25 March 2019
During a routine inspection
Clyde House is a residential care home which provides accommodation and personal care for up to 17 people with a mental health need. There were eight people living at the home when we completed the inspection, but one person was in hospital at the time of us undertaking our visit.
At the time of the inspection, the home was undergoing extensive renovation and there were plans in place to change the model of care. It is intended that in the near future, the current provider will apply to register Clyde House with the Care Quality Commission (CQC) as a supported living service for up to 11 people.
People’s experience of using this service:
• Despite the renovation noise, there was a calm and relaxed atmosphere in the home and people spoke with excitement about the changes being made to the environment.
• People told us they were settled at the home and happy with the care and support provided.
• Staff were responsive to people’s changing needs, but support plans hadn’t always been updated when changes had been made. This meant determining the current clinical picture and control measures in place to manage risks was difficult to determine from the information recorded.
• People were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible; the policies and systems in the service supported this practice.
• We saw people leaving the home independently and accessing the community throughout the inspection.
• There were issues identified during the inspection, which included the storage of confidential records and the security of the building. We found the main door unlocked and left on the catch which would enable unauthorised people to enter the home undetected which could pose a risk to people living there.
• All safety certificates and required risk assessments were in place. Medicines were managed safely, and staff were responsive to people’s needs to support them to remain compliant with their treatment.
• The staff were quick to identify changes in people’s presentation and worked closely with other health professionals, so people’s health and well-being was maintained.
• The home had consistent management and oversight by a registered manager who was an integral part of the care provided and whom people and their relatives spoke fondly of.
• Opportunities were provided for people who used the service, their relatives and staff to feedback their views and experiences through surveys and meetings.
• People and their relatives told us they had no cause to complain, but indicated they would have no hesitation in raising a concern with the registered manager and felt it would be sorted promptly.
• People living at the home conversed with the registered manager throughout the inspection and people’s relatives told us the registered manager was well known to them and their family member and they had confidence in their leadership.
• Relatives told us they would recommend the home to others looking for this type of care setting.
Rating at last inspection: The home was rated Requires Improvement when we last visited the home in September 2017. The report was published 05 December 2017. For more details, please see the full report which is on the CQC website at www.cqc.org.uk
Following the last inspection, we received an action plan dated 15 December 2017 detailing what action had been taken following our inspection to meet the regulatory requirements. We also met with the provider in December 2018 to receive a further update regarding the actions they had put in place. At this inspection we found a breach of regulation 12 so the service continues to be rated as Requires Improvement.
Why we inspected: This was a planned inspection based on the previous rating for the home.
Follow up: We will return to re-inspect the home in line with our inspection timescales for Requires Improvement. However, if the home re-registers as a supported living model, we will inspect the home in line with our timeframe for newly registered services. Inspection dates could be changed and brought forward if we receive any information of concern.