You are here

Claremont Parkway Requires improvement

We are carrying out a review of quality at Claremont Parkway. We will publish a report when our review is complete. Find out more about our inspection reports.

Inspection Summary


Overall summary & rating

Requires improvement

Updated 20 November 2019

About the service

Claremont Parkway is registered to provide accommodation for persons who require nursing or personal care, diagnostic and screening procedures and treatment of disease, disorder or injury for up to 66 older people. At the time of inspection 49 people were using the service.

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

The provider did not have sufficient systems in place to identify when care was not delivered in line with best practice. Staff did not always completed care in line with people’s care plans and risk assessments.

Some people did not have appropriate care plans or risk assessments in place to promote person centred care. Records for people’s food and fluid intake had not been consistently completed.

Feedback from people, relatives and staff was varied regarding staffing levels. Some felt there were enough staff to keep people safe whilst others felt additional staffing was needed. On the day of inspection there were enough staff to meet people’s needs.

Appropriate employment checks had been carried out to ensure staff were suitable to work with vulnerable people and arrangements were in place to safeguard people against harm. People said they felt safe.

People had their medicines managed in a consistent and safe way and received their medicines on time. Staff received appropriate training and checks to endure they were competent to administer medicines.

The home was clean, and the environment was well maintained. Staff understood how to prevent and manage infections.

People's privacy and dignity was maintained, and their independence encouraged. They were supported by staff who knew them well and cared for them in a respectful and kind way.

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

People had good health care support from external professionals. When people were unwell, staff had raised the concern and acted with health professionals to address their health care needs. People had access to a range of activities and leisure pursuits.

Staff felt supported by the registered manager, and people using the service knew how to complain and felt that any issues raised were acted upon.

The provider had displayed the latest CQC rating at the home. When required notifications had been completed to inform us of events and incidents.

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

Rating at last inspection (and update)

The last rating for this service was requires improvement (published 3 October 2018) and there were two breaches of regulation. The provider completed an action plan after the last inspection to show what they would do and by when to improve. At this inspection we found improvements had been made and the provider was no longer in breach of regulations 12 and 9.

Why we inspected

This was a planned inspection based on the previous rating.

Enforcement

We have identified breaches in relation to the systems and oversight for governance management.

This is the third consecutive time the service has been rated Requires Improvement and the provider had not sustained improvements in the well led domain since 2017.

Full information about CQC’s regulatory response to the more serious concerns found during inspections is added to reports after any representations and appeals have been concluded.

Follow up

We will meet with the provider following this report being published to discuss how they will make changes to ensure they improve their rating to at least good. We will work with the local authority to monitor progress. We will return to visit as per our re-inspection programme. If we receive any concerning information we may inspect sooner.

Inspection areas

Safe

Requires improvement

Updated 20 November 2019

The service was not always safe.

Details are in our safe findings below.

Effective

Requires improvement

Updated 20 November 2019

The service was not always effective.

Details are in our effective findings below.

Caring

Good

Updated 20 November 2019

The service was caring.

Details are in our caring findings below.

Responsive

Requires improvement

Updated 20 November 2019

The service was not always responsive.

Details are in our responsive findings below.

Well-led

Requires improvement

Updated 20 November 2019

The service was not always well led.

Details are in our well led findings below.