Latest Inspection
This is the latest available inspection report for this service, carried out on 25th May 2010. CQC found this care home to be providing an Excellent service.
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.
For extracts, read the latest CQC inspection for Clare House Nursing Home.
What the care home does well No requirements were made during the last key inspection. The home has recently been redecorated throughout, which enhances the caring environment residents live in. The home was exceptionally clean and tidy. What the care home could do better: No requirements or Recommendations were made during this Random Inspection. Random inspection report
Care homes for older people
Name: Address: Clare House Nursing Home 36 Hersham Road Walton on Thames Surrey KT12 1JJ three star excellent service The quality rating for this care home is: The rating was made on: A quality rating is our assessment of how well a care home, agency or scheme is meeting the needs of the people who use it. We give a quality rating following a full review of the service. We call this review a ‘key’ inspection. This is a report of a random inspection of this care home. A random inspection is a short, focussed review of the service. Details of how to get other inspection reports for this care home, including the last key inspection report, can be found on the last page of this report. Lead inspector: Joseph Croft Date: 2 5 0 5 2 0 1 0 Information about the care home
Name of care home: Address: Clare House Nursing Home 36 Hersham Road Walton on Thames Surrey KT12 1JJ 01932224881 01932252539 gilberr@bupa.com www.bupa.com Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Name of registered manager (if applicable) Manager Post Vacant Type of registration: Number of places registered: Conditions of registration: Category(ies) : BUPA Care Homes (BNH) Ltd care home 32 Number of places (if applicable): Under 65 Over 65 32 32 old age, not falling within any other category physical disability Conditions of registration: 0 0 The maximum number of service users to be accommodated is 32 The registered person may provide the following category of service only: Care home with nursing only - (N) to service users 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 (OP) Physical disability (PD(E)). Date of last inspection Brief description of the care home Clare House is an attractive Tudor style home situated in the residential area of Walton-On-Thames. It enjoys the benefit of a pretty secluded garden, which is
Care Homes for Older People Page 2 of 9 Brief description of the care home accessible to all residents. There are three sitting rooms, a conservatory and a large dining room all of which which have a homely atmosphere. An activities centre offers a variety of interests, and personal hobbies are encouraged. The home is owned by BUPA who are the registered providers. The home offers nursing care to 32 older people. Care Homes for Older People Page 3 of 9 What we found:
The service was judged as providing a 3 Star Excellent service at the Key Inspection of the 31st August 2007. The Care Quality Commission (CQC) (us, we) undertook an unannounced site visit as part of a Random Inspection to assess the homes performance in regard to the Environment and the Management and Administration outcomes of the National Minimum Standards. Regulation Inspector Mr Joe Croft undertook this visit on the 25th May 2010, which took one and three quarter hours, commencing at 10:15 and concluding at 12:00. The manager was not present due to a prior engagement, however, we did have a telephone conversation with the manager following this site visit. The inspection process included a partial tour of the premises, the sampling of staff training records and records of servicing of the equipment used at the home. Discussions took place with two residents, one member of care staff, the maintenance person and the administrator and assistant administrator. We also viewed the summary of the annual quality assurance survey that was undertaken in September 2009. The manager completed and returned the Annual Quality Assurance Assessment when we asked for it, and we received completed surveys from nine residents and seven members of staff. Both the information in the AQAA and the surveys have been used as a source of evidence in this Random Inspection report. Environment. We undertook a partial tour of the environment that included the ground floor and first floor of the home. Clare House is an attractive Tudor style home situated in the residential area of WaltonOn-Thames. It enjoys the benefit of a pretty secluded garden, which is accessible to all residents. There are three sitting rooms, a conservatory and a large dining room all of which have a homely atmosphere. An activities centre offers a variety of interests for residents to partake in. The home has recently been redecorated, and the decor was bright and welcoming. All bedrooms are for single occupancy. Bedrooms viewed during this site visit were appropriately furnished and included the personal belongings of residents such as their own televisions and family photographs. We were advised that all but four of the single bedrooms have en - suite facilities. The communal bathrooms, showers and toilets had liquid soap and paper towel dispensers, and included assisted baths and other specialist equipment that provide support to residents who need it. There are laundry and sluice facilities, and all Control of Substances Hazardous to Health were kept secure in locked cupboards. The AQAA informs that ninety percent of staff
Care Homes for Older People Page 4 of 9 working at the home have received training in regard to Infection Control. The training matrix viewed provided evidence that staff had received this training. The garden area were excellently maintained, and seating and tables are provided for residents to use to. Surveys received from residents inform that the home is clean and tidy. It was noted that there is a hole in the ceiling of the administrators office. We were advised by the maintenance person that this was due to a leak that had now been repaired, and they are waiting for that part of the ceiling to be replaced. This was confirmed with the manager during our telephone conversation of the 25th May 2010. Management and Administration The manager was not present during the site visit, however, we had a telephone conversation with the manager on the afternoon of the the site visit. The manager told us that the legal department of the organisation will be submitting the managers completed application to register with the Commission within the next four weeks. The manager told us that she has been managing the home for two years, is a qualified Registered General Nurse (RGN) and completed the NVQ level 4 Registered Managers Award in 2008. Other training undertaken by the manager during the last twelve months includes Control of Substances Hazardous to Health (COSHH) and Health and Safety, which is updated every six months. The manager also told us that they are currently updating their Safeguarding Adults Training and Infection Control. Staff surveys informed that the manager regularly meets with them to give support, and to discuss how they are working. One comment in the staff surveys informed The manager is fantastic, excellent. The administrator advised us that they had recently ceased holding any amount of money for residents living at the home. This is now the responsibility of residents and/or their families. The home conducts annual quality assurance surveys to ascertain the views of residents, relatives and other associated professionals views of the care provided at the home. We viewed a summary of the survey that was undertaken in September 2009 that the organisation had published. The manager has since produced an action plan to address any issues that were identified from the surveys, however, it was noted that the feedback from these surveys were mainly positive about the home. The AQAA informs that the home is supported by a National Team of Quality Consultants whose role includes supporting quality issues within the home, auditing and providing guidance on policies, procedures and practice. The AQAA also informs that all the equipment used at the home has been serviced as required by the manufacturers. We evidenced the servicing for the electrical circuits, Gas and the lifts. The maintenance person advised us that work is currently ongoing to
Care Homes for Older People Page 5 of 9 address the recommendations that were made in regard to these. Through the sampling of some staff files we were able to evidence that staff are receiving the mandatory training as required. We were provided a matrix of the training undertaken by staff that included the mandatory training. We were told that this matrix is currently being updated to include all training that all staff at the home have undertaken. Discussions took place with the member of staff who has the responsibility for delivering the Moving and Handling training. We were advised that they had attended the Train the Trainer for this. All new staff receive this training during their induction, and have to complete an exam at the end. Training is being delivered twice a year. The person responsible for this training told us that they now provide this training on a one to one basis. The Maintenance person has also undertaken Train the Trainer and is responsible for ensuring that all staff receive training in regard to fire safety. All staff surveys informed that their induction covered everything that they needed to know to do the job when they started, and that they are receiving training that is relevant to their role, helps them to understand and meet the individual needs of residents and keeps them up to date with new ways of working. The AQAA informs that the home undertakes annual service user surveys. Monthly audits are undertaken by the organisation as well as the Regulation 26 visits. Clare House now has a dedicated Training Coordinator and mentor in the deputy manager who implements training programmes for all staff. What the care home does well: What they could do better: If you want to know what action the person responsible for this care home is taking following this report, you can contact them using the details set out on page 2. Care Homes for Older People Page 6 of 9 Are there any outstanding requirements from the last inspection? Yes £ No R Outstanding statutory requirements
These are requirements that were set at the previous inspection, but have still not been met. They say what the registered person had to do to meet the Care Standards Act 2000, Regulations 2001 and the National Minimum Standards.
No. Standard Regulation Requirement Timescale for action Care Homes for Older People Page 7 of 9 Requirements and recommendations from this inspection:
Immediate requirements: These are immediate requirements that were set on the day we visited this care home. The registered person had to meet these within 48 hours.
No. Standard Regulation Requirement Timescale for action Statutory requirements These requirements set out what the registered person must do to meet the Care Standards Act 2000, Regulations 2001 and the National Minimum Standards. The registered person(s) must do this within the timescales we have set.
No. Standard Regulation Requirement Timescale for action Recommendations These recommendations are taken from the best practice described in the National Minimum Standards and the registered person(s) should consider them as a way of improving their service.
No Refer to Standard Good Practice Recommendations Care Homes for Older People Page 8 of 9 Reader Information
Document Purpose: Author: Audience: Further copies from: Inspection Report Care Quality Commission General Public 0870 240 7535 (telephone order line) Our duty to regulate social care services is set out in the Care Standards Act 2000. Copies of the National Minimum Standards –Care Homes for Older People can be found at www.dh.gov.uk or got from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering from the Stationery Office is also available: www.tso.co.uk/bookshop Helpline: Telephone: 03000 616161 Email: enquiries@cqc.org.uk Web: www.cqc.org.uk We want people to be able to access this information. If you would like a summary in a different format or language please contact our helpline or go to our website. © Care Quality Commission 2010 This publication may be reproduced in whole or in part in any format or medium for noncommercial purposes, provided that it is reproduced accurately and not used in a derogatory manner or in a misleading context. The source should be acknowledged, by showing the publication title and © Care Quality Commission 2010. Care Homes for Older People Page 9 of 9 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. The policy of www.bestcarehome.co.uk is to use all legal avenues to pursue such offenders, including recovery of costs. You have been warned!