuse. EVIDENCE: The complaints procedure is displayed so that it is accessible to service users. A complaint received by CSCI since the last inspection concerned a service user with dementia leaving the premises unobserved. Safety measures have since been put in place. There is an adult protection policy and procedure which is accessible to staff. It is recommended that all staff receive multi agency adult protection training. Camplehaye Residential Home D54-D07 S60069 Camplehaye V231773 180805 Stage 4.doc Version 1.40 Page 13 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) 19,25,26 Service users are provided with accommodation that is spacious, comfortable, attractive and clean. EVIDENCE: The proprietors are continuing with their improvement programme to upgrade the premises and provide additional en suite rooms. Building work was about to commence at the rear of the building to convert the laundry room and a food store into two additional service user rooms. A designated person carries out routine maintenance and the proprietors confirmed that there are risk assessments in place for the premises, including for windows above ground floor level. The programme to install covers to radiators and pipe work, and temperature control valves to hot water outlets accessible to service users, is not yet complete. The premises were free from odours and clean throughout, other than in those areas where building work was to commence. No designated alternative laundry premises were identified, but the proprietor indicated that a commercial laundry service might be used until a new laundry could be built as part of a plan to provide a large extension. A new application to vary the number of service users accommodated is to be submitted to the Commission. Camplehaye Residential Home D54-D07 S60069 Camplehaye V231773 180805 Stage 4.doc Version 1.40 Page 14 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) 27,29,30 Effort is taken to provide staff in sufficient numbers to meet service users needs, although some service users and relatives do not feel confident with the level of care provided. Recruitment procedures to ensure the protection of service users are not always adhered to. EVIDENCE: The proprietors and manager said that there are sufficient staff employed to meet service users needs by day and by night. There has been a high turnover of staff since the last inspection including the dismissal of the former registered manager. This has had an unsettling effect on some service users and relatives. An examination of the records of staff most recently employed revealed that 2 written references and CRB checks were not available for all staff. The proprietors and manager were reminded that written references must be obtained for all staff prior to employment. A CRB disclosure and POVA check must also be obtained for all staff, and a system of chaperoning by named staff put in place, until these are available. CRB disclosures are not transferable. Staff have participated in mandatory training in fire safety, moving and handling, and first aid; and training in dementia awareness and the safe handling of medicines. Staff are encouraged to undertake NVQ training, with 42 of care staff are qualified to level 2 or above and 2 staff undergoing the training. Camplehaye Residential Home D54-D07 S60069 Camplehaye V231773 180805 Stage 4.doc Version 1.40 Page 15 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) 35,38 Service users live in an environment where most health and safety standards are met. EVIDENCE: Routine health and safety issues are managed satisfactorily and records are maintained up to date and accurate. Fire prevention measures are in place, and it was evidenced that equipment is regularly tested. The cupboard containing hazardous chemicals was unlocked and some chemicals were on accessible open shelving. The management do not manage service users financial affairs. These are handled by the service users themselves or their representatives. Where monies are held in safekeeping for service users there are clear records kept of incoming and outgoing payments Camplehaye Residential Home D54-D07 S60069 Camplehaye V231773 180805 Stage 4.doc Version 1.40 Page 16 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 x x HEALTH AND PERSONAL CARE Standard No Score 7 2 8 x 9 2 10 x 11 x DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 x 15 3 COMPLAINTS AND PROTECTION 3 x x x x x 2 3 STAFFING Standard No Score 27 2 28 x 29 2 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 x x x 3 x x 2 Camplehaye Residential Home D54-D07 S60069 Camplehaye V231773 180805 Stage 4.doc Version 1.40 Page 17 yes Are there any outstanding requirements from the last inspection? STATUTORY REQUIREMENTS This section sets out the actions which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1. Standard OP9 Regulation 13 Requirement The registered provider must ensure that medicines procedures comply with those recommended by the Royal Pharmaceutical Society The Administration and Control of Medicines in Care Homes (2003). The controlled drugs register must be maintained accurately The programme to install covers to radiators and pipe work must be completed. The programme to install temperature control valves to hot water outlets accessible to service users must be completed Recruitment procedures to ensure the protection of service users must be adhered to. Hazardous chemicals must be stored in a locked cupboard The Registered Providers must apply to the CSCI to register a manager for the home Timescale for action 18/08/05 2. 3. OP25 OP25 23 23 18/12/05 18/12/05 4. 5. 6. OP29 OP38 OP31 19 13 9 18/08/05 18/08/05 18/10/05 Camplehaye Residential Home D54-D07 S60069 Camplehaye V231773 180805 Stage 4.doc Version 1.40 Page 18 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 OP3 OP7 OP18 Good Practice Recommendations Service users or their representative should be informed in writing that their assessed needs can be met. Service users care plans should be reviewed monthly, or more frequently if necessary. All staff should receive multi agency adult protection training Camplehaye Residential Home D54-D07 S60069 Camplehaye V231773 180805 Stage 4.doc Version 1.40 Page 19 Commission for Social Care Inspection Unit D1 Linhay Business Park Ashburton TQ13 7UP 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 Camplehaye Residential Home D54-D07 S60069 Camplehaye V231773 180805 Stage 4.doc Version 1.40 Page 20 - 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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