Archived: Clyde House Limited

Updated 29 May 2019

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. This inspection was planned to check whether the registered provider was meeting the legal requirements and regulations associated with the Act, to look at the overall quality of the service, and to provide a rating for the service under the Care Act 2014.

Inspection team:

The inspection was completed by one adult social care inspector and an assistant inspector from the Care Quality Commission (CQC). An inspection manager from the CQC also attended to observe the inspection as part of CQC's quality assurance procedures.

Service and service type:

Clyde House is a care home. People in care homes receive accommodation and nursing or personal care. CQC regulates both the premises and the care provided, and both were looked at during this inspection.

The service had a manager registered with the Care Quality Commission. This means that they and the registered provider are legally responsible for how the service is run and for the quality and safety of the care provided.

Notice of inspection:

This inspection was unannounced. This meant the service did not know we would be visiting on this day.

What we did:

We reviewed information we had received about the service since the last inspection. This included details about incidents the provider must notify us about and we sought feedback from the local authority and professionals who work with the service. We used information the provider sent us in the Provider Information Return (PIR). This is information we require providers to send us at least once annually to give some key information about the service, what the service does well and improvements they plan to make. We used all this information to plan our inspection and inform our judgement.

During our inspection, we reviewed three care files, three medication administration records (MARs), three staff files including recruitment, training and supervision, as well as records relating to the oversight and governance of the home; environmental assessments, audits, policies and procedures.

We spoke with the registered manager, regional manager and two staff. We also spoke with four people living at the home. Following the inspection site visit, we spoke with a health professional and relative of a person living at the home by phone.

Updated 29 May 2019

About the service:

Clyde House is a residential care home which provides accommodation and personal care for up to 17 people with a mental health need. There were eight people living at the home when we completed the inspection, but one person was in hospital at the time of us undertaking our visit.

At the time of the inspection, the home was undergoing extensive renovation and there were plans in place to change the model of care. It is intended that in the near future, the current provider will apply to register Clyde House with the Care Quality Commission (CQC) as a supported living service for up to 11 people.

People’s experience of using this service:

• Despite the renovation noise, there was a calm and relaxed atmosphere in the home and people spoke with excitement about the changes being made to the environment.

• People told us they were settled at the home and happy with the care and support provided.

• Staff were responsive to people’s changing needs, but support plans hadn’t always been updated when changes had been made. This meant determining the current clinical picture and control measures in place to manage risks was difficult to determine from the information recorded.

• People were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible; the policies and systems in the service supported this practice.

• We saw people leaving the home independently and accessing the community throughout the inspection.

• There were issues identified during the inspection, which included the storage of confidential records and the security of the building. We found the main door unlocked and left on the catch which would enable unauthorised people to enter the home undetected which could pose a risk to people living there.

• All safety certificates and required risk assessments were in place. Medicines were managed safely, and staff were responsive to people’s needs to support them to remain compliant with their treatment.

• The staff were quick to identify changes in people’s presentation and worked closely with other health professionals, so people’s health and well-being was maintained.

• The home had consistent management and oversight by a registered manager who was an integral part of the care provided and whom people and their relatives spoke fondly of.

• Opportunities were provided for people who used the service, their relatives and staff to feedback their views and experiences through surveys and meetings.

• People and their relatives told us they had no cause to complain, but indicated they would have no hesitation in raising a concern with the registered manager and felt it would be sorted promptly.

• People living at the home conversed with the registered manager throughout the inspection and people’s relatives told us the registered manager was well known to them and their family member and they had confidence in their leadership.

• Relatives told us they would recommend the home to others looking for this type of care setting.

Rating at last inspection: The home was rated Requires Improvement when we last visited the home in September 2017. The report was published 05 December 2017. For more details, please see the full report which is on the CQC website at www.cqc.org.uk

Following the last inspection, we received an action plan dated 15 December 2017 detailing what action had been taken following our inspection to meet the regulatory requirements. We also met with the provider in December 2018 to receive a further update regarding the actions they had put in place. At this inspection we found a breach of regulation 12 so the service continues to be rated as Requires Improvement.

Why we inspected: This was a planned inspection based on the previous rating for the home.

Follow up: We will return to re-inspect the home in line with our inspection timescales for Requires Improvement. However, if the home re-registers as a supported living model, we will inspect the home in line with our timeframe for newly registered services. Inspection dates could be changed and brought forward if we receive any information of concern.