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Inspection on 31/08/06 for Claremont Nursing Home

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

This inspection was carried out on 31st August 2006.

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.

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 service now provides comfortable and well decorated accommodation that has been well maintained by the handyman and outside contractors. It has staff who are prepared for the tasks at hand through good induction and ongoing training. The service users are well cared for and their social and nursing needs are met. The recording of all information is of a good standard and there is evidence that these recordings are kept safely and used for the purpose of audit. The home has included the relatives in the care of the service users and the information received and obtained in previous visits is that this is well appreciated. The home acts well as an advocate for the service users.

What has improved since the last inspection?

What the care home could do better:

The home is now achieving good and high standards in most things. The only point raised by this inspection was that some staff files did not have all the information that is required of them. They did have the most important information such as Criminal Records Bureau and application forms but information about identity had not been retained in the file that would have been seen as part of the Criminal Records Bureau procedure.

CARE HOMES FOR OLDER PEOPLE Claremont Nursing Home 5 Nelson Gardens Stoke Plymouth Devon PL1 5RH Lead Inspector Doug Endean Unannounced Inspection 31st August 2006 10:00 X10015.doc Version 1.40 Page 1 The Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Reader Information Document Purpose Author Audience Further copies from Copyright Inspection Report CSCI General Public 0870 240 7535 (telephone order line) This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI www.csci.org.uk Internet address Claremont Nursing Home DS0000003579.V303312.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 DS0000003579.V303312.R01.S.doc Version 5.2 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.V303312.R01.S.doc Version 5.2 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 11th November 2005 Brief Description of the Service: Claremont Nursing Home is situated in Stoke, a suburb of City of Plymouth, which is 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 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/dine to the rear of the ground floor and a further lounge room in the middle of the building on the ground floor. The minimum weekly fee is £438. Claremont Nursing Home DS0000003579.V303312.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was the homes first unannounced key inspection. It took place on the 31st September 2006 commencing at 10.10 hours and finishing at 14.40 hours. In this time the inspector, who was accompanied, interviewed two staff, looked at three staff files, three service users files, toured the building and met several of the service users who were going about their day. Prior to this inspection the manager provided a completed pre-inspection form with a number of extra documents to support the information requested. Also one relative and one General Practitioner responded to the Commission for Social Care Inspection questionnaire. Each made positive comment on the service provided. None of the service users were formally interviewed due to their condition and no relatives were available as a result of this being an unannounced inspection. What the service does well: What has improved since the last inspection? There have been further improvements in the layout of the home with a move of the dining room to the rear of the lounge and a second lounge area created where the dining room was. The décor has improved also in this area and there are ongoing improvements throughout the home. The management of training continues to improve with a useful handbook and induction pack now being used. The pre-admission assessment is very comprehensive and leads to excellent risk assessments and care plans being developed. The way nutrition is assessed and monitored was particularly good. The homes approach to audit is very good and it has produced valuable information of practical use. Claremont Nursing Home DS0000003579.V303312.R01.S.doc Version 5.2 Page 6 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. Claremont Nursing Home DS0000003579.V303312.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 Nursing Home DS0000003579.V303312.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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 3. Standard 6 in not applicable. The quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to the service. The pre-admission assessment process is very comprehensive, and should prevent inappropriate admissions. EVIDENCE: The Manager provided evidence that the home use a very comprehensive preassessment tool to establish the suitability of each new referral. The inspector looked at three of the service users case files. In them were completed “activities of daily living” assessment forms. In addition to them the Manager had completed a very detailed assessment of any area that had shown up as an identified problem in the activities of daily living assessment. The areas covered included behaviour, sleep, pain, nutrition and mobility. Claremont Nursing Home DS0000003579.V303312.R01.S.doc Version 5.2 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, 8, 9 & 10. The quality in this outcome area is good. This judgement has been made using available evidence including a visit to the service. The homes care plans are of a very good standard with good information held in the risk assessments to support them. The communication between the home and others such as relatives and health care professionals is good. EVIDENCE: Each file has a photograph of the service user it refers to on the front and the name of their key worker. Three files were looked at by the inspector. Inside were care plans that had been developed initially from the comprehensive preadmission assessment. They were well written and had evidence of reviews provided on separate sheets. Some of the areas covered were sleep, medication and nutrition. Communication of the needs of the service users and how they have been each day is done through handover sheets where needs are focused upon and past onto each shift. This information is then put onto computer and write protected as evidence of how care is reported on each day. Both trained staff and the care staff also record information about their interactions with service users Claremont Nursing Home DS0000003579.V303312.R01.S.doc Version 5.2 Page 10 each shift. There are separate sheets for details of General Practitioner visits and instructions. Other health care professionals also have a recording sheet for their visits to be recorded. The home is visited by Community Psychiatric Nurse’s on a regular basis for National Health Services determination reviews and also general reviews of service users. The manager has also developed “Family Liaison Sheets” that help to provide information that has been discussed or past onto relatives or record their communication with the home. The inspector saw evidence also of the visits made by the chiropodist and who receives National Health Services chiropody. For general identity purposes there is a file that contains photographs of all the service users and some basic information about them. The homes medication practices were inspected and found to be satisfactory. The administration records were clear, they also have photographic service user identification. There was samples of signatures of those who are administrating drugs, the locked trolley is securely stored in a locked room and securely tethered. The service users had their care needs provided in the privacy of their own rooms or in areas such as the toilets or bathrooms. They wear their own clothes that are labelled and washed and ironed in the homes own laundry. Some of the service users share rooms and this has only been following the agreement of the service users advocates where the service users cannot speak for themselves. The inspector saw that the home had obtained the permission of a service user to use a bed guard and that this was recorded on a form in writing. Claremont Nursing Home DS0000003579.V303312.R01.S.doc Version 5.2 Page 11 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): The quality in this outcome area is good. This judgement has been made using available evidence including a visit to the service. The activities provided by the home are well planned and delivered. The way the nutritional needs of service users are assessed and met is very good. EVIDENCE: The home has used the skills of a trainee occupational therapist who spent time with the home and risk assessed all the trips and activities that the home provides for the service users. Evidence of these risk assessments was shown to the inspector as was evidence of trips out such as a “picnic in the park” and “high tea in the garden”. The home has also engaged the services of a theatre company every three months who come to the home to provide entertainment to the service users. There were photographs of the last visit they made that showed a large number of the service users enjoying the activity in the homes lounge room. The home does keep a record of each of the activities that they provide, the date it took place, and which of the service users has taken part. Visitors can come to the home unannounced at any reasonable time and either see their friend or relative in the home or take them out if they wish. Information about visiting is held in the homes service users guide. Claremont Nursing Home DS0000003579.V303312.R01.S.doc Version 5.2 Page 12 The one relative who responded to the Commission for Social Care Inspection questionnaire said that they always feel “most welcomed” when they come to the home. The service users guide also provides a number of addresses that can be contacted by anyone for more advice about dementia, old age issues related to being in care. The home does not manage the financial affairs of any of the service users but does have very through records of any handling of pocket monies and purchases made on behalf of the service users. The inspector saw evidence of the way the home records the handling of service users money. Service users are charged for some services that are not covered by their contract such as hairdressing at £5 to £15, chiropody £8, some entertainment between £2.50 and £10. The home has its own kitchen on the lower ground floor. They purchase raw material, dry food stock and fresh meat and vegetables and produce healthy meals for the service users from this. The manager supplied a copy of the 4 weekly rotating menu and explained that should a service user not like what is planned then an alternative will be provided. They have very detailed nutritional assessment service users likes and dislikes, and recordings of how food and drinks are prepared and provided to each service user. The records also show what utensils are needed to eat the food and what has been consumed by the service users at each meal time. The staff need to assist, in one way or another, all the service users due to their memory problems, span of attention and physical needs. They do this in an unhurried way that maintains the service users dignity. There have been good improvements in the layout of the home as well as its décor. The dining room has moved to the garden end of the lounge and is now nicely decorated and suitably furnished. There is ample space in this area and the floor covering is washable. The manager told the inspector that the floor is to be recovered and the lounge carpet is to be replaced. Claremont Nursing Home DS0000003579.V303312.R01.S.doc Version 5.2 Page 13 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): The quality in this outcome area is good. This judgement has been made using available evidence including a visit to the service. The home has good procedures for handling complaints or allegations of any form of abuse in a through and professional way. They have provided staff with suitable training to recognise and report any abuse. EVIDENCE: The complaints procedure is displayed in the front entrance and is also held in the service users guide. It is structured as required having a time scale for the response and also the contact details of the Commission for Social Care Inspection managing its registration. The Commission for Social Care Inspection has dealt with two complaints in the last twelve months and neither of them was substantiated with the home being able to provide the evidence required to show that they had met the National Minimum Standards. The staff at the home is involved in training that brings their attention to the issue of abuse. This is introduced at induction and then built upon with National Vocational Qualification training and also directly through Protection of Vulnerable Adults training provided by the local authority that has been attended by the majority of staff at the home. The home also provides its own accident reporting training so that staff are aware how to report accurately on the appropriate record sheet. The inspector did look at the accident book that is used by the home. The records were satisfactory and are to be placed in the service users file at appropriate intervals. This follows the information being Claremont Nursing Home DS0000003579.V303312.R01.S.doc Version 5.2 Page 14 extracted and used on a quarterly basis in the homes audit of accidents that was seen by the inspector and is used to guide care planning and environmental changes. See standard 14 for comment on the management of financial affairs. Claremont Nursing Home DS0000003579.V303312.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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 19, 20, 21, 22, 23, 24 & 26. The quality in this outcome area is good. This judgement has been made using available evidence including a visit to the service. The home is well presented being nicely decorated and well maintained. The equipment provided in the home is appropriate for the job, hoisting, bathing, etc and is maintained to a satisfactory standard. EVIDENCE: The home is located in the suburb of Stoke which is near Plymouth city. It has level access to the surrounding area and there is a small selection of shops close to the home. The home has provided removable ramps at the front door to improve access into and out of the home as there are a small number of steps at the front entrance. The inspector toured the home and saw that it is in good order. It is well decorated, clean, having light and spacious communal space and personalised service users bedrooms. The lounge and dining room have been tastefully decorated and the dining area has been moved to the garden end of the Claremont Nursing Home DS0000003579.V303312.R01.S.doc Version 5.2 Page 16 lounge allowing a second lounge to be formed in what was the dining room. There are 19 single bedrooms and 6 doubles and all are of good size and shape. These bedrooms are to be found on every floor of the home. They are suitably furnished and are personalised with service users belongings for their comfort. Most of the beds in the home are adjustable in height but some service users do have divan beds for their comfort. Floor coverings vary from one room to another to meet individual need. All rooms are centrally heated and the radiators are guarded to prevent scalding. Windows are restricted to prevent them opening beyond 100mm. The Parker bath on the lower ground floor has a thermostatic mixer valve and the manager reported that all baths have this devise fitted. There was a record also of the temperature of the water for each bath that is drawn and this was seen by the inspector in the room with the parker bath. The home also has “wet rooms”, disabled toilets and a mechanical disinfecting sluice on the lower ground floor. There are disabled toilet facilities close to service users bedrooms and also next to the lounge on the ground floor. All areas of the home that service users have access to are provided with a nurse call point that can only be cancelled at the point of call. The inspector saw a full risk assessment of the building and evidence of maintenance that has been undertaken by specialist contractors on the hoist, shaft lift, and fire equipment. The manager also provided details of the work undertaken by contractors in the pre-inspection form. The home employs a full time experienced maintenance man who has kept the home in good order and is responsible for the high standard of re-decoration that has taken place. There is a fully enclosed well kept garden to the rear of the home that is accessed from the lounge via a newly laid ramp for safety. The garden is level and provides a safe area with seating and umbrellas in good weather. The home has a laundry located on the lower ground floor. It has two commercial sized washing machines, one with a with sluicing cycle. There is also a full sized commercial dryer. The laundry is manned by a full time laundry assistants who wash and iron the clothes of the service users and places them in baskets with their names on for delivery to their own bedrooms. Claremont Nursing Home DS0000003579.V303312.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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 27, 28, 29 & 30. The quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to the service. The staff training from induction to foundation is excellent being well planned and well recorded. The judgement of adequate has only been made due to the staff files not being fully complete and the level on National Vocational Qualification training not having reached 50 . EVIDENCE: The nursing home is staffed by a number of Social Care Staff who are managed by at least one Registered Nurse over the 24 hour day. The present staffing levels are two registered nurses during the morning with five or six social care staff, afternoons have one registered nurse and five social care staff and nights are covered by one registered nurse and two social care staff. The Manager works from Monday to Friday during office hours. A copy of the staffing rotas was provided as evidence of this level of staffing. The social care staff had undertaken a period of induction before working unsupervised. The manager explained the latest development on induction training that involves the staff having a comprehensive induction training record that has been developed by an external training institution. The pack was seen and includes a handbook with details of employment, disciplinary procedures, Health & Safety information, first aid, moving and handling and the grievance procedure. A check list of all the training was given to the Claremont Nursing Home DS0000003579.V303312.R01.S.doc Version 5.2 Page 18 inspector. One of the social care staff interviewed had been inducted using this process and stated that she found the written information very useful and that she is able to refer back to it whenever necessary. The same institution also provides some of the further training such as theory fire training that the home provides and this training is validated through questionnaires that are subsequently marked. The inspector also saw evidence of the up to date training literature that is available to all staff and kept in the main office. This included information on dementia. The handover of information from shift to shift is also recorded, initially on a hand written handover form. This is then placed on computer and the record protected so that it cannot be changed. The manager is a qualified Manual Handling trainer and also he has a wide experience in the area of staff training. This is reflected in the very well structured training program and recordings that were seen during the inspection. There is now a training room with overhead projector as the manager has produced training materials in this format. There was evidence of all the staff training that has been undertaken and also future planned training with dates. Five social care staff have a National Vocational Qualification at level 2 or above representing 27.8 of the social care staff workforce, and three have this training in progress. The home also employs a full time administrator, a full time maintenance man, two laundry staff, three catering staff, and two domestics. The home has a formal recruitment procedure that has been professionally prepared. Three staff files were reviewed in detail. One file was totally complete and all had Criminal Records Bureau’s disclosure information, POVA first on a recent employee, application forms, etc. There was some information not held in the files of more established employee’s regarding identity that had been the responsibility of the previous administrator. Claremont Nursing Home DS0000003579.V303312.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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 31, 33, 35 & 38. The quality in this outcome area is good. This judgement has been made using available evidence including a visit to the service. The home is managed very well and this is reflected in the improved standards of care, recordings, training, maintenance and appearance of the home. EVIDENCE: The home is being managed in a very professional way by a Registered Nurse who has worked hard to raise all of the standards to the height that they now are. The Commission for Social Care Inspection has an application in form him the role of Registered Manager and the process is almost complete. He has shown through his skills and enthusiasm that his team can achieve high standards of care in a pleasant environment that is well maintained, safe and attractive. The Registered Persons now meet regularly with him and are supporting the ongoing improvements at the home. Claremont Nursing Home DS0000003579.V303312.R01.S.doc Version 5.2 Page 20 The Manager has also produced audit tools that do look at the activities of the home and if standards are being met, what may be the cause of a standard not being met and what needs to be done to resolve the situation. The Accident audit was an example of this. The information from accident records are continually recorded and a quarterly audit is done that identifies any trends such as times of the day that accidents occur or particular areas of the home that experience most accidents. The information is then presented in a report form and acted upon. These records were seen and felt by the inspector to be excellent audit information that has a practical use in the home. The administrator said that she would carry out a full audit on all the staff files to bring them all up to the standard of those now been constructed on new staff. The inspector saw how the home manages any pocket monies held for the service users. The records are clear, easy to understand and were found to be accurate. Two service users have a subject to a Power of Attorney order. The home does not manage the affairs of any of the service users. The Manager, supported by the Registered Persons and the staff at the home has provided evidence during this inspection that he ensures, so far as is treasonably practicable, the health, safety and welfare of the service users and staff. He has done this through good training and good management of the resources made available to him. He has encouraged his to use their individual skills and talents to make good assessment, plan and deliver whatever their task, be it care or maintenance of the other services in the home. He is aware of the various legislation and has taken the steps to improve his own knowledge in care and management. The home now has good and excellent procedures in place for most things and also there is the enthusiasm to continue to improve. The inspector saw a detailed risk assessment of the building that included photographs of equipment and areas of the home to help in describing the risk’s perceived and the way that they are addressed. Claremont Nursing Home DS0000003579.V303312.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 N/A HEALTH AND PERSONAL CARE Standard No Score 7 4 8 3 9 3 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 4 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 3 3 3 3 3 3 X 3 STAFFING Standard No Score 27 3 28 2 29 2 30 4 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X 4 X 3 X X 3 Claremont Nursing Home DS0000003579.V303312.R01.S.doc Version 5.2 Page 22 Are there any outstanding requirements from the last inspection? 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 OP29 Regulation 19(1)(a) (b) Timescale for action The Registered Person shall not 30/10/06 employ a person to work at the home unless he has obtained in respect of that person the information specified in Schedule 2. Requirement 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 OP28 Good Practice Recommendations The Manager should continue to have staff train up to at least National Vocational Qualification at level 2 in care to achieve at least 50 of the social care staff with this qualification. Claremont Nursing Home DS0000003579.V303312.R01.S.doc Version 5.2 Page 23 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.V303312.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. 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. 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