Please wait

Please note that the information on this website is now out of date. It is planned that we will update and relaunch, but for now is of historical interest only and we suggest you visit cqc.org.uk

Inspection on 11/11/05 for Claremont Nursing Home

Also see our care home review for Claremont Nursing Home for more information

This inspection was carried out on 11th November 2005.

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.

What follows are excerpts from this inspection report. For more information read the full report on the next tab.

What the care home does well

The home, under the Managers direction, provides a caring environment that is warm, safe and comfortable for a group of people who, because of their disability, are unable to provide for themselves. The clients looked cared for and the relative that spoke to the inspector verified that this was the case from her point of view. From this and the previous inspection the inspector has made the observation that the clients relatives are happy with the attention their relative and others receive and the relationship they have with the home that the Manager was seen to nurture during this inspection.

What has improved since the last inspection?

There has been further improvement in the overall record keeping partially due to the efforts of the Administrator who is working with the Manager to achieve high standards. This could be seen in the way the staff files are now structured and audited. There is a more formal structure to the training with the use of materials from a recognised provider to the Independent Health Care Sector. There is still a momentum to the whole care process that is keeping moral at the home at a good level.

What the care home could do better:

The points raised at the last inspection have received attention and the result has been a good standard in the finish in the work carried out. Keep up the good work.

CARE HOMES FOR OLDER PEOPLE Claremont Nursing Home 5 Nelson Gardens Stoke Plymouth Devon PL1 5RH Lead Inspector Doug Endean Unannounced Inspection 11th November 2005 1:05 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 DS0000003579.V266143.R01.S.doc Version 5.0 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 DS0000003579.V266143.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service Claremont Nursing Home Address 5 Nelson Gardens Stoke Plymouth Devon PL1 5RH 01752 606799 01752 606799 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) St Nicholas Homes Limited Care Home 32 Category(ies) of Dementia (3), Dementia - over 65 years of age registration, with number (32), Mental disorder, excluding learning of places disability or dementia (3), Mental Disorder, excluding learning disability or dementia - over 65 years of age (32), Physical disability (3), Physical disability over 65 years of age (32) Claremont Nursing Home DS0000003579.V266143.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. 3. 4. 5. 6. Registered for maximum of 3 DE Registered for maximum of 32 DE(E) Service Users 65 years and over Registered for maximum of 3 MD Registered for maximum of 32 MD(E) Service Users 65 years and over Registered for maximum 3 PD Registered for maximum 32 PD(E) Service Users 65 years and over Date of last inspection 26th April 2005 Brief Description of the Service: Claremont Nursing Home is situated in Stoke, a suburb of the City of Plymouth, which is just a short distance away by road. It is a large property built on four floors, each of which provides some accommodation for the Service Users. Nelson Gardens is a private road that offers some parking places at the front of the building accessed directly from the road. There is a five-person shaft lift that travels up through the centre of the building stopping at each floor. There is also a staircase that opens onto each floor of the home. The home is registered to care primarily for up to thirty-two (32) Service Users who have a mental health problem or dementia and are over the age of retirement. There is also capacity for the home to admit up to three (3) Service Users under the age of 65 years who have dementia. The ground floor provides the day space for the Service Users by way of a large lounge to the rear of the ground floor and a dining room in the middle of the building. Claremont Nursing Home DS0000003579.V266143.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This report should be read along side of the previous report in order to establish the homes performance against the National Minimum Standards during this inspection year. This unannounced inspection took place on the 11th November commencing at 1.05 pm and lasted 2 hours 45 minutes. In that time the inspector was shown various records by the manager relating to the clients, staff training and other functions of the home. He was introduced to the homes administrator who provided additional information about the homes records and how they are audited. The manager accompanied the inspector on a tour of the home and time was taken to speak with several clients and one relative. The inspector also spoke to two further staff members during the inspection. What the service does well: What has improved since the last inspection? What they could do better: The points raised at the last inspection have received attention and the result has been a good standard in the finish in the work carried out. Keep up the good work. Claremont Nursing Home DS0000003579.V266143.R01.S.doc Version 5.0 Page 6 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. Claremont Nursing Home DS0000003579.V266143.R01.S.doc Version 5.0 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 Nursing Home DS0000003579.V266143.R01.S.doc Version 5.0 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 1 The information available in the statement of purpose and other literature should enable a client’s advocate to make an informed decision about making a placement at this home. EVIDENCE: The inspector was shown the updated Statement of Purpose and Service User’s Guide during this inspection, which will be available to anyone seeking copies. It is held on computer and can be further updated at anytime. At the entrance to the home there is further information for the visitors of clients resident at the home that will inform them of “Care Aware” who provide an Advocacy service as well as advice and guidance on care placements. Claremont Nursing Home DS0000003579.V266143.R01.S.doc Version 5.0 Page 9 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 7 & 11 The Manager has continued to look at the needs of the clients and those of his staff and make provision to meet them. EVIDENCE: This section was fully assessed at the last inspection and all the standards had been met. The inspector did not fully re-inspect these standards on this occasion. The Manager has produced a new policy on treatment for the terminally ill that does include information about supporting staff also during the process of meeting the clients needs and those of their relatives and friends. The records of one client were studied during the inspection and the information was verified through discussion with the Manager and the client’s advocate who was visiting. The client was also spoken to during the inspector’s tour of the home. The information held on the client was accurate and very informative. Claremont Nursing Home DS0000003579.V266143.R01.S.doc Version 5.0 Page 10 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 13 There is a positive relationship between the home and the visitors who come to see clients. EVIDENCE: The home offers open visiting and is providing support to relatives where they need it during difficult episodes of care. The inspector spoke to one visitor at length about the care given to her husband. She said she was more than satisfied with the care her husband receives and very grateful for the support she has been given by the home. The Manager has acted appropriately as her husbands advocate until she was able to do so herself. She says she holds him and the staff in high regard. Claremont Nursing Home DS0000003579.V266143.R01.S.doc Version 5.0 Page 11 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 inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 16 & 18 The home does try to provide a high standard of care and to include the relatives of clients in trying to achieve this. The complaints procedure is in a prominent position for anyone to use should they not achieve the expectations of visitors to the home. EVIDENCE: The home has their complaints procedure on display in the front entrance, and also in the Statement of Purpose, which informs every one who reads it of the course of action the home will take if a complaint is raised. It also explains how the Commission for Social Care Inspection can be contacted if the complainant is not happy with the response to a complaint by the Manager of the care home. The staff have all attended the Local Authority protection of vulnerable adults training and the home displays information from Care Aware who provide an advocacy service for the clients. The inspector is aware of one complaint since the last inspection that was satisfactorily addressed in a professionals meeting attended by the Manager. Claremont Nursing Home DS0000003579.V266143.R01.S.doc Version 5.0 Page 12 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 19 The home is well decorated, clean and odour free. The regular maintenance has made the environment as safe as possible. EVIDENCE: This section was fully assessed at the last inspection and all the standards had been met. The inspector did not fully re-inspect these standards on this occasion. The inspector toured the home with the Manager and found it to be well presented and odour free. The maintenance man was in the home keeping it well maintained. The maintenance records were not looked at on this occasion. Some rooms in the lower ground area have had the level of light improved by painting an outside wall to reflect more light into them. Claremont Nursing Home DS0000003579.V266143.R01.S.doc Version 5.0 Page 13 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 27, 28 & 30 There is a satisfactory level of staff who are prepared, through appropriate training and supervision, to meet the needs of the clients resident at the home. EVIDENCE: The home was adequately staff at the time of the unannounced inspection. The duty rotas show that it is always planned to have adequate numbers of staff on duty with an appropriate skill mix that includes a registered nurse on duty at all times. The Manager is in addition to the planned numbers of care staff on duty and he is also a registered nurse with experience in the field of care of the elderly with mental health problems. He is supported by other registered nurses. One was spoken to during the inspection and she was enthusiastic about her work and also happy about what she is able to offer to the home and the clients in it. The staff have all completed there training in Manual Handling, Fire and also Protection of Vulnerable Adults training with the local authority. Each staff member has a training folder that holds information about their training and any tests carried out to establish the how much they have retained. The training is part of a professionally prepared format that can be appalled towards the NVQ in care. The staff files are now better structured and the Administrator has developed a method of audit that will keep them up to date. Claremont Nursing Home DS0000003579.V266143.R01.S.doc Version 5.0 Page 14 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 31, 33, 35, 36, 37 & 38 The homes management and administration is continually improving and does meet with the expectations of the National Minimum Standards. EVIDENCE: The inspector looked at the accident records and found them to be satisfactory. In addition to this the Manager presented the audit tool that has been produced in house. It provided valuable information in identifying many factors regarding accidents that occur in the home such as where accidents occur, times, days, who was on duty, etc. There was evidence that the staff have been involved in fire training that is carried out in the home using professional guidance. The Manager has now instigated a complete audit of the home using a professionally prepared audit tool from “Blue Cross”. The tool is based on the National Minimum Standards. The Acting Manager has a Commission for Social Care Inspection Registered Managers application form that he will be submitting for processing. He has Claremont Nursing Home DS0000003579.V266143.R01.S.doc Version 5.0 Page 15 proved himself to be a good manager of the home both on the care side and the management of the staff. Policies and procedures were seen to have been reviewed where this was needed and now are up to date. Record keeping has improved over the last year and the management of clients pocket monies is now well organised by the Administrator with good safe keeping arrangements being in place. The staff have all completed there training in Manual Handling, Fire and also Protection of Vulnerable Adults training with the local authority. Each staff member has a training folder that holds information about their training and any tests carried out to establish the how much they have retained. The training is part of a professionally prepared format that can be appalled towards the NVQ in care. The Manager has also commenced supervision with the staff in groups and individually. Claremont Nursing Home DS0000003579.V266143.R01.S.doc Version 5.0 Page 16 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 X X X N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 X 9 X 10 X 11 4 DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 X 13 3 14 X 15 X COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 3 X X X X X X X STAFFING Standard No Score 27 3 28 3 29 X 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X 3 X 3 3 3 3 Claremont Nursing Home DS0000003579.V266143.R01.S.doc Version 5.0 Page 17 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 Nursing Home DS0000003579.V266143.R01.S.doc Version 5.0 Page 18 Commission for Social Care Inspection Ashburton Office Unit D1 Linhay Business Park Ashburton TQ13 7UP National Enquiry Line: 0845 015 0120 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 DS0000003579.V266143.R01.S.doc Version 5.0 Page 19 - 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!