- Care home
Clapham Lodge Care Home
Report from 7 May 2024 assessment
Contents
Ratings
Our view of the service
Date of assessment 14 May to 26 June 2024 We visited Clapham Lodge Care Home on Tuesday 14 May 2024. Our visit was unannounced. At our last assessment we found some aspects of the service were not always safe and there was limited assurance about safety. There were widespread and significant shortfalls in service leadership. Following the assessment, we received assurances from the provider and a new manager was recruited. At this assessment we found improvements had been made. The provider now had enough staff to ensure people’s safety and meet their needs. Staff now assessed risks. Staff we spoke to were aware of actions to take when people became distressed. However, this was not routinely translated into people’s care plans, there were no documented guidelines for staff. Record keeping had improved. However, records were not maintained for the administration of prescribed creams. There were no guidelines for the administration of medicines required as needed (PRN) for some people. Quality assurance had improved. However, some of the planned measures to quality assure the service had not been completed and there was little evidence of lessons learnt. The registered manager was aware of these shortfalls and told us they were committed to making improvement. The registered manager told us she had not reviewed the policies and procedures since taking up the post, however this was included in the plan for improvement. All staff spoke highly of the registered manager; however, some staff spoke of confusion regarding the role of the providers in the running of the service.
People's experience of this service
The service now had a positive culture that was open and friendly. People were safe at Clapham Lodge and this was reflected in their comments and feedback. A relative told us, “A couple of the staff who were quite intimidating have gone and been replaced with genuinely caring staff, adding to a great team.” The registered manager had an open-door policy and encouraged feedback from staff, people and their relatives. They were in the process of setting up regular meetings for people and their families, to formalise the process for people to share their views about the running of the service.