Inspection on 28/08/07 for Camplehaye Residential Home

This inspection was carried out on 28th August 2007.

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

Camplehaye Residential Home 17/08/09

Camplehaye Residential Home 12/12/06

Camplehaye Residential Home 06/06/06

Camplehaye Residential Home 09/12/05

Camplehaye Residential Home 18/08/05

Camplehaye Residential Home 02/10/04

Camplehaye Residential Home 30/06/04

Similar services:

The Vicarage

Fairfields Country Rest Home

7 Hyde Road

5 Seafield Road

Poldhu

Queensmount

Trevaylor Manor

Didsbury Court Rest Home

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

CARE HOMES FOR OLDER PEOPLE Camplehaye Residential Home Lamerton Tavistock Devon PL19 8QD Lead Inspector Anita Sutcliffe Unannounced Inspection 28th August 2007 16:15 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.V343835.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.V343835.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 avenscare@aol.com Avens Care Homes Ltd Mrs Samantha Avens Care Home 43 Category(ies) of Dementia (43), Old age, not falling within any registration, with number other category (43), Physical disability (43) of places Camplehaye Residential Home DS0000060069.V343835.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. The registered person may provide the following category of service only: Care home only - Code PC to service users of either gender whose primary care needs on admission to the home are within the following categories: Old age, not falling within any other category (Code OP) Dementia (Code DE) Physical disability (Code PD) - aged 55 years and over on admission The maximum number of service users who can be accommodated is 43. 12th December 2006 2. Date of last inspection 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. A new extension to the building was recently completed. It is registered to provide residential accommodation and personal care, for a maximum of 43 older people for reasons of frailty connected with age, physical disability or dementia. In addition, the home may provide accommodation for people with a physical disability from the age of 55. The home provides three lounge rooms and two dining rooms on the ground floor. There are two double bedrooms. All of the bedrooms have en suite facilities or a toilet and sink for personal use close by. Stair lifts and a vertical lift provide access to the upper floors, however a small number of rooms are accessible by a short flight of stairs. Outside space currently comprises a patio area, but is still undergoing completion. Information provided August 2007: Fees are 475 per week. Additional charges are made for newspapers, personal toiletries, incontinence pads, telephone and transport and escort, visiting hairdresser, dry cleaning, dentist, chiropodist, clothing, and other items of luxury or personal nature. Prospective residents are sent written information about the home prior to Camplehaye Residential Home DS0000060069.V343835.R01.S.doc Version 5.2 Page 5 making a decision as to whether the home is suitable for them. Camplehaye Residential Home DS0000060069.V343835.R01.S.doc Version 5.2 Page 6 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 December 2006. Toward this inspection the home provided information about its current service. Ten surveys were given to relatives of people using the service and fifteen to staff. Fifteen given to the home to distribute to people using the service were not given out due to a misunderstanding at the home. All surveys could be returned anonymously. Two relatives were spoken with. The home was visited on two occasions, the visits taking seven hours in all one being early evening and one starting in the morning. The majority of residents were met, but few were able to provide information about the service they receive. Staff were observed working and interacting with them. The home was toured on both visits. The care of three residents was examined in detail. Assessment, care, medication, accident, staff recruitment and training records were examined. The registered manager, manager designate (care manager), deputy, and representative of the company each contributed information. What the service does well: People who use the service benefit from a dependably high level of personal and health care, delivered by senior carers with many years of experience. They work with health care experts, and the Commission, toward continuing improvement. People who use the service said they liked the food. Staff surveyed said: -“We really value the residents and provide a very caring place to live”. - “We care for residents well and provides nice food”. - “The manager and all the care staff really care about the residents and their well being”. Family of people who use the service said: - “They provide a homely atmosphere with excellent freshly prepared food”. “They provide a range of activities”. - “It does a very difficult job with great care and compassion and I am very happy with the care and loving attention my husband receives”. - “It does the job”. - “They look after the patients wonderfully”. - Freedom and caring. It’s a nice home. Camplehaye Residential Home DS0000060069.V343835.R01.S.doc Version 5.2 Page 7 There is special praise for the manager designate (care manager) with comments including: - “The care manager is devoted to her job and spends many extra ours at the home. She motivates the staff to be as caring as she is”. - “I would like to commend the loving care and attention bestowed on all the patients by the care manager, sometimes under very difficult circumstances. She is one in a million”. - “The care manager, is exceptionally good at her job. Without her my response to this questionnaire would be totally different. Where ever possible staff enable people to live the life they choose in the way they wish. People choose their own daily routine and have a real choice of food, not just an alternative if they don’t like what is on offer. What has improved since the last inspection? What they could do better: Staff still do not have the instructions, which should be part of people’s planned individual care, as to when ‘as required’ and ‘as necessary’ medicines should be given. This might lead to mistakes or differences and is especially important where people using the service are unable to make their needs known. The literature about the home and the service it offers should be complete and factually correct. Without this people are unable to make a fully informed decision as to whether it is the right home for them or people they represent. Terms and conditions/contractual arrangements, should also be clear and include correct information about how to make a complaint. There needs to be systems in place which ensure that complaints, which might be considered less important and are not made formally, are none-the-less dealt with under the home’s complaints procedure. This would ensure that problems are identified and dealt with. The environment needs to be adapted to meet the specialist needs of people with dementia or who use a wheelchair. The garden needs to be completed so that there is pleasant outside space available, including green areas and plants if preferred. The entrance door needs to be made safe again with the return of Camplehaye Residential Home DS0000060069.V343835.R01.S.doc Version 5.2 Page 8 a glass panel. This will ensure that frail vulnerable people, who tend to congregate in the entrance hall, will not be injured as the door is opened. A full programme of activities must be reinstated so that recreational needs are met. The duty roster must include all people working at the home, including the hours worked by the registered manager so that it is clear who is in day to day charge of the home. There should be training in how to plan and prepare diets of people with specialist needs including that of diabetes and dementia. 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.V343835.R01.S.doc Version 5.2 Page 9 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.V343835.R01.S.doc Version 5.2 Page 10 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): 1, 2 & 3 (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. Care needs are met following thorough assessment. Written information about the home does not provide accurate information from which people can decide if the home is suitable. It is not clear if people are involved in their assessment prior to admission. Contractual information is unclear and therefore does not fully protect people. EVIDENCE: We were given a copy of the current information provided to potential service users. It was misleading in several ways: • It described a ‘property standing in large beautiful gardens’, but people only have access to a patio area, the garden having been changed. • It describes the home as registered for forty-one people and not fortythree. Camplehaye Residential Home DS0000060069.V343835.R01.S.doc Version 5.2 Page 11 • • It states that the ‘client group’ includes those with ‘mental health problems’. The home is not registered to provide care to people with mental health problems. (Dementia is not classed as a mental health problem). It does not mention that care can be provided to people over the age of fifty-five who have a physical disability. One newly admitted person recently left because the living arrangements at the home had not been made clear to her prior to admission. The daughter of a person living at Camplehaye said they had seen literature about the home adding: “it now feels it wasn’t a true reflection of the home”. Asked if the contract was balanced and fair the relative of a person at the home said: “They’ve just sent a revised version. The wording has changed in the part of how they can increase fees. It’s unclear at present. It’s just a couple of paragraphs out of the original contract. They’ve adjusted just the first paragraph and added RPI”. She did not know what PRI is. Prospective service users are treated as individuals and the difficulty of change is understood. However, they must have access to correct factual information about the home and contractual arrangements between the home and person using the service should be clear and fair so that both parties are protected. The care of one newly admitted person was examined in detail. A competent member of staff had assessment their needs. The information contained some good detail from which staff could plan how to provide the necessary care and support. However, it was unclear from the records whether the person had been involved in their own assessment. People, or their representative where necessary, must be consulted and this must be properly documented. The assessment information also included nursing needs and occupational therapy assessments. Family were closely involved in the admission which was handled in the person’s best interest and following written confirmation that the home could meet their needs. Camplehaye Residential Home DS0000060069.V343835.R01.S.doc Version 5.2 Page 12 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 7, 8, 9 & 10 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Health and personal care needs are fully met and privacy and dignity upheld. The handling of medication, although much improved, does not fully protect people. EVIDENCE: All relatives felt that staff were skilled and competent. One said that staff would try to understand types of behaviour and have a relaxed and accepting approach to challenges adding: “It’s a difficult balance”. They felt their mother was happy and benefited from a lot of space and few restrictions. One said: “They look after the patients wonderfully”. Another said: “It does a very difficult job with great care and compassion and I am very happy with the care and loving attention my husband receives”. There was only positive comment about the standard of personal and health care provided at Camplehaye. Camplehaye Residential Home DS0000060069.V343835.R01.S.doc Version 5.2 Page 13 Staff, when asked what the home did best, replied: -“Really value the residents and provide a very caring place to live”. - “Care for residents well”. - “The manager and all the care staff really care about the residents and their well being”. Staff did not feel they were asked to care for people outside their expertise and knowledge. We examined the care of three people in detail. Each had detailed plans of how their care was to be delivered. Each was regularly reviewed and contained daily records of events so that change could be quickly identified. Health care professionals (G.P., district nurse, psychiatric nurse) are involved appropriately. The high standard of care is considered to be due to the manager designate (care manager) who devotes her time and experience to ensuring all health and personal care needs are understood and met. Care planning has improved immensely in recent months. We examined how the home handles medicines. They were kept securely and orderly. This helps to prevent muddles and mistakes and is an improvement. One set of keys ensures that only those in charge of medicines can access them. Medicine records were also orderly and all medicines had been checked into the home properly. All medicines are now kept in their original containers and signed for only when given. The controlled drugs records are now clear. We checked the amounts, which were correct. Creams and ointments had a date of opening recorded so that staff will know when they need replacing. However, there remains no information to tell staff when ‘as necessary’ medicines may be given. Lack of information could lead to differences, which might affect people’s health. Staff were observed being polite and respectful to people who use the service. Records indicate a respect for people and only positive comments were received about staff. Camplehaye Residential Home DS0000060069.V343835.R01.S.doc Version 5.2 Page 14 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 adequate. 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, but recreational needs are not fully met. Residents receive a nutritious varied diet, which meets individual choice and health care requirements. EVIDENCE: Previously at the home there have been regular activities and events for people. However, family have voiced concerns about the current lack of activity and mental stimulation saying it is now only an erratic system and activities have “faded out”. They said it now feels like a ‘containment area’: “It used to be lovely”. The building of the new wing has caused a great deal of disruption within the home. Sadly this continues (see Standard 19). In addition, new staff employed to organise activities found the task too challenging and left. The home is currently trying to find a replacement. However, through August and Camplehaye Residential Home DS0000060069.V343835.R01.S.doc Version 5.2 Page 15 September there were exercises sessions (one was observed), skittles, singing and bingo. Some people enjoyed trips to local beauty spots: Thirteen went to Roadford Lake, some to Dartmoor National Park. The Film club at the home “didn’t take off” but historical items of interest are being collected towards reminiscence sessions, which staff believe will be both pleasurable and beneficial. The registered manager accepts that the normal standard of activities has dropped, saying it is very unfortunate, but will soon be improved. Plans of care provide some good detail of likes, dislikes, hobbies and interests. One said “gets up when he wakes” which indicates that people’s independence is encouraged. Family have provided very good social and personal histories which help staff understand people’s needs. There is genuine choice of lunch which includes a sweet trolley taken around offering people choice ‘in the moment’. This is very good practice and is especially beneficial for those with memory loss. People were seen being assisted to eat at times they choose. Staff work hard to treat people as individuals. People like the food. Comments include: “Mum likes her food. Quite good” and “Good parties, for example at Christmas. There was lots of food”. Records are kept of people’s diet so that concerns can be identified and dealt with quickly. A relative said: “There is a homely atmosphere with excellent freshly prepared food”. Visitors said they are made to feel welcome and they are kept up to date with important issues. Camplehaye Residential Home DS0000060069.V343835.R01.S.doc Version 5.2 Page 16 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, 17 & 18 Quality in this outcome area is good. 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, but day-to-day complaints are not always dealt with properly. Residents are protected from abuse. Rights are not always upheld. EVIDENCE: The home has an ‘open door’ policy and the manager designate (care manager) is well known to people who use the service and their families, who have confidence in her. Many people who use the service would be unable to use a formal complaints process so the accessibility and understanding of the care manager is very important. Of four relatives and family surveyed all said they know how to make a complaint and all felt there was appropriate response to concerns. However, another spoke of staff “not responding instantly” adding: “I’ve spoken to them over a dozen times” when dissatisfied, and example being lack of toilet roll in the room. Camplehaye Residential Home DS0000060069.V343835.R01.S.doc Version 5.2 Page 17 A complaints policy of the home is openly displayed in the entrance of the home and contains the contact details of the Commission, which further protects people. A complaints policy within the home’s contract does not. Nor does it say that the Commission can be contacted ‘at any stage’ of a complaint. Policies should be consistent so that it is clear how complaints may be raised. The Provider reports that there will be a review of the complaints procedure and staff will receive further training in how to handle complaints. The one complaint recorded at the home had been accepted, investigated and responded to appropriately. The Commission has received no complaints about the home. The home has a whistle blowing policy (for staff to alert concerns anonymously) which is clearly visible in the office should they wish to refer to it. It includes details of how to contact the Commission. Most staff have received training in how to protect vulnerable adults from abuse. All staff surveyed said that they understood adult protection procedures and a senior manager in the organisation had a good understanding of how to properly handle concerns, which might be abuse. There have been no recent concerns raised about the home. People have a right, protected in law, to be treated equally regardless of their diverse needs. We found environmental barriers, which are adversely affecting people with physical disability and dementia. This contravenes the Disability Discrimination Act 2005. (Also see Standard 19). Camplehaye Residential Home DS0000060069.V343835.R01.S.doc Version 5.2 Page 18 Environment The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 19 & 26 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. People benefit from much upgrading and improvement in the home but the specific needs of some people are currently unmet. EVIDENCE: The home was toured during both inspection visits. Cleanliness was generally satisfactory. However, a relative said: “Cleaning of the rooms leaves something to be desired – sweet papers on the floor stay there for a couple of days”. We found the laundry cleaner than on previous inspection visits and the kitchen was clean. The standard of décor and maintenance throughout the home was satisfactory and all communal areas were clean, warm and adequately furnished. Bedrooms previously described in report as ‘impoverished’ are now much Camplehaye Residential Home DS0000060069.V343835.R01.S.doc Version 5.2 Page 19 improved, with more comfortable furniture which were in a good state of repair. One relative said: “They provide a homely atmosphere”. The new extension is now opened/connected to the original building. It has the advantage of a passenger lift. It was to be completed late spring, but now in August it is still not fully finished. This is due to some rooms being unacceptably small and therefore having to be enlarged. Consequently the garden patio still looks like, and is, a building site. This has been a concern to people’s family. People using the service have inevitably had limited outside space throughout the summer. A relative said: “They’ve suffered this summer and we’re concerned they haven’t been out at all” and “Even now the garden doesn’t seem to be open and it’s not a very inviting space”. This was discussed with the registered manager. She described plans to lower the fence surrounding the patio area, and provide a ramped area to the garden below, which has a lawn and plants. This should much improve the outdoor space for people. The new extension is particularly suitable for people with physical disability, such as wheelchair users, as it has wide corridors and doorways. It is light, pleasant and provides the home with a second dining area and third lounge area, offering more choice for people. However, It has no adaptations or décor suitable for people with dementia or visual impairment. There are muted pastel colours with no clarity between handrail, walls and doors. Rooms have a number not signage, and no colour demarcation. This is a breach of the Disability Discrimination Act 2005. (Also see Standard 17) The registered manager said that, as soon as the building works are completed, the entire décor of the area would be changed in favour of colours and adaptations which will be a positive benefit to people, not a disadvantage to them. The entrance to the home contains a large wooden door. Previously this had glass windows introducing light and through which people could be seen. The glass has recently been replaced. This leaves no way of seeing people, who often stand in the hallway behind it. It was agree prior to leaving the home that the glass would be reinstated for safety reasons. The home does not provide suitable access to people with mobility problems because there is no ramp at the entrance. This is a breach of the Disability Discrimination Act 2005. (Also see Standard 17) 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.V343835.R01.S.doc Version 5.2 Page 20 Staffing The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users’ needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission consider all the above are key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 27, 28, 29 & 30 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. People who use the service benefit from staff which are caring, competent, dedicated and safely recruited. EVIDENCE: Relatives who commented through survey said: - “The care manager is devoted to her job and spends many extra ours at the home. She motivates the staff to be as caring as she is”. - “I would like to commend the loving care and attention bestowed on all the patients by the care manager, sometimes under very difficult circumstances. She is one in a million”. And, - “The care manager is exceptionally good at her job”. Comments about staff suggested that they are liked, do their best for people, and are skilled and knowledgeable. Staff said they were not asked to look after people outside their area of expertise. When asked if they had enough time to provide the care require four said yes, one said no and one did not reply. The care manager confirmed that she is able to provide the numbers of staff she assesses as necessary during this transition from a twenty-eight bedded home to a forty-three bedded home. She says they have not needed Camplehaye Residential Home DS0000060069.V343835.R01.S.doc Version 5.2 Page 21 to employ agency staff to fill gaps in staffing numbers. A staff member said the home would be improved if carers were allowed to care, “not to have to do breakfasts and collect trays and do the laundry”. The care manager confirmed that steps were being taken toward achieving this now that the home has many more people who use it. All six staff surveyed said they had contracts of employment, job descriptions and received relevant training. Three confirmed they have received training in protection of vulnerable adults and dementia care. All receive mandatory training of fire safety, moving and handling and first aid. Almost all staff have either achieved the National Vocational Qualification (NVQ) in care or are undertaking it. This is an indicator of their competence. The cook confirmed that she also receives moving and handling training and has a food hygiene certificate. However, she has not had training in how to provide specialist diets. This is recommended. The home reports that it is looking at providing a wider variety of training for staff. We examined the recruitment records of two recently employed staff. In both cases sufficient information had been received from which it could be judged that they were safe to work with vulnerable adults. When new staff start work in the home they work closely with senior staff whilst undertaking induction training. Camplehaye Residential Home DS0000060069.V343835.R01.S.doc Version 5.2 Page 22 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 good. This judgement has been made using available evidence including a visit to this service. People who use the service benefit from a home which is run in their best interests and where the gaol is continuing improvement. EVIDENCE: Mrs. Avens, the registered manager, delegates the day today management of the home to a ‘care manager’. The home also employs a deputy and is supported by a regional manager. Currently the staff rota does not provide complete information of who is in day-to-day control of the home, their hours and role. All people working at the home must be included on the rota, including the registered manager Mrs. Avens. Camplehaye Residential Home DS0000060069.V343835.R01.S.doc Version 5.2 Page 23 There has been a continual and commendable raise in standards at the home, which is now safer and more pleasant. Problems associated with the building of the extension might have been better managed, for example, the size of the rooms being correct in the first place. This has impacted negatively on people at the home. However, plans, detailed by the registered manager, plus senior staff commitment towards improvement, should combat current problems. Some day-to-day management remains inadequate: • There is a repeat requirement toward safe handling of medicines. • A relative talked of their mother wearing someone else’s clothes and using someone else’s walking stick, lack of toilet paper and litter not cleared up. Most staff said they receive enough support to do their work. A member of the organisation does a monthly, unannounced visit to the home to ensure standards are maintained. There are regular meetings for people who use the service, their family and staff; also a weekly and monthly check of standards at the home. People at the home have any expense invoiced to them. Some are able to look after their own financial affairs but most are not. Most rooms have a lockable storage space for valuables and the home keeps a float of money so that no person goes without for lack of cash when needed. No health and safety concerns were identified during the inspection visits and evidence was seen of routine gas and electrical appliance testing. Camplehaye Residential Home DS0000060069.V343835.R01.S.doc Version 5.2 Page 24 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 1 2 2 X 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 2 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 2 17 2 18 3 2 X X X X X X 3 STAFFING Standard No Score 27 3 28 3 29 3 30 2 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X 2 X 3 X 2 2 Camplehaye Residential Home DS0000060069.V343835.R01.S.doc Version 5.2 Page 25 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 OP1 Regulation 4,5 Requirement Information about the home must be complete and accurate so that people can make a fully informed choice as to whether the home is suitable for them. The circumstance under which ‘as required’ medication is given must be clearly described and be part of planned care. This requirement was not met on 01/01/07 A full programme of activities must be reinstated so that recreational needs are met. External grounds must be suitable to meet people’s needs, including access to a garden/planted area if wanted. Décor, and adaptations such as signs, pictures and ramps, must be suitable to meet the needs of all people who use the service. The duty roster must include all people working at the home, including the hours worked of the registered manager. Timescale for action 31/10/07 2. OP9 13(2) 01/10/07 3. 4. OP12 OP19 16(2)(n) 23(2)(o) 31/10/07 15/11/07 5. OP19 23(2)(a) 28/11/07 6. OP37 17 30/09/07 Camplehaye Residential Home DS0000060069.V343835.R01.S.doc Version 5.2 Page 26 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 people who use the service, as well as the proprietor of the home, and be based on the guidelines of the Office of Fair Trading. This recommendation is repeated. All complaints, whether presented formally or not, should be handled under the home’s complaints procedure so that they are investigated and dealt with effectively in people’s best interest. People’s rights, under the Disability Discrimination Act 2005 should be fully considered and met. This will ensure that there are no barriers to access or full use of the building. The complaints procedure, included within the home’s terms and conditions, should fully meet the standard, as do other copies within the home. This ensures people are fully informed of how to make a complaint whichever copy they may have. Staff, who design the menu and prepare meals at the home, should receive training in how to meet specialist dietary needs such as diabetes and dementia. The entrance door to the home should have its glass replaced so that frail and vulnerable people, who congregate in the entrance hall, are not at risk when it is opened. This will remove the risk of an accident occurring. 2. OP16 3. OP17 4. OP16 5. 6. OP30 OP38 Camplehaye Residential Home DS0000060069.V343835.R01.S.doc Version 5.2 Page 27 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.V343835.R01.S.doc Version 5.2 Page 28 - 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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