9 January 2023
During a routine inspection
Clarendon Nursing Home is a residential care home providing personal and nursing care to up to 51 people. The service provides support to adults living with dementia. At the time of our inspection there were 50 people using the service.
People’s experience of using this service and what we found
People were kept safe. Staff knew how to raise safeguarding concerns and were aware of the processes to follow in order to keep people safe. People told us they were kept safe and that they felt safe.
Care and support plans were person centred and developed to ensure people’s needs were met appropriately.
Risk management strategies were in place to assist staff to help people to manage these risks and to identify triggers for expressing feelings or an emotional reaction.
Staffing levels were appropriate to ensure people's needs were met in a safe, timely and consistent way.
The service was following safe infection prevention and control procedures to keep people safe.
The administration of medicines was managed in a safe way and people received their medicines safely.
The service was flexible and adapted to people's changing needs and wishes and promoted their independence. Risk assessments were carried out and risk management plans helped staff as well as the person to minimise risks but included positive risk taking.
The provider created a culture where staff were able to develop and improve their practice. They were provided with the right training and support to make sure they could fulfil their roles appropriately.
People were encouraged and supported to lead as fulfilled a life as possible. They were supported to follow their hopes and aspirations.
People and their families described care as very good and people were well-supported and treated with dignity and respect. We received consistently positive feedback about the caring nature of staff and their empathetic approach. People, their relatives and staff referred to the trust, kindness, understanding and sensitivity to their individual needs as reasons why they felt the service was good.
People's individuality was respected. People were involved in decisions about their day to day lives and staff respected people's choices. People had their dignity and privacy respected and were supported to maintain their independence.
People's diversity and their unique individual needs were well-respected by staff. The staff team knew people extremely well and were able to provide appropriate support discreetly and with compassion.
People's privacy was respected, and people were supported to maintain contact with relatives and friends.
There was clear evidence of collaborative working and good communication with other professionals in health and social care sector. People's health care needs were being met and they had access to healthcare services where needed.
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.
Robust processes were in place to manage and respond to complaints and concerns.
Clarendon Nursing Home was well led. The provider's ethos and values put people at the heart of the service. This vision was driven by the leadership of the nominated individual and of the registered manager. The nominated individual is responsible for supervising the management of the service on behalf of the provider. The staff team were empowered to contribute fully to support a person-centred model of effective care. This helped people using the service, with complex needs, to achieve their maximum potential and quality of life.
There was a comprehensive and effective governance system in place.
People, relatives and staff were confident about approaching the registered manager if they needed to. They recognised that their views and feedback were valued and respected and consistently used to support quality service development. A wide range of comprehensive audits took place to ensure the quality of the service was maintained.
For more details, please see the full report which is on the CQC website at www.cqc.org.uk
Rating at last inspection
The last rating for this service was good (published 28 August 2019).
Why we inspected
This inspection was prompted by a review of the information we held about this 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, which will help inform when we next inspect.