Inspection on 16/06/05 for Chamarel

This inspection was carried out on 16th June 2005.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Good. 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 made no statutory requirements on the home as a result of this inspection and there were no outstanding actions from the previous inspection report.

Other inspections for this house

Chamarel 23/04/07

Chamarel 08/11/05

Chamarel 08/12/04

Chamarel 14/04/04

Chamarel 30/10/03

Chamarel 10/04/03

Chamarel 03/09/02

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

CARE HOME ADULTS 18-65 Chamarel 8 High Street Longstanton Cambridgeshire CB4 5BP Lead Inspector Shirley Christopher Unannounced 16 June 2005 @ 3:00 p/m 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 Adults 18-65. They can be found at www.dh.gov.uk or obtained from The Stationary 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. Chamarel I53 I03 s15275 CHARMAREL v232654 160605 STAGE 4.doc Version 1.30 Page 3 SERVICE INFORMATION Name of service Chamarel Address 8 High Street Longstanton Cambridgeshire CB4 5BP 01954 789856 n/a n/a Mrs Lesley Joy MowlabocusMr Gorabye Mowlabocus, Mr Roger Paul Shelley, Mrs Melanie Shelley Mr Roger Paul Shelley Care Home 7 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) Category(ies) of Learning disability (7), Learning disability over registration, with number 65 years of age (1) of places Chamarel I53 I03 s15275 CHARMAREL v232654 160605 STAGE 4.doc Version 1.30 Page 4 SERVICE INFORMATION Conditions of registration: None Date of last inspection 8 December 2004 Brief Description of the Service: Chamarel is a small family run home for up to seven adults with a learning disabilty, one of whom is now over 65. The home is owned and run by joint proprietors, Mr and Mrs Mowlabocus and Mr and Mrs Shelley who are long time friends and associates with considerable experience between them. Mr Shelley is the registered manager. The home is situated in the village of Longstanton, close to the City of Cambridge with good bus links to Cambridge and Bar Hill. The home is centrally located and provides spacious accomodation. Originally there were five single bedrooms and one double bedroom, but the house has been recently extended to create all single bedrooms for the exsisting service users. En suite facilites have been added to one bedroom and an additional bathroom is being built as well as an office upstairs. The home has a small rear,and front enclosed gardens and parking spaces. Chamarel I53 I03 s15275 CHARMAREL v232654 160605 STAGE 4.doc Version 1.30 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The unannounced inspection took place on the 16 June 2005 between the hours of 3:00 p/m and 6:00 p/m. Initially the manager and a service user were at the home. Two care staff, the remaining service users and one of the proprietors were met later in the afternoon and were spoken to briefly. A number of records were inspected. A tour of the home was also undertaken. Feedback from staff and service users was also obtained. What the service does well: What has improved since the last inspection? The home continuously strives to improve. The owners/one of whom is the manager regularly attends conferences and events to keep themselves professionally up to date with changing policy and government legislation. They are actively involved in the community and take the opportunity to involve service users. The property has been refurbished and extended including new carpets, an extra bedroom with en-suite and future plans to give a second bedroom ensuite facilities and create better facilities for staff. Chamarel I53 I03 s15275 CHARMAREL v232654 160605 STAGE 4.doc Version 1.30 Page 6 What they could do better: Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. Chamarel I53 I03 s15275 CHARMAREL v232654 160605 STAGE 4.doc Version 1.30 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–5) Individual Needs and Choices (Standards 6-10) Lifestyle (Standards 11-17) Personal and Healthcare Support (Standards 18-21) Concerns, Complaints and Protection (Standards 22-23) Environment (Standards 24-30) Staffing (Standards 31-36) Conduct and Management of the Home (Standards 37 – 43) Scoring of Standards Statutory Requirements Identified During the Inspection Chamarel I53 I03 s15275 CHARMAREL v232654 160605 STAGE 4.doc Version 1.30 Page 8 Choice of Home The intended outcomes for Standards 1 – 5 are: 1. 2. 3. 4. 5. Prospective service users have the information they need to make an informed choice about where to live. Prospective users’ individual aspirations and needs are assessed. Prospective service users’ know that the home that they will choose will meet their needs and aspirations. Prospective service users have an opportunity to visit and to “test drive” the home. Each service user has an individual written contract or statement of terms and conditions with the home. The Commission consider Standard 2 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 2,3,5 The home regularly reviews service users needs to ensure that the home is continuing to meet their needs. EVIDENCE: Most of these standards are not applicable, as the service users living at the home have done so for a long time. The manager is aware of the standards relating to the future admission of a service user, should the opportunity arise. The service has a lot of enquiries, but the existing service users are happy at the home and have no plans to move on. The owners have adapted the accommodation, where possible to make it more suitable to the needs of the service users and to ensure that the national minimum standards are met. Only one service user file was inspected and contained an assessment and contract. Both were satisfactory. The statement of purpose has been recently updated. A service user guide is available but was not requested. Service user’s needs are regularly assessed and staff attend relevant training courses to ensure their needs are met as fully as possible. There is a good use of other health and social care services. Chamarel I53 I03 s15275 CHARMAREL v232654 160605 STAGE 4.doc Version 1.30 Page 9 Individual Needs and Choices The intended outcomes for Standards 6 – 10 are: 6. 7. 8. 9. 10. Service users know their assessed and changing needs and personal goals are reflected in their individual Plan. Service users make decisions about their lives with assistance as needed. Service users are consulted on, and participate, in all aspects of life in the home. Service users are supported to take risks as part of an independent lifestyle. Service users know that information about them is handled appropriately, and that their confidences are kept The Commission considers Standards 6, 7 and 9 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 6,7,8,9,10 Service users are encouraged to participate in every aspect of their lives, and contribute to the running of the household. EVIDENCE: One care plan was inspected and contained comprehensive and up to date information including, an index, essential information, an activity schedule, details of circles of support: family/friends. Communication needs, care plans, medical and health history/ needs/records, general records and correspondence, significant events, contracts, pre-admission assessments, nutrition and reviews. (No risk assessments were seen as part of the file inspected.) Reviews are six monthly and service users asked were aware of their care plans and involved in their reviews. Service users spoken to said they were involved in all aspects of daily living and participated in the household duties. Chamarel I53 I03 s15275 CHARMAREL v232654 160605 STAGE 4.doc Version 1.30 Page 10 Lifestyle The intended outcomes for Standards 11 - 17 are: 11. 12. 13. 14. 15. 16. 17. Service users have opportunities for personal development. Service users are able to take part in age, peer and culturally appropriate activities. Service users are part of the local community. Service users engage in appropriate leisure activities. Service users have appropriate personal, family and sexual relationships. Service users’ rights are respected and responsibilities recognised in their daily lives. Service users are offered a healthy diet and enjoy their meals and mealtimes. The Commission considers Standards 12, 13, 15, 16 and 17 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 11,12,13,14,15,16,17 Social activities are promoted and encourage personal growth and friendships. EVIDENCE: One care plan was inspected and provided evidence that service users are involved in a range of social, recreational and vocational activities. The service users attend local day centres, which are currently changing the way they provide day services. More emphasis is being placed on accessing mainstream community facilities, with staff support rather than attending a centre. Future plans are still in discussion stage. All service users were spoken to and were able to say what they had been doing or were planning to do. This included future holidays. One service user had already been to see the Eden Project and had been on a cruise. In the last week they had spent a day in Great Yarmouth. Regular outings are planned and special event and dates of the calendar celebrated. Regular contact with Chamarel I53 I03 s15275 CHARMAREL v232654 160605 STAGE 4.doc Version 1.30 Page 11 families is maintained and they are invited to join in with different celebrations. Service users are involved in meal planning and food preparation. Individual choices are respected and drinks and snacks are available. The menu showed a well balanced, various diet is offered. Chamarel I53 I03 s15275 CHARMAREL v232654 160605 STAGE 4.doc Version 1.30 Page 12 Personal and Healthcare Support The intended outcomes for Standards 18 - 21 are: 18. 19. 20. 21. Service users receive personal support in the way they prefer and require. Service users’ physical and emotional health needs are met. Service users retain, administer and control their own medication where appropriate, and are protected by the home’s policies and procedures for dealing with medicines. The ageing, illness and death of a service user are handled with respect and as the individual would wish. The Commission considers Standards 18, 19, and 20 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 18,19 Health care needs are well understood and met by staff in a sensitive and appropriate way. EVIDENCE: The health care needs of service users are well understood by staff and assistance with personal care is provided sensitively. This was established through conversations with both staff and service users. Service users are encouraged to be as independent as possible and this is documented as part of their care plans. Health care records are kept and include frequent medical and medication reviews. Chamarel I53 I03 s15275 CHARMAREL v232654 160605 STAGE 4.doc Version 1.30 Page 13 Concerns, Complaints and Protection The intended outcomes for Standards 22 – 23 are: 22. 23. Service users feel their views are listened to and acted on. Service users are protected from abuse, neglect and self-harm. The Commission considers Standards 22, and 23 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 22,23 The home has a satisfactory complaints procedure and staff receive training on the protection of vulnerable adults. EVIDENCE: The home has a complaints policy and procedure in place. No complaints have been received since the last inspection. Staff have received training on the protection of vulnerable adults and all staff have received appropriate training. Chamarel I53 I03 s15275 CHARMAREL v232654 160605 STAGE 4.doc Version 1.30 Page 14 Environment The intended outcomes for Standards 24 – 30 are: 24. 25. 26. 27. 28. 29. 30. Service users live in a homely, comfortable and safe environment. Service users’ bedrooms suit their needs and lifestyles. Service users’ bedrooms promote their independence. Service users’ toilets and bathrooms provide sufficient privacy and meet their individual needs. Shared spaces complement and supplement service users’ individual rooms. Service users have the specialist equipment they require to maximise their independence. The home is clean and hygienic. The Commission considers Standards 24, and 30 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 24,25,26,27,28 The standard of the environment of the home is good providing service users with a comfortable, clean and well-maintained place to live. EVIDENCE: Most areas of the home were inspected. The kitchen is being refurbished. New carpets have been fitted in the hallway, stairs and landing. An additional bedroom with en suite facilities has been built. All service users now have their own bedrooms. Bedroom furniture has also been replaced. There are plans to add en-suite facilities to a further bedroom. The house was in a good decorative order and no maintenance issues were identified. Radiators are covered and the water temperature is pre-set at 42 degrees. An office is being created upstairs and the sleeping in room decorated. Staff have an additional room upstairs in the extension. Chamarel I53 I03 s15275 CHARMAREL v232654 160605 STAGE 4.doc Version 1.30 Page 15 Staffing The intended outcomes for Standards 31 – 36 are: 31. 32. 33. 34. 35. 36. Service users benefit from clarity of staff roles and responsibilities. Service users are supported by competent and qualified staff. Service users are supported by an effective staff team. Service users are supported and protected by the home’s recruitment policy and practices. Service users’ individual and joint needs are met by appropriately trained staff. Service users benefit from well supported and supervised staff. The Commission considers Standards 35 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 31,32,33,34,35,36 Staffing numbers are appropriate to the existing needs of the service users and staff are well supported in terms of induction, supervision and training. EVIDENCE: On the day of inspection the manager and two members of care staff were on duty. One of the proprietors also arrived at the home. The care staff spoken to confirmed that they enjoyed working at the home and were well supported, both through informal and formal supervision and regular training. The manager explained the difficulties he has had with training providers and has recently signed up with a new one. Two staff are currently doing LDAF but this is not within the first six weeks of employment. One person has NVQ 2 and another is studying for the course. Other statutory training is up to date and the manager and joint proprietors keep them selves professionally up to date. Staff records were made available during the inspection, but are not kept in the home. This must be addressed. Staff files contained the appropriate documentation. Evidence of staff meetings and supervision were seen, but the manager relies more on informal supervision, which is not always recorded. Staff appraisals are carried out and staff are supported with LDAF and NVQ’s. This could count as evidence towards regular supervision. Chamarel I53 I03 s15275 CHARMAREL v232654 160605 STAGE 4.doc Version 1.30 Page 16 Chamarel I53 I03 s15275 CHARMAREL v232654 160605 STAGE 4.doc Version 1.30 Page 17 Conduct and Management of the Home The intended outcomes for Standards 37 – 43 are: 37. 38. 39. 40. 41. 42. 43. Service users benefit from a well run home. Service users benefit from the ethos, leadership and management approach of the home. Service users are confident their views underpin all self-monitoring, review and development by the home. Service users’ rights and best interests are safeguarded by the home’s policies and procedures. 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 are promoted and protected. Service users benefit from competent and accountable management of the service. The Commission considers Standards 39, and 42 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 40,41,42 The home is managed to ensure that the health, safety and welfare of service users is maintained. The standard of record keeping is good, but staffing records must be kept in the home. EVIDENCE: A number of health and safety issues were discussed with the manager and some records were inspected. The home has changed their accident book and this is completed appropriately. The home must be aware of the Data Protection Act and keep information accordingly. Water temperatures are controlled by pre set valves and temperatures are checked periodically. Radiators are mostly covered and risk assessments are in place, covering service user activities and generic risks. Staffing files were adequate, but must be kept at the home. Service user records were comprehensive. Fire records were up to date. Staffing rotas showed that staff are provided in sufficient numbers. The complaints records were seen and showed none had been received since the last inspection. Staff are asked to sign to state that they Chamarel I53 I03 s15275 CHARMAREL v232654 160605 STAGE 4.doc Version 1.30 Page 18 have read the relevant policies and procedures. Portable appliance testing records were up to date. Chamarel I53 I03 s15275 CHARMAREL v232654 160605 STAGE 4.doc Version 1.30 Page 19 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Adults 18-65 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 CONCERNS AND COMPLAINTS Standard No 1 2 3 4 5 Score x 3 3 x 3 Standard No 22 23 ENVIRONMENT Score 3 3 INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 LIFESTYLES Score 4 3 3 3 3 Score Standard No 24 25 26 27 28 29 30 STAFFING Score 4 4 4 4 4 x x Standard No 11 12 13 14 15 16 17 4 3 3 3 3 3 3 Standard No 31 32 33 34 35 36 Score 3 3 3 3 3 3 CONDUCT AND MANAGEMENT OF THE HOME PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Chamarel Score 3 3 x x Standard No 37 38 39 40 41 42 43 Score x x x 3 2 3 x I53 I03 s15275 CHARMAREL v232654 160605 STAGE 4.doc Version 1.30 Page 20 No 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 41 Regulation 17 Requirement Records reguired by the Care Home Regulations 2001 must be kept in the home and be stored according to the Data Protection Act. Timescale for action 31st August 2005 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 36 Good Practice Recommendations Evidence of regular supervision should be provided Chamarel I53 I03 s15275 CHARMAREL v232654 160605 STAGE 4.doc Version 1.30 Page 21 Commission for Social Care Inspection CPC1, Capital Park Fulbourn Cambridge CB1 5XE 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 Chamarel I53 I03 s15275 CHARMAREL v232654 160605 STAGE 4.doc Version 1.30 Page 22 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. 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