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Inspection on 09/12/05 for Camplehaye Residential Home

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

This inspection was carried out on 9th December 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 in accommodation that is spacious, homely, clean and comfortable. There are attractive level gardens.Meals provided are of good quality and quantity.

What has improved since the last inspection?

Two additional en suit ground floor rooms and a new more spacious and hygienic laundry facility has been provided.

What the care home could do better:

There continue to be a high level of staff changes including management and care staff, which is unsettling for service users and has implications for the continuity of care. The proprietors must ensure that recruitment procedures are always followed to protect service users. There are few stimulating activities for service users that take place Temperature control valves, to prevent risk of scalds, have not yet been fitted to hot water outlets accessible to service users. There is no wash hand basin in one of the two single rooms recently converted from a double room on the ground floor.

CARE HOMES FOR OLDER PEOPLE Camplehaye Residential Home Lamerton Tavistock Devon PL19 8QD Lead Inspector Margaret Crowley Unannounced Inspection 12:00 9 December 2005 th 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.V269086.R01.S.doc Version 5.1 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.V269086.R01.S.doc Version 5.1 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.V269086.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION Conditions of registration: 1. PD category is for people who are over 55 years of age. Date of last inspection 18th August 2005 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 a 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. Camplehaye Residential Home DS0000060069.V269086.R01.S.doc Version 5.1 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The inspection was unannounced and took place on 9th December and 16th December 2005. A tour of the premises took place, and records were inspected. Service users and relatives were spoken with. Staff were observed and spoken with in the course of their daily duties. Mrs Avens, the registered manager and proprietor, was present in the home during the inspection on 9th December and Mr Avens, proprietor, was present on 16th December. The inspection took place following a site visit to the premises in connection with the registration of two additional rooms 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 contacting your local CSCI office. Camplehaye Residential Home DS0000060069.V269086.R01.S.doc Version 5.1 Page 6 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.V269086.R01.S.doc Version 5.1 Page 7 Choice of Home The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 3 Admission procedures are in place so that service users needs are assessed and known prior to their admission. EVIDENCE: Evidence was seen of basic assessments undertaken with service users admitted most recently. Camplehaye is not yet using the assessment and care planning tools in use in the other home owned by the company, which the proprietor said provide more comprehensive assessments and care plans. New service users and relatives spoken with were satisfied that their needs could be met. Camplehaye Residential Home DS0000060069.V269086.R01.S.doc Version 5.1 Page 8 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 7,8,10 Service users have care plans that enable their health, personal and social care needs to be met. EVIDENCE: Care plans inspected contained basic information relating to the individual service user’s care. Evidence was seen of assessments sought and assistance provided from the primary care team and community psychiatric team for service users whose needs had changed. Staff were observed respecting service uses privacy when entering rooms and addressing service users in a kindly manner. Service users said that they are treated with courtesy, but are not always kept well informed. For example on the afternoon of the first visit, service users had not been warned in advance that the heating was to be turned off for maintenance and some complained of the cold temperature. Service users were generally satisfied with care they receive, but are increasingly concerned about the frequent changes in staff which they find confusing and unsettling. Camplehaye Residential Home DS0000060069.V269086.R01.S.doc Version 5.1 Page 9 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 12,14 Service users are provided with a flexible life style, but there are few stimulating activities for them to enjoy. EVIDENCE: Routines within the home are flexible to enable service users to choose how they spend their time. However, there were no organised leisure activities seen taking place during either visit. There was a lack of stimulation provided for service users with dementia, with no evidence that activities take place which are tailored to their needs and identified on their care plans. Service users and relatives commented on the lack of time staff have to spend sitting and talking with service users. Because of the frequent changes in staff, there are a limited number with the knowledge, training and skills to work with people with dementia. Camplehaye Residential Home DS0000060069.V269086.R01.S.doc Version 5.1 Page 10 Complaints and Protection The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 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. No formal complaints have been received by CSCI since the last inspection, but a concern was raised that staff under the age of 18 years were performing person care tasks. The registered manager denied that this occurs and said that the two staff members are employed as housekeeping staff to make beds and serve teas. There is an adult protection policy and procedure which is accessible to staff. All staff have not yet received training in adult protection. It is recommended that the manager and senior staff attend the multi agency adult protection training. Camplehaye Residential Home DS0000060069.V269086.R01.S.doc Version 5.1 Page 11 Environment The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 24,25,26 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. Two additional en suite rooms have now been provided on the ground floor. These share a patio area and each have a fire evacuation door onto the patio. The safety of these exits must be risk assessed if the rooms are used by service users with dementia. One former double room has been divided into two single rooms. However, one of these rooms does not have a wash hand basin. This must be fitted when appropriate, dependent on the health of the current service user, or when the room becomes vacant. The second room has a glass door that opens onto the patio, and does not have a window for ventilation. This should be re-assessed when the room next becomes vacant. Temperature control valves, to prevent risk of scalds, have not yet been fitted to hot water outlets accessible to service users. The inspector was informed that there are no restrictor valves currently compatible with the hot water system but these will become available in 2006. Camplehaye Residential Home DS0000060069.V269086.R01.S.doc Version 5.1 Page 12 A new more spacious and hygienic laundry facility and a new food store have been provided. Camplehaye Residential Home DS0000060069.V269086.R01.S.doc Version 5.1 Page 13 Staffing The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users’ needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission consider all the above are key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 28,29,30 Consistency of care for service users is limited by frequent changes in staff. EVIDENCE: The proprietor said that there are sufficient staff employed to meet service users needs by day and by night. There continues to be a high turnover of staff, with several changes of care staff since the last inspection in August. A new deputy manager was recently appointed but has since left. The staffing situation continues to have an unsettling effect on service users and some service users and relatives do not always feel confident with the level of care provided. Four new, non-UK staff care staff have recently been recruited via an agency, but their full recruitment information was not available in Camplehaye. The proprietor was reminded that a CRB disclosure and POVA check must be obtained for all staff, and a system of chaperoning by named staff put in place, until these are available. She was informed of improved guidance regarding CRB and recruitment processes available on the CSCI web site. Although some staff training in dementia awareness has previously taken place, the frequent changes in staff mean that skills in working with this group of service users are not sustained. Camplehaye Residential Home DS0000060069.V269086.R01.S.doc Version 5.1 Page 14 Management and Administration The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. Service users’ rights and best interests are safeguarded by the home’s record keeping, policies and procedures. The health, safety and welfare of service users and staff are promoted and protected. The Commission considers Standards 31, 33, 35 and 38 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 31,33,38 Changes in management have led to a lack of a cohesive team approach. Systems for service user consultation are limited. Service users live in an environment where most health and safety standards are met. EVIDENCE: Mrs Avens, one of the proprietors, has again resumed the role of registered manager. She must commence training leading to these qualifications or appoint a registered manager. Since July 2005 when the former registered manager was dismissed, two deputy managers have been appointed but have not continued in the post. There is a lack of clear, positive leadership. There is no quality assurance system yet in place, and service users, relatives, staff and visiting professionals are not routinely consulted to seek their views. Routine health and safety issues are managed satisfactorily and records are maintained up to date. The proprietor said that a risk assessment of the Camplehaye Residential Home DS0000060069.V269086.R01.S.doc Version 5.1 Page 15 environment had been undertaken and window restrictors were in place for rooms above ground floor level. Fire prevention measures are in place, and it was evidenced that equipment is regularly tested. Camplehaye Residential Home DS0000060069.V269086.R01.S.doc Version 5.1 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 Standard No Score 1 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 x x 3 x x x HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 x 10 2 11 x DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 2 13 x 14 3 15 x COMPLAINTS AND PROTECTION Standard No Score 16 3 17 x 18 2 3 x x x x 2 2 x STAFFING Standard No Score 27 x 28 2 29 2 30 x MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 2 x 2 x x x x 2 Camplehaye Residential Home DS0000060069.V269086.R01.S.doc Version 5.1 Page 17 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 2 Standard OP24 OP25 Regulation 23 23 Requirement The ground floor room identified must have a hand basin fitted. 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. An effective Quality assurance system must be introduced Staff must have the skills and experience to deliver the services that the Home offers to provide Timescale for action 16/06/05 16/06/06 3 5 6 OP29 OP33 OP30 19 24 18 16/01/06 16/03/05 16/03/06 Camplehaye Residential Home DS0000060069.V269086.R01.S.doc Version 5.1 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. Refer to Standard OP18 Good Practice Recommendations All staff should receive multi agency adult protection training Camplehaye Residential Home DS0000060069.V269086.R01.S.doc Version 5.1 Page 19 Commission for Social Care Inspection Ashburton Office 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 DS0000060069.V269086.R01.S.doc Version 5.1 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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