23 March 2022
During an inspection looking at part of the service
Clarence House Care Home is a residential care home providing personal care to up to 41 people. The service provides support to older and younger people, some of whom may be living with dementia, a physical disability or a sensory impairment. At the time of our inspection there were 20 people using the service.
Clarence House Care Home is a converted period building overlooking the sea. Whilst the service can accommodate people over all three floors, at the time of the inspection, only two floors were being used. All rooms contain washing and toileting facilities and the home has several communal areas including gardens overlooking the sea.
People’s experience of using this service and what we found
We found significant improvements had been made at the service since our last inspection in March 2021. People who used the service, and their relatives, told us the care delivered was achieving positive outcomes for people. People told us they felt cared for and listened to and we saw several examples of where their health and wellbeing had improved.
The people we spoke with described an improved service that was caring, proactive and compassionate. The health and social care professionals who provided us with feedback described the service as responsive and the registered manager as professional and knowledgeable. There had been changes made to the governance systems and these had helped drive the improvements along with an enthusiastic management team who had encouraged an open and communicative culture.
Whilst risks were being managed in practice, we did find some concerns that required action. We found the provider had identified some of these via their own quality monitoring systems and actions were in place to address them. Where this had not been the case, we saw the registered manager acted promptly to rectify the issues following the feedback given.
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 inadequate (published 21 April 2021) and there were four breaches of regulation relating to safe care and treatment, staffing, safeguarding and governance. We took enforcement action and imposed conditions on the provider’s registration meaning they had to submit monthly reports to demonstrate the actions they were taking to drive improvements. At this inspection we found improvements had been made and the provider was no longer in breach of regulations. The conditions we imposed were removed following this inspection.
This service has been in Special Measures since 26 November 2020. During this inspection the provider demonstrated that improvements have been made. The service is no longer rated as inadequate overall or in any of the key questions. Therefore, this service is no longer in Special Measures.
Why we inspected
We undertook this focused inspection to check the provider 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 of Safe and Well-led which contain those requirements.
For those key questions not inspected, we used the ratings awarded at the last comprehensive inspection to calculate the overall rating. The overall rating for the service has changed from inadequate to good. This is based on the findings at this inspection.
You can read the report from our last comprehensive inspection, by selecting the ‘all reports’ link for Clarence House Care Home on our website at www.cqc.org.uk.
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.