Latest Inspection
This is the latest available inspection report for this service, carried out on 27th January 2010. CQC found this care home to be providing an Adequate 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 Clemsfold House.
What the care home does well The service has addressed the concerned raised in the Statutory Requirement Notice and we consider the notice met. What the care home could do better: The new procedures of the home must be embedded into the normal practice on an ongoing basis to ensure resident`s health and welfare is protected. When a medicine is given only `if needed` the effect of that treatment must be monitored and recorded in the care notes. Random inspection report
Care homes for older people
Name: Address: Clemsfold House Guildford Road Broadbridge Heath Horsham West Sussex RH12 3PW one star adequate 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: Suni Chotai Date: 2 7 0 1 2 0 1 0 Information about the care home
Name of care home: Address: Clemsfold House Guildford Road Broadbridge Heath Horsham West Sussex RH12 3PW 01403790312 Telephone number: Fax number: Email address: Provider web address: clemsforldhouse@sussexhealthcare.org sussexhealthcare.org Name of registered provider(s): Type of registration: Number of places registered: Conditions of registration: Category(ies) : Mr Shiraz Boghani,Dr Shafik Hussien Sachedina care home 48 Number of places (if applicable): Under 65 Over 65 0 0 dementia mental disorder, excluding learning disability or dementia Conditions of registration: 48 48 The maximum number of service users who can be accommodated is: 48 The registered person may provide the following category/ies of service only: Care home only - PC to service users of the following gender: Either whose primary care needs on admission to the home are within the following categories: Dementia - DE Mental Disorder, excluding learning disability or dementia - MD Date of last inspection Brief description of the care home Clemsfold House is registered to provide personal care for up to forty eight people. Registration categories allow for forty eight people who have dementia and mental disorder over sixty five years of age. This includes up to eight service users in the
Care Homes for Older People Page 2 of 8 2 4 1 1 2 0 0 9 Brief description of the care home category DE over the age of forty and under sixty five years. Current service users over the age of sixty five not falling within any other may still be accommodated but no others in this category may be admitted. The categories of registration will undergoing review by the South East Registration Team as part of the Modernising Registration Agenda. Clemsfold House is a detached property situated in a rural area about three miles from Horsham. It has a well maintained, accessible garden. Dr S Sachedina and Mr S Boghani privately own the service. Mrs D Holmes is the registered manager responsible for the day-to-day running of the home. The weekly fees for the home range from #492.24 to #650 for an ensuite single room, the CSCI was informed of the current fees on the 1st November 2007. Fees do not include charges for extra services such as chiropody and hairdressing. Details of these are available from the manager. Care Homes for Older People Page 3 of 8 What we found:
The pharmacist inspector visited the service to check compliance with a Statutory Requirement notice served to the home in which the home was required by 21 January 2010 to: 1. Ensure that a system is in place to ensure service users receive their medicines as Prescribed The evidence showed that all prescribed medicines were available and given as prescribed. When for any reason the medicine was not given there was clear documentation as to the reason why this medicine was omitted. 2. Ensure that staff are given clear instructions and guidance on when to administer medicines that are prescribed for service users on an as required basis. There was a new guidance document in the care plan for all medicines that were to be given only when needed. These were done after our visit which resulted in the Statutory Requirement Notice being served. These guidance did not always include sufficient detail and would therefore have the potential for inconsistency. 3. Ensure that a record is kept of the amount of medication that is given where there is a variable dosage and why and when an as required medication is given and its effect. All medicines prescribed as a variable dose had been reviewed by the doctor and a definite dose prescribed. When a medicine, that is prescribed to be given only if needed, is given to people the effect of that treatment is not always recorded in the care notes. This could be a detriment to the health and welfare of resident and action must be taken to address this. 4. Ensure that hand written MAR charts are accurate before commencing the use of the chart and the hand written records are checked and signed by a second person. There was only one example of a hand written chart to view over the period to be checked and the supply instructions corresponded to the hand written chart. Therefore as the instructions were clear and accurate, people would get their medicine as prescribed by their doctor. 5. Ensure that the medicine administration sheets reflect the current treatment directions. All medicines listed on the current medicine record charts were being used. People were getting the medicines as prescribed to them by their doctor. What the care home does well:
The service has addressed the concerned raised in the Statutory Requirement Notice and we consider the notice met. Care Homes for Older People Page 4 of 8 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 5 of 8 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 6 of 8 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 7 of 8 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. Copyright © (2009) Care Quality Commission (CQC). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CQC copyright, with the title and date of publication of the document specified. Care Homes for Older People Page 8 of 8 - 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!
