Claydon House

Updated 16 September 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 team consisted of two inspectors.

Service and service type

Claydon House 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. Claydon House is a care home with 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.

Notice of inspection

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 of this information to plan our inspection.

During the inspection

We looked around the service and met and spoke with people who lived there. We spoke with seven people and 10 members of staff. Staff included the registered manager, the area manager of the provider, the deputy manager, the maintenance staff, registered nurses, health care assistants and agency staff.

We looked at a range of records relating to people’s care and support. This included five care plans which contained a range of risk assessments, multiple medicine records and documents relating to infection prevention and control, accidents and incidents and auditing. We examined staff files and staffing rotas. We spoke with five relatives and two professionals.

Updated 16 September 2022

About the service

Claydon House is registered to provide nursing care and accommodation for up to 49 people. There were 33 people living at the service at the time of the inspection. People that lived at Claydon House were mainly older people with a range of care and support needs that included diabetes and heart conditions. Several people lived with dementia and could show behaviours requiring support from appropriately trained staff.

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

People who lived at the service were protected from the risk of harm and abuse. People told us they felt safe and this view was supported by relatives and loved ones. Staff had received training in safeguarding and were able to tell us the steps they would take if they suspected abuse. Care plans contained risk assessments relevant to people and their care needs. These included diabetes, wound care and living with dementia. 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. Medicines were administered safely by appropriately trained staff. Infection prevention and control measures were in place and the service was seen to be clean and well maintained throughout. Lessons were learned following accidents and incidents.

The registered manager had developed a positive culture at the service. Everyone spoke well of the registered manager who was a visible presence throughout the home. Robust auditing processes were in place, all of which were either carried out by the registered manger or had their full oversight. People and relatives were fully engaged with the service. There were a variety of ways that people and relatives could provide feedback about the service including regular meetings, questionnaires and daily interactions with managers. There were business plans in place for the future of the service and the registered manager had developed positive relationships with other health and social care professionals.

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 good (published 1 November 2017)

Why we inspected

The inspection was prompted, in part, due to concerns received about the provider’s approach to visiting, responding to concerns and risks of a closed culture. A closed culture is where a poor culture can lead to harm and abuse. A decision was made to inspect and examine the concerns across a number of Caring Homes’ services.

For those key questions not inspected, we used the ratings awarded at the last inspection to calculate the overall rating.

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.

You can read the report from our last comprehensive inspection, by selecting the ‘all reports’ link for Claydon House 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.