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Claremont Care Home Requires improvement

Inspection Summary


Overall summary & rating

Requires improvement

Updated 13 May 2021

About the service

Claremont Care Home can accommodate up to 63 people who require support with nursing or personal care needs. At the time of our visit, 55 people were living at the service. Claremont Care Home is situated in Farsley, between Leeds and Bradford.

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

The registered provider did not have effective governance systems in place to maintain and improve the quality and safety of the service. Analysis of accidents and incidents were brief in detail and did not show clear evidence patterns or trends were being identified. We found quality assurance audits did not cover all areas relating to the quality and safety of service provided and there were no clear lines of accountability for progressing actions arising from audit findings.

Care plans were inconsistent, and we found some care plans were not accurate. People were not being weighed as frequently as directed by their care plan. One relative said, “Well [name of person] is very thin now. I don’t know if they weigh her or not because they haven’t said.” We found records of food and fluid and re positioning charts were inconsistently recorded as well as what pressure relief was required. We fed this back to the registered manager and nominated individual.

The home was clean, however, we found cleaning documentation was not been being completed by staff in full. We spoke to the registered manager about this. They told us they were working with the infection control prevention team in addressing this. We observed staff on the first day of inspection touching their masks or having masks under their chin. We spoke to these staff on inspection as well as the management team. On day two of the inspection we saw improvements in this, and all staff were wearing their PPE appropriately.

We saw maintenance of the building was underway and an action plan was in place to support this. Most actions had been completed.

On the whole people received their medicines as prescribed. We found some areas of improvement were needed which was fed back to the nurse and registered manager on the day of inspection. For example, not all protocols had been updated for prescribed medication. The nurse was in the process of completing these at the time of our inspection. People, relatives and staff felt there was enough staff. Staff told us it was hard when other staff called in sick or were on annual leave. We observed people’s needs were met in a timely manner during the inspection.

People we spoke with told us they felt safe and staff had a good understanding of how to safeguard adults from abuse. One staff member said, “I would contact my manager straight away. I know this would be dealt with.” Safe systems of recruitment were followed to ensure staff were safe to work with vulnerable people.

For more details, please see the full report which is on the CQC website at www.cqc.org.uk

Rating at last inspection

The last rating for this service was good (published September 2017).

Why we inspected

This inspection was prompted in part due to concerns received about staffing levels, environment, record keeping, and overall management of the service. A decision was made for us to inspect and examine those risks. We found evidence during this inspection that people were at risk of harm from some of these concerns, however, we did not find evidence that harm had occurred.

This report only covers our findings in relation to the key questions of safe and well-led which contain those requirements and concerns. 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 the service can respond to coronavirus and other infection outbreaks effectively.

Prior to the inspection we reviewed the information we held about the service. No areas of concern were identified in the other key questions

Inspection areas

Safe

Requires improvement

Updated 13 May 2021

The service was not always safe.

Details are in our safe findings below.

Effective

Good

Updated 13 May 2021

Caring

Good

Updated 13 May 2021

Responsive

Good

Updated 13 May 2021

Well-led

Requires improvement

Updated 13 May 2021

The service was not always safe.

Details are in our safe findings below.