15 May 2023
During a routine inspection
Clarkson House is a residential care home providing accommodation and personal care for up to 28 people in one adapted building with bedrooms over 2 floors. At the time of our inspection there were 17 people using the service.
People’s experience of using this service and what we found
Risks to people’s health and safety were not always identified and medicines were not always managed safely. Systems and processes were in place to protect people from the risk of abuse. The service had safe staffing levels and there were robust recruitment measures in place. Infection control processes were followed. However, some parts of the décor required upgrading.
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.
People’s care plans did not always contain accurate up to date information and were found to be conflicting, although some care records were evidenced to be person centred. Staff had completed the relevant training courses to carry out their role and people felt cared for with compassion. People were treated with dignity and respect.
People enjoyed a range of activities and felt included. There was a complaints procedure in place which was being followed. The provider was meeting the Accessible Information Standard.
Governance systems were in place but not always effective. There was limited evidence of mitigation of risk when concerns had been found. The service had policies and procedures in place to guide staff. People and their families provided positive feedback about staff and the management team. Staff described the registered manager as approachable and we saw evidence of regular team meetings.
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 14 August 2019)
Why we inspected
This inspection was prompted by a review of the information we held about this service.
You can see what action we have asked the provider to take at the end of this full report.
Enforcement
We have identified breaches in relation to risk management, health and safety, medicines management and good governance.
Please see the action we have told the provider to take at the end of this report.
Follow up
We will request an action plan from the provider to understand what they will do to improve the standards of quality and safety. We will work alongside the provider and local authority to monitor progress. We will continue to monitor information we receive about the service, which will help inform when we next inspect.