Latest Inspection
This is the latest available inspection report for this service, carried out on 9th June 2010. CQC found this care home to be providing an Adequate service.
The inspector found no outstanding requirements from the previous inspection report,
but made 3 statutory requirements (actions the home must comply with) as a result of this inspection.
For extracts, read the latest CQC inspection for Camborne Lodge.
What the care home does well This inspection was focused only on those areas identified at the last inspection as needing improvement. Nearly all of those improvements have been carried out, or are in the process of being developed. Information about the home is being made more accessible and readable. Detailed and individualised care plans are in place to meet the health and social needs of the people in the home. Staff are being trained in how best to protect people from abuse. The building is being improved, as is the decor and furniture. Staff recruitment records are now held in the home for inspection, and the job application form updated and improved. There is now a full staff team. Routine maintenance of the home is being carried out. A good quality assurance system, with external independent inspection has been introduced into the home. This home provides a comfortable and relaxed environment for the people who live it, who are encouraged to be as independent as possible Staff give caring and sensitive support to the residents. What the care home could do better: Care plans need to be regularly updated. Medication records are still not as clear as they should be. Some aspects of staff recruitment need to be tightened up. Mandatory staff training needs to be given to all staff. Checks of fire safety equipment and systems is not being carried out as regularly as it needs to be. Random inspection report
Care homes for adults (18-65 years)
Name: Address: Camborne Lodge 1 Camborne Place Gateshead Tyne & Wear NE8 4EU one star adequate service 20/07/2009 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: Alan Baxter Date: 0 9 0 6 2 0 1 0 Information about the care home
Name of care home: Address: Camborne Lodge 1 Camborne Place Gateshead Tyne & Wear NE8 4EU 01914900901 Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Name of registered manager (if applicable) Aspire Healthcare Ltd Type of registration: Number of places registered: Conditions of registration: Category(ies) : care home 13 Number of places (if applicable): Under 65 Over 65 0 learning disability Conditions of registration: 13 The maximum number of users who can be accommodated is : 13 The registered person may provide the following caegory of service only: Care home care home only - Code PC To service users of the following gender: Either Whose primary care needs on admisision to the home are within the following categories: Learning disability - Code LD, maximum number of places, 13 Date of last inspection Brief description of the care home Camborne Lodge is two houses know as 1 Camborne Place and Meadowfield House, that are located close to each other in a residential area of Gateshead. There is easy access to local amenities and transport systems. 2 0 0 7 2 0 0 9 Care Homes for Adults (18-65 years) Page 2 of 10 Brief description of the care home The houses provide single accommodation for people with a learning disability. Accommodation in both the terraced houses is split over three floors which means that people who might want to live there need to be reasonably mobile. There are some bedrooms at ground floor level. Nursing care is not provided. People are properly assessed before they move into the home to make sure their needs and wishes can be met, and they can have short stays in the home to decide whether it is the place for them. Fees are split into three categories low, medium and high. They range from £600 to £1200 a week. Information is available to help people decide about the home and tells them what they can expect, what they can do, and a bit about the staff who will help them. Reports from the Care Quality Commission (CQC) are available in both houses. Care Homes for Adults (18-65 years) Page 3 of 10 What we found:
This was a Random, unannounced inspection of this service. The home had last been inspected on 20th July 2009. The home had been rated 1 star Adequate at that inspection. We only consider changing the rating of a home at a full, key inspection, so the homes rating will not change as a result of this inspection. During this inspection we spoke with the manager and staff, and with a number of residents. We looked at care records and other essential documentation to make a judgement about the quality of the care being offered. We observed care practices. We informed the manager of what we found. The focus of this inspection was on the requirements and recommendations that were made in the report of that last inspection. Our findings were as follows: The manager is working on developing a picture-based, plain English version of the homes statement of purpose and its service user guide. At the time of the last inspection, new person-centred care plans were being developed, to meet the assessed needs of the people living there in an individualised way. A requirement was made that this process should be continued, to cover all the people living in the home. This has been carried out. Care records were detailed and personalised to the individual user of the service. The degree of detail was appropriate to the relative independence of each person. Each person has a Personalised Planning Book that includes information on the persons life history, likes and dislikes, aspirations etc. Each person also has a detailed health Action Plan, showing how their health needs are to be met. There is a monthly progress report on each persons care file. This was found to be a rather general overview, and advice was given that this should comment on the progress achieved in meeting the goals of each care plan. Study of the homes Medication Administration Record (MAR) showed that some handwritten entries still do not have the recommended two staff signatures, and are not always being dated. There also needs to be more clarity over what to record when as and when required medicines are not administered. The home has changed its suppling Pharmacy since the last inspection. All medicines, including those supplied in a box rather than a blister pack, are now printed on the MAR. Boxes are signed and dated by staff when first opened. There was evidence that the manager has either arranged or attempted to book all staff on safeguarding training courses. Four staff have had this training, and one is booked to attend this training; two more are doing a distance-learning safeguarding course; and the manager is attempting to book the final member of staff. The homes programme of repair and replacement of decor and furnishings continues.
Care Homes for Adults (18-65 years) Page 4 of 10 New furniture was delivered to the home on the day of this inspection, and the manager has a monthly budget for refurbishment. A requirement that staff recruitment records must be kept in the home, available for inspection had been carried out. These records are now securely held within the home. Study of a sample of the recruitment records showed some gaps in employment histories, and that although two references were requested, the referees were not always past employers. The homes job application form has just been updated to include a question about any previous criminal convictions an applicant may have had, and to state that even spent convictions must be disclosed. The home had been required to produce a comprehensive staff training matrix. This has been carried out. The matrix showed significant gaps in mandatory training for staff, which must be addressed. A full staff team has now been recruited. The home has reviewed and revised its policies and procedures within the past six months. A requirement to keep service user care plans and other documentation up to date had been only partially carried out. Monthly reviews of care plans are being carried out, but these tend only to comment on the plan, and not to always lead to a rigorous updating of the plan itself. There was evidence of regularly servicing and maintenance of services and equipment in the home, and clear records of faults being reported and addressed. However, the routine checks of fire safety systems and equipment were not always being carried out at the specified frequencies. The manager carried out remedial checks on the day of this inspection. The managers application for registration with the CQC has been submitted for consideration. The home has introduced the independent external quality system BS EN ISO 9001 2008 since the last inspection. It was last externally audited under the provisions of this system on 4th June 2010, the week before this inspection. The quality issues identified were mainly environmental, and the manager has drawn up an action plan to address these issues. Part of the ISO 9001 system is that the home must clearly demonstrate that it is responding promptly to any requirements made by statutory bodies such as the Care Quality Commission, in order to maintain its accreditation. There was also evidence of an internal quality audit having taken place in April 2010, although the outcomes of this were less clear, other than the need for an induction training file to be set up. What the care home does well:
Care Homes for Adults (18-65 years) Page 5 of 10 This inspection was focused only on those areas identified at the last inspection as needing improvement. Nearly all of those improvements have been carried out, or are in the process of being developed. Information about the home is being made more accessible and readable. Detailed and individualised care plans are in place to meet the health and social needs of the people in the home. Staff are being trained in how best to protect people from abuse. The building is being improved, as is the decor and furniture. Staff recruitment records are now held in the home for inspection, and the job application form updated and improved. There is now a full staff team. Routine maintenance of the home is being carried out. A good quality assurance system, with external independent inspection has been introduced into the home. This home provides a comfortable and relaxed environment for the people who live it, who are encouraged to be as independent as possible Staff give caring and sensitive support to the residents. 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 6 of 10 Are there any outstanding requirements from the last inspection? Yes £ No R 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 Homes for Adults (18-65 years) Page 7 of 10 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 1 6 15 Care plans must be regularly 09/07/2010 updated in the light of the monthly reviews of those plans. This is to make sure that the guidance to staff on how best to meet the needs of service users is kept up to date and relevant to their care. 2 35 18 All staff must be given the full range of staff training required by current legislation. This is to make sure that people living in the home benefit from having properly trained staff to care for them. 09/12/2010 3 42 23 All checks of fire safety systems and equipement must take place at the frequecies laid down in the front of the fire log book. This is to keep service users, staff and visitors safe from the risk of fire. 30/06/2010 Care Homes for Adults (18-65 years) Page 8 of 10 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 1 6 The monthly progress report on each service user should focus on how well the aims of the individual care plans are being met. Handwritten entries in the the homes Medication Administration Record should have two staff signatures and be dated. Clarity is needed regarding what to record when as and when required medicines are not administered. Any gaps or other anomalies in the employment history of a job applicant should be challenged and explored with the applicant, and this process recorded. Written references should, wherever possible, be from previous employers and one should always be from the last or current employer. All policies and procedures should be clearly dated. 2 20 3 34 4 34 5 40 Care Homes for Adults (18-65 years) Page 9 of 10 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 10 of 10 - 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!
