Care Home: Claremont Nursing Home

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What the care home does well This was not a full key inspection, therefore not all areas were inspected. However, the manager was keen to share progress being made following the recent key inspection. What the care home could do better: Staff must ensure that they maintain people`s health and personal care needs, including ensuring people have suitable footwear in place, which would facilitate walking around the home and help reduce the risk of falls. Random inspection report Care homes for older people Name: Address: Claremont Nursing Home 5 Nelson Gardens Stoke Plymouth Devon PL1 5RH one star adequate service 14/06/2010 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: Clare Medlock Date: 0 9 0 8 2 0 1 0 Information about the care home Name of care home: Address: Claremont Nursing Home 5 Nelson Gardens Stoke Plymouth Devon PL1 5RH 01752606799 01752606799 care@claremont-nursing.co.uk Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Name of registered manager (if applicable) Mr Ian Johnston Type of registration: Number of places registered: Conditions of registration: Category(ies) : St Nicholas Homes Limited care home 32 Number of places (if applicable): Under 65 Over 65 32 32 32 dementia mental disorder, excluding learning disability or dementia physical disability Conditions of registration: Registered for maximum 3 PD 3 3 3 Registered for maximum 32 PD(E) Service Users 65 years and over Registered for maximum of 3 DE Registered for maximum of 3 MD Registered for maximum of 32 DE(E) Service Users 65 years and over Registered for maximum of 32 MD(E) Service Users 65 years and over Care Homes for Older People Page 2 of 11 Date of last inspection Brief description of the care home 1 4 0 6 2 0 1 0 Claremont Nursing Home is situated in Stoke, a suburb of the City of Plymouth, which is a short distance away by road. It is a large property, as part of a terrace, built on four floors each of which provides accommodation for the people who live there. Nelson Gardens is a private road, there is some allocated off road parking at the front of the building accessed directly from the road. The home is registered to care primarily for up to thirty-two (32) Service Users who have a mental health problem or dementia types illnesses. The ground floor provides the day space for the Service Users by way of a large lounge/diner to the rear of the ground floor and a further lounge room in the middle of the building. At the time of inspection fees range between GBP489.88 and GBP572.22 according to the needs of individual people using the service. Respite fees range from GBP413.33 but also depend on the needs of the individual person. Care Homes for Older People Page 3 of 11 What we found: A random inspection was performed on 9th August 2010. This was in response to a complaint received about care of a person at the home. The complaint alleged faulty equipment lead to neglect and also included information relating to inappropriate oral hygiene. There was insufficient detail to accurately indicate whether the complaint was substantiated. The manager informed that a faulty battery on one of the hoists had been identified last week, but had been rectified. At the inspection two people were seen to be moved in a safe way using a hoist. Other people also appeared to have received a good standard of personal care. People seen appeared to have received oral hygiene. The manager gave assurances that he would speak with all staff to gain further information if necessary, and inform them that issues raised in the complaint, if substantiated, were a form of abuse, and would result in disciplinary action being taken. During the inspection we noted that many people did not have appropriate foot wear present. Staff could not clearly indicate specific reasons why this was the case. One person who liked to walk around the home did not have shoes or slippers on, and wanted to step outside of the home, but was prevented from doing so because of poor weather and lack of footwear. A discussion was held with the manager who confirmed that he would address this issue. 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 4 of 11 Are there any outstanding requirements from the last inspection? Yes R No £ 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 1 7 15 The manager must ensure that care plans are well maintained, kept under review and assessed on a regular basis. This will mean that any changes in care can be monitored and communicated appropriately. 08/10/2010 2 7 12 The manager must ensure 08/04/2011 that systems are in place to follow-up any changes in weight and nutritional status of a person This will mean that unnecessary weight loss is noted and treated accordingly. 3 7 12 Finer details of care must be 08/04/2011 provided. This must include attention to a persons hair, beard, nails, foot wear, mouth and teeth. This will mean that people are cared for to a satisfactory standard and would ensure their comfort and safety at all times. 4 8 13 The manager should ensure 08/04/2011 that people have access to a call bell if appropriate. Page 5 of 11 Care Homes for Older People 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 This will mean that people can call the help when they need it, without placing themselves at risk. 5 8 13 The manager must ensure 08/04/2011 methods of transporting people in wheelchairs is safe. This should include the use of foot plates on wheelchairs when transporting people. This will mean that people can be transferred safely and will minimise any trips or limbs being entrapped whilst being transferred. 6 9 13 The manager must ensure that medication trolleys are locked when not being attended This will reduce unnecessary risk. 7 10 12 The manager must ensure that people are treated with respect. This will prevent distress and avoidable reactions and mean that interactions between staff and people are positive. 8 10 12 Screening must be provided in shared rooms. This will ensure that a persons privacy is not compromised when personal care is provided. Care Homes for Older People Page 6 of 11 08/10/2010 08/10/2010 08/10/2010 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 9 12 16 The manager must consult 08/04/2011 service users, or find out information, about their social interests and personal history, and make arrangements to enable them to engage in a programme of activities and stimulation -- with particular consideration for people with dementia and other cognitive impairments. This will provide people with meaningful stimulation through leisure and recreational activities. 10 12 12 The manager should introduce systems so that staff interactions result in people feeling relaxed, accepted, respected, acknowledged, and well cared for. This will prevent distress and avoidable reactions. and mean that interactions between staff and people are positive. 08/10/2010 11 18 12 The manager must ensure that staff do not out pace people. This will mean that people will not feel like they have been roughly handled. 08/10/2010 12 19 22 The manager must ensure 08/04/2011 that the environment is suitable for the purpose of meeting the needs of people Page 7 of 11 Care Homes for Older People 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 who live there. This would mean that changes to the environment would promote orientation and stimulation for people living at the home. 13 21 12 The manager must ensure that the lack of baths does not affect the requests or choice of people at the home. This will mean that people have choice of how they are washed or bathed at the home. 14 26 13 The manager must ensure 08/10/2010 that all staff, including ancillary staff receive adequate training regarding infection control and are aware of, and have access to personal protective equipment. This will prevent this spread of infection in the home. 15 28 18 The manager must ensure 08/10/2010 that staff are not working in the home unless full and satisfactory information has been obtained. This must include: proof of the persons identity, including a recent photograph and two references relating to the person. This will mean that staff only care for vulnerable people Care Homes for Older People Page 8 of 11 08/04/2011 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 once they have had full preemployment checks performed. 16 38 13 The manager must ensure safe working practices are a priority at the home, for all staff including agency staff. This would mean that agency staff are aware of the appropriate fire procedures, exits and action to be taken in the event of emergency. 08/10/2010 Care Homes for Older People Page 9 of 11 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 1 8 People at the home should wear suitable footwear unless the reasons for not doing so are clearly identified within their care plan. Care Homes for Older People Page 10 of 11 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. 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