• Care Home
  • Care home

Archived: Clarendon House

Overall: Good read more about inspection ratings

Birmingham Road, Allesley, Coventry, West Midlands, CV5 9BA (024) 7640 4067

Provided and run by:
Greentree Enterprises Limited

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

All Inspections

6 November 2014

During a routine inspection

The inspection took place on 6 November 2014. It was an unannounced inspection.

Clarendon House provides personal care and accommodation for up to 23 older people including those with dementia. The home is an adapted two floor building with bedrooms on both floors.   The home is suitable for people with limited mobility. At the time of our inspection there were 22 people living at Clarendon House.

The home has a registered manager. 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 2008 and associated Regulations about how the service is run.

People who lived at Clarendon House told us they felt safe. Care staff understood their responsibilities around keeping people safe and understood what constituted abuse or poor practice. There were systems and processes in place to protect people from the risk of harm. These included a robust staff recruitment procedure and an effective procedure for managing people’s medications safely.

The registered manager understood their responsibility to comply with the requirements of the Mental Capacity Act 2005 (MCA) and Deprivation of Liberty Safeguards (DoLS). Care staff understood how people made decisions about their daily lives and assessments were in place for people’s individual capacity to make specific decisions. Where people did not have capacity, decisions were taken in ‘their best interest’ with the involvement of family and appropriate health care professionals.

People had enough to eat and drink during the day and were supported to manage their health care needs to maintain good health. Care plans and assessments contained detailed information that supported staff to meet people’s needs.

People told us staff were respectful towards them. We observed staff were caring and supportive to people throughout our visit. We saw staff respected people’s privacy and dignity when providing care to people. People told us there were enough suitably trained staff to meet their individual care needs.

Everyone we spoke with considered staff to be kind and helpful. Staff understood how to treat people with dignity and respect. People said they felt listened to and were confident they could raise any concerns with the registered manager.

People who lived at the home, relatives and care staff said the home was well managed. People said there was a ‘friendly’ atmosphere. There were systems in place to monitor the quality of the service.

9 September 2013

During an inspection looking at part of the service

We visited Clarendon House on 9 September 2013 to review the improvements required from our previous visit in May 2013. In May we found people were not always safeguarded from potential risk and the assessing and monitoring procedures in the home were not robust.

This was because on the day we visited the medication cabinet was not locked and we found prescribed creams were not safely stored. The assessment processes within the home did not take into consideration the collective needs of people living with dementia. The environment was not 'dementia' friendly. The provider was not monitoring and assessing the overall standard of cleanliness and state of repair of the home.

We set compliance actions and asked the provider to send a report to tell us what they had done to become compliant. We received an action plan from the provider which told us they had taken appropriate steps to improve the areas of concern.

We re-visited the home in September 2013 to see what action the provider had taken.

During our visit we saw the medication cabinet was locked when not in use. A lockable cabinet had been provided in the downstairs toilet to safely store people's prescribed creams.

Action had been taken to make the home more dementia friendly. Names and photographs were displayed on people's bedroom doors and there was sensory equipment available for people to use. Records showed people were engaged in regular activities and staff spent time interacting socially with people during our visit.

The home was clean and there were no unpleasant smells. We saw flooring in the home had been cleaned or replaced. Chairs in the lounge and dining area had been cleaned or re upholstered. Bedrooms were being refreshed as they became vacant.

We were told the home had recruited an additional care worker and house keeper/domestic since our visit in May 2013. The manager advised that due to staff taking annual leave over the summer this had not been consistently implemented. The manager told us by the end of September 2013 four care workers would be routinely scheduled to work during the day, seven days a week. Staff we spoke with said having four care workers on duty made a significant difference to the activities they were able to provide for people. We would expect the provider to ensure the increase in care staff is consistently implemented from 30 September 2013.

We found the provider had taken sufficient action to address the shortfalls identified.

9 May 2013

During a routine inspection

We visited Clarendon House on 9 May 2013 to review the improvements made from our previous visit in February 2013 and to carry out our annual inspection.

The majority of people living at Clarendon House had varying levels of memory loss or dementia. During our visit we spent time talking with people and observed how staff supported people living in the home.

We found that people had made decisions about their care support, including times to get up in the morning. These choices were being recorded and followed by staff.

All the people we spoke with said they were happy with the care they received. Comments included, 'So far, I would say my care needs have been met, absolutely. I think the care is excellent.' And, 'They look after me very well. I think the care is very good here.

People told us they felt safe living in the home. 'I feel very safe here I've no worries about that.' We found that people were not always safeguarded from potential risk.

Staff we spoke with understood people's individual care needs and how they needed to be supported.

We found the assessment and monitoring processes within the home did not take into consideration the collective needs of people living with dementia or confusion.

6 February 2013

During a routine inspection

On the day of our inspection we spoke with three people living in the home and three visitors. We also sought information from health professionals. The majority of people who lived at Clarendon House had dementia and gave limited responses to questions we asked. We therefore spent a period of time observing people in the lounge and dining areas to see what it was like for people living there.

People were positive in their comments about the home. They told us: 'It's nice here, I think it's lovely.' 'It's good, the people are nice and it's clean.' However, we found there were improvements needed in five out of the six standards we reviewed.

We found that people had some involvement in their care but their preferences and wishes were not always followed. Some aspects of care records were not always accurate or sufficiently detailed to make sure staff managed risks and delivered care that met people's needs.

Staff told us they had access to training on a regular basis. People were positive about the staff. They told us: 'The staff are pretty good really, they are always around.' 'Generally very good, very friendly, no complaints about the staff.'

There was limited evidence to show the provider had effective arrangements in place for monitoring the quality of the service they provided.