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Clachan of Campsie House Care Home Service

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Clachan of Campsie House Care Home Service Clachan of Campsie House Care Home Service 9 Main Street Lennoxtown Glasgow G66 7HA Telephone: 01360 312 765 Type of inspection: Unannounced Inspection completed on: 23 May 2018 Service provided by: Service provider number: Care Homes (Scotland) Ltd SP2007008815 Care service number: CS2016347279 Inspection report About the service Clachan of Campsie House is a care home for older people that is located in the main street of Lennoxtown in East Dunbartonshire. The home is near to local shops and bus routes. The service is operated by Care Homes (Scotland) Ltd. This service registered with the Care Inspectorate on 29 March 2017 to care for 95 older people, including one respite place. The provider also operates another care home for older people which is located in Glasgow. The service operates from a two storey building. There are two units on the ground floor and two on the first floor. At the time of the inspection, only two units were occupied. These were Primrose Lane on the ground floor which had 17 residents and Bluebell Boulevard on the first floor which had 16 residents. Primrose Lane was supporting people who were physically frail and had some nursing needs. Bluebell Boulevard was supporting people with a diagnosis of dementia who also had nursing needs. The provider's published aims and objectives included the following: "- to provide a quality of life that supports people living here to retain their independence, identity and a sense of value. - to promote each person's physical, mental and emotional health and safeguard individual rights. - to deliver the best possible care and support to everyone who lives in Clachan of Campsie House at all times." What people told us For this inspection, we received views from 13 people living in the service. Eight relatives returned completed care standards questionnaires. From the questionnaire responses three people strongly agreed and four people agreed that they were happy with the overall quality of care their relative received from the service. One person strongly disagreed with this statement. We also spoke with six relatives during the inspection. Residents spoke positively about the care and support they received and the staff that looked after them. Comments included: "Staff are great. They are polite." "The food is enjoyable." "There are activities like exercises and movies." "Would definitely ecommendr here." However people who lived in the service also expressed less positive views about lack of staff, use of agency staff and staff turnover. Comments included: "They are short staffed sometimes" "There are agency staff at night-time" "Some staff have left." Views from relatives about the service provided were mixed. Comments included: Inspection report for Clachan of Campsie House page 2 of 14 Inspection report "The care side is smashing. The management side is not smashing." "The few excellent staff they do have are over-worked and stretched to the limits." "The carers are great which, given the management issues the home has had, is quite amazing. They have continued to deliver care with kindness and respect." "I am pleased with Clachan of Campsie. I visit every day and see the good care given to residents." "No management presence. Staff retention seems poor." Self assessment The service had not been asked to complete a self assessment in advance of the inspection. We looked at their improvement plans and quality assurance paperwork. These demonstrated their priorities for development and how well they were monitoring the quality of the provision within the service. From this inspection we graded this service as: Quality of care and support 3 - Adequate Quality of environment 4 - Good Quality of staffing 3 - Adequate Quality of management and leadership 3 - Adequate Quality of care and support Findings from the inspection People said that they felt safe living in the service. Residents who lived in the home were generally positive about the overall quality of care and support they received. Comments were "I'm very happy here" and "staff are great". Relatives had mixed views. Comments ranged from "The care is good. Staff are very caring" to "I have sadly witnessed a decline in the overall performance of the home." A previous area for improvement was the varied quality of information recorded in personal plans. The service was changing the format of plans to make them more person-centred. However gaps and inconsistencies in recording were still evident. Staff using personal plans were at risk of providing support to people that were informed by inaccurate information. This was relevant to all staff but particularly to agency staff that may be less familiar with people's needs. (see requirement 1). The majority of people we spoke with said that they enjoyed the food, snacks and drinks the service provided. One person told us "there are other choices if you don't like what's on the menu". Another said that breakfast was "lovely". However we had concerns that staff were not consistent in how they assessed people at risk of under-nutrition. Staff's understanding of people's food and fluid needs varied and the quality of ecorr ding about this fluctuated. The visiting dietician was providing additional training on this. (see requirement 2). Inspection report for Clachan of Campsie House page 3 of 14 Inspection report The service had appointed a new activities coordinator since our last inspection. The two previous activity coordinators had left the service. This meant that the service was in a position where it had an enthusiastic but inexperienced person in this key role. We signposted the activities coordinator to a range of useful resources relevant to the role. However this staff member would benefit from specific training, development and peer support. People described enjoying some activities such as movies, bingo and a celebration of the recent Royal wedding. However opportunities for people to go outside of the home were more limited and often relied on relatives and friends to accompany them. The service had improved its management of medicines since we last visited the service. This meant that people got their medicines in a safe and correct way. The service was also introducing medicine pods in people's bedrooms which would allow for a more individualised approach. People were able to access money when they needed it. The service had improved its procedures for recording and safeguarding people's money. However, there was room for further improvement. (See the section of this report headed "What the service has done to meet any requirements made at or since the last inspection." ) Requirements Number of requirements: 2 1. To ensure the quality of personal plans inform correct staff practice the provider must ensure all plans are personalised and accurately written by 31 July 2018. Personal plans must be routinely reviewed to make sure that they remain accurate and up to date. This should be done by staff who have experience and knowledge of person-centred planning. The service must always involve service users and/or their representatives in planning and implementing their care and support. This is to ensure that care and support is consistent with the Health and Social Care Standard 1.5, which states "My personal plan is right for me because it sets out how my needs will be met, as well as my wishes and choices". It is also necessary to comply with Regulations 5(1) and (2) of the Social Care and Social Work Improvement Scotland Regulations 2011. 2. To ensure the nutritional needs of people who use the service are met in line with best practice the provider must address the following areas by 31 July 2018: - develop and implement clear prevention plans to avoid significant unplanned weight loss, and/or dehydration. - develop and implement clear treatment plans when people are identified with significant weight loss and/or when fluid intake is poor. - develop and implement policy guidance for the prevention and management of significant unplanned weight loss and/or dehydration. - demonstrate that malnutrition risk screening tools are properly used to fully inform practice. Inspection report for Clachan of Campsie House page 4 of 14 Inspection report - ensure that all staff have a good understanding of people's food and fluid needs including what action to take if they identify people at risk of malnutrition and/or dehydration. This is to ensure that care and support is consistent with the Health and Social Care Standards: 1.37, which states "My meals and snacks meet my cultural and dietary needs, beliefs and preferences and 1.39, which states "I can drink fresh water at all times" It is also necessary to comply with Regulations 4(1)(a) and 5(1) of the Social Care and Social Work Improvement Scotland Regulations 2011. Recommendations Number of recommendations: 0 Grade: 3 - adequate Quality of environment Findings from the inspection The quality of the environment inside the building was good. The building used external CCTV for security purposes and the safety of all residents. The home had secure entry systems and everyone coming to the service was required to sign in and out. People told us that they felt safe living in the home. The home was welcoming, clean and well furnished. People that we spoke with gave us positive feedback about their personal space and other areas of the home. People told us that could personalise their rooms and we saw very good examples of this. Residents benefited from a good standard of personal and communal living space. The service provided additional facilities such as a cinema room and private dining area. The home had nicely furnished seating areas throughout. This allowed people a good choice of shared or private spaces.
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