Archived: Clarence House

42 Warwick New Road, Leamington Spa, Warwickshire, CV32 6AA (01926) 832826

Provided and run by:
Kanagasabai Sivasoruban

Important: The provider of this service changed. See new profile

All Inspections

28 November 2012

During a routine inspection

During the inspection we spoke with the nominated individual, two care workers and two people using the service. The people using the service told us they liked living at the home. Some comments were: 'Fine living here' and 'Very nice living here' and 'I'm happy with the food, you have a choice of meals.'

We saw systems in place allowing people using the service and their relatives to communicate their experiences of the home and the care provided. We saw positive feedback from satisfaction surveys had been given about the staff and the care people had received.

Although, the home had local adult safeguarding policies and procedures, we did not see a copy of the 'Warwickshire Adult Protection Procedures.' We also observed that full information about people's capacity was not available. This was discussed with the nominated individual and the impact this would have when planning a person's future care should this information not be available.

The two staff we spoke with and the nominated individual said there were sufficient staff available to accommodate people's needs. We saw people's needs had been assessed, risks identified and personalised plans of care developed for each person. There was evidence of support by healthcare professionals to ensure people's ongoing healthcare needs were met.

2 March 2012

During an inspection looking at part of the service

During our last review of this service in 2011 we left three compliance actions relating to the care of people with challenging behaviour, accuracy/storage of records and quality of care and services. We received an action plan from the service telling us about the actions they had taken to comply with these. We carried out this visit to ensure the service had complied and maintained the actions stated.

We found that the actions stated in the action plan forwarded to us had been carried out and sufficient improvements had been made to comply with the three compliance actions given.

During our visit we observed how people were being cared for and spoke with three visitors. The visitors were complimentary of the care and support being provided. They told us: 'Excellent, I don't have any worries.' 'I am quite happy with what I see.' Visitors were also complimentary of the staff, they told us: 'The staff seem to know what they are doing, they are very caring.' 'The staff are very pleasant.'

We observed that staff were friendly and supportive in their approach towards people although some people received more staff interaction and attention than others.

22, 24 February 2011

During a routine inspection

People were observed to be dressed in their own style with clean clothing. People who use the service and their representatives told us they were happy with the care and support provided in the home. They felt that staff were approachable and supportive in meeting their needs. Comments included, 'Staff always ask me what I want like - would you like a shower today', 'All the carers are very tentative, they are very good with x'they have been wonderful with x. X has always presented clean, whenever I come the appearance of x's clothes is spotlessly clean, the home is really homely and caring. I believe they treat x as if x was part of their own'.

People said they were able to see a doctor and other health professionals when they needed to. Comments included 'If I said I needed one they would be here the next day (doctor)', 'The dentist comes here', 'They were here yesterday, they do a good job' (chiropodist).

We saw that medicines were being given to people as appropriate during the morning and at lunch time and people confirmed that staff gave medicine to them 'in the morning and at night'.

People told us what it was like to live in the home on a daily basis. Comments included, 'We '.can visit when we want, x also has a friend who takes x to church'. 'People come in there is entertainment of all sorts, we have special parties, when the weather is decent they take people out every day'. 'I have the freedom to come and go as I want'. 'X is kept involved and has had a meal in the home with x'. 'I am kept informed at all times about having a doctor in'. 'Ruban (provider) and Kam (manager) can't seem to do enough for you'.

There were mixed views about the food. Comments included 'I am a vegetarian, there is enough variety yes, plenty really'. 'The food is 'the same everyday not much variety'. 'We don't know till lunch time what we are going to have, its vegetables and mash every day'. 'The food is excellent'.

We spoke to service users and relatives during our visit to establish how satisfied they were with the staff team. People told us, 'I am happy and satisfied with the care and attitude of staff. I have seen staff asking other people if they are ok'. 'Staff are very good they do everything for you'. 'They are all very helpful'. 'Staff are friendly very nice'.

People said their rooms were cleaned regularly and commented that the cleanliness of the home was 'fine', 'no complaints'. People told us that if they did have any concerns or complaints they would talk to management staff. They told us, 'any problems I feel would be sorted out'.

Although positive comments were received from people there were areas identified for improvement that could impact on people's care. This included insufficient information about the additional support that people with dementia required and limited numbers of staff who had completed dementia care training. We found that a person who had dementia and had shown aggressive behaviour was not being closely monitored to reduce any possible risks to others. There were areas of record keeping that were not accurate to ensure staff could effectively carry out their role.