About the service Clann House is a residential care home providing personal care and accommodation for up to 34 predominantly older people. At the time of this inspection there were 29 people living in the service. Accommodation is spread over two floors. Clann House is an older style property on the outskirts of Lanivet village, which is near Bodmin.
The provider, Mr and Mrs L Difford, registered Clann House with the Commission in September 2022. The provider has 4 registered care homes in Cornwall. The provider transferred one of their experienced managers to become the registered manager of Clann house with support from an acting manager. An action plan was put in place to address the shortfalls found when they took responsibility of the service.
People’s experience of using this service and what we found
People, relatives, staff and health and social care professionals all spoke positively about the improvements made to the service. These had resulted in the standard of care for people improving, staff skill, knowledge and support increasing and relatives feeling more assured that their relatives were being cared for safely. Some comments from people and relatives included "[Family members name] told me, ’You don’t have to worry about me I'm very happy here.’ I know she's safe”, “I can sleep now as I don’t worry like I used to.”
Staff commented on their experience with the new providers as, “The manager works alongside us and it’s lovely to see. I feel the clients are all happier, the home is being redecorated and is clean. I would have no concerns raising a concern, I feel valued and listened to. I can say that I now love my job and am proud to say I work at Clann House.”
Health and social care professionals were complimentary about the changes in the service and the positive impact this had on people and staff. Comments included, "All I can say is what a difference not only in the look of the place but the staff are so much more upbeat, also the residents for that matter, since the new service provider has taken over, it’s almost like going into a completely different care home.”
The provider had invested in the environment. Comments from people, relatives, staff and health and social care professionals were positive about the changes. Comments included “The home is so much more fresh and looks so much better as we go on rooms are being done up and much better for the new residents arriving.”
The provider had implemented new systems and processes that had improved the standard and quality of the service. For example, an electronic application to record people’s care plans, their risk assessments and people’s daily notes in ‘real time’. Daily notes detailed what the person had done during the day and information about their physical and emotional well-being. People and relatives could also access this to see how care was being delivered. A relative told us “I’ve seen [relatives] care plan and can see it online. I have daily access to see what [relative name] has been doing. There's a continuing dialogue between us.”
There were enough staff to meet people's needs and ensure their safety. Staff told us that they had received the training they needed to meet people's needs safely and effectively. Staff were supported in their roles through a plan of supervision. Staff told us they felt supported by the registered manager and the senior team.
Peoples medicines were managed safely. Staff responsible had the necessary skills to administer medicines. Oversight was in place to ensure medicines were managed safely.
There were processes in place to prevent and control infection at the service, through access to COVID-19 testing where necessary, additional cleaning and safe visiting precautions.
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.
The management team maintained oversight of complaints, accidents and incidents and safeguarding concerns. The management team engaged well with health and social care professionals. Systems to assess and monitor the quality and safety of the care provided were in place. They were effective in assessing quality and identifying and driving improvement. The service had clear and effective governance systems in place.
For more information, please read the detailed findings section of this report. If you are reading this as a separate summary, the full report can be found on the Care Quality Commission (CQC) website at www.cqc.org.uk
Last rating and update
This service was registered with us on 12 September 2022 and this is the first inspection. The last rating for the service under the previous provider was requires improvement, published on 30 May 2022.
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.
Follow up
We will continue to monitor information we receive about the service, which will help inform when we next inspect.