CQC report explained · a nursing home
What the CQC found at Claremont Care Home
Rated Good: inspectors found the home performing well and meeting their expectations.
What inspectors found, October 2023
Requires Improvement; inspectors found safety risks, poor records and an environment that needed improvement.
This was an unannounced focused inspection. Inspectors visited on 13 and 18 July 2023. They spoke with people, relatives, staff and a health professional, observed care, and checked care, medicines, recruitment and management records.
The home was not always safe. Some risk assessments and care plans were missing or incomplete. Inspectors found problems with repositioning, catheter care, blood glucose checks, equipment records and infection control. The building was worn and some areas were unclean.
Some things were working well. There were enough staff, recruitment checks were completed, safeguarding systems were in place and most medicines were managed safely. However, audits had not brought about enough improvement since the previous inspection, and records were still not always accurate.
The overall rating was Requires Improvement. Safe and Well-led were both rated Requires Improvement. The home remained in breach of Regulation 17, and CQC issued a warning notice and will monitor an action plan.
Enough staff
Inspectors found staffing levels were enough to meet people's needs, and the manager monitored staffing levels.
“There were enough staff to meet people's needs.” from the report
Safeguarding systems
Staff had safeguarding and whistleblowing policies and understood how to report concerns about abuse.
“Staff had access to safeguarding and whistle blowing policies and understood their responsibility to report any allegations of abuse.” from the report
Improved medicines management
Medicines were mostly managed safely, and the previous breach about medicines was no longer in place at this inspection.
“At this inspection, improvements had been made and the provider was no longer in breach of this regulation for medicines.” from the report
Incident follow-up
Incidents were reported and reviewed, with action taken to reduce the chance of them happening again.
“We saw that incidents were reported and reviewed by the manager.” from the report
Incomplete risk assessments
seriousSome people did not have the risk assessments needed to guide safe care. Inspectors found examples involving transfers, repositioning, diabetes and skin protection.
“Not all risk assessments had been completed when people required measures in place to keep them safe.” from the report
Infection and environment problems
seriousInspectors found missed catheter care, flies around food, dirty cups, chipped cutlery and faeces in a bathroom. The building also needed repair and renovation.
“The home was not always clean. The home had a cat and we found faeces in one bathroom.” from the report
Poor records and weak oversight
seriousCare plans, medicine records and safety checks were not always complete or accurate. Audits had not dealt effectively with issues found at the previous inspection.
“We found systems were either not in place or robust enough to maintain appropriate and contemporaneous records.” from the report
- 01What has been done to complete all risk assessments and care plans, including for transfers, repositioning and diabetes?
- 02How are catheter care, repositioning, blood glucose checks and food intake now checked and recorded?
- 03What work has been completed to clean, repair and renovate the home, including the electrical socket, lounge, garden and fire risk assessment?
- 04How are medicine records checked now, especially records for as-required medicines and creams?
- 05What actions have been taken in response to the Regulation 17 warning notice, and how will you show that improvements are lasting?
This was a focused inspection of Safe and Well-led, including infection prevention and control under Safe; no ratings or detailed findings were given for the other key questions. This explanation was written from the published report of 3 October 2023 by an AI system and checked against the report text: every quoted line appears in the report. It is a guide to the report, not a substitute for it. Read the full report on cqc.org.uk.
What inspectors found, November 2022
Rated Requires Improvement; inspectors found kind care and clear improvement, but medicines and management checks were still unsafe.
This was an unannounced planned inspection on 13 and 20 September 2022. Inspectors spoke with people, relatives and staff, observed care, and checked care plans, risk assessments, medicines records, staff files and management records.
The home had improved since its previous inspection. Care was more person-centred, the environment was cleaner and safer, staff training and deployment had improved, and the culture was more positive. Caring was rated Good.
Important problems remained. Medicines were not always available or recorded correctly. Some mental capacity records, care records and quality checks were incomplete or ineffective. Activities were also mixed, with some people saying there was not enough to do.
The overall rating changed from Inadequate to Requires Improvement. The home is no longer in special measures, but it remained in breach of regulations about medicines and governance.
Kind and respectful care
People and relatives mostly described staff as caring. Inspectors saw staff speaking politely, protecting privacy and supporting individual choices.
“We observed staff talking to people in a polite and respectful manner.” from the report
Improved culture
Inspectors found a more positive staff approach and better teamwork than at the previous inspection.
“During this inspection, we found improvements in staff's approach, how staff worked together and the positive impact this was having on people.” from the report
Food and drink support
People's nutritional and hydration needs were assessed and monitored. Staff knew people's food and drink preferences.
“People's nutritional and hydration needs were well managed.” from the report
Staff training and support
Staff said they felt supported. Training, follow-up training and supervision were in place, and the home was no longer in breach of the staffing and training regulation.
“Staff were offered regular supervision sessions and staff confirmed this was supportive of their practice.” from the report
Risk planning
Most risks had been assessed and planned for. Weight loss risks were managed well, and accidents and incidents were reviewed to reduce repeat events.
“At this inspection, we found risks associated with people losing weight were well managed.” from the report
Medicines were not always safe
seriousSome medicines were out of stock, medication administration records had gaps, and staff did not always follow instructions about patches, paracetamol or as-needed medicines. CQC said this placed people at risk of harm.
“Medicines were not always available to people as they were out of stock.” from the report
Management checks missed problems
seriousAudits and other checks did not identify or resolve issues found during the inspection. This included medicines, care records and mental capacity records.
“Quality assurance systems were in place and happening regularly, however these had not always been effective in driving the necessary improvements.” from the report
Incomplete decision records
seriousFor some people who could not consent to parts of their care, mental capacity assessments and best-interest decisions were not always recorded correctly or for the specific decision.
“There were inconsistencies in the quality of records related with mental capacity assessments and best interest decisions.” from the report
Activities were inconsistent
needs fixingRecords showed regular one-to-one and group activities, but some people and relatives said there was not much happening, particularly for people who wanted more to do.
“However, we received feedback from people and relatives in relation to the lack of activities.” from the report
- 01What has been done since the inspection to make sure medicines are always in stock and every dose is recorded correctly?
- 02How do you now check that medicine patches, paracetamol and as-needed medicines are given safely?
- 03What changes have been made to care records and mental capacity assessments, and who checks that they are complete?
- 04How are you responding to the Warning Notice, and when will the changes be independently checked?
- 05What activities are available each day, including at weekends and for people who prefer one-to-one activities?
This was a planned inspection covering all five key questions, including infection prevention and control under Safe; the home was assessed after its previous Inadequate rating and special measures placement. This explanation was written from the published report of 15 November 2022 by an AI system and checked against the report text: every quoted line appears in the report. It is a guide to the report, not a substitute for it. Read the full report on cqc.org.uk.
Every inspection of Claremont Care Home
7 rated inspections over 8 years: the service has held its Requires improvement rating throughout.
- October 2023Requires improvementcurrent ratingstayed Requires improvementSafe: Requires improvementEffective: Requires improvementCaring: GoodResponsive: Requires improvementWell-led: Requires improvement
- November 2022Requires improvementup from InadequateSafe: Requires improvementWell-led: Requires improvement
- March 2022Inadequatedown from Requires improvementSafe: InadequateEffective: InadequateCaring: Requires improvementResponsive: InadequateWell-led: Inadequate
- May 2021Requires improvementSafe: Requires improvementWell-led: Requires improvement
- October 2020Inspected but not ratedSafe: Inspected but not rated
- September 2017Goodup from Requires improvementSafe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
- June 2016Requires improvementstayed Requires improvementSafe: Requires improvementEffective: Requires improvementCaring: GoodResponsive: Requires improvementWell-led: Good
- June 2015Requires improvementSafe: Requires improvementEffective: Requires improvementCaring: GoodResponsive: GoodWell-led: Good
- April 2015
Report published without a new overall rating.
- October 2014
Report published without a new overall rating.
- July 2014
Report published without a new overall rating.
- September 2013
Report published without a new overall rating.
- July 2013
Report published without a new overall rating.
- November 2012
Report published without a new overall rating.
- June 2012
Report published without a new overall rating.
- April 2012
Report published without a new overall rating.
- March 2012
Report published without a new overall rating.
- February 2012
Report published without a new overall rating.
- September 2011
Report published without a new overall rating.
- May 2011
Report published without a new overall rating.
- January 2011
Registered with the Care Quality Commission on 26 January 2011.
Ratings and report dates from the Care Quality Commission, Open Government Licence v3.0. A home can also be visited without a new rating being published, so the timeline shows published inspections.
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At least 100 live-in carers within about an hour of Leeds
These are self-employed carers on PrimeCarers, the introductory agency that runs this directory. Each has a profile with their own rates and reviews from families, and you choose who to talk to.
Most charge £980 to £1,250 a week. 89 can care for a couple. 11 years' experience on average.
“Carla has been a god send with the implementation of bringing mum back home from respite care.”
“Took his time to learn about me read my care plan and to listen to me. great companionship with lots of laughing.”
Every carer has had an enhanced DBS check in the last 18 months, ID and right-to-work checks and an online interview. Their skills and training are for you to check with them. Carers set their own rates, and who is free changes week to week.