Inspection on 19/01/07 for Claremont House

This inspection was carried out on 19th January 2007.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Excellent. 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

Claremont House 05/01/06

Claremont House 03/11/05

Claremont House 22/03/05

Claremont House 04/10/04

Claremont House 08/03/04

Similar services:

Oak Ridge

Sun Court Nursing Home

Ashville House

Bramley Avenue (73)

Bilney Hall

Hill Barn

Mabbs Hall Nursing Home

15 Bramble Close

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

CARE HOMES FOR OLDER PEOPLE Claremont House Lovent Drive Leighton Buzzard Bedfordshire LU7 3LR Lead Inspector Mr Pursotamraj Hirekar Unannounced Inspection 19th January 2007 05:50 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 House DS0000014889.V326625.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 House DS0000014889.V326625.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Claremont House Address Lovent Drive Leighton Buzzard Bedfordshire LU7 3LR 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) 01525 852628 01525 217242 claremonthouse96@aol.com Mr Derek Abreu Mr Derek Abreu Care Home 13 Category(ies) of Dementia - over 65 years of age (13), Old age, registration, with number not falling within any other category (13), of places Physical disability over 65 years of age (13) Claremont House DS0000014889.V326625.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 5th January 2006 Brief Description of the Service: Claremont residential home is a detached property, which is situated in a pleasant residential area close to Leighton Buzzard town centre. The home provides care for 13 older people over the age of 65 years. The resident’s bedrooms were personalised to meet individual tastes and all bedrooms had en- suite facilities. The home had adequate parking facilities to the front of the building. Claremont House DS0000014889.V326625.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This is the report of the unannounced inspection carried out on 19/01/07 over 3 ½ hours by Pursotamraj Hirekar. The manager coordinated the inspection through out. The method of inspection included study of care plans, risk assessments, personnel records, staff deployment duty rota, relevant care delivery documents, discussions with manager and staff, conversation with service users’ and partial tour of the building. This inspection report also includes information from the service users’ survey carried out by the commission and pre-inspection information provided by the home. What the service does well: The home manager who is also the provider had maintained high standards of care delivery and good working relations with the service users’ and their family members, staffs and relevant professionals which had been useful for appropriate care delivery and in meeting the service users’ assessed needs. What the Service users’ and their family members have said to the service users’ survey carried out by the commission are as follows: Service user –1 said ‘When my husband died I had to move out of our family home of 60 years. I could not have found a more comfortable caring place to spend my final years. The staff have become like family to me’. Service user –2 said ‘I have been here for three years and I find everything satisfactory’ Service user – 3 said ‘I have been very happy here at Claremont’. Service user – 4 said ‘ I feel that I am quite happy here’. Service user – 5 said ‘We are all very happy with every thing’. Service user – 6 said ‘Family is happy with care received’. Service user – 7 said ‘I am just so thankful that I found the Claremont when I did – for my father. I cannot thank Chris and Derek enough for all the care and help they have shown us’. These are the actual statements quoted above from the service users’ survey forms. Claremont House DS0000014889.V326625.R01.S.doc Version 5.2 Page 6 It was observed during the interaction with the service users’ on this inspection that, the service users’ were neatly dressed, clean, and have expressed satisfaction with the care and services they received at the home. 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. Claremont House DS0000014889.V326625.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 Claremont House DS0000014889.V326625.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): 3 and 6 Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. The home had made appropriate arrangements for the assessment of needs of the service users’ and the service users’ were aware of the care and services they would receive from the home prior to their admission. EVIDENCE: The home had developed a comprehensive tool for needs assessment, which was used to assess the needs of the service users’. This tool included information about physiological functions – breathing and hearing, sight, elimination, communication, mental state, motivation, sleep, personal hygiene, eating and drinking, mobility, dressing, medication, level of assistance required and rehabilitation. The assessed needs were well documented in an easy to Claremont House DS0000014889.V326625.R01.S.doc Version 5.2 Page 9 read format. The home did not undertake referrals of service users’ solely for intermediate care, but provided long-term support. The commission had undertaken service users’ survey prior to this inspection, to get the feedback from the service users’ and their family members about the care and services they get from the home. A pre-inspection questionnaire was also used for the responsible individual/manager to provide information to the commission with regard to various aspects of care provision and delivery they undertake. 10 service users’ have responded to the service users’ survey undertaken by the commission, of which 8 service users have said that they had prior information about the home, before they moved in and had signed the contract of services. However, 2 service users ignored this question. Claremont House DS0000014889.V326625.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, 9 and 10 Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. The home had made appropriate arrangement s for the delivery and care of the personal and health care needs of the service users’ and the service users’ have expressed their satisfaction about the same. EVIDENCE: The home had made appropriate arrangements to meet the personal and health care needs of the service users’. This was evident from the various responses the service users’ have provided to the service users’ survey. Of the total 10 service users’ 7 service users have said that they always receive the care and support they need and 3 service users said they receive usually. However, when asked do they receive medical support they need, 9 service users’ said they received medical support always. 1 service user’s family member further went on to say that ‘ doctor always contacted whenever I request it or the staff feel it is necessary’. Claremont House DS0000014889.V326625.R01.S.doc Version 5.2 Page 11 The home had maintained medical log and professionals’ visits record in relation to the service users health needs. The pre-inspection questionnaire indicated that the home had made arrangement s to the following support services in response to the assessed needs of the service users’. They included access to GP, district nurse, pharmaceutical service, community psychiatric nurse, OT, optician, and chiropodist. On this inspection 3 service users’ care plans were seen. The care plans were comprehensive and have covered detailed information with regard to care delivery which comprised of: personal care, physical well being, weight and dietary preferences, monthly check list for weight, sight, hearing and communication, oral health, foot care, mobility and dexterity, history of falls, continence, medication usage, mental state and cognition, social interests and hobbies, religious and cultural needs, personal safety and risks, carer and family involvement. The home had carried out service users, care plan reviews as scheduled, on this inspection 2 services users’ care review documents were seen and found that the review had covered all the relevant areas of care delivery and the care plans were updated accordingly. However, with 1 service user, when the care manager, residential team, west Kent was not able to come physically to undertake review the care that the service user receive, then a review form was sent to the home to complete. However, Bedfordshire social services have undertaken reviews of service users’ supported by them. Claremont House DS0000014889.V326625.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 Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. The service users’ dietary needs were assessed and choice of menu and timings were maintained, in the interest of the service users’. The service users’ were satisfied with the social activities carried out by the home. EVIDENCE: The home had developed variety of in-house and outdoor activities that stimulate and engage service users’ as per their choice and wish. These activities were implemented in a routine and as and when the service users’ demand. The home had maintained monthly evaluation of individual service users’ activities and incorporated changes as and when required to the activity schedule. Of the 10 service users’ who responded to the commission’s survey, of which 5 service users said they always participate in the activities and 2 service users’ said they usually participate in the activities the home conducts. 1 service user’s family member said ‘there appear to be many activities – but my father would neither want nor be able to participate’. The other service user said that ‘I love the bingo and darts’. Claremont House DS0000014889.V326625.R01.S.doc Version 5.2 Page 13 The food menu was prepared in consultations with the service users and each and every service users dietary needs were taken into account. The kitchen was clean and neat. Of the 10 service users’ who responded to the commission’s survey, of which 9 service users’ have said to the survey that they always like the meals at the home. A couple of service users’ further went on to say; one family member of a service user said ‘ they have always catered for my father’ and the other service user said ‘ food is excellent with great variety all prepared from fresh on premises’. Claremont House DS0000014889.V326625.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 Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. The service users’ were aware of the complaints procedure and were confident to use the same when necessary. EVIDENCE: The home had a comprehensive complaints policy and procedures in place. All the service users’ and visitors had access to the displayed complaints procedure in the hallway. Of the 10 service users who responded to the commission’s survey, of which 9 service users’ have said that they always speak to if they were not happy with any of the service at the home and also were aware how to make a complaint. 1 service user who had dementia and said that ‘ suffering from dementia and the family know who to speak to’. Claremont House DS0000014889.V326625.R01.S.doc Version 5.2 Page 15 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 Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. The home was maintained clean and tidy and the service users’ were happy about it. EVIDENCE: The partial tour undertaken on this inspection found that the home was maintained clean and tidy without any offensive odours. The pre-inspection questionnaire indicated that, the home had carried out the maintenance and completed the associated records of fire equipment, fire drill, fire alarm test, central heating system, water temperature checks, emergency lighting, lift engineer, hoist/adaptation, emergency call system and COSHH. Claremont House DS0000014889.V326625.R01.S.doc Version 5.2 Page 16 The home had call system checked weekly, water temperature checked weekly, fire alarm systems checked every 2 weeks and emergency lighting once a month. All the 10 service users’ those who have responded to the service users’ survey have said that the home is always fresh and clean. 1 service user said that ‘my room is cleaned throughout everyday, bed linen changed daily’. The other service user said ‘very clean’. Claremont House DS0000014889.V326625.R01.S.doc Version 5.2 Page 17 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 Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. The home’s policy on staff recruitment was comprehensive. The home had maintained always-high staff ratio with appropriate skill mix, which had positive impact on the service users’. EVIDENCE: The manager and staffs’ have had good working relations with the service users’, service users families, and external professionals. All the 10 service users’ those who have responded to the commissions’ survey have said that the staff listen and act to what the service users’ say and are always available when they need them. 1-service users said ‘staff are available night and day’. 1 service user said ‘they are very good’. The home had provided information about 20 staffs’ that were employed and all have clear CRB’s. 2 staffs record were seen on this inspection randomly and found that application, CRB, and references were in order. The information from the pre-inspection questionnaire, it was observed that the home had 2 service users’ with high needs, 5 service users’ with medium Claremont House DS0000014889.V326625.R01.S.doc Version 5.2 Page 18 needs and 6 service users’ with low needs with a total staff hours required at 29.75 staff hours. However, the home had allocated a total of 59 staff hours, which was commendable. On this inspection, duty rota was seen and found that the home had deployed adequate staffs that meet the assessed needs of the service users’. The home also mentioned that they have arranged staffs’ training in the area of health & safety, moving & handling, first aid, administration of medication, POVA and NVQ in the last 12 months from the date of this inspection. The home had also\ planned further staff training in the area of food hygiene, first aid, health & safety and fire. Claremont House DS0000014889.V326625.R01.S.doc Version 5.2 Page 19 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 and 38 Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. The home manager who is also the provider had maintained high standards of care delivery and good working relations with the service users’ and their family members, staffs and relevant professionals which had been useful for appropriate care delivery and in meeting the service users’ assessed needs. EVIDENCE: The manager of the home who is also the owner had provided effective leadership and managed the home professionally. The key to good management of this home was having good working relations with the staffs’ service users’ and their family members, and relevant professionals. The staffs’ Claremont House DS0000014889.V326625.R01.S.doc Version 5.2 Page 20 and the service users’ spoken to, all have appreciated the way the home was run by the manager. Service users’ finances were not seen on this inspection. The assessed healthcare and personal needs of the service users’ were met with high standards as reported under various outcome groups of this report. The staffs’ supervision was carried out regularly that helped both the staffs as well as service users’. What the Service users’ and their family members have said to the service users’ survey carried out by the commission are as follows: Service user –1 said ‘When my husband died I had to move out of our family home of 60 years. I could not have found a more comfortable caring place to spend my final years. The staff have become like family to me’. Service user –2 said ‘I have been here for three years and I find everything satisfactory’ Service user – 3 said ‘I have been very happy here at Claremont’. Service user – 4 said ‘ I feel that I am quite happy here’. Service user – 5 said ‘We are all very happy with every thing’. Service user – 6 said ‘Family is happy with care received’. Service user – 7 said ‘I am just so thankful that I found the Claremont when I did – for my father. I cannot thank Chris and Derek enough for all the care and help they have shown us’. These are the actual statements quoted above from the service users’ survey forms. It was observed during the interaction with the service users’ on this inspection that, the service users’ were neatly dressed, clean, and have expressed satisfaction with the care and services they received at the home. The home had provided information to the commission with regard to various policies, procedures, and codes of practice that would impact upon the life of the service users’. They included adult protection, administration of medication, fire safety, equal opportunities, food safety, and nutrition, management of money, racial harassment, record keeping, recruitment, privacy, and dignity at work place. Claremont House DS0000014889.V326625.R01.S.doc Version 5.2 Page 21 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 X X 4 X X 4 HEALTH AND PERSONAL CARE Standard No Score 7 4 8 4 9 4 10 4 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 4 13 4 14 4 15 4 COMPLAINTS AND PROTECTION Standard No Score 16 4 17 X 18 4 4 X X X X X X 4 STAFFING Standard No Score 27 4 28 4 29 4 30 4 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 4 X 4 X 4 X X 4 Claremont House DS0000014889.V326625.R01.S.doc Version 5.2 Page 22 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. Standard Regulation Requirement Timescale for action 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 Claremont House DS0000014889.V326625.R01.S.doc Version 5.2 Page 23 Commission for Social Care Inspection Bedfordshire & Luton Area Office Clifton House 4a Goldington Road Bedford MK40 3NF 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 House DS0000014889.V326625.R01.S.doc Version 5.2 Page 24 - 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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