We undertook an unannounced inspection of Clifton Gardens Resource Centre on 5, 6 and 7 April 2016. Clifton Gardens is a care home and is run by the London Borough of Hounslow. It provides accommodation for up to 43 older people in single rooms. The majority of people at Clifton Gardens Resource Centre are living with a diagnosis of dementia. The home is situated within a residential area of the London Borough of Hounslow. At the time of our visit there were 39 people using the service.
We previously inspected Clifton Gardens Resource Centre on 30 October and 5 November 2014
and the home was rated as Inadequate. Issues were identified in relation to infection control, staffing levels, unsafe care practices, staff training, assessments and quality assurance. Improvements have been made in relation to the care provided.
At the time of the inspection there was a registered manager in place. 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.
The provider had a policy and procedure in place for the administration of medicines but this was not always followed by care workers. Records did not accurately show then medicines were administered. Medicines audits did not identify that improvements in the quality of the service were required.
There were improvements in the level of staffing at the home but at times care workers were focused on completing tasks. The home was clean and there had been improvement in relation to infection control.
Care workers had received training in relation to the use of hoists and moving and handling. Risk assessments for specific issues were now in place and processes were in place in relation to pressure sore management.
People told us they felt safe when receiving support from care workers. Each person had an evacuation plan in place I n case of an emergency.
The provider had an effective recruitment process in place. Care workers had received training identified by the provider as mandatory to ensure they were providing appropriate and effective care for people using the service. Also care workers had regular supervision with their manager and received an annual appraisal.
The provider had policies and procedures in place in relation to the Mental Capacity Act 2005 (MCA) and Deprivation of Liberty Safeguards (DoLS).
People we spoke with felt the care workers were caring and treated them with dignity and respect while providing care. Care plans identified the person’s cultural and religious needs.
Detailed assessments of the person’s needs were carried out before they moved into the home and each person had a care plan in place which described their support needs. Care workers completed a daily record of the care provided.
A range of activities were arranged at the home and people told us they enjoyed them.
We found breaches of The Health and Social Care Act 2008 (Regulated Activities) Regulations 2014 which related to the management of medicines and monitoring the quality of the service provided. You can see what action we told the provider to take at the back of the full version of this report.