Clock Tower Mews

Updated 22 March 2019

The inspection:

We carried out this inspection under Section 60 of the Health and Social Care Act 2008 as part of our regulatory functions. This inspection checked whether the provider is meeting the legal requirements and regulations associated with the Health and Social Care Act 2008, to look at the overall quality of the service, and to provide a rating for the service under the Care Act 2014.

Inspection team:

This inspection was carried out by two inspectors and an inspection manager.

Service and service type:

Clock Tower Mews is a residential care home. People in care homes receive accommodation and nursing or personal care as single package under one contractual agreement. CQC regulates both the premises and the care provided, and both were looked at during this inspection.

Clock Tower Mews accommodates up to eight people in one adapted building, where people had access to communal areas along with their own individual rooms. At the time of the inspection there were eight people using the service.

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

Notice of inspection

Notice of this inspection was not given, this meant the registered manager did not know we were coming.

This inspection was carried out between 23 January 2019 and 29 January 2019. We visited Clock Tower Mews on 23 January 2019 and on 29 January 2019 we spoke with health professionals to seek their view about the care provided.

What we did:

Prior to this inspection we reviewed the information we held about the service, including notifications. A notification is information about events that by law the registered persons should tell us about. We asked for feedback from the commissioners of people's care to find out their views on the quality of 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 reviewed the action plan the registered manager sent to us following our last inspection in March 2018. This action plan addressed the issues identified at the last inspection and informed us how the required improvements would be made.

During this inspection we briefly spoke with one person who was able to express their views. However other people were not able to verbally communicate with us. Therefore, we spent time observing how staff interacted with people to understand the experience of people who could not talk with us. We spoke with three people’s relatives, four staff, four health professionals and the registered manager. We reviewed records relating to the care and support for three people. We also reviewed records relating to the management of the service, such as staff training, maintenance of the premises and equipment and how the registered person monitored the quality of the service.

Details are in the Key Questions below.

Updated 22 March 2019

About the service: Clock Tower Mews is a residential care home providing accommodation and personal care to eight people with a learning disability and autism.

People’s experience of using this service:

¿ Previous breaches of regulations were now met. This meant people experienced a better quality of care that was safely delivered. However, some work continued to be needed to ensure that people's records were fully person centred. The registered manager had an action plan to address this area.

¿ People were kept safe from harm because assessments identified the risks to their health and well-being. Plans were in place to respond to people’s needs. People were supported by a sufficient number of staff who had been trained to keep people safe f. People’s medicines were now safely managed and administered as the prescriber intended.

¿ Staff were aware of people’s nutritional needs and supported these well. Consent was now obtained in line with legal requirements. The building was purpose built and adapted to meet the physical needs of people.

¿ People continued to be cared for in a dignified manner. People’s confidential information was now stored securely.

¿ People’s relatives were now fully involved in the review and development of people’s care. People were now able to enjoy a range of activities and pursue their individual interests. Concerns and complaints were promptly responded to. People and relatives were confident to raise concerns when necessary.

¿ Governance systems were now in place to monitor the quality of care provided. Leadership was now visible across the service, and staff, health professionals and relatives were all positive about the sustained improvements.

¿Registering the Right Support has values which include choice, promotion of independence and inclusion. This is to ensure people with learning disabilities and autism using the service can live as ordinary a life as any citizen. The registered manager and staff were meeting the principles of this policy.

Rating at last inspection: Inadequate. The inspection was carried out in March 2018 and the report was published on 1 June 2018.

Why we inspected: This comprehensive inspection was planned based upon the findings from our previous inspection. At that inspection we found five breaches of regulations, rated the service inadequate and placed the service in special measures.

Follow up: The service is no longer in special measures as they have achieved a rating of good. However, we will continue to monitor all information received about the service to understand any risks that may arise and to ensure the next inspection is scheduled accordingly.

We always ask the following five questions of services.

Is the service safe? Good