Inspection on 13/09/07 for Clumber House Nursing Home

This inspection was carried out on 13th September 2007.

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.

Other inspections for this house

Similar services:

Chirnside House

Keer Sands Residential Home

Ruskin Lodge

Bushell House

Langrigg House

Parkside

Dystlegh Grange

Thornton Lodge

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

CARE HOMES FOR OLDER PEOPLE Clumber House Nursing Home 81 Dickens Lane Poynton Cheshire SK12 1NT Lead Inspector Helena Dennett Unannounced Inspection 13 September 2007 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 Clumber House Nursing Home DS0000069125.V346812.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. Clumber House Nursing Home DS0000069125.V346812.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Clumber House Nursing Home Address 81 Dickens Lane Poynton Cheshire SK12 1NT 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) 01625 879946 01625 879230 Grosvenor Care (Cheshire) Ltd Mrs Catherine Mintoff Care Home 36 Category(ies) of Old age, not falling within any other category registration, with number (36) of places Clumber House Nursing Home DS0000069125.V346812.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. The registered person may provide the following categories of service only. Care home with Nursing code N, to people of the following gender: Either. Whose primary care needs on admission to the home are within the following categories: Old age not falling within any other category - Code OP The maximum number of people who can be accommodated is: 36 Date of last inspection 14 December 2006 Brief Description of the Service: Clumber House was built in 1876 and was formerly a private residence that has been converted and extended. It is situated in its own grounds, close to the centre of Poynton on a bus route and within walking distance of local shops and amenities. The home has recently changed ownership and the new owners are Grosvenor Care (Cheshire) Ltd. Bedroom accommodation is on two floors and consists of twenty-six single bedrooms, twenty four of which have en-suite facilities. There is a passenger lift and two staircases providing access to the first floor. A registered nurse is on duty at all times to meet the needs of the residents. The scale of charges range from £402.37 - £500 per week. Clumber House Nursing Home DS0000069125.V346812.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This visit, part of the key unannounced inspection of the home, took place over 6 hours. It was carried out on 13th September 2007 by one inspector. Before the site visit the manager was asked to provide information as part of the inspection. This information was returned late to CSCI. Although the views of residents and relatives about the home were also sought; no comments were received before the visit to the home. During the visit the inspector spoke to the deputy manager, some staff members and people who live in the home. The records for three people who live in the home were looked at to check the care they receive. Policies and procedures and records of medication, care plans, and training records were also examined. What the service does well: What has improved since the last inspection? What they could do better: The statement of purpose and service user guide (information document) needs to be reviewed to make sure that it contains accurate information on the care and facilities to be provided in the home. This should include the fact that intermediate care is provided there and how staff at the home can meet the needs of these residents. Clumber House Nursing Home DS0000069125.V346812.R01.S.doc Version 5.2 Page 6 Care plans do not accurately reflect the type of care to be provided for the person concerned. The plans need to include information on how a person’s needs are to be met and this should be agreed with the person living in the home. The management of medicines must be improved so that people living at the home are not put at risk through poor practice. The privacy and dignity of people living in the home is not always maintained. Staff must be supervised regularly and action taken to make sure that the dignity of people in the home is respected. Infection control systems need to be improved to ensure that people living in the home are not placed at risk of cross infection. The cleanliness of the home needs to be improved and staff must ensure that commodes and other equipment used by residents are cleaned regularly so that there is no risk of infection. The systems in the laundry need to be improved to ensure that residents’ clothes are respected and cared for. Nursing staff must ensure that they attend up to date training on clinical issues on health conditions that may affect the people living in the home, in particular people admitted for intermediate care, to ensure that they have the knowledge and skills to care for those people. The quality assurance system should be reviewed to ensure that the quality of care and facilities provided at the home meets the needs of the people living there. Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. The summary of this inspection report can be made available in other formats on request. Clumber House Nursing Home DS0000069125.V346812.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 Clumber House Nursing Home DS0000069125.V346812.R01.S.doc Version 5.2 Page 8 Choice of Home The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 1, 3 & 6 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. Although most people’s needs are assessed before they move into the home, the written information provided is not accurate and so people considering moving into the home may not be aware of the facilities and services on offer. EVIDENCE: There is a statement of purpose and service user guide, which should provide information on the type of services that the home offers and information about the running of the home. Both documents are not totally accurate and should be amended so that people are aware of the facilities and services on offer at the home. For example: The service user guide states there are 21 single rooms with at least 10 sq m but there is no mention of how many twin/double rooms the home has. Information received from the provider as part of their application indicated that there are 26 single bedrooms and 5 shared rooms. Clumber House Nursing Home DS0000069125.V346812.R01.S.doc Version 5.2 Page 9 The manager or a senior nurse visit people who are considering moving into the home on a permanent basis, before they move in. This is to ensure that staff at the home can meet their needs and that the person can make an informed decision on whether to live in Clumber House Nursing Home. Recently staff at the home have admitted people who are assessed and referred solely for intermediate care. The information submitted by the manager before the inspection stated that the home provides intermediate care services for up to six people. This is not identified in the statement of purpose. The home does not have dedicated facilities for those people requiring intermediate care and so falls short of the National Minimum Standards. Clumber House Nursing Home DS0000069125.V346812.R01.S.doc Version 5.2 Page 10 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 7, 8, 9 & 10 Quality in this outcome area is poor. This judgement has been made using available evidence including a visit to this service. The health and personal care needs of people are not always set out in an individual plan of care and so there is a risk that these needs might not be met. Poor medication practices put people living in the home at risk. EVIDENCE: Three care records were looked at during the site visit. These contained the admission assessment, risk assessments, daily records and some care plans. In general pre printed care plans were in being used and some of these did not reflect the care required by the individual. For example: one of the records looked at was for a person admitted for intermediate care. Three pre-printed care plans were in place, none of which showed the actual care needed for that person. One of the nurses from the Primary Care Trust discussed the person’s care and confirmed that a separate care plan was held by the intermediate care team that visits the home. However if relevant information is not Clumber House Nursing Home DS0000069125.V346812.R01.S.doc Version 5.2 Page 11 transferred into the persons care plan which is kept by staff at the home there is a risk that their needs will not be met. In another set of records it was identified on a review that the person had requested a bath twice a week. The care plan in placed was not changed to reflect this. CSCI was informed about concerns regarding the care of one person’s wound before the site visit. The senior manager of the company agreed to investigate this issue. Risk assessments were in place but the risk assessment for bedside rails was not robust enough to ensure that the person using the rails was not at risk. The assessment was only partially completed but the assessor had identified that bedside rails should be used. The senior manager for the company confirmed that the company would undertake a review of risk assessments. There was evidence that staff contact the doctor and other specialists as the need arises. Some of the people living in the home were complimentary about the care provided. Three people said that all staff were very good and attended to their needs well. One relative praised the staff and said ‘they do a very good job under difficult circumstances’. Another person felt that staff were not aware of their needs and that at times these were not met. Poor practices relating to the administration of medicines were observed during the site visit. When brought to the attention of the nurse in charge this was dealt with immediately; the nurse in charge took over the administration of medicines so that she could be confident that all people living in the home were given their medicine as prescribed. A senior manager from the company said that the issue would be investigated immediately and appropriate action taken as a result. The medicine record administration (MAR) sheets for some of the people living in the home were looked at. In some instances a record of the number of tablets available was not kept and so it was difficult to carry out an audit. There were two instances where tablets were left in the blister pack although these had been signed for as given. This means that some people have not been given their medicines as prescribed. Code F was used on the MAR sheets. There was no explanation what Code F meant so it was not possible to know if people had received their medicines as prescribed. A tub of Diprobase cream was found stored on the floor of one of the bathrooms. The privacy and dignity of people living in the home is not always maintained. During the site visit staff were seeing leaving people sitting in wheelchairs Clumber House Nursing Home DS0000069125.V346812.R01.S.doc Version 5.2 Page 12 queuing to use the toilet. When questioned members of staff said there were only two communal toilets that were suitable for people in wheelchairs to use. Two members of staff were seen helping a person in a wheelchair to use one of these toilets. The privacy of that person was not maintained as the toilet door was left open and their conversation could be heard in the corridor. Clumber House Nursing Home DS0000069125.V346812.R01.S.doc Version 5.2 Page 13 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 14 & 15 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. People living in the home can take part in activities and are able to keep in touch with friends and family so they can stay active and busy. EVIDENCE: People living in the home said that there are enough activities going on to suit their needs. There is a full time activity co-ordinator employed. He organises activities in the home and also arranges trips out for the residents. An activity record book is kept and photographs of outings etc are on display in the home. Visitors are encouraged to visit as often as they would like. One visitor said that the staff were ‘marvellous’ and that the home is one of the best in the area. She felt that all the staff made her feel welcome. Several of the people spoken with said they are offered choices and can suit themselves within reason. They confirmed they could get up and go to bed Clumber House Nursing Home DS0000069125.V346812.R01.S.doc Version 5.2 Page 14 when they please and that staff support them if they wish to go out with relatives or friends. Everyone spoken with was also very complimentary about the food that is provided at the home. A choice is offered and one resident said, ‘if anything there is too much food on offer’. Bowls of fresh fruit are displayed in the lounge area where people can help themselves as they wish. Clumber House Nursing Home DS0000069125.V346812.R01.S.doc Version 5.2 Page 15 Complaints and Protection The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be. JUDGEMENT – we looked at outcomes for the following standard(s): 16 & 18 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home’s procedures and practices are effective in supporting the complaints process, so people living in the home can be confident that any concerns they have will be listened to and acted upon. EVIDENCE: There is a complaints procedure and this is displayed in the home. This was updated during the site visit. A log of complaints received is kept. There were no complaints logged in this folder. However information submitted to CSCI before the site visit indicated that one complaint had been received, which was resolved quickly. The senior manager verified this. There is an adult protection procedure in place. The senior manager confirmed his commitment to ensure that all staff receive training to ensure that people living in the home are kept safe and free from harm. Clumber House Nursing Home DS0000069125.V346812.R01.S.doc Version 5.2 Page 16 Environment The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 19, 21 & 26 Quality in this outcome area is poor. This judgement has been made using available evidence including a visit to this service. Although some improvements to the environment have been made, the inappropriate storage of items, poor cleanliness and hygiene means that residents are living in an environment which is not pleasant and may not meet their needs. EVIDENCE: The home has recently changed owners; the new owners have indicated their commitment to improving the physical environment for the people living in the home. The main lounge has recently been redecorated and is pleasant in appearance. Some bedroom furniture and curtains have also been replaced. An electronic keypad is now in place so that relatives and people living in the home can move freely in and out of the home. Clumber House Nursing Home DS0000069125.V346812.R01.S.doc Version 5.2 Page 17 Some of the bedroom furniture requires replacement; one bed base was split. Bedrooms looked homely and contained many personal possessions. Systems for the prevention of infection must be improved. The clinical waste bins in several of the toilet areas were noted to be full and required emptying. The way items are stored in the home is a cause for concern. One of the bathrooms downstairs was used as a storeroom. There was a mattress stored in the bath and hairdressing equipment, cups, a kettle and a teapot were also stored in the room. The cleaner was seen putting a mop bucket with a mop placed in dirty water in this bathroom. This means that people living in the home are restricted in the choice of bathrooms they may want to use. In another bathroom, a commode pot was placed on top of the sit on weighing scales and three towels were draped over the commode pot. A tub of Diprobase cream with no top on it was on the floor next to hair spray/foam and cream bath solution. A full laundry basket containing dirty linen was found stored in front of the sluice master (should be used to clean commode pots etc). This should have been taken to the laundry. Two commode pots that were in residents’ rooms were looked at during the visit. Both were dirty and required thorough cleaning. The laundry is in an outbuilding at the back of the home. There were several black bin bags on the floor of the laundry containing items to be washed. A blanket in one of the black bags had spilled out onto the path just outside the laundry door. There were also several red bags containing soiled or infected linen also on the floor. The washing machines had completed their washing cycles and washing remained inside. Several of the residents’ clothes were piled up on a shelf next to the dryers. There was a tub of washing powder without a top on it by the open door. The acting manager said that the person who usually does the laundry was on holiday and her replacement was due in at 1400hrs. Clumber House Nursing Home DS0000069125.V346812.R01.S.doc Version 5.2 Page 18 Staffing The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users’ needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission consider all the above are key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 27, 28, 29 & 30 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. Staff need training to develop their skills to make sure that that needs of the people who live at the home, particularly those who are receiving intermediate care, are being met appropriately. EVIDENCE: Some concerns were raised regarding the number of staff available to meet the needs of the people in the home. People spoken with said that at times the home appears to be short staffed. A concern was raised about the lack of knowledge and skills of the qualified staff. Discussion took place with the acting manager about the need to ensure that there are sufficient qualified staff available with the necessary skills and experience to ensure the needs of the residents are met, in particular those people requiring intermediate care The deputy manager has not been allocated additional time to undertake management duties in the absence of the manager of the home. New staff have not been appointed since the change in ownership so there were no recent recruitment records to check. A senior manager from the new Clumber House Nursing Home DS0000069125.V346812.R01.S.doc Version 5.2 Page 19 company confirmed that personnel records are continually audited so that any omissions in checks being obtained can be rectified immediately. Staff training files were examined; there was little evidence that qualified nursing staff or care had attended up to date training in acute medicine or orthopaedic care. The induction record for one new member of staff was looked at during the visit. The member of staff confirmed she had two days induction into the home and that she had worked at Clumber House previously. It was difficult to ascertain from the records how her competency was assessed and whether any practical observations were conducted to ensure that she was competent at carrying out her duties. Clumber House Nursing Home DS0000069125.V346812.R01.S.doc Version 5.2 Page 20 Management and Administration The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. Service users’ rights and best interests are safeguarded by the home’s record keeping, policies and procedures. The health, safety and welfare of service users and staff are promoted and protected. The Commission considers Standards 31, 33, 35 and 38 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 31, 33, 35 & 38 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. The quality assurance system is not robust enough to ensure that the home is run in the best interests of the people living there. EVIDENCE: The manager of the home has been absent for some time. The deputy manager has taken charge in her absence but has not been allocated any additional time to do management duties. This means that at times there may only be one qualified nurse working ‘on the floor’ if she is doing management tasks. The senior manager from the company stated a manager from another company would be working in the home to support the deputy manager until the manager returned back to work. Clumber House Nursing Home DS0000069125.V346812.R01.S.doc Version 5.2 Page 21 Surveys are sent to people living in the home and their relatives to get their view on the care and services provided. Residents meetings are not held. These would give the people living in the home an opportunity to have a say in how the home is run. A senior manager from the company visits the home regularly to monitor the quality of care and services provided and a report is produced monthly. Only small amounts of residents’ money is kept at the home. Receipts are obtained a record of all transactions maintained. A senior manager from the company confirmed that all equipment has been serviced in accordance with current legislation. He confirmed that the lifts and hoists have been serviced regularly. He also confirmed that fire safety tests have been carried out and discussed his intention to do a fire risk assessment of the home. The records indicated that all staff have not done moving and handling training in the previous twelve months. This means that some people living in the home could be at risk of harm or injury through poor lifting practice. The senior manager confirmed that action has been taken and training has been arranged to ensure the safety of the people living in the home. Clumber House Nursing Home DS0000069125.V346812.R01.S.doc Version 5.2 Page 22 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 2 X 3 X X 1 HEALTH AND PERSONAL CARE Standard No Score 7 2 8 2 9 1 10 2 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 2 X 2 X X X X 1 STAFFING Standard No Score 27 2 28 2 29 2 30 2 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 2 X 2 X 3 X X 2 Clumber House Nursing Home DS0000069125.V346812.R01.S.doc Version 5.2 Page 23 Are there any outstanding requirements from the last inspection? N/A 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 OP7 Regulation 15 Requirement A care plan which addresses a person’s individual needs must be put in place when a health or social care need is identified. This is to ensure that all staff provide the most appropriate care to the person. Guidance to make sure that staff provide the most appropriate care must be included in care plans of people living in the home so care provided meets their current health needs. Medicines must be administered safely in accordance with the home’s policy and procedures and the records must be clear and accurate. This means that people living in the home can be confident they will receive their medicines as prescribed. Medicines must be stored correctly in accordance with current procedures so people living in the home can be confident their medicines are managed in a safe manner. Steps must be taken to ensure that staff respect the privacy and DS0000069125.V346812.R01.S.doc Timescale for action 20/10/07 2 OP8 12(1)(a) 20/09/07 3 OP9 13 30/09/07 4 OP9 13 20/09/07 5 OP10 12(4)(a) 20/09/07 Clumber House Nursing Home Version 5.2 Page 24 6 OP21 23(2)(l) 7 OP26 23(2)(d) 8 OP27 18(1)(c) 9 OP38 18(1)(c) dignity of the people who live in the home at all times. Bathrooms must not be used as storage rooms as this could become a fire risk and there must be enough baths available to meet the needs of the people living in the home. All parts of the home must be kept clean and tidy so people living in the home are not at risk of infection and that the home is a pleasant place for people to live in. Staff at the home must have up to date knowledge and skills on clinical issues that affect residents in the home so people living in the home can be confident their needs will be met at all times. All staff must receive to date moving and handling training so people living in the home are not placed at risk of possible injury. 13/10/07 13/10/07 30/11/07 13/12/07 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 OP1 Good Practice Recommendations The statement of purpose and service user guide should be reviewed to ensure that it contains accurate and up to date information on the services provided. This should include the provision of intermediate care and what facilities are in place to meet the needs of those residents. This means that prospective residents can make an informed decision on whether they wish to live in Clumber House. Dedicated accommodation together with specialised facilities, included dedicated space should be provided for people admitted for intermediate care so the needs of DS0000069125.V346812.R01.S.doc Version 5.2 Page 25 2 OP6 Clumber House Nursing Home 3 4 5 OP24 OP26 OP33 these people can be met within the home. The furniture in the bedrooms should be checked and any broken items should be replaced or repaired. The systems in the laundry should be improved to make sure that residents’ clothes are correctly laundered and cared for. The quality assurance system should be reviewed to ensure that the views of professionals visiting the home are sought and that the quality of care provided by staff is monitored regularly. Clumber House Nursing Home DS0000069125.V346812.R01.S.doc Version 5.2 Page 26 Commission for Social Care Inspection Northwich Local Office Unit D Off Rudheath Way Gadbrook Park Northwich CW9 7LT National Enquiry Line: Telephone: 0845 015 0120 or 0191 233 3323 Textphone: 0845 015 2255 or 0191 233 3588 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk © This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI Clumber House Nursing Home DS0000069125.V346812.R01.S.doc Version 5.2 Page 27 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. 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