Inspection on 12/07/05 for Claremont Road Care Home

This inspection was carried out on 12th July 2005.

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

Claremont Road Care Home 04/06/07

Claremont Road Care Home 14/06/06

Claremont Road Care Home 13/12/05

Claremont Road Care Home 03/02/05

Claremont Road Care Home 15/06/04

Similar services:

Hillside

Applegarth

122 Scorer Street

Jubilee Villa Care Home

Thornham Grove

Beech Lodge

8 Thorndale Road (Homefield College)

Hunter`s Lodge

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

CARE HOME ADULTS 18-65 Claremont Road Care Home 4 Claremont Road Sherwood Rise Nottingham NG5 1BH Lead Inspector Susan Lewis Rob Cooper Unannounced 12th July 2005 at 10:30 am 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 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 Adults 18-65. They can be found at www.dh.gov.uk or obtained from The Stationary 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 Road Care Home Inspection report Adults 18 65.doc Version 1.40 Page 3 SERVICE INFORMATION Name of service Claremont Road Care Home Address 4 Claremont Road Sherwood Rise Nottingham NG5 1BH 0115 841 3005 0115 985 7579 Telephone number Fax number Email address Name of registered provider(s)/company (if applicable) Name of registered manager (if applicable) Type of registration No. of places registered (if applicable) Nottingham Community Housing Association June Sargeant Care home 12 Category(ies) of LD Learning Disability, x12 registration, with number of places Claremont Road Care Home Inspection report Adults 18 65.doc Version 1.40 Page 4 SERVICE INFORMATION Conditions of registration: NONE Date of last inspection 3 February 2005 Brief Description of the Service: Claremont Road provides 12 places for adults with learning disabilities. It is a large detached property that is located close to the centre of Nottingham. The home is also conveniently situated for public transport, local shops and community facilities. The property is well maintained with a private rear garden. The home is accessible to people who are wheelchair users. There is a minibus provided for residents use. Claremont Road Care Home Inspection report Adults 18 65.doc Version 1.40 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This inspection was unannounced and conducted by two inspectors over the course of 5 hours. The majority of the residents who live at the home were at their daytime activity. The manager and three staff were present. Some residents, visitors and staff gave their views about the care provided, The communal areas of the home were inspected and a sample of bedrooms were also seen. What the service does well: 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. Claremont Road Care Home Inspection report Adults 18 65.doc Version 1.40 Page 6 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–5) Individual Needs and Choices (Standards 6-10) Lifestyle (Standards 11-17) Personal and Healthcare Support (Standards 18-21) Concerns, Complaints and Protection (Standards 22-23) Environment (Standards 24-30) Staffing (Standards 31-36) Conduct and Management of the Home (Standards 37 – 43) Scoring of Standards Statutory Requirements Identified During the Inspection Claremont Road Care Home C53 C03 S2248 Claremont Road V238324 120705 Stage 4.doc Version 1.40 Page 7 Choice of Home The intended outcomes for Standards 1 – 5 are: 1. 2. 3. 4. 5. Prospective service users have the information they need to make an informed choice about where to live. Prospective users’ individual aspirations and needs are assessed. Prospective service users’ know that the home that they will choose will meet their needs and aspirations. Prospective service users have an opportunity to visit and to “test drive” the home. Each service user has an individual written contract or statement of terms and conditions with the home. The Commission consider Standard 2 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 2 and 3 Prospective residents can be assured that their needs will be met. EVIDENCE: Three support plans were assessed as part of this inspection. All three provided very good information that covered all activities of daily living. There was evidence of Extended Community Care Assessments having been done prior to admission. Support plans provided information regarding any restrictions on individual residents and there was evidence that residents were involved in drawing up and reviewing plans. However in all three plans this appeared not to have been reviewed for some time, when the actual computer system (SuRe) was checked some support plans were overdue but only by a few weeks or days. The manager needs to ensure that the evidence for residents’ involvement in reviews is kept up to date. Where residents have specialist needs this was evidenced in the support plans. Staff spoken with were well aware of support plans of all residents and knew what support was needed and why. Residents spoken with said they were very happy living in the home. Claremont Road Care Home C53 C03 S2248 Claremont Road V238324 120705 Stage 4.doc Version 1.40 Page 8 Individual Needs and Choices The intended outcomes for Standards 6 – 10 are: 6. 7. 8. 9. 10. Service users know their assessed and changing needs and personal goals are reflected in their individual Plan. Service users make decisions about their lives with assistance as needed. Service users are consulted on, and participate, in all aspects of life in the home. Service users are supported to take risks as part of an independent lifestyle. Service users know that information about them is handled appropriately, and that their confidences are kept The Commission considers Standards 6, 7 and 9 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 6, 7 and 8 Residents’ support plans detail how needs are to be met and they are consulted on and are able to participate in the life of the home. EVIDENCE: It was very clear during the tour of the building that residents were very much at home and at ease in their environment. Residents were observed taking control of meal preparation and knew where all the food was stored. Residents confirmed that they could make choices about how they spent their day and were involved in meal planning which took place on Sunday evenings. Evidence was seen that where signs were put up, symbols were used to aid communication. Where residents needed specialist support, the plans showed that this was sought and residents were involved. All the plans viewed were very comprehensive in the information they provided. At the last inspection a requirement was made to ensure that details were included in plans on how residents health care needs were to be met. This is fully met. Support plans detailed the type of support residents needed with their finances and why. Evidence was seen that staff receive training regarding benefit advice. Residents are involved in the day to day running of the home and residents meetings are held and staff commented that the format is due to change at the request of residents and this was seen as positive move. Residents meeting minutes were seen. Claremont Road Care Home C53 C03 S2248 Claremont Road V238324 120705 Stage 4.doc Version 1.40 Page 9 Lifestyle The intended outcomes for Standards 11 - 17 are: 11. 12. 13. 14. 15. 16. 17. Service users have opportunities for personal development. Service users are able to take part in age, peer and culturally appropriate activities. Service users are part of the local community. Service users engage in appropriate leisure activities. Service users have appropriate personal, family and sexual relationships. Service users’ rights are respected and responsibilities recognised in their daily lives. Service users are offered a healthy diet and enjoy their meals and mealtimes. The Commission considers Standards 12, 13, 15, 16 and 17 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 16 12, 14, 15 and Lifestyle choices and opportunities for leisure activities are varied and appropriate. Service users feel respected and encouraged to be part of the local community. EVIDENCE: On the day of the inspection a number of residents were out of the home at various daytime activities. Some residents who were at home had activities or visitors. Evidence was seen from support plans; also from staff, residents and visitors spoken with that activities are varied and appropriate. Some residents have recently come back from a holiday and support plans spoke of residents going to the pub or playing football. Some residents attend college doing a variety of courses, one course being pottery and around the home several items were on display. Support plans detail family and other relationships and how to support them. One visitor spoken with spoke very highly of staff and the care provided. Staff were seen to be welcoming and the visitor spoken with confirmed this. Claremont Road Care Home C53 C03 S2248 Claremont Road V238324 120705 Stage 4.doc Version 1.40 Page 10 Personal and Healthcare Support The intended outcomes for Standards 18 - 21 are: 18. 19. 20. 21. Service users receive personal support in the way they prefer and require. Service users’ physical and emotional health needs are met. Service users retain, administer and control their own medication where appropriate, and are protected by the home’s policies and procedures for dealing with medicines. The ageing, illness and death of a service user are handled with respect and as the individual would wish. The Commission considers Standards 18, 19, and 20 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 18 and 19 Personal support and health needs are met. EVIDENCE: Personal support needs are detailed in the individual plans. Medical appointments are noted, and plans show when residents need support and what type. Staff spoken with knew residents’ health needs and how to meet them. Claremont Road Care Home C53 C03 S2248 Claremont Road V238324 120705 Stage 4.doc Version 1.40 Page 11 Concerns, Complaints and Protection The intended outcomes for Standards 22 – 23 are: 22. 23. Service users feel their views are listened to and acted on. Service users are protected from abuse, neglect and self-harm. The Commission considers Standards 22, and 23 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 22 and 23 Staff are able to protect residents from abuse and procedures are in place to enable residents and relatives to have their views listened to and acted on. EVIDENCE: The Commission has received no complaints about this service and there were no complaints noted on the SuRe system. Posters were seen around the home using symbols advising residents how to make a complaint. On this inspection residents were not asked if they knew who to complain to. Visitors spoken with knew who to speak to if they had a problem and felt confident that it would be dealt with. Staff spoken with had a good understanding of what constituted abuse and understood the home’s whistle blowing policy. There are detailed records and receipts of all financial transactions on behalf of residents. There is a copy of the Nottingham Community Housing Association own Adult Protection Procedure as well as the Nottingham Councils Adult Protection Procedure. Claremont Road Care Home C53 C03 S2248 Claremont Road V238324 120705 Stage 4.doc Version 1.40 Page 12 Environment The intended outcomes for Standards 24 – 30 are: 24. 25. 26. 27. 28. 29. 30. Service users live in a homely, comfortable and safe environment. Service users’ bedrooms suit their needs and lifestyles. Service users’ bedrooms promote their independence. Service users’ toilets and bathrooms provide sufficient privacy and meet their individual needs. Shared spaces complement and supplement service users’ individual rooms. Service users have the specialist equipment they require to maximise their independence. The home is clean and hygienic. The Commission considers Standards 24, and 30 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 24, 28 and 30 A homely environment is provided, which is mostly comfortable and safe. Bedrooms suit the needs of individual service users and sufficient shared space. EVIDENCE: The environment is homely and the furniture appears comfortable and of a good quality. The service users bedrooms are clean, personalised and decorated to a good standard. Residents spoken with said that they liked their rooms and a relatives spoken with confirmed that rooms were well decorated and kept clean. There is plenty of communal space, with a separate smoke room for residents. There is small courtyard in the centre of the building that residents have been involved in maintaining and planting. One resident showed this area to the inspectors and was clearly very proud of what had been achieved. There is also a large, enclosed and wheelchair accessible garden to the rear of the property, which is well maintained. Although the home was generally clean with residents taking an active roll in maintaining its hygiene the carpets in communal areas were noted to be very worn and stained. The wallpaper in the dining room had also rubbed off where chairs had been leant against it. A new alarm system had recently been fitted and where the old one had been removed there were patches on the wall of Claremont Road Care Home C53 C03 S2248 Claremont Road V238324 120705 Stage 4.doc Version 1.40 Page 13 different coloured paint. The kitchen was domestic in scale and residents were seen to be involved in making drinks and meals. The laundry room is very small and the door is left open when in use, with laundry baskets spilling out into the corridor. The manager must ensure that this does not become a trip hazard. A recommendation was made at the last inspection regarding the sleep in room. The manager was recommended to assess the suitability of the ‘sleep in’ room in the short term until refurbishment takes place. The manager reported that there is no alternative space within the home. Claremont Road Care Home C53 C03 S2248 Claremont Road V238324 120705 Stage 4.doc Version 1.40 Page 14 Staffing The intended outcomes for Standards 31 – 36 are: 31. 32. 33. 34. 35. 36. Service users benefit from clarity of staff roles and responsibilities. Service users are supported by competent and qualified staff. Service users are supported by an effective staff team. Service users are supported and protected by the home’s recruitment policy and practices. Service users’ individual and joint needs are met by appropriately trained staff. Service users benefit from well supported and supervised staff. The Commission considers Standards 35 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 33 and 35 Staff are clear about their roles and staffing ratios meet the needs of service users. Staff are trained and develop skill to meet the service users’ individual and joint needs. EVIDENCE: The staff rotas were looked at and from this it was clear that enough staff were on duty at key times of the day including extra support provided to a resident who required 1:1. Staff spoken with had a good knowledge of residents needs and it was evident that staff used ‘handover’ to ensure that colleague were aware of issues that may have arisen during the shift. There is currently a high level of sick, but evidence was seen that there innovative ways of addressing this. Staff spoke of regular staff meetings and these are recorded. Staff spoken with were developing communication skills to ensure that they could communicate with residents in the most appropriate way. Evidence was seen of staff training and all mandatory training being regularly updated. Claremont Road Care Home C53 C03 S2248 Claremont Road V238324 120705 Stage 4.doc Version 1.40 Page 15 Conduct and Management of the Home The intended outcomes for Standards 37 – 43 are: 37. 38. 39. 40. 41. 42. 43. Service users benefit from a well run home. Service users benefit from the ethos, leadership and management approach of the home. Service users are confident their views underpin all self-monitoring, review and development by the home. Service users’ rights and best interests are safeguarded by the home’s policies and procedures. 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 are promoted and protected. Service users benefit from competent and accountable management of the service. The Commission considers Standards 39, and 42 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 39 and 42 The overall management of the service safeguards the best interests of service users. Service users’ views and comments are valued and health and safety is promoted within the environment. EVIDENCE: Staff commented that the manager is well organised and staff and service user meetings are held regularly. The Nottingham Community Housing Association carries out its own quality audit and staff and residents are aware of this practice. It was clear throughout the day in the way staff spoke to residents and the way residents behaved that the home was run first and foremost with residents needs central. Records are generally well maintained; maintenance records were found to be up to date, including fire safety checks and water temperature checks. It was noted that the fire door and fire hydrant near the office was partially blocked by general detritus. The manager must ensure that all walkways and hydrants are kept clear. Windows had restrainers on Claremont Road Care Home C53 C03 S2248 Claremont Road V238324 120705 Stage 4.doc Version 1.40 Page 16 and all Control of Substances Hazardous to Health materials were kept in suitable locked environments. Risk assessments had taken place of working practices within the home and they were clearly recorded and reviewed. All accidents and incidents were recorded on the SuRe system. Claremont Road Care Home C53 C03 S2248 Claremont Road V238324 120705 Stage 4.doc Version 1.40 Page 17 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Adults 18-65 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 CONCERNS AND COMPLAINTS Standard No 1 2 3 4 5 Score x 3 3 x x Standard No 22 23 ENVIRONMENT Score 3 3 INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 LIFESTYLES Score x 3 3 x x Score Standard No 24 25 26 27 28 29 30 STAFFING Score 3 x x x 3 x 3 Standard No 11 12 13 14 15 16 17 x 3 x 3 3 3 x Standard No 31 32 33 34 35 36 Score x x 3 x 3 x CONDUCT AND MANAGEMENT OF THE HOME PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Claremont Road Care Home Score 3 3 x x Standard No 37 38 39 40 41 42 43 Score x x 3 x x 2 x C53 C03 S2248 Claremont Road V238324 120705 Stage 4.doc Version 1.40 Page 18 no 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 42 Regulation 13 Requirement The registered person shall ensure that all parts of the home are so far as reasonably practicable free from hazards to their safety. Walkways must be kept free from trip hazards and fire exits and hydrants must accessible. Timescale for action 22/07/05 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. 2. Refer to Standard 24 24 Good Practice Recommendations The carpet in the communal areas should be cleaned or renewed. Damaged paintwork should be repaired. Claremont Road Care Home C53 C03 S2248 Claremont Road V238324 120705 Stage 4.doc Version 1.40 Page 19 Commission for Social Care Inspection Edgeley House Riverside Business Park Tottle Road Nottingham NG2 1RT 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 Road Care Home C53 C03 S2248 Claremont Road V238324 120705 Stage 4.doc Version 1.40 Page 20 - 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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