10& 11 November 2015
During a routine inspection
We carried out the unannounced inspection on 10 and 11 November 2015. Clipstone Hall and Lodge is run and managed by Orchard Care Homes Ltd. The service provides accommodation and personal care for up to 90 people. On the day of our inspection 59 people were using the service, which is split into five areas. Two units catered for people requiring residential care and three units supported people living with dementia.
The service had a registered manager in place at the time of our inspection. A registered manager is a person who has registered with the Care Quality Commission to manage the service. Like registered providers, they are ‘registered persons.’ Registered persons have legal responsibility for meeting the requirements in the Health and Social Care Act and associated Regulations about how the service is run.
When we last inspected the service on 21 and 22 January 2015 we found people did not always receive their medicines as prescribed. The risks to people’s safety were not always well managed. People were cared for by staff who did not feel fully supported. People did not always receive the support required to eat and drink sufficient amounts and access to healthcare services was inconsistent. People were not always cared for in a kind and considerate manner and did not always receive the care and support they required as changes to care plans were not always made when they were needed. People did not always receive a quality service because the systems to manage risks to people were not effective. We asked the provider to send us an action plan telling us they would make these improvements by 30 June 2015. We found at this inspection that this had been completed and the provider had made improvements in line with the action plan.
At this inspection we found people were protected from the risk of abuse and staff had a good understanding of their roles and responsibilities if they suspected abuse was happening. The registered manager shared information with the local authority when needed. Appropriate risk assessments were in place for both individuals and the environment. People received their medicines as prescribed and the management of medicines was safe.
People were encouraged to make independent decisions and staff were aware of legislation to protect people who lacked capacity when decisions were made in their best interests. We also found staff were aware of the principles within the Mental Capacity Act 2005 (MCA) and had not deprived people of their liberty without applying for the required authorisation.
Staffing levels were sufficient to support people’s needs and people received care and support when required. They were protected from the risks of inadequate nutrition. Specialist diets were provided if needed.
People who used the service, or their representatives, were encouraged to contribute to the planning of their care. They were treated in a caring and respectful manner and staff delivered support in a relaxed and considerate manner.
People who used the service, or their representatives, were encouraged to be involved in decisions and systems were in place to monitor the quality of service provision. People also felt they could report any concerns to the management team and felt they would be taken seriously.