23 January 2023
During a routine inspection
About the service
Clarendon Beechlands is a residential care home providing personal care to 18 people at the time of the inspection. The service can support up to 18 people who have a learning disability or autistic people, people with a mental health condition and younger adults.
People’s experience of using this service and what we found
Right Support: People did not receive the support required in a safe way. There was a shortage of staff, and not all staff were sufficiently trained. This meant staff were not always available to administer medicines, and staff did not understand their responsibility to report restrictive practices. This resulted in people experiencing unlawful restrictions on their daily life.
People were not supported to have maximum choice and control of their lives and staff did not support them in the least restrictive way possible and in their best interests; the policies and systems in the service did not support this practice.
Right Care: People did not always receive care and treatment that promoted their human rights or encouraged and promoted their dignity and privacy.
Right Culture: A lack of leadership allowed a poor culture to develop within the service. Whilst most people were happy to live at the service, and provided some good feedback, the management did not effectively assess areas of safety and quality and facilitate any drivers for improvement. Some areas of the home were not cleaned thoroughly, and other areas needed decorative repair.
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 25 September 2019).
Why we inspected
This inspection was prompted by a review of the information we held about this service.
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.
Enforcement
We have identified breaches in relation to risks of abuse and harm to people, poor upkeep of the building, a lack of staff and a lack of leadership at this inspection.
Full information about CQC’s regulatory response to the more serious concerns found during inspections is added to reports after any representations and appeals have been concluded.
Follow up
We will meet with the provider to discuss how they will make changes to ensure they improve their rating to at least good. We will work with the local authority to monitor progress. We will continue to monitor information we receive about the service, which will help inform when we next inspect.
Special Measures
The overall rating for this service is ‘Inadequate’ and the service is therefore in ‘special measures’. This means we will keep the service under review and, if we do not propose to cancel the provider’s registration, we will re-inspect within 6 months to check for significant improvements.
If the provider has not made enough improvement within this timeframe and there is still a rating of inadequate for any key question or overall rating, we will take action in line with our enforcement procedures. This will mean we will begin the process of preventing the provider from operating this service. This will usually lead to cancellation of their registration or to varying the conditions the registration.
For adult social care services, the maximum time for being in special measures will usually be no more than 12 months. If the service has demonstrated improvements when we inspect it and it is no longer rated as inadequate for any of the five key questions it will no longer be in special measures.