Updated 22 March 2019
The inspection:
We carried out this inspection under Section 60 of the Health and Social Care Act 2008 as part of our regulatory functions. This inspection checked whether the provider is meeting the legal requirements and regulations associated with the Health and Social Care Act 2008, to look at the overall quality of the service, and to provide a rating for the service under the Care Act 2014.
Inspection team:
This inspection was carried out by two inspectors and an inspection manager.
Service and service type:
Clock Tower Mews is a residential care home. People in care homes receive accommodation and nursing or personal care as single package under one contractual agreement. CQC regulates both the premises and the care provided, and both were looked at during this inspection.
Clock Tower Mews accommodates up to eight people in one adapted building, where people had access to communal areas along with their own individual rooms. At the time of the inspection there were eight people using the service.
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
Notice of this inspection was not given, this meant the registered manager did not know we were coming.
This inspection was carried out between 23 January 2019 and 29 January 2019. We visited Clock Tower Mews on 23 January 2019 and on 29 January 2019 we spoke with health professionals to seek their view about the care provided.
What we did:
Prior to this inspection we reviewed the information we held about the service, including notifications. A notification is information about events that by law the registered persons should tell us about. We asked for feedback from the commissioners of people's care to find out their views on the quality of the service. We used information the provider sent us in the Provider Information Return (PIR). This is information we require providers to send us at least once annually to give some key information about the service, what the service does well and improvements they plan to make. We reviewed the action plan the registered manager sent to us following our last inspection in March 2018. This action plan addressed the issues identified at the last inspection and informed us how the required improvements would be made.
During this inspection we briefly spoke with one person who was able to express their views. However other people were not able to verbally communicate with us. Therefore, we spent time observing how staff interacted with people to understand the experience of people who could not talk with us. We spoke with three people’s relatives, four staff, four health professionals and the registered manager. We reviewed records relating to the care and support for three people. We also reviewed records relating to the management of the service, such as staff training, maintenance of the premises and equipment and how the registered person monitored the quality of the service.
Details are in the Key Questions below.