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CQC report explained · a nursing home

What the CQC found at Claremont Court

Goodpublished 25 July 2024, 2 years ago

Rated Good: inspectors found the home performing well and meeting their expectations.

The latest report, explained

What inspectors found, February 2022

Claremont Court: Inspected but not rated; inspectors found good infection control, safe visiting arrangements and a clean environment.

This was a targeted inspection on 3 February 2022. Inspectors looked mainly at infection prevention and control, visiting arrangements and staffing pressures linked to COVID-19. The inspection was announced 24 hours in advance.

Inspectors were assured that the home used personal protective equipment safely, supported testing, managed infection outbreaks and kept its infection control policy up to date. They also found the home clean and hygienic.

People were supported to see loved ones and go out safely. Their individual needs, including mental health and wellbeing, were considered when assessing COVID-19 risks.

The service was inspected but not rated. This means the report does not give an overall quality rating or a full rating across all five CQC questions.

What inspectors praised
  • Safe contact with family

    People were supported to receive visitors and go out safely. Visiting needs were assessed individually, including during outbreaks and end-of-life care.

    “People were supported to maintain contact with their loved ones, to have visitors and to go out in a safe way.” from the report
  • Good infection control practice

    Staff understood how to use protective equipment, manage outbreaks and use testing to reduce the spread of infection.

    “Staff knew how to correctly use personal protective equipment, how to manage any outbreaks of infections to prevent its spread, and how to effectively use the national testing programme to support good infection prevention and control.” from the report
  • Individual COVID-19 risk planning

    People's individual needs, including their mental health and wellbeing, were considered when risks from COVID-19 were assessed.

    “The registered manager ensured people's individual needs, including their mental health and wellbeing, were discussed, included and considered when assessing individual and home-wide COVID-19 risks.” from the report
What inspectors were concerned about

Inspectors raised no specific concerns in this report.

Questions to ask them, based on this report
  1. 01How are you managing any current staffing pressures, and what effect do they have on people's care?
  2. 02How do you support visits and trips out when there is an infection outbreak?
  3. 03How do you assess and support each person's mental health and wellbeing when managing COVID-19 risks?
  4. 04How often are cleaning, disinfection, laundry and infection control procedures checked?
  5. 05How do you make sure staff and visiting professionals meet the COVID-19 vaccination requirements or have an exemption?

This was a targeted inspection of infection prevention and control, visiting arrangements and COVID-19-related staffing pressures; the service was inspected but not rated overall. This explanation was written from the published report of 17 February 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.

An earlier report, explained

What inspectors found, June 2018

Claremont Court was rated Good overall; inspectors found safe, kind and personalised care, with some mental capacity records needing improvement.

This was an unannounced, comprehensive inspection on 4 May 2018. Inspectors spoke with people living at the home, relatives and staff. They observed care and checked care plans, medicines records, incident records, staff files, training records, complaints and quality checks.

All five areas were rated Good: Safe, Effective, Caring, Responsive and Well-led. Inspectors found that risks were managed, medicines were administered safely, staffing levels were suitable and the home was clean. Staff were described as kind, respectful and knowledgeable about people's needs.

Care planning had improved since the previous inspection. The Responsive rating increased from Requires Improvement to Good. Inspectors still recommended that the home make sure mental capacity assessments are specific to each decision when needed.

What inspectors praised
  • Safe medicines and staffing

    Medicines were given by trained nurses whose competence had been checked. Inspectors found staffing levels suitable for people's needs and saw staff respond promptly to requests for help.

    “People's medicines were managed and administered safely.” from the report
  • Kind and respectful care

    Staff knew people's histories and preferences. They supported independence, offered choices and protected privacy and dignity during personal care.

    “During the inspection we observed interactions between people and staff that demonstrated kindness and compassion.” from the report
  • Improved care planning

    The home had acted on the previous shortfall in care planning. Plans reflected people's needs, interests and wishes, including end of life preferences.

    “At this inspection we found the improvements had been made and the provider planned care in a way that was sensitive to people's needs.” from the report
  • Activities and community links

    People could choose from activities such as exercise, games, crafts, outings and visits from local children. Inspectors found these activities matched people's needs and interests.

    “People were very happy with the activities on offer at the home and we noted these matched people's needs and interests.” from the report
  • Accessible management

    People, relatives and staff spoke positively about management. Regular meetings, surveys and audits were used to involve people and monitor the service.

    “There was strong leadership at the home which ensured management was accessible and tasks were delegated appropriately.” from the report
What inspectors were concerned about
  • Mental capacity records

    needs fixing

    Mental capacity assessments were not always specific to the decision being made. Inspectors gave the example of covert medicines being used without a separate assessment for that particular decision.

    “We recommend that the provider reviews their processes to ensure decision specific mental capacity assessments are completed when necessary.” from the report
Questions to ask them, based on this report
  1. 01How do you make sure mental capacity assessments are specific to each decision?
  2. 02If medicines need to be given covertly, what assessment and best-interest process will you follow?
  3. 03How will you continue the improvements made to care planning since the previous inspection?
  4. 04How are staffing levels checked against the needs of people living at the home?
  5. 05How will you involve our relative and family in care reviews, activities and decisions?

This was an unannounced comprehensive inspection covering all five areas and the overall rating. This explanation was written from the published report of 21 June 2018 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.

The story over the years

Every inspection of Claremont Court

3 rated inspections over 3 years: the service has improved, from Requires improvement to Good.

  1. February 2022Inspected but not ratedcurrent rating
    Safe: Inspected but not rated

    Read what inspectors found at Claremont Court →

  2. June 2018Goodstayed Good
    Safe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good

    Read what inspectors found at Claremont Court →

  3. March 2016Goodup from Requires improvement
    Safe: GoodEffective: GoodCaring: GoodResponsive: Requires improvementWell-led: Good

    Read this report on cqc.org.uk

  4. June 2015Requires improvement
    Safe: Requires improvementEffective: Requires improvementCaring: Requires improvementResponsive: GoodWell-led: Requires improvement

    Read this report on cqc.org.uk

  5. May 2013

    Report published without a new overall rating.

    Read this report on cqc.org.uk

  6. March 2013

    Report published without a new overall rating.

    Read this report on cqc.org.uk

  7. June 2012

    Report published without a new overall rating.

    Read this report on cqc.org.uk

  8. October 2011

    Registered with the Care Quality Commission on 24 October 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.

Next steps

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