25 October 2016
During a routine inspection
This was the first inspection of the service under the new provider.
Clarendon Nursing Home provides accommodation, nursing and personal care for up to 47 people, some living with dementia. At the time of our inspection, there were 46 people using the service.
There was a registered manager in post. A registered manager is a person who has registered with the Care Quality Commission to manage the service. Like registered providers, they are ‘registered persons’. Registered persons have legal responsibility for meeting the requirements in the Health and Social Care Act 2008 and associated Regulations about how the service is run.
People at the service felt safe. Staff knew how to respond to abuse and had completed safeguarding of adults training. The service provided a safe and well maintained environment for people, visitors and staff. Risk assessments supported people’s needs. There were sufficient numbers of staff to meet people’s needs. There were procedures and checks in place to ensure only suitable staff were employed. The management of medicines was safe. The service was managing infection prevention and control by following appropriate guidance.
Staff were provided with regular supervision and training to support people with their care needs. People were supported to have a healthy diet and to maintain good health. The service was working within the principles of the MCA. We saw evidence of completed mental capacity assessments, best interests meetings care records. Staff had completed MCA training.
People’s comments about staff were generally positive. Care planning arrangements considered people’s individual needs and preferences. We observed good practice and incidences of warm and compassionate care. People’s choices and decisions were respected. Staff providing care and treatment respected people’s privacy and dignity. People’s independence was supported. People and their representatives were involved decisions around their care and treatment.
People received personalised care and support that was responsive to their diverse needs. Care records and support plans identified people’s needs, risks and goals. People and relatives were confident that they could raise concerns with staff and there was a complaints system in place. There was a programme of activities for people who could attend group activities. There were no activities in place for those who could not make group sessions. We were told an additional activities coordinator had been recruited and was waiting to start.
People, relatives and staff spoke positively about the management team and said they were approachable. Staff meetings were held regularly giving staff the opportunity to feedback their thoughts about the service. There were systems in place to assess and monitor the quality of service provided. Records relating to the provision of care were fit for purpose.