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Inspection on 17/02/06 for Claremount House Nursing Home

Also see our care home review for Claremount House Nursing Home for more information

This inspection was carried out on 17th February 2006.

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

Service users` interests and abilities are assessed and an individual activity plan devised. The home is generally well maintained and all bedrooms are for single occupancy and equipped with en-suite facilities. A safe and secure sensory garden has been developed which is enjoyed by the service users, especially in the warmer weather. Visiting relatives consulted during the inspection described how the atmosphere and general care within the home has much improved during the recent weeks.

What has improved since the last inspection?

The current acting manager has devised and implemented new care plan reviewing practices and is committed to developing an open and inclusive atmosphere within the home.

What the care home could do better:

A manager has been appointed and an application must be submitted to the Commission for Social Care Inspection for registration. Doors marked to be `kept locked` must be locked, and fire doors must not be wedged open. NVQ training is provided, however, less than 50% of care staff hold their award.

CARE HOMES FOR OLDER PEOPLE Claremount House Nursing Home Claremount Road Claremount Halifax West Yorkshire HX3 6AN Lead Inspector Cheryl Stovin Unannounced Inspection 17th February 2006 11:30 X10015.doc Version 1.40 Page 1 The Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Reader Information Document Purpose Author Audience Further copies from Copyright Inspection Report CSCI General Public 0870 240 7535 (telephone order line) This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI www.csci.org.uk Internet address Claremount House Nursing Home DS0000001047.V285369.R01.S.doc Version 5.1 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. Claremount House Nursing Home DS0000001047.V285369.R01.S.doc Version 5.1 Page 3 SERVICE INFORMATION Name of service Claremount House Nursing Home Address Claremount Road Claremount Halifax West Yorkshire HX3 6AN 01422 331121 01422 367289 claremount.house@craegmoor.co.uk 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) Park Care Homes (No 2) Ltd Care Home 22 Category(ies) of Dementia - over 65 years of age (22), Mental registration, with number Disorder, excluding learning disability or of places dementia - over 65 years of age (22) Claremount House Nursing Home DS0000001047.V285369.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. 3. Elderly service users over 60 years of age Can accommodate a maximum of 2 services users aged 55 to 65 years, category MD and DE. Can accommodate one named service user under 65 years of age, category DE. 29th November 2005 Date of last inspection Brief Description of the Service: Claremount House is registered to provide nursing and personal care for up to 22 older people with mental health needs. The establishment is situated in the Claremount district of Halifax with easy public transport links to the town centre. The establishment is generally well maintained with all bedrooms being for single occupancy and spacious communal areas. A safe and secure attractive garden area is available for the use of the residents. Claremount House Nursing Home DS0000001047.V285369.R01.S.doc Version 5.1 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This unannounced inspection took place on 17th February 2006. Over an inspection year from April until March, care homes have a minimum of two inspections a year. The last inspection was also unannounced and took place on 29th November 2005. During the course of this inspection, several visiting relatives were consulted as to their views of the standard of care and facilities provided within Claremount House and all spoke very highly of the service provided. One relative stated that it was “a home from home”, with another describing the home as “excellent”. What the service does well: What has improved since the last inspection? The current acting manager has devised and implemented new care plan reviewing practices and is committed to developing an open and inclusive atmosphere within the home. Claremount House Nursing Home DS0000001047.V285369.R01.S.doc Version 5.1 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. Claremount House Nursing Home DS0000001047.V285369.R01.S.doc Version 5.1 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 Claremount House Nursing Home DS0000001047.V285369.R01.S.doc Version 5.1 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): 1,6 Written information about the establishment is provided, however this requires updating. EVIDENCE: The Statement of Purpose which is displayed within the home needs to be revised to reflect the current management arrangements within establishment. Intermediate care is not provided within the establishment. Claremount House Nursing Home DS0000001047.V285369.R01.S.doc Version 5.1 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): 7,9 New care planning and reviewing procedures are being implemented within the home. EVIDENCE: The acting manager of the home has recently implemented a new system of review and evaluation of the service users’ individual plans of care. This process will ensure that the needs of the service users are reviewed and recorded regularly. The establishment uses a cassette system, supplied by a local pharmacy, for the administration of medication. The medication is securely and appropriately stored, and records examined were completed accurately and stocks of medication held reconciled with records kept. The qualified nursing staff are responsible for handling medication in accordance with NMC guidelines. Claremount House Nursing Home DS0000001047.V285369.R01.S.doc Version 5.1 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): 12,13,15 Service users’ preferences are identified and daily routines are flexible to enable social and emotional needs to be met. EVIDENCE: All service users are assessed regarding their interests and abilities and an activity plan is in place for each service user. Four relatives visiting the home at the time of the inspection described how the atmosphere and general care and attention within the home has improved greatly in recent months. They all expressed their satisfaction with the care and attention given to their relative within the home. The meals served in the home have also improved now that two full time chefs are employed. The main meal of the day is served at lunchtime, and the luncheon being served on the day of the inspection was poached fish with parsley sauce, creamed potatoes and fresh vegetables, followed by peaches and ice cream. An alternative can always be served if required. A wide range of special diets are provided reflecting dietary requirements and cultural and religious needs. Claremount House Nursing Home DS0000001047.V285369.R01.S.doc Version 5.1 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 Procedures are in place to deal with complaints promptly and service users are protected. EVIDENCE: The establishment displays a clear complaints and suggestions procedure with all the correct contact details. All staff receive training in the protection of vulnerable adults. Claremount House Nursing Home DS0000001047.V285369.R01.S.doc Version 5.1 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): 19,20,23 The environment is safe and well maintained. EVIDENCE: The establishment is generally well maintained, with a programme of redecoration and refurbishment in place. All bedrooms are for single occupancy with spacious communal facilities. A passenger lift ensures all areas of the home are accessible for the service users. Of particular note is the secure and attractive garden area which was developed by a grant from the Millennium Fund. Relatives and staff worked hard to create this garden area which is a peaceful haven complete with a flowing water feature. A vegetable plot has been developed which will provide homegrown organic vegetables shortly. Claremount House Nursing Home DS0000001047.V285369.R01.S.doc Version 5.1 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): 27,28,29,30 Adequate staffing levels are provided to meet the needs of the service users. EVIDENCE: There has been problems retaining staff over the past few months, in addition to high levels of sickness absence, which has resulted in the qualified nursing staff working additional hours covering the care assistants’ shifts. Recruitment, however, is underway. There is a commitment to training within the establishment, with a programme of in house training. NVQ training is in place with four care staff holding their award and a further two undertaking their award. Staff files examined indicated that thorough recruitment practices are in place. There was evidence of two written references, proof of identity, an application form and a POVA and CRB disclosure within the files. There is a high proportion of overseas staff working in the home and those who require it take English language lessons. Claremount House Nursing Home DS0000001047.V285369.R01.S.doc Version 5.1 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): 31,32,33,38 The acting manager of the establishment is continuing to develop an open and positive atmosphere within the home. EVIDENCE: There has been no registered manager within the home for over twelve months. Mr Roy Bennet has been appointed as manager of the home and is required to submit an application to be registered as manager to the CSCI. Mr Bennet is committed to creating and developing an open and positive atmosphere within the home, and visiting relatives remarked on how the atmosphere within the home has improved recently. There are health and safety policies and procedures within the home, however, doors marked ‘kept locked’ were still not. The fire door to the main lounge was noted to be wedged open - this was stated to be for safety reasons. If this is the case, then a self-closing device must be fitted. Claremount House Nursing Home DS0000001047.V285369.R01.S.doc Version 5.1 Page 15 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 1 x x x x N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 x 9 3 10 x 11 x DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 x 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 x 18 3 x x x x 3 x x x STAFFING Standard No Score 27 3 28 3 29 3 30 1 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 1 3 3 x x x x 1 Claremount House Nursing Home DS0000001047.V285369.R01.S.doc Version 5.1 Page 16 Are there any outstanding requirements from the last inspection? No STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1. Standard OP1 Regulation 4 Requirement The Statement of Purpose and Service User Guide to be revised to reflect the current management arrangements within the home. An application to be submitted to the CSCI for registration of the manager. Unnecessary risks to the health and safety of service users are identified and so far as possible eliminated. 50 of care staff to be qualified to NVQ II. Timescale for action 31/03/06 2. OP31 9 30/04/06 3. OP38 13 31/03/06 4. OP30 16 30/06/06 Claremount House Nursing Home DS0000001047.V285369.R01.S.doc Version 5.1 Page 17 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 Claremount House Nursing Home DS0000001047.V285369.R01.S.doc Version 5.1 Page 18 Commission for Social Care Inspection Brighouse Area Office Park View House Woodvale Office Park Woodvale Road Brighouse HD6 4AB 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 Claremount House Nursing Home DS0000001047.V285369.R01.S.doc Version 5.1 Page 19 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. 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