Inspection on 12/02/08 for Claremont Nursing Home

This inspection was carried out on 12th February 2008.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Good. The way we rate inspection reports is consistent for all houses, though please be aware that this may be different from an official CSCI judgement.

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:

Claremont House

Oak Ridge

Sun Court Nursing Home

Ashville House

Bramley Avenue (73)

Bilney Hall

Hill Barn

Mabbs Hall Nursing Home

Extracts from inspection reports are licensed from CQC, this page was updated on 08/07/2008.

CARE HOMES FOR OLDER PEOPLE Claremont Nursing Home 20a Yarmouth Road Caister-on-Sea Gt Yarmouth Norfolk NR30 5AA Lead Inspector Maggie Prettyman Unannounced Inspection 12th February 2008 09:30 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 Claremont Nursing Home DS0000070195.V359718.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. Claremont Nursing Home DS0000070195.V359718.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Claremont Nursing Home Address 20a Yarmouth Road Caister-on-Sea Gt Yarmouth Norfolk NR30 5AA 01493 377041 01493 377022 manager@clarementnursinghome.healthcareho mes.co.uk Healthcare Homes Limited 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) Mrs Lynda Parsons Care Home 26 Category(ies) of Old age, not falling within any other category registration, with number (26), Physical disability (26) of places Claremont Nursing Home DS0000070195.V359718.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. The registered person may provide the following categories of service: Care Home with Nursing - N to service users of the following gender: Both Whose primary care needs on admission to the home are within the following categories: Old age, not falling within any other category - code OP Physical Disability - code PD Date of last inspection Brief Description of the Service: Brief Description of the Service: Claremont is a purpose built care home providing both personal and nursing care for up to 26 service users. It is owned by Healthcare Homes ltd. The home is situated in the centre of Caister on Sea and is close to shops, post office and other amenities. The home was purpose built and opened in 1996. It is a single storey building surrounded by extensive grounds that are easily accessible with extensive parking. There are 22 single and 2 shared bedrooms all having en suite facilities. The communal areas consist of two lounges and one dining room. The current range of weekly fees is £490 - £600 Claremont Nursing Home DS0000070195.V359718.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 Two Stars. This means that people who use the service experience good quality outcomes Care services are judged against outcome groups, which assess how well a provider delivers outcomes for people using the service. The key inspection of this service has been carried out by using information from previous inspections, information from the provider, some residents and their relatives as well as others who work in or visit the home. This has included a recent unannounced visit to the home. This report gives a brief overview of the service and current judgements for each outcome group. This inspection took place over the course of 7 hours and included a tour of the premises, observations of staff practice and inspection of written records and files. Residents and their visitors were consulted and staff asked about their duties and their experience of working there. A visiting NVQ Assessor was interviewed. Prior to the inspection a detailed Annual Quality Assurance Assessment (AQAA) was undertaken by the home and submitted to the Commission In addition,several confidential questionnaires were returned to the Commission by residents or their relatives. What the service does well: The Claremont is a good home that demonstrates some excellent outcomes in Health Care and Management standards. Good information has been compiled about the home, which enables people and their families to be well informed about its services. Nobody comes to live at the home without having a detailed assessment of their needs undertaken. The information from this assessment is used to create excellent care plans, which are reviewed and updated with the participation of the resident where possible. Good healthcare and medication management systems are in place. The home demonstrates excellent standards by respecting people’s privacy and dignity and supporting them and their family during end of life care. The home is working towards improving its choice of activities and people are encouraged to keep up their existing hobbies and social contacts when they come to live there. People living at the home feel that they can choose how to live their lives. Claremont Nursing Home DS0000070195.V359718.R01.S.doc Version 5.2 Page 6 One person said, “I can get up and go to bed when I want, I eat where I want to and my visitors are always made welcome.” Another commented, “I get out and about and do all the things I want to do.” The home listens to and takes action about peoples day-to-day comments and concerns and helps ensure people are safe there and are protected from harm as much as possible. The home itself is spotlessly clean and hygienic. The décor is homely and comfortable, and people can bring their own furniture and belongings with them. The laundry is well organised and peoples clothes are well cared for. A hardworking, cheerful and caring staff team are in sufficient numbers to look after the residents of the home. They are carefully recruited and vetted and are given a good standard of induction and ongoing training. The manager of the home is experienced and kind. She is well trained and constantly works to improve her knowledge and the service that the home offers. The home is well run and operates safe working practices. What has improved since the last inspection? This home has recently been acquired by Healthcare Homes. They have worked in partnership with the manager to identify areas that have been under-resourced in the past, and are in the process, together, of significantly improving many aspects of the home. Significant improvements have been achieved in the standard and range of information available to people coming to live at the home. A new system of medication is in place and detailed “Best Practice” training for staff is supporting this. The home has put great effort into developing a holistic approach to end of life care, and has introduced new policies and procedures to achieve this Staffing levels have been increased in some areas and considerable investment has been made both in the décor of the building and in equipment and furnishing. Training given to staff at induction and in ongoing and mandatory areas has significantly improved. The hard work and commitment of all parties to development and change at the home was obvious during the inspection. The home had been through a very difficult time, and the commitment of the staff team to maintain standards during this period is to be commended. Claremont Nursing Home DS0000070195.V359718.R01.S.doc Version 5.2 Page 7 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. Claremont Nursing Home DS0000070195.V359718.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 Claremont Nursing Home DS0000070195.V359718.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): Standards 1, 3 and 6 People who use the service experience good quality outcomes in this area. This judgement has been made using available evidence including a visit to this service. Prospective residents and their representatives have the information they need to choose the home. A detailed needs assessment is undertaken before anyone comes to live there so staff know what support they need. EVIDENCE: The new proprietors are working with the manger to substantially improve the information available to people who are thinking of coming to live at the home. Written information is being improved and the organisation has a clear and accessible website which will shortly include details of this recently acquired home. The manager has worked extremely hard to develop a “Choice of Home folder which is a detailed resource taken out on assessment visits. This range of information enables people to make choices and to know what the home will offer them as part of its service. Claremont Nursing Home DS0000070195.V359718.R01.S.doc Version 5.2 Page 10 Examination of individual residents’ records as well as discussion with relatives and staff demonstrated that the home gathers detailed information about people before they come to the home. This facilitates both their admission as well as the development of their long-term care plans. The home does not offer intermediate care and so is not assessed under this standard. Claremont Nursing Home DS0000070195.V359718.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): Standards7, 8, 9, 10 and 11 People who use the service experience excellent quality outcomes in this area. This judgement has been made using available evidence including a visit to this service. The health and personal care that people receive is based on their individual needs. The principles of dignity, respect and privacy are consistently put into practice so that people feel their support needs and views are taken into account. EVIDENCE: Inspection of individual care plans demonstrated that they are clear, detailed and easily understood. Detailed regular review was found in each case. Where possible the person themselves or their relative signs the plan to agree its content on each page. Each person has their individual risk with regard to pressure areas and falls assessed and plans are put in place to support the prevention of these issues as well as other identified risks. These detailed plans Claremont Nursing Home DS0000070195.V359718.R01.S.doc Version 5.2 Page 12 enable consistent managed care to be undertaken, and show staff clearly what people’s individual needs are. Evidence from residents’ individual files demonstrated that people are consistently receiving support for their healthcare needs. Details of appointments with a range of healthcare professionals were found in all files, and a separate record of contact with health care professionals enables staff to know people’s current health care situation. A tour of the premises demonstrated pressure area relieving equipment to be in place for people needing this. A basic nutritional assessment is currently used, and weights are recorded. Residents would benefit from more detailed nutritional screening, and the home plans to implement the MUST nutritional assessment system soon. The home has recently implemented a Monitored Dose System of drug administration. Observation of a medication round demonstrated that this system is being used appropriately and that people’s medication is better managed as a result. There are some teething problems, but discussion with the manager and staff showed that these are being identified and addressed. Since the last inspection the home has introduced an audit process for its medication system to pick up and resolve any errors or issues relating to its administration. This audit recently identified and corrected incorrect prescribing by a local GP practice. The new owners are implementing a “Best Practice” training programme in medication and its administration. During the inspection it was seen that the person responsible for medication might also have to answer the telephone and deal with management issues. This distraction could cause errors in the medication administration recording process. It was also seen that some antibiotic medication had not been labelled with the date of opening, and insulin not marked with the resident’s name. This means that medication may go past its use by date or that there could be confusion about which medication belongs to an individual. It was also noted that the controlled drugs cabinet is very small, and this may pose problems with safe storage at times Discussion with residents and their relatives as well as observation of care practice during the inspection demonstrated that people are treated with dignity and respect at all times. Staff were observed being kind and cheerful in the course of their duties. A new and detailed induction process emphasises these principles, and ongoing training and individual supervision further support this. Names of choice are clearly displayed in records and consistently used, a mobile telephone is available for people to take telephone calls in private, letters are handed to people unopened, clothes are carefully labelled by the laundry staff and each persons room is individualised and respected as personal space. These practices mean that people’s individuality and privacy are respected in the daily running of the home. Claremont Nursing Home DS0000070195.V359718.R01.S.doc Version 5.2 Page 13 The home is providing excellent standards of individual care and family support at the end of people’s lives. Feedback from a relative of a recently deceased resident showed that the home had provided a safe, caring and supportive environment for the resident and their family. The manager of the home is actively involved in the multidisciplinary clinical development of palliative care. The home is implementing the Liverpool Care Pathway and is in the process of adopting the Gold Standards Framework. These structured and supported practices will further enhance the existing excellent practice that the home already demonstrates. Claremont Nursing Home DS0000070195.V359718.R01.S.doc Version 5.2 Page 14 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): Standards 12, 13, 14 and 15 People who use the service experience good quality outcomes in this area. This judgement has been made using available evidence including a visit to this service. People who live at the home make choices about their lifestyle and some people have a range of individual activities. The home is in the process of improving its social and community activities. EVIDENCE: The home is in the process of appointing a dedicated activities worker. Some regular activities are in place, but this will undoubtedly improve when this person starts work. People living at the home confirmed that they can get up and go to bed when they wish, and can eat their meals where they choose. The initial assessment undertaken by the home includes some information about life history and individual likes and dislikes. Claremont Nursing Home DS0000070195.V359718.R01.S.doc Version 5.2 Page 15 People confirmed that they are able to continue with their chosen external activities. One person in particular continues to play a very active role in the local community. Discussion with residents and their relatives demonstrated that people are supported to maintain their family and friendship networks. Visitors confirmed that they can come at any time and that they receive a warm and cheerful welcome. The manager plans to start regular relatives’ meetings to involve people more fully in the running of the home. A tour of the premises demonstrated that people decorate and furnish their rooms as individually as they wish. People confirmed that their opinion is sought over matters concerning their care and future. Evidence in personal files demonstrated that people know their contents and are involved in planning their own care whenever possible. A tour of the kitchen demonstrated that a hardworking and professional team ensure that the kitchen is clean and well organised. The kitchen has achieved a 5 star standard from the local environmental health authority and is to be commended for this. The new owners have increased the teatime staffing hours in the kitchen to improve this part of the service. Prior to the inspection feedback sheets demonstrated that the Menu is limited and repetitive. They also said that sauces are not always available to accompany meals. This was borne out during the inspection. The home has already recognised that this is a problem and has developed plans to improve the variety and choice offered. In addition, significant input is planned to improve the “Hospitality” element of the homes service. Place settings, crockery and cutlery are all being reviewed and improved. During the inspection it was agreed that individual likes and dislikes as well as dietary requirements could be more effectively displayed in the kitchen than at present. Claremont Nursing Home DS0000070195.V359718.R01.S.doc Version 5.2 Page 16 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): Standards 16 and 18 People who use the service experience good quality outcomes in this area. This judgement has been made using available evidence including a visit to this service. People who use the service are able to express their concerns and have their complaints listened to and acted upon. A robust approach to Adult Protection means that people living there are protected from abuse and harm. EVIDENCE: The manager was able to show by written record that formal and informal complaints are recorded, and that action is taken to remedy any issues raised. Written records also demonstrated a robust approach to adult protection issues. In addition all staff have now been trained in recognising the signs and symptoms of abuse. Claremont Nursing Home DS0000070195.V359718.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): Standards 19 and 26 People who use the service experience good quality outcomes in this area. This judgement has been made using available evidence including a visit to this service. The physical design and layout of the home enables residents to live in a safe, well-maintained and comfortable environment. EVIDENCE: A tour of the premises demonstrated that the home is clean, tidy and well maintained. The new owners have already improved many aspects of the environment and further significant decorative, building and conversion work is planned for the near future. The atmosphere of the home is pleasant and fresh and communal areas and individual rooms are furnished in a comfortable and homely fashion. The call bell system has recently been overhauled. The Claremont Nursing Home DS0000070195.V359718.R01.S.doc Version 5.2 Page 18 manager is in the process of creating a detailed ”Flood and Evacuation plan” following the recent flood emergencies. A selection of safety and maintenance records were checked and found to be in good order, this good practice helps ensure that the home is safe and well maintained. Evidence of infection control training and good practice was seen. Signs promoting good practice are in place and staff were observed observing good practice during their work. All areas of the home were clean and hygienic. A domestic worker was seen performing her duties diligently, and described being given mandatory as well as NVQ training in her role. The person in charge of the laundry was observed to be professional and conscientious in her work. The laundry was tidy and well organised, with great care taken to ensure that linens are sorted appropriately. Feedback prior to the inspection demonstrated that the home has improved its laundry service, and that people’s clothes are well cared for and returned to their respective owners. The laundry itself is rather small and there is limited space to enable clothes to be individually sorted. This shortage of storage space was also noted for mobility and hoisting equipment at the home. Claremont Nursing Home DS0000070195.V359718.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): Standards 27, 28, 29 and 30 People who use the service experience good quality outcomes in this area. This judgement has been made using available evidence including a visit to this service. Staff in the home are trained and in sufficient numbers to support the people who live there. EVIDENCE: Observation of the home during the inspection, discussion with residents and examination of the staff rota, demonstrated that the home is adequately staffed to meet the needs of its residents. New posts for an activities worker and in the kitchen are improving the service to people who live there. The home is still not achieving its NVQ targets. However the new owners and the existing manager are providing encouragement and support to help this to be achieved. A visiting NVQ Assessor confirmed that her student was being given time and encouragement to achieve her qualification and that her visits are welcomed and supported by the home. A selection of staff files were inspected and found to be in good order. The manager conducts a detailed recruitment process and is fully aware of her Claremont Nursing Home DS0000070195.V359718.R01.S.doc Version 5.2 Page 20 responsibilities to ensure the selection of appropriate staff to work at the home. Individual and group training records demonstrated that the home has significantly improved its in-house training since the last inspection. All mandatory training is now in place and regular updates are planned and notified to staff in advance. The manager described the benefits of the induction process instituted by the new owners, saying that staff now start work with a solid base of good care principles and practice. This benefits residents as people are more competent and confident when they start to work at the home. Claremont Nursing Home DS0000070195.V359718.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): Standards 31, 32, 33, 35, 36 and 38 People who use the service experience good quality outcomes in this area. This judgement has been made using available evidence including a visit to this service. The home is well run and managed by a kind, experienced and professional person. EVIDENCE: Throughout the inspection the manger demonstrated that she is a professional, kind and caring person who is intent on offering the best service possible to the residents of the home. She has undertaken significant advanced training, and has continued to provide a good quality service during a time of great difficulty and change at the home. Her perseverance in the face of many conflicting demands has meant that the homes service has been maintained and improved since the last inspection, and she is to be commended for this. Claremont Nursing Home DS0000070195.V359718.R01.S.doc Version 5.2 Page 22 The home has collected detailed quality assurance data, and is in the process of writing an annual report to be shared with residents, and to use, alongside feedback from residents meetings, to develop the home in line with resident’s wishes. Several ongoing quality audits are already in place at the home. Further self-auditing and self-monitoring will enable this home to achieve a higher quality rating in the future. A selection of monies held on behalf of residents were checked and found to be safely stored, carefully recorded and correct. Evidence of a new system of staff supervision was found in people’s individual files. This supervision will facilitate staff development and so further improve the service given to people living at the home. A selection of safety records were checked and found to be in good order. Hazardous substances were safely stored. The cleaners trolley has no facility for products to be secured, and so could potentially leave them accessible to people not trained in their use. Risk assessments are in place, and safe-working practices identified. A comprehensive record of accidents and incidents is maintained, and the commission are appropriately informed of notifiable incidents. These records could be audited to identify any underlying patterns and trends. Claremont Nursing Home DS0000070195.V359718.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 X 3 X X N/A HEALTH AND PERSONAL CARE Standard No Score 7 4 8 3 9 3 10 4 11 4 DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 2 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 3 X X X X X X 3 STAFFING Standard No Score 27 3 28 3 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 4 X 3 X 3 3 X 3 Claremont Nursing Home DS0000070195.V359718.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 All medication must be individually labelled, and its date of opening recorded if it is perishable, so that people always have their own medication and it is always within its use by date. Timescale for action 14/03/08 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1 Refer to Standard OP8 Good Practice Recommendations The home could introduce a more detailed form of nutritional monitoring to ensure that people are identified if they need enhanced levels of nourishment. The home should consider ways of ensuring that the person administering medication is not disturbed during their duties as such disturbances could potentially lead to errors being made. The home should consider buying a larger Controlled Drugs cupboard, as storage space in the existing one is DS0000070195.V359718.R01.S.doc Version 5.2 Page 25 2 OP9 3 OP9 Claremont Nursing Home limited. 4 OP15 The home could think of ways to better display peoples individual likes and dislikes to inform the kitchen staff in grater detail. The manager should prioritise completing her “Flood and Emergency Evacuation Plan” to ensure that these procedures are in place as soon as possible. The home should be provided with better storage facilities in the laundry and for mobility and hoisting equipment so that clothes and equipment are stored in a better way. The home should consider purchasing a cleaning trolley with secure storage for cleaning products to ensure that they are only accessible to trained staff. The home should consider auditing accidents and incidents so that any potential underlying patterns and trends may be identified. 5 OP19 6 OP19 7 OP38 8 OP38 Claremont Nursing Home DS0000070195.V359718.R01.S.doc Version 5.2 Page 26 Commission for Social Care Inspection Norfolk Area Office 3rd Floor Cavell House St. Crispins Road Norwich NR3 1YF 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 Claremont Nursing Home DS0000070195.V359718.R01.S.doc Version 5.2 Page 27 - 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!