This inspection took place on 24 and 25 July 2018 and was unannounced.
This was the fourth comprehensive inspection carried out at Claremont Parkway. At the last inspection in July 2017 the service was rated as Requires improvement. At this inspection we found there continued to be areas that required improvement.
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. The home provides a permanent home for up to 20 people. The home also works in partnership with the local NHS hospital (Kettering General Hospital) to provide care for up to 46 people who are admitted to the home for assessment for discharge from hospital. Medical and therapy staff from the hospital work in the home alongside nursing and care staff from Claremont Parkway to provide all care. The home consists of two floors, communal areas and gardens in the town of Kettering, Northamptonshire. On the day of our visit, there were 52 people using the service, however, five of these people were in hospital.
The service had 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 and associated Regulations about how the service is run.
During our previous inspection in July 2017 the provider had been in breach of Regulation 14 of the Health and Social Care Act 2008 (Regulated Activities) Regulations 2014. Meeting nutritional and hydration needs. We asked the provider to complete an action plan to show what they would do and by when to improve the nutrition and hydration of people using the service. During this inspection the provider met the requirements of this regulation. People were supported to have enough to eat and drink to maintain their health and well-being.
During this inspection, the provider had not ensured that there were enough staff to provide managerial, maintenance or kitchen duties. This had resulted in the provider failing to ensure all measures were taken to check fire and water safety and maintain adequate records in relation to safeguarding and complaints. The provider had not ensured that all notifications required such as safeguarding or injuries had been reported to the Care Quality Commission (CQC).
People received care from staff that required additional training and support to carry out their roles.
People living in the home permanently require more support and opportunity to build a homely community due to the busy nature of the constant admissions and discharges relating to the temporary residents.
There was a very positive culture within the home where staff communicated well and people’s needs were met.
Staff understood their roles and responsibilities to safeguard people from the risk of harm. Risk assessments were in place and were reviewed regularly; people received their care as planned to mitigate their assessed risks.
The provider had ensured there were enough nursing and care staff to meet people’s care needs. Safe recruitment processes were in place.
People were supported to access relevant health and social care professionals. There were systems in place to manage medicines in a safe way.
Staff demonstrated their understanding of the Mental Capacity Act, 2005 (MCA). Staff gained people's consent before providing personal care. People were involved in the planning of their care which was person centred and updated regularly.
People were encouraged to make decisions about how their care was provided and their privacy and dignity were protected and promoted. People had developed positive relationships with staff. Staff had a good understanding of people's needs and preferences.
People were supported to express themselves, their views were acknowledged and acted upon and care and support was delivered in the way that people chose and preferred.
People using the service and their relatives knew how to raise a concern or make a complaint. The registered manager followed the provider’s complaints procedures to respond to complaints and use the issues raised to improve the service.
The provider used audits to assess, monitor and improve the quality of people’s care.
In this report we have made a two recommendations regarding people's access to medical care and recording staff actions following incidents.
At this inspection we found that Claremont Parkway were in breach of two health and social care regulations relating to the health and safety of the home and person-centred care. They were also in breach of one registration regulation relating to notifications of incidents. The actions we have taken are reported at the end of the full report.
This is the second consecutive time the service has been rated Requires Improvement.
Further information is in the detailed findings below.
You can read the report from our last comprehensive inspection, by selecting the 'all reports' link for Claremont Parkway on our website at www.cqc.org.uk