Inspection on 23/04/07 for Chamarel

This inspection was carried out on 23rd April 2007.

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 08/11/05

Chamarel 16/06/05

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 Andy Green Key Unannounced Inspection 23rd April 2007 04:00 Chamarel DS0000015275.V337246.R02.S.doc Version 5.2 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 Chamarel DS0000015275.V337246.R02.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 Adults 18-65. 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. Chamarel DS0000015275.V337246.R02.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Chamarel Address 8 High Street Longstanton Cambridgeshire CB4 5BP 01954 789856 01954 200101 gorles@hotmail.co.uk 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) Mrs Lesley Joy Mowlabocus Mr Gorabye Mowlabocus, Mr Roger Paul Shelley, Mrs Melanie Shelley Mr Roger Paul Shelley Care Home 7 Category(ies) of Learning disability (7), Learning disability over registration, with number 65 years of age (1) of places Chamarel DS0000015275.V337246.R02.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 8th November 2005 Brief Description of the Service: Chamarel is a small family run home for up to seven adults with a learning disability, one service user is over the age of 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, which is close to the City of Cambridge and has good bus links to Cambridge and Bar Hill. The home is centrally located and provides spacious accommodation. Originally there were five single bedrooms and one double bedroom, but the house has been recently extended to create all single bedrooms for the benefit of the existing service users. En suite facilities have been added to one bedroom and an additional bathroom/shower room is being built as well as an additional residents lounge upstairs. The home has a small rear, and front enclosed gardens and parking spaces. The weekly charge is £618.09 Copies of CSCI reports can be made available to service users and relatives upon request. Chamarel DS0000015275.V337246.R02.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. Andy Green, Regulation Inspector undertook this key unannounced inspection on 23rd April 2007. He met with the providers, care staff and service users to gather views regarding the services that are provided in the home. A number of records were inspected including care plans, training records, staff files, medication records, fire testing and health & safety records. A tour of the building and grounds was also undertaken. 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. Chamarel DS0000015275.V337246.R02.S.doc Version 5.2 Page 6 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. Chamarel DS0000015275.V337246.R02.S.doc Version 5.2 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 Outcomes Statutory Requirements Identified During the Inspection Chamarel DS0000015275.V337246.R02.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 1,2 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home provides information to prospective service users and their relatives before they move in to ensure that they are aware of all the services provided. EVIDENCE: The Statement of Purpose has been amended to show staff changes. The providers stated that the Statement of Purpose is reviewed throughout the year to ensure that all required information remains up to date. There have been no admissions to the home since 2000. Consequently there have not been any changes to the assessment process since the last inspection of the home. Chamarel DS0000015275.V337246.R02.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 6,7,8,9 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Service users are treated with dignity and respect and receive personal care to meet their assessed needs. EVIDENCE: Two service user files were inspected. Care plans continue to provide detailed information, in a person centred manner, to ensure that service users health, personal and social care needs are being met. Care plans included a photograph, basic details, a list of social activities attended and circles of support. Service users are encouraged to participate in reviews of care to ensure that their likes, dislikes and support needs are being met. There was evidence of regular reviews including annual reviews with the local authority. A separate review sheet is in place. Assessments and risk assessments were in place. Chamarel DS0000015275.V337246.R02.S.doc Version 5.2 Page 10 Service users are encouraged to take part in the running of the home including shopping, food preparation, cleaning and laundry. This was clearly demonstrated during the inspection with service users helping with washing up after tea and tidying the lounge and kitchen area. The providers and care staff clearly have an in-depth knowledge of the service users and there is a clear commitment in providing a thorough service in a professional and friendly way. Chamarel DS0000015275.V337246.R02.S.doc Version 5.2 Page 11 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. JUDGEMENT – we looked at outcomes for the following standard(s): 11,12,13,14,15,16,17 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The staff provide appropriate support to ensure that service users can access the community to engage in activities appropriate to their needs. Service users have a choice of meals, which are prepared and served in a homely manner. EVIDENCE: The home continues to provide a wide range of activities to service users both in the home and in the community. During the inspection there was clear evidence of service users and staff engaging socially in the home. Each service user’s preferences/activities are recorded in their care plan with any changes monitored and reviewed. Examples include cookery sessions, art and crafts and attendance at two local day centres. Service users continue to make regular trips to the local community, with staff assistance. This includes personal and house shopping, football, pub trips, barbecues and cinema/theatre trips. Trips to local towns and resorts are also organised throughout the year. Chamarel DS0000015275.V337246.R02.S.doc Version 5.2 Page 12 A holiday to Spain is being organised this summer for all of the service users. Service users are encouraged to furnish/equip their bedrooms so that they able to enjoy spending time in their own rooms as well as using communal facilities. Two bedrooms were seen and showed evidence of personal belongings and choice of decoration. The main lounge is well furnished and there is a television, video and DVD available to service users. Chamarel DS0000015275.V337246.R02.S.doc Version 5.2 Page 13 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. JUDGEMENT – we looked at outcomes for the following standard(s): 18,19,20 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. There are clear guidelines regarding the safe administration of medication. A risk assessment procedure is in place to protect service users. EVIDENCE: Service users continue to receive care from a range of healthcare professionals including GPs district nurses and a chiropodist. An Aromatherapist continues to provide sessions in the home for service users. The providers stated that one of the service users was receiving support from an ‘Eating and Drinking’ therapist. Service users are all registered with a local GP surgery and outpatient appointments are also arranged as required. Service plans evidenced that regular healthcare checks are in place. A risk assessment procedure is in place to protect service users from potential harm.. Chamarel DS0000015275.V337246.R02.S.doc Version 5.2 Page 14 Medication records were accurately recorded and staff receive medication awareness and administration training. Homely remedies are also used appropriately. Chamarel DS0000015275.V337246.R02.S.doc Version 5.2 Page 15 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. JUDGEMENT – we looked at outcomes for the following standard(s): 22,23 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home has a satisfactory complaints process to ensure that service users and their representatives are able to raise concerns. There are suitable arrangements for ensuring the protection of service users from neglect or harm. EVIDENCE: The home’s complaints procedure ensures that all concerns are fully investigated and actioned appropriately. There have not been any further changes to the complaints process. There have been no complaints raised with the home since the last inspection. CSCI has also not received any complaints. The home ensures that adult protection issues are dealt with in line with local authority policies, so that service users are protected from potential abuse. Staff receive appropriate training to ensure they are aware of adult protection issues and this was confirmed in the home’s training files. It was observed that care staff interacted and spoke with service users in a friendly and social manner, which was appropriate to service user’s individual need. Chamarel DS0000015275.V337246.R02.S.doc Version 5.2 Page 16 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. JUDGEMENT – we looked at outcomes for the following standard(s): 24,25,26,28,30 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The environment of the home provides service users with a safe, comfortable and clean place to live. EVIDENCE: The home and grounds remain appropriate for the needs of the service users and they are presented in a clean, homely and well-maintained manner. There have a number of improvements made to the environment since the last inspection. A new shower room has been created upstairs and is near to completion. Decoration has also been carried in another bathroom. A meeting room/small lounge has also been created on the first floor. A new fridge has been installed in the kitchen and a new tumble dryer has been installed in the laundry and a shed has been erected in the rear garden. Chamarel DS0000015275.V337246.R02.S.doc Version 5.2 Page 17 Service users bedrooms are furnished and equipped to meet individual preferences and tastes. The providers carry out decoration in the home along with minor repairs. Local contractors are used to carry out any major refurbishments or repairs that are required. It is recommended that the current document storage area be re-sited to provide a more homely entrance area in the home. Chamarel DS0000015275.V337246.R02.S.doc Version 5.2 Page 18 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 32, 34 and 35 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 31,32,33,34,35,36 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home’s recruitment policy and processes ensure that service users are protected from harm. Training is provided to make sure that care staff are competent to deliver care to the service users they support EVIDENCE: All staff are issued with contracts of employment and job descriptions. Two staffs files were seen and they contained appropriate recruitment information including references and evidence of a satisfactory CRB/POVA checks. The home is fully staffed and there have been four new staff members employed since the last inspection. The manager organises regular recorded supervision meetings with individual staff members and a new supervision form is in place. The providers stated that training in the home is regularly updated to ensure that both mandatory and client based training. Staff files confirmed that training in food hygiene, moving and handling, health and safety, POVA, epilepsy and NVQ training have been undertaken. One of the providers is an Chamarel DS0000015275.V337246.R02.S.doc Version 5.2 Page 19 NVQ assessor and Cambridge County Council training department provides LDAF training. Chamarel DS0000015275.V337246.R02.S.doc Version 5.2 Page 20 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 37, 39, and 42 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 37,38,39,41,42 Quality in this outcome area is good This judgement has been made using available evidence including a visit to the home. The home is well managed and the staff are well supported to ensure that service users receive good quality care. EVIDENCE: The providers and manager continue to provide service users with a well-run service and a committed care staff team. One of the providers confirmed that all service users have their own bank accounts and monies/benefits are paid directly. Five service users sign for their own money. She continues to be a signatory for two service users. The personal allowance records of one service user was checked and were accurate. Chamarel DS0000015275.V337246.R02.S.doc Version 5.2 Page 21 Care staff have business insurance and copies are kept of their MOT and car insurance. No other financial records were inspected on this occasion. Records of weekly fire alarm and emergency lights testing were seen and found to be accurate. Service contracts are also in place to ensure that equipment and services in the home are maintained regularly. One of the providers confirmed that the home has an annual quality assurance review and the most recent report for 2006 report was inspected. A copy of this will be forwarded to the CSCI. Chamarel DS0000015275.V337246.R02.S.doc Version 5.2 Page 22 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for 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 Standard No Score 1 3 2 3 3 X 4 X 5 X INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 3 23 3 ENVIRONMENT Standard No Score 24 4 25 3 26 3 27 X 28 3 29 X 30 3 STAFFING Standard No Score 31 3 32 3 33 3 34 3 35 3 36 3 CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 3 3 3 3 X LIFESTYLES Standard No Score 11 4 12 3 13 3 14 3 15 3 16 3 17 X PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 3 X 3 3 3 X 3 3 X Chamarel DS0000015275.V337246.R02.S.doc Version 5.2 Page 23 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. Standard Regulation Requirement Timescale for action 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 YA24 Good Practice Recommendations It is recommended that the current document storage area be re-sited to provide a more homely entrance to the home. Chamarel DS0000015275.V337246.R02.S.doc Version 5.2 Page 24 Commission for Social Care Inspection Cambridgeshire & Peterborough Area Office CPC1 Capital Park Fulbourn Cambridge CB21 5XE 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 Chamarel DS0000015275.V337246.R02.S.doc Version 5.2 Page 25 - 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. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. The policy of www.bestcarehome.co.uk is to use all legal avenues to pursue such offenders, including recovery of costs. You have been warned!