Inspection on 15/07/08 for The Camden Care Home

This inspection was carried out on 15th July 2008.

CSCI found this care home to be providing an Good service.

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

Similar services:

Byars Care Home

St Marys Nursing Home

Bramble Lodge

Parkmanor Residential Home

Thornham Grove

Hunter`s Lodge

London Road Neurological and Specialist Care Unit

Carlton Care Home

Extracts from inspection reports are licensed from CQC, this page was updated on 28/09/2008.

CARE HOMES FOR OLDER PEOPLE The Camden Care Home The Camden 85 Nottingham Road Long Eaton Nottingham Nottinghamshire NG10 2BU Lead Inspector Claire Williams Unannounced Inspection 15th July 2008 09:45a 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 The Camden Care Home DS0000071583.V368583.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. The Camden Care Home DS0000071583.V368583.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service The Camden Care Home Address The Camden 85 Nottingham Road Long Eaton Nottingham Nottinghamshire NG10 2BU 0115 973 6468 0115 9723737 jellacamm@yahoo.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) Camden Care Ltd Vacant Care Home 18 Category(ies) of Dementia (3), Old age, not falling within any registration, with number other category (15) of places The Camden Care Home DS0000071583.V368583.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. The registered person may provide the following categories of service only: Care Home only - Code PC to service users of the following gender: Either whose primary care needs on admission to the home are within the following categories: Old age, not falling within any other category - Code OP Dementia - Code DE The maximum number of service users who can be accommodated is 18 2. Date of last inspection Brief Description of the Service: The Camden Care Home is a detached house that has been considerably adapted to provide residential care. It provides social and personal care for 18 people aged 65 years and over. The service is also registered to provide support to up 3 people with dementia within the maximum number of people it is registered for. The service is deemed a new service, as there has been a change in the provider so therefore this is the first inspection following this change. The Home is situated close to the centre of Long Eaton, and provides care across two floors and has 12 single and 3 double bedrooms. Access to the first floor is by two staircases or by one of the two stair lifts; the home has no passenger lift. The Home has three lounges and a dining room, all of which are situated on the ground floor. The Home also has a small garden and a small care park. The charges made for a room at The Camden Care Home range from £336.42 to £356.42 a week. These charges to not include the provision or newspapers, personal toiletries, hairdresser fees and chiropodist. Information about the availability of the inspection report is included in the Service user guide, which is provided to all people. You can obtain further copies of the latest Inspection report by visiting www.csci.org The Camden Care Home DS0000071583.V368583.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The quality rating for the service is two star. This means the people who use the service experience good quality outcomes The focus of inspections undertaken by the Commission for Social Care Inspection (CSCI) is upon outcomes for people and their views of the service provided. This process considers the home’s capacity to meet regulatory requirements, minimum standards of practice; and focuses on aspects of service provisions that need further development. The inspection visit was unannounced and took place over a period of 7 hours. In order to prepare for this visit we looked at all the information that we have received. This included: • What the service has told us about things that have happened in the service, these are called ‘notifications’ and are a legal requirement. • The annual quality assurance assessment (AQAA). This is a selfassessment that focuses on how well outcomes are being met for people using the service. • We sent out surveys to residents and staff team for their feedback. –2 staff surveys and 3 relatives surveys. During the site visit case tracking was included as part of the methodology. This involved the sampling of a total of two people representing a cross section of the care needs of individuals within the home. Discussions were held with those individuals as able, together with a number of others about the care and services the home provides. Their care planning and associated care records were also examined and their private and communal facilities inspected. Discussions were also held with staff about the arrangements for their care and also for staffs’ recruitment, induction, deployment, training and supervision. We also spoke with four visitors who were in the home at the time of this visit. What the service does well: People spoken with said that they found the move into the home a supportive experience, and were please that they were able to bring some of their personal possessions for their bedrooms. Most of the people had previously visited the home or had a period of respite, which they said, “helped them make the decision about moving in”. The Camden Care Home DS0000071583.V368583.R01.S.doc Version 5.2 Page 6 People spoke positively about the support and care they received from the staff team who they described as “very attentive”, “they work very hard”, “they are friendly and caring”. People said their needs were met to a good standard and with “dignity and respect at all times”. Feedback provided in the surveys also supported that people were supported in accordance with their needs, and comments made included “the staff do a good job, they give us fun, and are very helpful”; People were happy with the environment, which they said was homely, and all of those spoken with liked their bedrooms. There are systems in place to enable residents to provide feedback about the home and make suggestions for improvements. Visitors spoken to said the staff made them feel welcome and keep them informed of their relatives well being. They said that generally there were satisfactory staffing levels but at times there was staff shortages. The staff team reported that they work well together and have access to training opportunities to enable them to have the skills and knowledge to fulfil their roles. What has improved since the last inspection? What they could do better: The information obtained and recorded about each individual would benefit from being in more detail so that person centred care can be delivered and underpinned by written records. This includes information about people’s history and background, which would enables the staff team to gain more knowledge about individuals. The documentation in place would benefit from being reviewed to include the six strands of diversity, which are: race, gender identity, disability, sexual orientation, age, religion and belief. This will make it inclusive to all people. The staff who have worked in the service for a long period of time need to have an enhanced police check to bring their files to the current legal standard and to ensure people continue to be safeguarded. The staff team would benefit from having training about the mental capacity act so that they are aware of the new legal rights people have who live in this service. This will enable the staff team to promote these rights. The Camden Care Home DS0000071583.V368583.R01.S.doc Version 5.2 Page 7 Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. The summary of this inspection report can be made available in other formats on request. The Camden Care Home DS0000071583.V368583.R01.S.doc Version 5.2 Page 8 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 The Camden Care Home DS0000071583.V368583.R01.S.doc Version 5.2 Page 9 Choice of Home The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): National Minimum Standards 1, and 3 (stranded 6 not applicable) Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. People are assessed and have access to information to enable them, to make an informed decision about moving into this service. EVIDENCE: In the self-assessment that we received they said they provide people with a Statement of purpose and Service user guide. They have a longer admission process so more info can be obtained and all people are assessed before their admission. The information about the service contained within the Statement of Purpose and Service Users Guides have not yet been updated to reflect the change in the provider and acting manager. They also do not provide information about the size of the bedrooms, the range of fees and what items are not included in the fees. It was reported that all people have previously been provided with a copy of the Service user guide and people spoken with confirmed this. The Camden Care Home DS0000071583.V368583.R01.S.doc Version 5.2 Page 10 People spoken with confirmed they had been assessed before they moved into the home, and this was supported by the assessments in the 2 files that we examined. Individuals spoke of varying reasons as to why they chose this home, and these included: “I have lived in this area all my life and did not want to move elsewhere”, “I came to visit and stayed for respite, so I got used to it here and decided to live here permanently”. Relatives spoken to said they found the staff to be “supportive, and kind”, during the admission process. The home does not provide intermediate care and there were no residents accommodated at the time of the site visit with diverse cultural or religious needs. It would be beneficial however for all documentation to be reviewed considering the six areas of diversity, so that is it inclusive to all people. The Camden Care Home DS0000071583.V368583.R01.S.doc Version 5.2 Page 11 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): National Minimum Standards 7, 8, 9, and 10 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. People receive the care they need and this is provided in a way that upholds their dignity. EVIDENCE: In the self-assessment that we received they said they have person centred care plans and they work well with outside agencies. They maintain people’s dignity and privacy and encourage independence. They are proactive in arranging healthcare appointments. All care files contained an assessment of need and care plan. Although they contained sufficient information to inform the delivery of care the plans were not person centred and holistic. They focused mainly on what support individuals required rather than including information about what the person is able to do. There was limited information about the person’s background and about individual’s likes, dislikes, routines and preferences. This is an area the service has identified for improving upon, within their self-assessment. It was reported that they intend to try and gather more information about individuals, in order to assist the staff to deliver individualised care. The Camden Care Home DS0000071583.V368583.R01.S.doc Version 5.2 Page 12 There was evidence that the plan of care was reviewed but this was not undertaken on a monthly basis. This is required to ensure that the plan reflects individual’s current needs. There was no evidence in the files to support that people have been involved in the development of their plan. Records were completed of peoples general well being, however the length of time between each recording was not consistent and it was identified that on occasion there was a long period of time between the recordings. This means there is limited evidence available to support the well being of the person during these times. Each file contained risk assessments and risk management plans to help staff support people in a way that will minimise any risks, and to monitor any key health needs. People who we spoke with said they have access to healthcare professionals, when they need them, and the records supported this. In discussion with the staff team it was clear they had a good understanding of each persons needs. A key worker system is in operation and staff members said they enjoyed this role as it meant working closely with individuals. People told us they receive their medication in accordance with their wishes. There were records to support that medication was stored and administered as prescribed. It was reported that all staff that administer medication have undertaken some form of training in this area. An assessment of staff medication practices has not been completed. This will ensure that staff are supported and competent in this area. Due to a change in the law the storing of controlled drugs must now be in accordance with the new legal specifications. All people spoken with said that support is provided in a “safe, respectful and dignified manner”; relatives also confirmed this to be the case. Both spoke positively about the staff team who they said: “work very hard to help everyone”, “are kind and considerate”, “friendly and caring”, “provide excellent care.” The Camden Care Home DS0000071583.V368583.R01.S.doc Version 5.2 Page 13 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): National Minimum Standards 12-15 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. People are supported to lead a lifestyle of their choosing. EVIDENCE: In the self-assessment that we received they said they have a social calendar and entertainment twice a week. Activities include a shop, armchair exercises that are provided every other week. They facilitate the following activities periodically – coffee mornings, musical afternoons, and a clothes sales. All care files that were seen had limited information concerning people’s social needs and likes/dislikes. No files contained a care plan for social needs, which means staff do not have access to information about what individuals would like to do, especially people with dementia who may not be able to verbalise what their interests are. An activities programme was displayed listing a variety of activities, which were planned Monday to Friday. A designated activities co-ordinator is not employed but it was reported that an extra member of staff is on duty on the afternoon shift. This person assists with personal care and also undertakes activities. This however could mean that activities could be compromised if The Camden Care Home DS0000071583.V368583.R01.S.doc Version 5.2 Page 14 people require support with their personal care, due to the dual role. It also means that people with dementia may not receive one to one time in order to participant in an activity. People have access to a shop which sells toiletries and snacks and people said they liked this facility as it gave them a chance to buy something themselves. This was the activity on the day of our visit. People have the opportunity to go out on a monthly trip for lunch, and they said they really enjoyed his. A coffee morning is also organised for once a month, which people also enjoyed. People said they were satisfied with the activities that were provided. There were many visitors in the service during the morning and one friend took a person out for lunch. People told us that their daily routine was flexible; they could choose what time they rose and went to bed. People who wanted to stay in their bedrooms were able to do so. People’s preferred rising/retiring times were also stated in their care documentation, along with their preferred form of address, this helped to ensure care was more person-centred. People told us the food was ‘good’. The cook was observed asking each person their preference on the morning and choices were offered if people did not like the two options available. A menu was not displayed and this would be beneficial in the dinning area as people often forgot what their choice were and people did not know what was for desert. The Camden Care Home DS0000071583.V368583.R01.S.doc Version 5.2 Page 15 Complaints and Protection The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be. JUDGEMENT – we looked at outcomes for the following standard(s): National Minimum Standards 16 and 18 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. People are kept safe through effective complaints and safeguarding policy and procedures. EVIDENCE: In the self-assessment that we received they said they deal with complaints straight away, and the procedure is displayed and outcomes are fully recorded. There have been no complaints about the service raised with us since the change in provider. No complaints had been received by the service either. A record is in place for the purpose of recording complaints and the procedure is displayed. This needed updating as it not reflect the change in the provider and the contact details for Commission for Social Care Inspection were incorrect. People spoken to told us they had no complaints and knew who to approach should they need to raise any issues. People told us they were confident the acting manager would sort any issues out. All relatives told us they had ‘never had any complaints’ and the surveys received also reflected this. Staff told us that they had attended safeguarding training, and during discussions they demonstrated their awareness of what action to take in the event of witnessing a potentially abusive situation. The staffing matrix The Camden Care Home DS0000071583.V368583.R01.S.doc Version 5.2 Page 16 indicated that 5 staff, which includes the handy person and 1 ancillary staff have not had training in this area, but training is planned for August. Certificates were available to support the training received by the rest of the staff. We have not been advised of any safeguarding issues since the change in providers. We examined the abuse policy, but this focused on bullying rather than abuse and it did not contain the procedure staff should follow in the event of witnessing a abusive act, therefore thus requires reviewing. It was reported that although a copy of the No secrets was in place, but a copy of the local multi agency procedures was not available. However confirmation was received following our visit stating that a copy has now been obtained. The manager had received information about the Mental Capacity Act and intends to try and access training in this area. It was advised that some forms should be obtained so staff could record decisions people made, which are in line with the requirements of the Mental Capacity Act. The Camden Care Home DS0000071583.V368583.R01.S.doc Version 5.2 Page 17 Environment The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): National Minimum Standards 19, 20, 21, 23, 24, 25, and 26 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. People were satisfied with their with their surroundings which was homely and safe and met their needs. EVIDENCE: In the self-assessment that we received they said: ‘we provide safe and comfortable environment and encourage people to personalise their rooms’. We have decorated the small lounge, bedrooms, and the outside- decorated, and purchased new chairs tables, and carpet and stairs, and communal areas. They have identified that the garden could be improved, and bedrooms could have new bedding and that several areas of the building could be improved. People who were spoken to said they liked the communal areas and in particular their bedrooms which they had personalised with their belongings. People said they have access to various aids and equipment in order to assist them in their mobility and to get around the home. The feedback from the The Camden Care Home DS0000071583.V368583.R01.S.doc Version 5.2 Page 18 surveys was also positive about the building and people said it meets there needs. During a tour of the building it was noticed that one bedroom contained a strong urine odour; they were considering purchasing an alternative floor covering and could demonstrate that they were actively trying to address this area of need. As stated in the self-assessments many areas have already been renewed. Further improvements are required however to the toilet and bathrooms areas and the garden is not accessible to people at the moment due to the uneven slabs. It was reported that a renewal programme was being developed and these areas will be prioritised. There was equipment available for the cleaning of the home and maintenance of infection control. The Camden Care Home DS0000071583.V368583.R01.S.doc Version 5.2 Page 19 Staffing The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users’ needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission consider all the above are key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): National Minimum Standards 27-30 Quality in this outcome area is Good. This judgement has been made using available evidence including a visit to this service. People are cared for by sufficient numbers of well-trained staff. EVIDENCE: In the self-assessment that we received they said they have a low staff turnover, and an existing staff team. They provide adequate staffing levels, and mandatory training, and have a robust recruitment procedure. There are 2 members of staff on duty on each shift, supported in their role by a deputy manager and acting manager. The staff have to support residents with their personal care needs, and also undertake laundry tasks. People and their relatives told us that generally there are sufficient staff members on duty. Staff members spoken with also felt that they were able to provide a good standard of care and complete all tasks. People said their needs are met and confirmed that staff provided a good standard of care and support, comments made include: “they are marvellous and do a grand job”, “They work very hard, and I try not to bother them much”, they are excellent and brighten our day”. Relatives spoken with said that usually sufficient staff were on duty and they described the staff as being “caring, and kind”. Feedback from the resident’s surveys also supported that there was ‘enough staff’ available on duty. The Camden Care Home DS0000071583.V368583.R01.S.doc Version 5.2 Page 20 Information provided in the self-assessment stated that 8 of the 12 care staff have achieved an national Vocational Qualifications in care subjects at level 2 or above, and one member of staff was currently undertaking training. The staff team is a stable group and majority of the staff have worked at this service for a long period of time. They are motivated and committed to their work, and a comment made included: “ we enjoy working with the people who, live here”. The files for three staff were examined. All of the required information was available for the recently employed person. The two other files was for staff who are long serving, therefore references and application forms were not available and only standard Police checks were in place, which is not to the current standard and therefore a new check will be required to ensure people are safeguarded and the current legal requirements are met. The staff files and the training matrix demonstrated that staff have access to regular training, and there were certificates to support the training received in a files. However it was identified that 5 staff members have not completed dementia training, but a training course was planned for August. An induction pack had been obtained from skills for care and it was reported that the new staff member is now completing this. This will ensure she has the skills and knowledge to fulfil her role and provide a good standard of care. The Camden Care Home DS0000071583.V368583.R01.S.doc Version 5.2 Page 21 Management and Administration The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. Service users’ rights and best interests are safeguarded by the home’s record keeping, policies and procedures. The health, safety and welfare of service users and staff are promoted and protected. The Commission considers Standards 31, 33, 35 and 38 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): National Minimum Standards 31, 33, 35 37 and 38. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The service is managed to promote and protect the health and safety of people and staff and provide a safe environment. EVIDENCE: In the self-assessment that we received they said; they operate an open door policy, and send out questionnaires to get feedback. The acting manager has been in post since June 2006. She has not yet applied to register with us and the details of this process were provided. It was reported that she has now completed the Registered Managers Award . Staff people, and relatives spoken to said that the management team were experienced, supportive and approachable. People said they are consulted The Camden Care Home DS0000071583.V368583.R01.S.doc Version 5.2 Page 22 about aspects of the service through the provision of meetings, questionnaires and a suggestion box is available in the hall area. It was reported that quality assurance surveys has been distributed to various stakeholders , and some have been returned. A report of the findings has been completed and the findings indicated people’s satisfaction. Areas for improvement were also included in the report and the action the service intends to take in response to these. People said they are able manage their finances if they wish, but many said they have given their consent for the management team to do this. People said they were happy with the systems in place, and when checked these were satisfactory. It was reported that the acting manager had provided some direct supervision of staff, through observations of their practice. Systems were now in place to ensure all staff receive regular supervision and an appraisal, as previously this has not been achieved. It was reported that regulation 26 visits have been undertaken, but there was no evidence of any completed reports at this service for us to examine. The training matrix indicated that 1 staff member had not competed Moving and handling training, and 3 staff had not competed food hygiene. However training has been planned for these staff members. All staff had completed health and safety training and infection control training. It was reported that all aspects of health and safety were monitored and risk assessments completed as required. It was noted that toiletries were left in one of the bathrooms and a can of air freshener; we were informed that these would be removed immediately due to the health and safety risks this imposed. The Camden Care Home DS0000071583.V368583.R01.S.doc Version 5.2 Page 23 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 3 3 3 X X N/a HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 3 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 3 3 2 3 3 3 3 3 STAFFING Standard No Score 27 3 28 3 29 2 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 2 X 3 X 3 X 3 3 The Camden Care Home DS0000071583.V368583.R01.S.doc Version 5.2 Page 24 Are there any outstanding requirements from the last inspection? N/a 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 OP7 Regulation 15 (1) Requirement Person centred plans must be developed for all people to reflect how the person would like their support to be provided. They must also include reference to the individual’s ability to make decisions under the requirements of the mental capacity Act. The storage for controlled drugs must comply with the royal pharmaceutical requirements. This is to ensure medication is stored in accordance with the law. All staff must have an enhanced police check to ensure they are suitable to work with vulnerable people, and to ensure people are safeguarded. All of the staff must attend mental capacity training to ensure they work in accordance with this new legislation and promote individuals rights to make decisions about their lives. Reports of visits undertaken by a delegate of the provider must be available in the service. This is to ensure that these visits are DS0000071583.V368583.R01.S.doc Timescale for action 01/11/08 2. OP9 13 (2) 01/10/08 3. OP29 19 (1) (b) 01/09/08 4. OP30 18 (c) (i) 01/09/08 5. OP31 26 01/09/08 The Camden Care Home Version 5.2 Page 25 undertaken on a monthly basis, in order to check that the service is maintaining the required standards. 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 OP1 Good Practice Recommendations The Statement of purpose and Service user guide should be updated to reflect the changes to the provider, include the fees, the size of the bedrooms, and to reflect the contact details for the Commission for Social Care Inspection. The admission records should be reviewed to incorporate the following areas of diversity: race, gender identity, disability, sexual orientation, age, religion and belief. These areas should be completed for each resident. An inventory should be completed of what items people bring into the service on their admission. Daily records should be completed regularly and there should be a maximum timescale for when a recording should be made to ensure people’s well-being is documented. Care plans should be updated on a monthly following consultation with the person. A designated activities co-ordinator should be employed in this service to ensure all people can access activities. The complaints procedure should be updated to reflect the new contact details for Commission for Social Care Inspection and for the local Social Services. All staff, including ancillary, should attend safeguarding training to ensure better protection of people living in the home. The internal procedures for the service should be updated to include the various forms of abuse and the procedure staff should follow. Further action should be taken to reduce unpleasant odour in the bedroom identified during the inspection, to ensure the dignity of the occupant. DS0000071583.V368583.R01.S.doc Version 5.2 Page 26 2. OP2 3. 4. OP7 OP7 5. 6. 7. 8 9. 10. OP7 OP12 OP16 OP18 OP18 OP19 The Camden Care Home 11. 12. OP29 OP31 An updated CV should be recorded for all long serving staff in order to bring their files up to the current legal standard The Manager should register with the Commission for Social Care Inspection. The Camden Care Home DS0000071583.V368583.R01.S.doc Version 5.2 Page 27 Commission for Social Care Inspection Eastern Region Commission for Social Care Inspection Eastern Regional Contact Team 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 The Camden Care Home DS0000071583.V368583.R01.S.doc Version 5.2 Page 28 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. 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