Care Home: Camelot Retirement Home

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What the care home does well The home provides residents with a homely, relaxed and caring environment. Residents are enabled where possible to exercise choice and control over their lives whilst resident in the home. Residents spoke positively about their experiences at the home.The staff was observed to deliver care, which maintained the residents privacy, dignity and respect. The two residents spoken with individually felt the care provided respected their privacy and dignity. Nine resident`s surveys stated they always received the care and support they needed and three stated usually. Comments received were, `everyone is very helpful, kind and supportive,` `very good care,` `the staff have catered very well for all my requirements,` `the staff are very caring and helpful,` `it is ok and I am very happy here, and all my needs are taken care of,` `overall very good care home, well run with friendly staff,` and ` I think it is a very happy place.` What has improved since the last inspection? No Requirements were made following the last Inspection. What the care home could do better: The recruitment process should ensure staff does not commence work in the home before a satisfactory POVA First /CRB check has been received. The Manager has confirmed that the checks of the emergency lighting in the home will be fully recorded and that the frequency of checks on the hot water outlets accessed by residents will be increased. So Requirements have not been made on this occasion. CARE HOMES FOR OLDER PEOPLE Camelot Retirement Home 7 Darley Road Eastbourne East Sussex BN20 7PB Lead Inspector Judy Gossedge Unannounced Inspection 12th September 2008 11:00 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 Camelot Retirement Home DS0000021066.V371643.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. Camelot Retirement Home DS0000021066.V371643.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Camelot Retirement Home Address 7 Darley Road Eastbourne East Sussex BN20 7PB 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) 01323 735996 01323 733159 Camelot1@btconnect.com Mr Anthony White Mrs Margaret White Mr Anthony White Mrs Margaret White Care Home 17 Category(ies) of Old age, not falling within any other category registration, with number (17) of places Camelot Retirement Home DS0000021066.V371643.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. That a maximum number of service users to be accommodated must not exceed seventeen (17). That service users be older people aged sixty-five (65) years or over on admission. 23rd September 2006 Date of last inspection Brief Description of the Service: Camelot is a semi-detached property on four floors, situated a short distance from the seafront in Meads, a residential area of Eastbourne. Eastbourne town centre with its shops, bus and rail routes are approximately a quarter of a mile away, and nearby Meads village with shops and a post office are also available. There is a garden area at the rear of the home, which residents can access. Resident’s bedroom accommodation comprises of sixteen single rooms and one double room with all but one having en-suite toilet and washbasin facilities, and located on all of the floors. There are three bathrooms of which one has a hoist. The double room has an en-suite shower facility. On the ground floor are a large lounge and a separate dining room. Access to all floors is facilitated by a passenger lift, although some bedrooms are accessed by a further flight of stairs. The service provides prospective residents with a copy of the homes brochure and an offer to visit in the first instance. A copy of the Service Users Guide and verbal contract is supplied at the time of the pre-admission assessment process. A Statement of Purpose is made available to residents in the home. The range of fees charged at the time of the Inspection is from £385.00 to £425.00 in-house activities and basic toiletries are included in the fees. Additional charges are made for hairdressing, chiropody, newspapers and dry cleaning. Intermediate care is not provided. The homes email address is Camelot1@btconnect.com. Camelot Retirement Home DS0000021066.V371643.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 this service is 2 star. This means the people who use this service experience good quality outcomes. The reader should be aware that the Care Standards Act 2000 and Care Homes Regulations`2001 uses the term ‘service users’ to describe those living in care home settings. For the purpose of this report, those living at Camelot will be referred to as ’residents.’ Since the last Inspection an Annual Service Review has been completed. It does not involve a visit to the service but is a summary of new information given to us, or collected by us, since the last key Inspection. The Provider had been asked to complete an Annual Quality Assurance Assessment (AQAA), which is quoted in this report. This unannounced Inspection took place over four and three quarter hours on 12 September 2008. A tour of the premises took place to look at communal areas and a selection of resident’s bedrooms and care records were inspected. Seventeen people were resident and two were spoken with individually in their bedroom, two in a communal area and a number were spoken with as part of the Inspection process. The care that three of the residents received was reviewed. The opportunity was also taken to observe the interaction between staff and residents in the communal areas. Seven residents surveys were sent out and twelve came back completed. Four care workers surveys were sent out and seven completed surveys were returned. The Manager photocopied further surveys to be circulated and completed. Two care workers; the cook/care worker, the proprietor and the Manager were all spoken with. The Registered Manager is also one of the proprietors, the other proprietor being his wife and both work in the home full time. What the service does well: The home provides residents with a homely, relaxed and caring environment. Residents are enabled where possible to exercise choice and control over their lives whilst resident in the home. Residents spoke positively about their experiences at the home. Camelot Retirement Home DS0000021066.V371643.R01.S.doc Version 5.2 Page 6 The staff was observed to deliver care, which maintained the residents privacy, dignity and respect. The two residents spoken with individually felt the care provided respected their privacy and dignity. Nine resident’s surveys stated they always received the care and support they needed and three stated usually. Comments received were, ‘everyone is very helpful, kind and supportive,’ ‘very good care,’ ‘the staff have catered very well for all my requirements,’ ‘the staff are very caring and helpful,’ ‘it is ok and I am very happy here, and all my needs are taken care of,’ ‘overall very good care home, well run with friendly staff,’ and ‘ I think it is a very happy place.’ What has improved since the last inspection? What they could do better: Please contact the provider for advice of actions taken in response to this inspection. 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. Camelot Retirement Home DS0000021066.V371643.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 Camelot Retirement Home DS0000021066.V371643.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. JUDGEMENT – we looked at outcomes for the following standard(s): 1, 3 and 6. People who use this service experience good quality outcomes in this area. This judgement has been made using available evidence including a visit to this service. There is detailed information available for residents and/or their representatives to view. Potential new residents are individually assessed prior to an admission to ensure that their care needs can be met in the home. Intermediate care is not provided in the home. EVIDENCE: The Statement of Purpose and Service User’s Guide and were read during the Inspection. These had just been reviewed and were due to be given to the residents so that they have their own copy to reference in their room. Ten of the residents surveys stated they had received enough information about the home, and commented, ‘more than enough information,’ ‘more than enough,’ ‘Camelot was one of three homes visited and it was by far the best. Staff were very friendly and helpful and the room being situated on the ground floor, with access to the garden suited us perfectly,’ and two did not answer but stated, Camelot Retirement Home DS0000021066.V371643.R01.S.doc Version 5.2 Page 9 ‘initially came in on respite care basis and then decided to stay and received all information needed,’ and ‘due to shortness of time we were unable to wait for written details, but due to previous knowledge of the home and impressions on visit we were happy to make the decision.’ One new resident spoken with confirmed they had been visited by staff from the home, had had the opportunity to visit the home in advance of their admission and had received enough information about the home. The resident’s contracts were not viewed on this occasion, but all of the resident’s surveys stated they had received a contract. The AQAA details that a pre-assessment is carried out prior to any admission. This is to ensure individual resident’s care needs can be met in the home and to provide staff with information on the care to be provided. A detailed preadmissions format is in place, and for two new residents admitted to the home since the last Inspection there was detailed pre-admission information viewed, which had been completed. For one where the placement was arranged through a local authority there was also a copy of an assessment carried out by a care manager for the authority. Intermediate care is not provided in the home. Camelot Retirement Home DS0000021066.V371643.R01.S.doc Version 5.2 Page 10 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): 7, 8, and 9. People who use this service experience good quality outcomes in this area. This judgement has been made using available evidence including a visit to this service. Residents are protected by a detailed individual plan of care being in place, where all their personal, social and health care needs are identified at the start of their stay and which informs staff of the care, which needs to be provided. Supporting risk assessments are recorded. Medication policies and procedures are in place to protect residents. EVIDENCE: The AQAA details that a new format to record individual residents care plans has been put in place. Four of the residents individual care plans were viewed and are kept in well-structured folders. These were detailed and gave clear guidance to staff of the care to be provided, resident’s health care requirements, dietary needs, and social and leisure interests. The home maintains daily notes and these provide an effective tool for care plan reviews. Supporting risk assessments were also viewed and where there are any identified risks the recording detailed how these will be managed. All these documents had been reviewed. The seven staff surveys stated they always Camelot Retirement Home DS0000021066.V371643.R01.S.doc Version 5.2 Page 11 received enough information about the care to be provided. Comments received were, ‘I am always getting up to date information about the needs of the people I support or care for from the care plan or senior staff,’ ‘lots of information in this area, ‘ ‘the information and needs of each resident in our care are entered daily in their care plans so we can support and care for them,’ and ‘before each shift the senior nurse informs me of any new routines or new residents, I also look at the care plans.’ The home maintains and promotes residents health and helps them access health care services to meet their needs. Records viewed evidenced residents are registered with a local General Practitioner (GP) and have access to other health care professionals, including district nurses, via the surgeries. Ten resident’s surveys stated they always received the medical support they needed and one usually and for one it was not applicable. Comments received were, ‘proprietor willing to take me to hospital/doctors appointments if necessary,’ and ‘very good service.’ The AQAA details the home has a policy for the handling of medication which includes receiving, recording, storage, handling, administration and disposal of medicine. Residents are able to self medicate under the risk management assessment framework. None of the residents self medicated at the time of the Inspection. Medication is stored in a locked trolley, and a sample of the recording of medication administered was viewed. Changes in the requirements for the storage of control drugs was discussed with the proprietor and the Manager and a Requirement made for the necessary changes to be implemented. The record was not available to view of the pharmacist last visit, but the proprietor stated that the recommendations made following the visit are being implemented. This has included the need for a larger trolley to store medication, which had been ordered and received but not yet put in to use. Some medication is kept in a fridge, which is not locked. This was discussed with the proprietor who stated that a risk assessment would be completed with immediate effect, so a Requirement was not made on this occasion. Two care workers spoken with confirmed they had received medication training. Training records evidenced staff that had received medication training. The two resident’s spoken with individually felt that their medical care needs were met in the home. The staff was observed to deliver care, which maintained the residents privacy, dignity and respect. The two residents spoken with individually felt the care provided respected their privacy and dignity. Nine resident’s surveys stated they always received the care and support they needed and three stated usually. Comments received were, ‘everyone is very helpful, kind and supportive,’ ‘very good care,’ ‘the staff have catered very well for all my requirements,’ ‘the staff are very caring and helpful,’ ‘it is ok and I am very happy here, and all my needs are taken care of,’ ‘overall very good care home, well run with friendly staff,’ and ‘ I think it is a very happy place.’ Camelot Retirement Home DS0000021066.V371643.R01.S.doc Version 5.2 Page 12 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): 12, 13, 14 and 15. People who use this service experience good quality outcomes in this area. This judgement has been made using available evidence including a visit to this service. Where possible residents are enabled to exercise choice in their lives whist resident in the home, there are opportunities to participate in social and recreational activities provided, residents are encouraged to maintain contact with family and friends as they wish and a varied diet is provided. EVIDENCE: The AQAA details that over the last twelve months there has been an increased number and choices of activities in the home. That resident’s are made aware of the activities in advance through the homes monthly newsletter and are actively encouraged to invite guests to attend any of the activities. There is a daily programme of activities, which includes music for health, exercises, quizzes, art and crafts and visiting entertainers. A volunteer from Canine Concern brings her dog in to the home regularly. Residents social interests are recorded on their individual care plans. On the day of the Inspection during the afternoon, residents were congregating in the lounge for a game of bingo. The resident’s surveys stated there were always activities arranged and four stated usually. Comments received were ’I wish not to participate, but they are Camelot Retirement Home DS0000021066.V371643.R01.S.doc Version 5.2 Page 13 there if I wish to,’ ‘car days out,’ ‘ I like bingo the best and outing.’ Some residents go out on their own and others go out with friends and family members. The two residents spoken with individually one was on their way to join in the bingo, the other preferred to read and listen to the radio and did not always want to join in the activities provided. The AQAA details that residents are free to have visitors at any reasonable time. The two residents spoken with individually confirmed there was flexible visiting, that staff are very welcoming and they could see their relative/friend in private if they wished. The care and support provided was observed to enable residents where possible to exercise choice whilst at Camelot. The four residents files viewed, staff and the four residents spoken with confirmed this. The AQAA detailed that there are choices available at every mealtime and the menu’s constantly monitored taking in to account residents expressed likes and dislikes. The cook was spoken with, who works seven days a week and stated she holds a basic food hygiene certificate. Staff and residents all confirmed if residents do not like what is on the menu there are always a range of alternatives. Lunch on the day was fried fish, fish in sauce or egg and chips followed by fruit jelly, peaches, and fruit pie or lemon meringue with cream and/or ice cream. Special diets are catered for. On the day some residents were observed eating their lunch in the dining room and others in their bedroom. It was a relaxed environment taking into account the different length of time that individual residents would need to finish their meal. All the residents spoken with stated they had enjoyed their meal. Records are kept of food consumed individually by each resident to ensure they are receiving an adequate diet. Nine of the resident’s surveys stated they always like the meals provided and three usually. Comments received were, ‘less fatty meat, everything else is very good, ‘meals are always well presented,’ and ‘very good food and plenty of it.’ The comment about the meat was passed to the proprietor on the day, who stated that this would be looked in to. The Manager has subsequently stated that this issue has been discussed with the resident and in future when meat is on the menu, this will be provided in a way which will meet their individual needs. Camelot Retirement Home DS0000021066.V371643.R01.S.doc Version 5.2 Page 14 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): 16 and 18. People who use this service experience good quality outcomes in this area. This judgement has been made using available evidence including a visit to this service. Policies and procedures are in place to enable residents or their representatives to raise any concerns about the care being provided and to ensure that residents are protected from abuse. But these should be followed to protect residents. EVIDENCE: There is a detailed complaints policy and procedure in place. The AQAA detailed that twelve complaints had been received at the home during the last year and that none of them were upheld. The homes complaints book is in the homes hallway and was viewed during the Inspection and it demonstrates that complaints are recorded and any actions taken to address any issues. The CSCI have not received any concerns in relation to the care provided at Camelot. Nine of the resident’s surveys stated they were aware who to talk to if they were not happy and how to make a complaint, one stated sometimes two did not answer the question but one stated, ‘I know to talk to the Manager, but as yet I have not been unhappy about anything yet.’ All stated they knew how to make a complaint. All the staff surveys stated they knew what to do if a resident had any concerns and commented ‘encourage residents to tell us their worries so we can help out. For more urgent matters I will tell them to go directly to the senior nurse or the managers. They will always look into matters and sort it out to the best of their ability.’ Camelot Retirement Home DS0000021066.V371643.R01.S.doc Version 5.2 Page 15 The AQAA detailed that there are policies and procedures in place in relation to the safeguarding of vulnerable adults. The proprietor stated that a copy of the new East and West Sussex County Council, Brighton and Hove safeguarding adults’ procedures is available to reference in the home. Training records viewed evidenced staff had received safeguarding adults training. The three care workers spoken with confirmed they had attended this training and demonstrated an awareness of the policies and procedures. As discussed under Standard twenty-nine of this report resident’s are not always safeguarded, as staff is not always being fully vetted before working at the home. Camelot Retirement Home DS0000021066.V371643.R01.S.doc Version 5.2 Page 16 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): 19 and 26. People who use this service experience good quality outcomes in this area. This judgement has been made using available evidence including a visit to this service. Residents live in a clean and homely environment, decorated and furnished to a good standard. The home ensures that residents private accommodation is equipped to provide comfort and privacy and to meet the assessed needs of those people residing in the room. EVIDENCE: The AQAA detailed there is an ongoing maintenance programme. That resident’s bedrooms, when vacant have bee re-carpeted and re-decorated before re-letting. An additional en-suite bedroom has been added using part of the communal area. There has been total rewiring of the homes electrical systems. Camelot Retirement Home DS0000021066.V371643.R01.S.doc Version 5.2 Page 17 A tour of the building was made. The home is decorated and furnished in a homely style. There are seventeen bedrooms on all floors in the home; all were being used as single bedrooms at the time of the Inspection. A number of bedrooms were viewed and displayed resident’s individual styles and interests. The Manager stated there is an ongoing work redecorating and replacing carpets where required. All bedrooms have an emergency call bell system. All but one of the bedrooms has en-suite facilities of a toilet and wash-hand-basin. Bathroom facilities are provided throughout the home. Residents are able to control the temperature in their own bedrooms. The two residents spoken with confirmed there is adequate heating and hot water in the home. A passenger lift is available from the ground floor to the top floor. There is one lounge and a dining room on the ground floor. Residents have access to a private and well-stocked garden at the rear of the home. Two residents spoke of their enjoyment at sitting out in the garden. The AQAA details that there is a policy in place for managing infection control and that Department of Health Guidance has been used to assess current infection control management. The home was clean and free from offensive odours at the time of the Inspection. Feedback from the resident’s surveys was that the home was always fresh and clean. Comments received were, ‘lovely and clean,’ and ‘very nice environment, always clean and fresh.’ The domestic assistant was not spoken with on this occasion, but training records detailed he had received training/guidance in infection control or the control of substances hazardous to health regulations (COSHH). Staff confirmed that there was good access to protective clothing, liquid soap and paper towels. Recording was viewed of routine fire checks that had been carried out in the home. The recording did not evidence regular checks of the emergency lighting in the home. This was discussed with staff, who stated this was completed and that the recording would be developed to detail the checks completed. The Manager subsequently also confirmed that checks are completed. So a Requirement was not made on this occasion. Camelot Retirement Home DS0000021066.V371643.R01.S.doc Version 5.2 Page 18 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): 27, 28, 29 and 30. People who use this service experience adequate quality outcomes in this area. This judgement has been made using available evidence including a visit to this service. A robust recruitment procedure needs to be in place to ensure residents are in safe hands at all times. Staff are provided with the required training or updates to ensure they have the skills to meet all the residents care needs. EVIDENCE: Staff rotas were viewed and demonstrated that there were sufficient staff deployed in the home on the day to ensure resident’s needs are met. The Registered Manager and the other Registered Provider also work full time in the home and provide an out of hours on-call duty. The rota for the next day detailed only two care workers due to the absence of a further care worker. The proprietor stated that both she and the Manager would be working in the home and this should be detailed on the rota to fully demonstrate who is working in the home each day. The proprietor also confirmed that further care workers are in the process of being recruited to work in the home, which assist in covering when staff are absent, as agency staff are not used in the home. At night the home deploys one ‘sleeping in’ member of staff and the Manager stated that staffing levels in the home is kept under review to ensure that all the residents care needs continues to be met. All of the residents surveys stated staff always listen and act on what residents say, and one commented, Camelot Retirement Home DS0000021066.V371643.R01.S.doc Version 5.2 Page 19 ‘I get on very well with the staff.’ Nine resident’s surveys stated that staff is always available and three usually. Four stated they always receive the care and support needed and two usually. Comments received were, ‘staff are good to me,’ and ‘everything satisfactory.’ Care workers surveys stated there was always or usually enough staff. Comments received were, ‘if there is any staff shortage Margaret and Tony are very much hands on and will become a spare pair of hands when needed,’ ‘the manager always tries to make arrangements for holiday periods. Sometimes this is not possible.’ and all stated they always the right support and experience to meet individual residents care needs. The AQAA detailed that five of the nine care workers holds an NVQ Level 2 in care and two further care workers are working towards this qualification. The AQAA detailed that new staff working in the home had satisfactory preemployment checks. The documentation was viewed for the three new members of staff, who had been recruited since the last Inspection. All demonstrated the completion of an application form, two had two written references in place, one member of staff had one written reference and a record that a verbal reference had been sought. A further written reference had not been received until after the member of staff had commenced working in the home. This was discussed with the Manager who subsequently confirmed that the verbal reference had been sought as verification, as a further reference had been supplied by the care worker. All had completed a Criminal Records Bureau check (CRB)/and a Pova First check, but for one member of staff a POVA First check had not been received prior to staff commencing work in the home. Subsequent discussions with the Manager have clarified the role of this care worker who was being provided with training/familiarisation in the home. But to meet current requirements a satisfactory POVA First/CRB check should be received prior to the new member of staff training/working in the home. The Manager has stated that upon this further clarification the required checks will be now undertaken.A sample of staff documentation was viewed and all had had a CRB check completed. The AQAA details that induction training for new members of staff in place, which meets the requirements of the General Skills for Care induction standards. Six of the care workers surveys stated the induction covered everything they needed to know very well and one mostly. One new care worker was spoken with during the Inspection who confirmed they were in the process of undertaking their induction. Camelot Retirement Home DS0000021066.V371643.R01.S.doc Version 5.2 Page 20 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): 31, 33, 35, 36 and 38. People who use this service experience good quality outcomes in this area. This judgement has been made using available evidence including a visit to this service. The proprietors have strived to create an atmosphere within the home, which is open, relaxed, homely and caring. Quality assurance systems in the home enable ongoing feedback about the care provided in the home and systems are in place to ensure a safe environment for staff and residents. EVIDENCE: There is a Registered Manager in place in the home who has completed the Registered Managers Award and NVQ Level 4 in Care. The other proprietor also has the required management qualifications. Thus, they are both qualified to provide guidance and support to staff. Feedback received was that the running of the home was open and transparent and there were opportunities Camelot Retirement Home DS0000021066.V371643.R01.S.doc Version 5.2 Page 21 for staff, residents and their representatives to affect the way in which the service is delivered. A quality assurance system is in place. It was evidenced that feedback about the service provided has been sought from residents through residents meetings and surveys. Minutes from staff and residents meetings were viewed and it was evident that both groups are given the opportunity to influence how the home is run. Feedback from the outcome of the quality assurance process undertaken in the home has been collated and is available to read in the home. The AQAA detailed that policies and procedures are in place but not when these had been reviewed. This was discussed with the proprietor who stated these are updated yearly and that she was in the process of updating all policies and procedures. Residents are encouraged to retain control of their own finances for as long as they are able to do so and if unable then this responsibility is taken on by a relative or another responsible persons external to the home. When items are purchased on behalf of residents the cost is added to the monthly invoice. The Manager reported that they do sometimes hold small amounts of money for a few residents, and a sample of the recording for one resident for whom money is kept was viewed and was adequate. Supervision for care staff is in place to meet the requirements of Standard 36. A plan for supervisions to be completed during the year was viewed and the Manager subsequently confirmed that detailed records are also kept. The seven care workers surveys stated that they regularly met with their Manager. Comments received were, ‘‘ he gives us support and discusses our working at our appraisals. Also to see that training is kept up-to-date,’ ‘every two months for supervision,’ ‘this is done on a regular basis and you could go to the office any time of day, and you could talk to Tony or Margaret about any issue, as they always have time for you,’ and ‘so far I have had regular appraisals and I have always been welcome to take up any matters and problems with the managers. Training records were viewed, and staff spoken with confirmed they have received the required training/updates in moving and handling, basic food hygiene, first aid and infection control within the required timescales. The Manager stated that there is an ongoing rolling programme for training and updates of training and that first aid and basic food hygiene training is due to be facilitated shortly. A detailed check of the environment had been completed and the AQAA detailed that the maintenance of equipment and services has been carried out. There were records of testing of the hot water temperatures at outlets accessed by service users to ensure these are being maintained at close to Camelot Retirement Home DS0000021066.V371643.R01.S.doc Version 5.2 Page 22 43º C. The frequency of the checks were subsequently discussed with the Manager as recording demonstrated a lapse in the frequency of these checks, and who stated that these would be increased with immediate effect. The Manager subsequently confirmed a fire risk assessment is in place, which has been reviewed in the last month. Records were viewed of regular checks of the fire procedures in the home. Records viewed evidenced staff had been provided with fire training. Recording was viewed of incidents and accidents. Camelot Retirement Home DS0000021066.V371643.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 2 3 X X X X X X 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 3 X 3 X 3 3 X 3 Camelot Retirement Home DS0000021066.V371643.R01.S.doc Version 5.2 Page 24 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. Standard OP9 Regulation 13 (2) Requirement That suitable storage and recording is in place for control drugs to meet the new requirements. To protect residents and staff. That a thorough recruitment and selection process is in place and staff does not commence work in the home before a satisfactory POVA First /CRB check has been received. To protect residents. Timescale for action 30/11/08 2. OP29 19 (1) (a) (b) 30/09/08 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 Camelot Retirement Home DS0000021066.V371643.R01.S.doc Version 5.2 Page 25 Commission for Social Care Inspection Maidstone Office The Oast Hermitage Court Hermitage Lane Maidstone ME16 9NT 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 Camelot Retirement Home DS0000021066.V371643.R01.S.doc Version 5.2 Page 26 - 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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