13 June 2019
During a routine inspection
Clipstone Hall and Lodge is a residential care home providing personal care to 60 people aged 65 and over at the time of the inspection. The service can support up to 90 people. The care home accommodates up to 90 people across 5 units. Each unit is purpose-built and specialises in providing care to people living with dementia.
People’s experience of using this service and what we found
People and their relatives felt the service was safe. Staff understood how to recognise and report concerns or abuse. People were protected from risks associated with their assessed health needs. Risks associated with the service environment were assessed and mitigated. There were enough staff to keep people safe. People received their prescribed medicines safely and were protected from the risk of infections.
People and relatives felt staff got the right training to meet their needs. People were supported and encouraged to have a varied diet that gave them enough to eat and drink. A health professional said staff were good at highlighting concerns about people’s health needs and getting them the support they needed. People were supported by staff to access healthcare services when required. The provider had taken steps to ensure the environment was suitable for people's needs.
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 spoke positively about the staff who supported them. People also commented on how well staff knew them and supported them in the ways they preferred. People were involved in making decisions about their care, and relatives felt they were kept informed about their family member’s care. People said staff always treated them with respect. Staff had a good understanding of dignity in care and had training in this. Staff respected people's right to confidentiality.
People were regularly asked for their views about their care. Relatives were also involved in reviewing family members’ care with them. Records showed people’s views were documented and where possible, care was tailored to suit their wishes. Staff were proactive in responding to people’s individual needs and encouraged them to do things which were meaningful to them and made them happy. People were supported to maintain contact with their local community, and to continue with activities they had previously enjoyed at home.
The provider had a system in place to respond to complaints and concerns. People and their relatives were encouraged to talk about their wishes regarding care towards the end of their lives.
People and relatives felt the service was well-led. Staff felt supported in their work, and there was a positive team attitude. The management team kept a close eye on how the quality of care was, and any issues were identified quickly and resolved. The registered manager, deputy manager and provider clearly understood their roles and responsibilities in relation to managing a registered care home. The provider undertook audits of all aspects of the service to review the quality of care, and identify areas where improvements were needed.
For more details, please see the full report which is on the CQC website at www.cqc.org.uk
Rating at last inspection and update
At the last inspection the service was rated Requires Improvement (report published 25 April 2018). There was a breach of Regulation 12, where people’s medicines were not always managed safely, and the assessment of risks was not well managed. The provider completed an action plan after the last inspection to show what they would do and by when to improve. At this inspection we found improvements had been made and the provider was no longer in breach of regulations.
Why we inspected
This was a planned inspection based on the previous rating.
Follow up
We will continue to monitor information we receive about the service until we return to visit as per our re-inspection programme. If we receive any concerning information we may inspect sooner.