About the serviceClaridge Place is a purpose-built residential care home providing personal care to up to 77 people. At the time of our inspection 23 lived at the home and two of those people were in hospital. Accommodation is available over three floors. Communal areas included dining rooms a spa, hairdressing salon and a bistro.
People's experience of using this service and what we found
People told us they received their medicines when they needed them. However, medicines were not always managed safely and in line with the providers procedure. Following our visit, we were informed of the actions that had been taken to improve medicines managment.
During our visit immediate action was taken by the manager to improve safety. This included ensuring fire doors fully closed as required and the information the fire service needed to evacuate the building safely in the event of a fire was correct.
People felt safe. Safeguarding procedures protected people from harm and the manager understood their responsibilities to keep people safe. Accidents and incidents, including falls had been analysed to identify patterns and trends to prevent recurrence.
Risks to people's health and wellbeing had been identified and staff knew how to manage risks. However, guidance was not in place to inform staff what they needed to do to manage one person’s health condition. Action was taken to address this shortfall.
Staff were recruited safely, and enough staff were on duty to meet people’s needs and provide safe care. Staff completed an induction when they started work and completed ongoing training to help them provide effective care to people. Staff had opportunities to meet with their managers to discuss and reflect on their practice.
The environment was clean, and the provider's infection prevention and control measures were effective.
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 had been involved in an assessment to make sure their needs and expectations could be met before they moved in. People were involved in the planning and ongoing review of their care.
People had access to healthcare professionals when needed. Managers and staff worked in partnership with healthcare professionals to support people's health and maintain their wellbeing.
People provided positive feedback about the food and the mealtime experience during our visit was positive. Staff knew what people liked to eat and drink and people who were at risk of losing weight were offered foods fortified with high calorie ingredients such as butter and cream in an attempt to maintain their health.
People and their relatives provided positive feedback about the environment and the facilities available within the building. Plans were in place to further develop the environment on the first floor of the home to meet the needs of people living with dementia.
People were happy with the care and support they received and relatives were complimentary about the caring nature of staff. Staff enjoyed their jobs and shared a commitment to providing good care. People’s dignity was upheld, their right to privacy was respected and their independence was promoted.
The providers complaints procedure was on display within the home. People knew how to complain, and complaints had been investigated and responded to in line with the provider's policy.
The provider and management level oversight of the service required improvement to ensure checks and audits took place and were consistently effective to support the delivery of high quality, safe care.
The management team understood their responsibility to be open and honest when things had gone wrong. Information we received from the manager following our visit confirmed action had been taken and further action was planned to drive forward improvement.
People spoke positively about the leadership of the service. Staff understood what the manager and provider expected of them. People, relatives and staff were encouraged to provide feedback about the service through regular meetings and quality surveys.
For more details, please see the full report which is on the CQC website at www.cqc.org.uk
Rating at last inspection
This service was registered with us on 1 November 2019 and this is the first inspection.
Why we inspected
This was a planned inspection in this newly registered 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 until we return to visit as per our reinspection programme. If we receive any concerning information we may inspect sooner.