Latest Inspection
This is the latest available inspection report for this service, carried out on 21st June 2010. CQC found this care home to be providing an Poor 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 Clarence House.
What the care home does well Staff have a good knowledge of people`s needs and were observed to be friendly and supportive to people during our visit. What the care home could do better: Referrals to professionals for advice and support need to be clearly indicated in the care plan documentation so it is clear the needs of people are being addressed as appropriate. When people lose weight that is not planned, care records need to clearly indicate what actions staff are required to take to help prevent any deterioration in the health of people. Random inspection report
Care homes for older people
Name: Address: Clarence House 42 Warwick New Road Leamington Spa CV32 6AA zero star poor 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: Sandra Wade Date: 2 1 0 6 2 0 1 0 Information about the care home
Name of care home: Address: Clarence House 42 Warwick New Road Leamington Spa CV32 6AA 01926832826 01926882677 svsrbn@aol.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) : Mr Kanagasabai Sivasoruban,Dr Jeyaratha Sivasoruban care home 21 Number of places (if applicable): Under 65 Over 65 0 21 dementia old age, not falling within any other category Conditions of registration: 5 0 The maximum number of service users who can be accommodated is: 21 The registered person may provide the following category of service only: Care Home Only (Code PC) 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) 21 Dementia (DE) 5 Date of last inspection Brief description of the care home Clarence House is a large Victorian property that was converted from a hotel to a care home in 1984. The home has parking to the front and garden at the rear. There is a
Care Homes for Older People Page 2 of 10 0 8 0 3 2 0 1 0 Brief description of the care home ramped access to the front door. The home is situated less than a mile from the town centre with all major facilities readily accessible. The home provides care for 21 older people with needs such as physical disability, sensory loss and general frailty. In addition care can be provided for up to five people with dementia care needs The accommodation is arranged on three floors, there is a shaft-lift and a chair lift to ensure accessibility. On the ground floor there are two communal lounges with a dining room situated between them. Also on the ground floor there are four single bedrooms and one double bedroom. On the first floor and mezzanine floors, there are seven single and one double bedroom. On the top floor there are a further three bedrooms, one of which is a double room with an en suite. A bathroom with bath chair is situated on the top floor for those who may need assistance into the bath and there are also accessible showers available. Care Homes for Older People Page 3 of 10 What we found:
This random unannounced inspection was undertaken to check compliance with a Statutory Requirement Notice issued to the home in relation to Regulation 15 and a requirement made under Section 11 of the Care Standards Act 2000. These are explained in more detail below. We visited the home on 8 March 2010 between 9.35am and 4.35pm, this visit was unannounced and the provider and manager who were on duty did not know we were coming. In regards to Regulation 15 the service was required by 19 May 2010 to: Ensure each person had a care plan detailing their needs and showing how these needs were to be met. To ensure care plans were being regularly reviewed and updated and a written record kept of the reviews so that staff were kept informed at all times of the care needs of the person. During our last visit we found that the care plan for a person with a medical condition was not clear in showing how this was being managed. It was also evident that information was not up-to-date and did not give clear directions to staff on how to manage this. We looked again at this care file during this visit to establish any changes in practice and to determine if the care plan relating to this persons medical condition was now up-todate, was being reviewed and contained clear instructions to staff. It was evident that the care plans had been rewritten and appropriately updated. Care records gave a clear history of the medical condition of the person and the medical and staff interventions required to manage this. Changes in medication were documented as well as the dates when this was changed. The National Clinical Guidelines on how to manage this medical condition had been added to the file so that staff were clear on the symptoms of this condition and how to manage them. A nutritional assessment had been completed showing how the persons diet was to be managed and instructions to staff on how to manage the persons diet effectively to maintain their health. Care plan reviews had been completed each month for each care need and there were also two weekly audits being undertaken by senior staff to ensure the reviews were being completed. The Statutory Requirement Notice was therefore met. In regards to compliance with Section 11 of the Care Standards Act, the service was required by 31 May 2010 to:Care Homes for Older People Page 4 of 10 Make sure the person carrying on the management of the care home submits an application for registration along with all the required supporting documentation. During the last visit to the home we established that the manager application was forwarded to the Commission on 22 February 2010 but was returned to the manager as one of the pre-employment checks needed validating. Although a commitment was given by the manager for this to be completed the day after our visit, this was not done. We were told during this inspection that a second attempt to validate the employment check was unsuccessful through no fault of the manager. A third attempt was therefore made to complete the validation process on 17 May 2010. Evidence was seen to confirm this and to show that the employment check was being processed. The Commission has subsequently received the managers application with the employment check for processing. This outstanding requirement has therefore been met. During our inspection we reviewed a second care plan to confirm that changes in care plans had been implemented for more than one person living in the home. We found that care plans had been structured in the same way in that they did contain information about peoples healthcare history, information to assist staff in effectively meeting the needs of people, risk assessments and evidence of regular reviews. We noticed during our visit that a person looked frail and of a low weight and had a problem with their eye. The care plans were viewed to establish what information they contained about this persons weight and eye. The weight charts showed that the person had lost weight on the last three occasions when they had been weighed. The person had lost 3lb in one month. Although the weight loss was acknowledged in the records, there was no indication from the records that this was being followed up in any way. The manager told us that when people have lost weight after three consecutive times of being weighed then staff should take appropriate follow-up action which can include alerting the GP. The care records gave no explanation of the current problem with the persons eye or the reasons why this problem had occurred. Staff spoken to were able to explain what the problem was but they were not clear on any follow up action that was being taken to address this. The manager told us that an optician had been contacted in April 2010 and a visit was planned in June. A staff diary recorded the request for an optician visit. If care plan records do not contain clear information regarding actions carried out or proposed, this could mean that staff may not provide the right support or take appropriate action to ensure peoples needs are met. A new requirement has been made in relation to this matter as below. What the care home does well:
Staff have a good knowledge of peoples needs and were observed to be friendly and
Care Homes for Older People Page 5 of 10 supportive to people during our visit. 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 10 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 10 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 1 7 15 People at risk of poor nutrition and weight loss must have suitable care plans in place which show how these needs are to be met. This includes clear instructions to staff on what actions are to be taken for any unplanned weight loss. This is so staff are clear on what is required of them to meet the needs of the person. 30/07/2010 2 7 15 Care plan records must demonstrate any advice and support sought from a healthcare professional as appropriate. This is so it is clear people are being appropriately referred for healthcare advice and support to maintain their health. 30/06/2010 Care Homes for Older People Page 8 of 10 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 9 of 10 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 10 of 10 - 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!
