Clayfield Care Home

Updated 11 February 2020

The inspection

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 Care Act 2014.

Inspection team

The inspection was completed by one adult social care inspector.

Service and service type

Clayfield is a ‘care home’. People in care homes receive accommodation and nursing or personal care as a single package under one contractual agreement. CQC regulates both the premises and the care provided, and both were looked at during this inspection.

The service had a manager registered with the Care Quality Commission. 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.

Notice of inspection

This inspection was unannounced.

What we did before the inspection

We used the information the provider sent us in the provider information return. This is information providers are required to send us with key information about their service, what they do well, and improvements they plan to make. This information helps support our inspections.

During the inspection-

We spoke with eight people who used the service and one relative about their experience of the care provided. We spoke with five staff, the registered manager, the cook and cleaner. We also spoke with one visiting healthcare professional. Not everyone who lived at Clayfield was able to talk about their experiences. We used the Short Observational Framework for Inspection (SOFI). SOFI is a way of observing care to help us understand the experience of people who could not talk with us.

After the inspection

We spoke with the nominated individual. The nominated individual is responsible for supervising the management of the service on behalf of the provider. We also asked for feedback from healthcare professionals but did not have a response.

Updated 11 February 2020

About the service

Clayfield Care Home (Clayfield) is a residential care home providing personal care and support to 15 people aged 65 and over at the time of the inspection. The service can support up to 15 people.

Clayfield accommodates 15 people in one adapted building. Bedrooms are on each of the three floors with stair lifts to access these. Communal areas are all on the ground floor.

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

People said they enjoyed living at Clayfield and staff were kind and caring towards them. One person said, “It feels like home. I feel well looked after.” At the last inspection we found some issues relating to the safety of people. These were shared with the provider at the time of the inspection and the issues were quickly rectified. This included ensuring all specialist mattresses were checked on a regular basis to ensure they were set at the right setting for people’s weight. Hot water temperatures were checked and the temperature was now being recorded. All free-standing furniture has been fixed to the walls to prevent the risk of it falling onto someone.

People were supported to maintain a healthy balanced and varied diet. People said they enjoyed the food, drinks and snacks being offered to them. Where there was a concern about poor hydration or nutritional intake, staff monitored this closely. People who were at risk were offered fortified drinks and additional snacks.

Care and support was well planned. Each person had a care plan and risk assessment for all aspects of their assessed needs. This included their health care and emotional wellbeing.

Staff understood people’s needs and wishes. They worked in a way which promoted people’s independence whilst keeping them safe.

People were enabled to take part in a range of activities and outings which suited their needs and preferences.

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.

Staff were well trained, supported and motivated to provide the best outcomes for people. The caring ethos and values of the service being a home from home were embedded into their everyday practice. One staff member said, “Here we have more time to chat to people, to get to know them, give them that extra bit of TLC!”

Staff understood how to keep people safe through assessing risks, understanding abuse and who to report to and through safe recruitment practices.

The quality of care support and the environment was kept under review with regular audits. Staff were encouraged to make suggestions for improvement. Staff said they were valued and listened to.

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)

The last rating for this service was requires improvement (Report published January 2019).

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 had improved risk management.

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.