26 September 2022
During an inspection looking at part of the service
Claremont House is a residential care home providing accommodation and personal care to up to 20 people. The service provides support to older people, some of whom were living with dementia. At the time of our inspection there were 18 people using the service.
People’s experience of using this service and what we found
Improvements were needed to aspects of record keeping. Although people received their medicines safely, medication administration records (MARs) were not always transcribed accurately. Medicine audits did not always identify issues with recording. Although staff knew people's support needs well, some care plans contained conflicting information about the support people needed. Staff needed to make improvements to how they respond to feedback from people that use the service to ensure they were fully involved.
People were supported by staff that knew them well and understood any risks to people. There were enough staff to support people and staff had been safely recruited. Staff followed infection prevention and control measures and the home was clean and hygienic.
People were positive about the support they received from staff and told us they enjoyed living at the home. Staff supported people to be as independent as possible. The culture of the home was calm and friendly and staff worked together to ensure people were empowered to spend their time how they chose. Staff were positive about the management of the service and told us they felt supported. Health professionals that worked regularly with staff to support people were positive about the attitude and knowledge of the staff team. People were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible and in their best interests; the policies and systems in the service supported this practice.
We expect health and social care providers to guarantee autistic people and people with a learning disability the choices, dignity, independence and good access to local communities that most people take for granted. Right support, right care, right culture is the statutory guidance which supports CQC to make assessments and judgements about services providing support to people with a learning disability and/or autistic people. We considered this guidance as there were people using the service who have a learning disability and or who are autistic.
For more details, please see the full report which is on the CQC website at www.cqc.org.uk
Rating at last inspection
The last rating for this service was good (published 28 January 2020).
Why we inspected
This inspection was prompted by a review of the information we held about this service. As a result, we undertook a focused inspection to review the key questions of safe and well-led only. For those key questions not inspected, we used the ratings awarded at the last inspection to calculate the overall rating. The overall rating for the service has remained the same based on the findings of this inspection.
We looked at infection prevention and control measures under the Safe key question. We look at this in all care home inspections even if no concerns or risks have been identified. This is to provide assurance that the service can respond to COVID-19 and other infection outbreaks effectively.
Follow up
We will continue to monitor information we receive about the service, which will help inform when we next inspect.