Inspection on 06/04/10 for The Mount

This inspection was carried out on 6th April 2010.

CQC found this care home to be providing an Poor service.

The inspector found there to be outstanding requirements from the previous inspection report but made no statutory requirements on the home.

Other inspections for this house

The Mount 26/02/08

The Mount 28/02/07

The Mount 18/01/06

The Mount 13/07/05

The Mount 21/01/05

The Mount 04/10/04

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Extracts from inspection reports are licensed from CQC, this page was updated on 03/06/2010.

Random inspection report Care homes for adults (18-65 years) Name: Address: The Mount Faircrouch Lane Wadhurst East Sussex TN5 6PT zero star poor service 27/01/2010 The quality rating for this care home is: The rating was made on: A quality rating is our assessment of how well a care home, agency or scheme is meeting the needs of the people who use it. We give a quality rating following a full review of the service. We call this review a ‘key’ inspection. This is a report of a random inspection of this care home. A random inspection is a short, focussed review of the service. Details of how to get other inspection reports for this care home, including the last key inspection report, can be found on the last page of this report. Lead inspector: Sally Gill Date: 0 6 0 4 2 0 1 0 Information about the care home Name of care home: Address: The Mount Faircrouch Lane Wadhurst East Sussex TN5 6PT 01892782025 01892782917 Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Name of registered manager (if applicable) The Mount Camphill Community Limited Type of registration: Number of places registered: Conditions of registration: Category(ies) : care home 39 Number of places (if applicable): Under 65 Over 65 0 learning disability Conditions of registration: 39 The maximum number of service users to be accommodated is 39 The registered person may provide the following category of service only: Care home only (PC) to service users of the followinging gender: Either whose primary care needs on admission to the home are within the folowing category: Learning disability (LD) ) Date of last inspection Brief description of the care home The Mount Camphill Community is an independent specialist college that provides further education and training for residential and day students aged 16 to 25. The Community is a registered educational charity providing up to 39 residential places for young people with moderate learning disabilities, and is also inspected by Ofsted. Care Homes for Adults (18-65 years) Page 2 of 11 2 7 0 1 2 0 1 0 Brief description of the care home The Camphill Movement, founded in 1940, works to create communities in which vulnerable children and adults can learn and work with respect. Camphill is inspired by Christian ideals as articulated by Rudolph Steiner and is based on the acceptance of spiritual uniqueness of each human being, regardless of religious or racial background. The Mounts training programme extends over 4 years. An educational year is approximately 38 weeks divided into 4 terms, with students returning home or to other placements during the holidays. There are 5 community houses on-site, each with its own character. There are craft workshops for pottery, bakery, weaving, woodwork and catering. In the main house, which is a renovated monastery, are classrooms, a library and a community hall. There is a large vegetable garden and orchard, which provides the venue for a horticultural course and extensive grounds and woods where the estate and rural skills course are taught. There is also a sports hall on the site. The Mount is staffed by senior co-workers and co-workers. Senior co-workers and their families live on site and share accommodation with students and other co-workers. Most staff are volunteers and trainee co-workers are from a wide range of countries and usually work at The Mount for up to one year. Details of fees can be obtained from the college. There can be an additional charges for pocket money, and certain educational trips. A copy of the latest inspection report can be obtained from the college or down loaded from www.cqc.org.uk. The Mounts email address is office@mountcamphill.org and website is www.mountcamphill.org Care Homes for Adults (18-65 years) Page 3 of 11 What we found: The purpose of this random inspection was to check compliance of the Statutory Requirement Notice served following the key inspection on 27th January 2010. The Statutory Requirement Notice related to recruitment procedures and staff recruitment records. The timescale for compliance was the 31st March 2010. The manager told us no new recruitment has taken place since the key inspection. The written recruitment procedure was examined and found to be adequate. If the college intend to start staff or volunteers after obtaining a Independent Safeguarding Authority (ISA) Adult First but without a full Criminal Records Bureau (CRB) in place this step must be included in the written procedure. The manager also told us the application form is currently being reviewed. The college has now set up a recruitment file for every staff member or volunteer. These files are easily accessible as they are sub divided into sections and also have a recruitment checklist at the front of each file. Four recruitment files were examined. These all evidenced a full employment history together with satisfactory written explanations of any gaps, two references, a health declaration, copies of passports etc as proof of identity and a photograph. Two files contained current CRBs. The manager told us only two CRBs are now outstanding which have been applied for. It is apparent that where a full CRB is not in place extra supervisory arrangements are in place although to really evidenced this records must be strengthened. What the care home does well: What they could do better: If you want to know what action the person responsible for this care home is taking following this report, you can contact them using the details set out on page 2. Care Homes for Adults (18-65 years) Page 4 of 11 Are there any outstanding requirements from the last inspection? Yes R No £ Outstanding statutory requirements These are requirements that were set at the previous inspection, but have still not been met. They say what the registered person had to do to meet the Care Standards Act 2000, Regulations 2001 and the National Minimum Standards. No. Standard Regulation Requirement Timescale for action 1 2 14 The registered person must ensure that prospective students personal care and health needs are assessed prior to them providing accommodation Regulation 14 (1) of the Care Homes Regulations 2001 requires the registered person shall not provide accommodation to a service user at the care home unless, so far as it shall have been practicable to do so needs of the service user have been assessed by a suitable qualified or suitably trained person. The registered person has obtained a copy of the assessment. 25/03/2010 2 6 15 The registered person must 25/03/2010 have for each service user a written care plan in place which reflects all the individuals health, personal and social care needs. Care plans must contain clear guidance to staff on the management of care and health needs. The plan must be kept up to date and regularly reviewed. Care Homes for Adults (18-65 years) Page 5 of 11 Outstanding statutory requirements These are requirements that were set at the previous inspection, but have still not been met. They say what the registered person had to do to meet the Care Standards Act 2000, Regulations 2001 and the National Minimum Standards. No. Standard Regulation Requirement Timescale for action Regulation 15 (1) (2) of the Care Homes Regulations 2001 requires the registered person shall after consultation with the service user prepare a written plan as to how the service users needs in respect of health and welfare are to be met. The registered person shall keep the service users plan under review and revise the service users plan. 3 9 13 The registered person must have written robust risk assessments in place which detail all risks associated with care delivery and actions to reduce any such risk Regulation 13 (4) of the Care Home Regulations 2001 requires the registered person shall ensure that any activities in which service users participate are so far as reasonably practicable free from avoidable risks; and unnecessary risks to health or safety of service users are identified and so far as possible eliminated 4 10 13 The registered person must 25/02/2010 have robust medication procedures for the recording, handling, safekeeping, safe administration and disposal of medicines which is implemented by staff Regulation 13 (2) of the Care Care Homes for Adults (18-65 years) Page 6 of 11 27/03/2010 Outstanding statutory requirements These are requirements that were set at the previous inspection, but have still not been met. They say what the registered person had to do to meet the Care Standards Act 2000, Regulations 2001 and the National Minimum Standards. No. Standard Regulation Requirement Timescale for action Home Regulations 2001 requires the registered person shall make safe arrangements for the recording, handling, safekeeping, safe administration and disposal of medicines received into the care home. 5 35 18 The registered person shall 25/03/2010 ensure staff and volunteers are suitably trained including structured induction training. A training programme to meet this requirement is in place by Regulation 18 (1) of the Care Homes Regulations 2001 requires the registered person hall, having regard to the size of the care home, the statement of purpose and the number and needs of service users - ensure that persons employed by the registered person to work at the care home receive training appropriate to the work they are to perform including structured induction. 6 36 18 The registered person shall ensure that staff and volunteers receive supervision in accordance with the NMS at regular intervals Regulation 18 (2) of the Care Homes Regulations requires the registered person shall Care Homes for Adults (18-65 years) Page 7 of 11 25/03/2010 Outstanding statutory requirements These are requirements that were set at the previous inspection, but have still not been met. They say what the registered person had to do to meet the Care Standards Act 2000, Regulations 2001 and the National Minimum Standards. No. Standard Regulation Requirement Timescale for action ensure that persons working at the care home are appropriately supervised. 7 37 10 The registered provider must 25/03/2010 ensure the home is managed and meets legislative requirements Regulation 10(1) of the Care Home Regulations 2001 requires the registered provider and manager shall, having regard to the size of the care home, statement of purpose, and the number and needs of the service users, carry on or manage the care home with sufficient care, competence and skill. 8 39 24 The registered provider must 25/03/2010 have effective quality assurance and quality monitoring systems Regulation 24 of the Care Home Regulations 2001 requires the registered provider shall establish and maintain a system for reviewing at appropriate intervals and improving the quality of care at the care home. The system shall provide for consultation with service users and their representatives 9 39 26 The registered provider must 25/02/2010 undertake an unannounced visit to the care home each month in order to form an opinion of the standard of Page 8 of 11 Care Homes for Adults (18-65 years) Outstanding statutory requirements These are requirements that were set at the previous inspection, but have still not been met. They say what the registered person had to do to meet the Care Standards Act 2000, Regulations 2001 and the National Minimum Standards. No. Standard Regulation Requirement Timescale for action care provided in the care home. Regulation 26 of the Care Homes Regulations 2001 requires the registered provider to undertake a visit under paragraph (2) which shall take place at least once a month and shall be unannounced. The person carrying out the visit shall interview service users and persons working at the care home; inspect the premises, records of events and any complaints and prepare a written report. 10 41 37 The registered person must 25/02/2010 report incidents and events at the care home in line with regulation 37 and CQC guidance Regulation 37 of the Care Home Regulations 2001 requires the registered provider shall give notice to the Commission without delay of occurrence of events listed as per the regulation. Any notification made in accordance with this regulation which is given orally shall be confirmed in writing. Care Homes for Adults (18-65 years) Page 9 of 11 Requirements and recommendations from this inspection: Immediate requirements: These are immediate requirements that were set on the day we visited this care home. The registered person had to meet these within 48 hours. No. Standard Regulation Requirement Timescale for action Statutory requirements These requirements set out what the registered person must do to meet the Care Standards Act 2000, Regulations 2001 and the National Minimum Standards. The registered person(s) must do this within the timescales we have set. No. Standard Regulation Requirement Timescale for action Recommendations These recommendations are taken from the best practice described in the National Minimum Standards and the registered person(s) should consider them as a way of improving their service. No Refer to Standard Good Practice Recommendations Care Homes for Adults (18-65 years) Page 10 of 11 Reader Information Document Purpose: Author: Audience: Further copies from: Inspection Report Care Quality Commission General Public 0870 240 7535 (telephone order line) Our duty to regulate social care services is set out in the Care Standards Act 2000. Copies of the National Minimum Standards –Care Homes for Adults (18-65 years) can be found at www.dh.gov.uk or got from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering from the Stationery Office is also available: www.tso.co.uk/bookshop Helpline: Telephone: 03000 616161 Email: enquiries@cqc.org.uk Web: www.cqc.org.uk We want people to be able to access this information. If you would like a summary in a different format or language please contact our helpline or go to our website. © Care Quality Commission 2010 This publication may be reproduced in whole or in part in any format or medium for noncommercial purposes, provided that it is reproduced accurately and not used in a derogatory manner or in a misleading context. The source should be acknowledged, by showing the publication title and © Care Quality Commission 2010. Care Homes for Adults (18-65 years) Page 11 of 11 - 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!