Claremont Lodge

Updated 12 May 2023

We carried out this inspection under Section 60 of the Health and Social Care Act 2008 (the Act) as part of our regulatory functions. We checked whether the provider was meeting the legal requirements and regulations associated with the Act. We looked at the overall quality of the service and provided a rating for the service under the Health and Social Care Act 2008.

Inspection team

The inspection was carried out by an inspector and an expert by experience. An Expert by Experience is a person who has personal experience of using or caring for someone who uses this type of care service.

Service and service type

Claremont Lodge is registered with CQC as a ‘care home’ and CQC regulates both the premises and the care provided. Both were looked at during this inspection.

Registered Manager

This service is required to have a registered manager. A registered manager is a person who has registered with the Care Quality Commission to manage the service. This means that they and the provider are legally responsible for how the service is run and for the quality and safety of the care provided. At the time of our inspection, the home did not have a registered manager in post.

Notice of inspection

This inspection was unannounced, we visited the home on 13 April 2023.

What we did before the inspection

We reviewed information we had received about the service since the last inspection. We sought feedback from the local authority who work with the service. We used the information the provider sent us in the provider information return (PIR). This is information providers are required to send us annually with key information about their service, what they do well, and improvements they plan to make. We used all this information to plan our inspection.

During the inspection

We spoke with 2 people who used service and 4 relatives about their experience of the care provided. We spoke with 7 members of staff including the acting home manager and area manager.

We reviewed a range of records. This included care plans, staff training records and records associated with the provider's quality monitoring systems.

Updated 12 May 2023

About the service

Claremont Lodge is a care home in Salford operated by Claremont Lodge Care Limited. Claremont Lodge is registered with CQC to provide care for a maximum of 18 people. There were 11 people using the service at the time of the inspection.

People's experience of using this service and what we found

At our last inspection we identified concerns regarding the safe maintenance of the premises. We found improvements had been made during this inspection.

There were enough staff to care for people safely and correct staff recruitment procedures were followed. Staff understood about safeguarding and how to report concerns.

Audits were undertaken to monitor the quality of service, including at provider level which had been a concern at the last inspection. There were systems in place to seek feedback from people living at the home, including the use of satisfaction surveys and staff/residents’ meetings. Out of hours spot checks were also undertaken.

Rating at last inspection

The last rating for this service was requires improvement (published October 2021) and the provider was in breach of regulations relating to good governance and premises/equipment. The provider completed an action plan after the last inspection to show what they would do and by when to improve. At this inspection, enough improvement had been made and the provider was no longer in breach of regulations.

Why we inspected

We carried out a focused inspection of this service in September 2021. Breaches of regulations 15 and 17 were found. The provider completed an action plan after the last inspection to show what they would do and by when to improve. We also issued a warning notice for regulation 17 in relation to Good Governance.

We undertook this focused inspection to check they had followed their action plan and to confirm they now met legal requirements. This report only covers our findings in relation to the Key Questions Safe and Well-led which contain those requirements.

For those key questions not inspected (Effective, Caring and Responsive) we used the ratings awarded at the last inspection to calculate the overall rating. The overall rating for the service has changed from requires improvement to good. This is based on the findings at this inspection.

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.

You can read the report from our last comprehensive inspection, by selecting the 'all reports' link for Claremont Lodge on our website at www.cqc.org.uk.

Follow up

We will continue to monitor information we receive about the service, which will help inform when we next inspect. For more details, please see the full report which is on the CQC website at www.cqc.org.uk