Inspection on 10/08/06 for Jane Campbell House

This inspection was carried out on 10th August 2006.

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

Jane Campbell House 05/06/07

Jane Campbell House 01/02/06

Jane Campbell House 05/10/05

Jane Campbell House 03/03/05

Jane Campbell House 09/08/04

Similar services:

Claremont House

Oak Ridge

Sun Court Nursing Home

Ashville House

Bilney Hall

Hill Barn

Mabbs Hall Nursing Home

Henrietta House

Extracts from inspection reports are licensed from CQC, this page was updated on 09/07/2008.

CARE HOMES FOR OLDER PEOPLE Jane Campbell House Waverley Road St. Albans Hertfordshire AL3 5ST Lead Inspector Mrs Judith Kent Key Unannounced Inspection 10th August 2006 10:00 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 Jane Campbell House DS0000019438.V308019.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. Jane Campbell House DS0000019438.V308019.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Jane Campbell House Address Waverley Road St. Albans Hertfordshire AL3 5ST 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) 01727 858 130 01727 799 964 www.quantumcare.co.uk Quantum Care Limited Amanda Neville-Patterson Care Home 54 Category(ies) of Dementia - over 65 years of age (54), Old age, registration, with number not falling within any other category (54), of places Physical disability over 65 years of age (54) Jane Campbell House DS0000019438.V308019.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 1st February 2006 Brief Description of the Service: Jane Campbell House is a care home providing personal care and accommodation for 54 older people. It is one of a number of homes operated by Quantum Care Ltd. The home offers single room accommodation on each of three floors; there is a passenger lift. Just over 50 of the rooms are below 10 square metres and are limited in layout because of built in wardrobe units. The bathrooms and toilets are appropriately situated throughout the home and fitted with appropriate aids. The home has well-maintained and accessible gardens. Jane Campbell House is set in its own grounds on a fairly steep road, in a quiet residential area of St Albans, to the north of the city and close to the City Hospital. A small parade of local shops is close by the foot of the hill. The bus stop for the local bus service to the City Centre is just outside the home Jane Campbell House DS0000019438.V308019.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This inspection took place over six hours during the day and was carried out by two inspectors, who spoke to service users, visiting relatives and a district nurse, as well as to the manager and staff members. The Quantum Care Regional Manager for the home visited briefly during the inspection and joined the discussion. Care plans and medication records were looked at and training, recruitment and other administrative records were seen. Fees at the home are between £400.00 p.w. and £490.00 p.w. Questionnaires for service users, relatives and health care professionals were left at the home; at the time of writing the report eight service users and one relative had returned completed forms. Comments included: ‘I’m glad I came to this home’ and ‘Grumbles are usually sorted out’. Service users also commented that they enjoyed shopping trips. All responses showed that people would be confident about expressing their concerns to staff and there were no negative comments on the questionnaires. What the service does well: What has improved since the last inspection? What they could do better: The storage, administration and recording of medication must be improved. Some areas of the home need reflooring and maintenance of essential moving and handling equipment must be carried out when due. A record of all visitors to the home must be kept. Jane Campbell House DS0000019438.V308019.R01.S.doc Version 5.2 Page 6 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. Jane Campbell House DS0000019438.V308019.R01.S.doc Version 5.2 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–6) Health and Personal Care (Standards 7-11) Daily Life and Social Activities (Standards 12-15) Complaints and Protection (Standards 16-18) Environment (Standards 19-26) Staffing (Standards 27-30) Management and Administration (Standards 31-38) Scoring of Outcomes Statutory Requirements Identified During the Inspection Jane Campbell House DS0000019438.V308019.R01.S.doc Version 5.2 Page 8 Choice of Home The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 3 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Prospective service users needs are fully assessed to make sure that the home will be a suitable place for them to live. EVIDENCE: A member of the home’s management team visits prospective service users at home or in hospital and complete an assessment of their needs to make sure that the home will be a suitable place for them to live. This assessment may also be based on information received from a social services report. People are invited to visit the home, with a relative or friend if they prefer, and are given a copy of the Service Users’ Guide to help them to make a decision about moving in. Jane Campbell House DS0000019438.V308019.R01.S.doc Version 5.2 Page 9 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 7, 8, 9, 10 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. Service users can be confident that staff understand their care needs and that these will be met. However, management of medication procedures is not as rigorous as it should be which could result in service users being put at risk. EVIDENCE: Care plans looked at during the inspection showed much detail about people’s personal lives and individual needs and set out how these can be met by the home’s staff. Attention must be paid to making sure that risk assessment procedures are adhered to – in one case the company’s own procedure in relation to anticoagulant medication had not been followed. Interventions by health care professionals – GPs, district nurses, occupational, speech and physiotherapists – are recorded and their instructions and guidance are included in care plans. A visiting district nurse commented that she was happy with the care given to her patients by the home’s staff, that they were co-operative but that they knew when to call her for help. She suggested that it would be appropriate for her to set up some study sessions for staff about specific areas of nursing care; the home’s manager confirmed that this would be done. Jane Campbell House DS0000019438.V308019.R01.S.doc Version 5.2 Page 10 Medication records of several service users were looked at and most were satisfactory although there was a discrepancy between the record and the medication in one case. Checks are carried out regularly by night staff but it was difficult to reconcile the MAR (Medication Administration Record) sheets and medication remaining and it was agreed that the process needs to be clarified. At least two MAR sheets and medication containers had unspecific guidance, e.g. ‘Take as directed’, and the manager is advised to seek clarification from the GP and pharmacist. Temperature records in the medication store room show that it had risen as high as 29.4oC, and was above the required 25oC on the day of the inspection. The inspectors saw many examples of excellent care practice and noted that interaction between service users and staff members was relaxed and comfortable. Service users were complimentary about the care they receive in the home; staff take care to treat people as individuals, although one minor incident infringing service users’ dignity was noted. The manager acknowledged that there is a constant need to reinforce good practice. A relative of one service user, who had been adversely labelled in a previous care home, said that she was very happy with the care in Jane Campbell House and that her relative had benefited from being there. Jane Campbell House DS0000019438.V308019.R01.S.doc Version 5.2 Page 11 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 14, 15 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home’s activity programme makes sure that service users can take part in appropriate and stimulating activities of their choice. Service users from alternative cultural backgrounds are offered the opportunity to choose their lifestyle. There is a varied menu offering a balanced diet. EVIDENCE: There are two part-time activities co-ordinators who are dedicated solely to organising and running activities with service users, although care staff are expected to participate as well. Inspectors saw a variety of activities during the inspection, both with groups of service users and one-to-one. Service users said that there is always something they can join in, including outings for lunch and shopping trips. Some people clearly enjoyed taking part, while others exercised their choice not to do so. The activities co-ordinator spoken with at the inspection said that records of activities are kept, along with notes about who enjoys what so that she and her colleague can tailor things to suit individual taste. Interaction between staff and service users was seen by the inspectors to be relaxed, comfortable and reassuring and there was plenty of casual chat, both between staff and service users and service users themselves. Several service users said that they had made friends in the home since they had been there. Jane Campbell House DS0000019438.V308019.R01.S.doc Version 5.2 Page 12 One service user was overheard complimenting a member of staff enthusiastically on her appearance and another reported that the care staff ‘couldn’t be better’. Meals in the home are taken all together in the main dining room, although some people choose to eat in their room or on their unit. One person remarked that people are helped into the dining room rather early, which means that they are sitting for some time waiting for lunch. The dining room is large and rather noisy and the inspectors and manager discussed how it could be made quieter and more intimate for service users. Some people need help to eat their meals and staff members were seen to help discreetly. There was plenty of friendly chat between service users and staff, making mealtimes enjoyable and relaxed. During the recent period when the lift had been out of order due to repairs being carried out, service users on two floors in the home had been taking their meals in their units – either communally in lounges or in their rooms. Several people commented that they had enjoyed the experience. Provision of a diet to a service user from an ethnic minority background was discussed with the manager, who confirmed that the catering staff had been able to provided appropriate dishes, but that the person chose the mainstream provision in the home. Discussion with the family of the person showed that they and he were happy with the care given and that his needs are being met in the home. There is one member of staff who is able to speak with him in his native language. A recent inspection of the catering service by an Environmental Health Officer had made one recommendation, which has now been met by the home. Jane Campbell House DS0000019438.V308019.R01.S.doc Version 5.2 Page 13 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 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Service users and their families can be sure that their complaints and concerns will be listened to and dealt with appropriately; and that they will be protected from abuse by the home’s adult protection policy and procedure. EVIDENCE: There has been one written complaint received in the home since the last inspection and examination of the correspondence and discussion with the manager showed that it had been dealt with in accordance with the home’s procedure. Staff are given clear guidance on adult protection and whistle blowing during their induction and can access the Hertfordshire County Council Protection of Vulnerable Adults handbook which is kept in the manager’s office. There have been no allegations of abuse in the home. Jane Campbell House DS0000019438.V308019.R01.S.doc Version 5.2 Page 14 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): 19, 26 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. The home provides pleasant, comfortable surroundings for service users and is generally clean and well-maintained. EVIDENCE: There is a rolling programme of redecoration in the home and recommendations made in the last report have all been met, although the manager acknowledged that in one instance this was unsatisfactory and needed to be looked at again. The flooring in one toilet was very stained and needs to be replaced. The manager said that bedrooms are redecorated to service users’ choice before they move in to the home and they are invited to make their rooms personal with small items from their home. She commented that some areas of the home are rather gloomy, but that she has plans for brightening them up. The home is kept clean and odour-free by the housekeeping staff, although it was noted that an area of carpet in the corridor on the main floor was stained Jane Campbell House DS0000019438.V308019.R01.S.doc Version 5.2 Page 15 and needs replacing. The hoist in the bathroom on the top floor was unacceptably dirty. A faulty tumble dryer has now been replaced and the laundry is now functioning fully. The home’s only lift had been giving cause for concern for some time and had finally been repaired. It had been out of action during this process, but the manager had drawn up an action plan and risk assessments to deal with the problems that this presented. Jane Campbell House DS0000019438.V308019.R01.S.doc Version 5.2 Page 16 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): 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. Service users can be sure that the staff team has been recruited safely, is welltrained and can meet their needs. EVIDENCE: Records seen show that there is little use of agency staff and that the home’s own staff group (many of whom work part-time) volunteer to cover additional shifts when required. This makes for continuity and consistency for service users. There is a comprehensive induction programme for new staff, who are required to complete it within a set period of time. It includes all mandatory training – moving and handling, health and safety, fire safety, infection control, emergency aid – as well as abuse prevention and care practice. All the care staff in the home have attended training in the care of people with dementia and the company offers a range of courses for all staff. Staff recruitment records looked at were complete and held all the required identification documents, security checks and other information. Jane Campbell House DS0000019438.V308019.R01.S.doc Version 5.2 Page 17 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, 35, 38 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Service users can be confident that the home is effectively managed, that their views about their care are sought and that generally their safety and that of staff is protected. EVIDENCE: The registered manager discussed her plans for the home and recognised where improvements could be made. She is supported by a team of care managers and administration staff. The care team managers organise regular meetings with service users where they are invited to make suggestions and give ideas about how the home should be run, and there is an annual family forum to which relatives, friends and other interested parties are invited. Quantum Care carry out an annual survey in the home to seek feedback from both service users and families Jane Campbell House DS0000019438.V308019.R01.S.doc Version 5.2 Page 18 about the quality of the care provided. The most recent survey is currently being collated and will be available for the forum. During this inspection a check was made on a random sample of service users’ money held by the home and all were found to be in order. The regular maintenance and inspection of three hoists in the home was overdue on the day of the inspection, although other maintenance records and safety checks had been completed. Staff members spoken with said that they felt supported by the manager and her team. It was noted that not all visitors to the home sign in and out – the manager must find a way to keep a record of who is in the house at any time, to protect service users and to ensure visitors safety in case of fire. Jane Campbell House DS0000019438.V308019.R01.S.doc Version 5.2 Page 19 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 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 3 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 x 18 3 2 x x x x x x 3 STAFFING Standard No Score 27 3 28 3 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 x 3 x 3 x x 2 Jane Campbell House DS0000019438.V308019.R01.S.doc Version 5.2 Page 20 Are there any outstanding requirements from the last inspection? No 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 3 4 5 Standard OP9 OP19 OP19 OP38 *RQN Regulation 13(2) 23(2)(d) 23(20(d) 23(2)(c) 17 (2) Requirement Medication must be administered, recorded and stored safely. Carpet on the main floor corridor must be cleaned satisfactorily or replaced. Flooring in toilet on ground floor must be replaced. Equipment used for moving people must be inspected and maintained by the due date A record of all visitors to the home must be maintained. Timescale for action 10/08/06 30/10/06 30/10/06 10/08/06 10/08/06 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. Refer to Standard Good Practice Recommendations Jane Campbell House DS0000019438.V308019.R01.S.doc Version 5.2 Page 21 Commission for Social Care Inspection Hertfordshire Area Office Mercury House 1 Broadwater Road Welwyn Garden City Hertfordshire AL7 3BQ 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 Jane Campbell House DS0000019438.V308019.R01.S.doc Version 5.2 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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