Clanfield Residential Care Home

Updated 17 August 2022

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 Health and Social Care Act 2008.

As part of this inspection we looked at the infection control and prevention measures in place. This was conducted so we can understand the preparedness of the service in preventing or managing an infection outbreak, and to identify good practice we can share with other services.

Inspection team

The inspection was carried out by one inspector.

Service and service type

Clanfield Residential Care Home is a ‘care home’. People in care homes receive accommodation and nursing and/or personal care as a single package under one contractual agreement dependent on their registration with us. Clanfield Residential Care Home is a family run care home without nursing care. CQC regulates both the premises and the care provided, and 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 there was a registered manager in post.

This inspection was unannounced.

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 and professionals 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 looked at three people’s care plans and associated care records, including multiple medicines records. We looked at two staff recruitment files, including staff training and supervision records. We looked at records in relation to health and safety checks, including fire, electrical, gas and water checks. We spoke with seven people who used the service, and the relative of a person about their experience of using the service. We spoke with three senior care staff, the chef, the registered manager and one of the business partners.

Updated 17 August 2022

About the service

Clanfield Residential Care Home is a residential care home providing personal care for to up to 30 people. The service provides support to older people, including people living with dementia. At the time of our inspection there were 25 people using the service.

The home has been converted and extended, whilst retaining many of its original features. At the time of the inspection the large lounge and conservatory were closed due to extensive building works taking place to create a new larger elevator.

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

The registered manager promoted a positive person-centred culture. We observed some positive staff interactions with people using the service that demonstrated kindness and compassion. However, some staff did not always recognise or understand the individualised support people needed, this was particularly noted during the mealtimes. This meant some people did not always achieve good outcomes, as their experiences of receiving person centred care were inconsistent.

Systems and processes were in place to support people’s safety. People’s needs, including their safety in relation to care were assessed and monitored. Timely referrals were made to health care professionals where required to promote people’s safety and well-being.

Protocols and procedures were in place to ensure medicines were safely managed and administered by staff that had received training and had their competency to administer medicines assessed.

People were supported by staff that had full recruitment checks. Staff worked consistently within the providers policy and procedure for infection prevention and control and followed current government guidance related to COVID-19.

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.

Quality monitoring was undertaken on all aspects of the service and kept under review to drive improvement. Opportunities were available for people and family members to share their views. Feedback received from relatives following a recent quality survey were positive.

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 (published on 05 April 2019) and there was a breach of regulation. 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 was no longer in breach of regulation.

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.

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, Effective and Well-led which contain those requirements. For those key questions not inspected, we used the ratings awarded at the last inspection to calculate the overall rating. The overall rating for the service has changed to Good. This is based on the findings at this inspection.

We have made a recommendation about person-centred dementia care.

You can read the report from our last comprehensive inspection, by selecting the ‘all reports’ link for Clanfield Residential Care Home 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.