You are here

Archived: Clyde House Requires improvement

The provider of this service changed - see old profile

Inspection Summary


Overall summary & rating

Requires improvement

Updated 27 January 2017

We inspected Clyde House on the 5, 6 and 9 January 2017. This was an unannounced inspection.

Clyde House provides accommodation, personal and nursing care for up to 48 older people, some of whom have limited mobility, are physically very frail with health problems such as heart disease, diabetes and strokes. There were people at Clyde House also living with dementia and receiving end of life care. There were 24 people living at the home at the time of our inspection. Accommodation is arranged over two floors and each person had their own bedroom. Each floor has lift access, making all areas of the home accessible to people.

Clyde House is a large detached house in a residential area of St Leonards on Sea, close to public transport, local amenities and some shops. The service is owned by New Century Care (St. Leonards) Limited and is one of two homes in the South East.

At a comprehensive inspection in October 2015 the overall rating was Inadequate and the service was placed into special measures by the Care Quality Commission (CQC). Seven breaches of the Health and Social Care Act 2008 (Regulated Activities) 2014 were identified. Following the inspection, we received an action plan which set out what actions were to be taken to achieve compliance. Due to concerns we received in February 2016 we undertook a focussed inspection to look at people’s safety. We found that that the concerns were substantiated and that people’s health and safety was not assured by the deployment and experience of staff. Continued breaches of Health and Social Care Act 2008 (Regulated Activities) 2014 were found. At this time we took appropriate enforcement action. We undertook a full comprehensive inspection in May 2016 to see if improvements had been made. Whilst we could see that some action had been taken to improve people’s safety, the management of risk to individual people remained. Improvement was still needed to ensure people received support in a person centred way and were treated with dignity and respect. People were still not receiving support that was individualised to their needs. There were still concerns in respect of the quality assurance systems in place to drive improvement. This meant that there were continued breaches of Regulation of Health and Social Care Act 2008 (Regulated Activities) 2014. Further appropriate enforcement action was taken. We received an action plan from the provider that told us that they were taking action to ensure the health and safety of people who lived at Clyde House.

This unannounced comprehensive inspection on the 5, 6 and 9 January 2017 found that whilst there were areas still to improve and embed in to everyday practice, there had been significant progress made and that they had now met the breaches of regulation.

A registered manager was in post. 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.

Care plans reflected people’s assessed level of care needs and were based on people's preferences. Risk assessments included falls, skin damage, behaviours that distress, nutritional risks including swallowing problems and risk of choking and moving and handling. For example, cushions were in place for people who were susceptible to skin damage and pressure ulcers. The care plans also highlighted health risks such as diabetes and epilepsy. Visits from healthcare professionals were recorded in the care plans, with information about any changes and guidance for staff to ensure people's needs were met. There were systems in place for the management of medicines and people received their medicines in a safe way.

Registered nurses were involved in writing the care plans and all staff were expected to record the care and support

Inspection areas

Safe

Requires improvement

Updated 27 January 2017

Clyde House was not consistently safe. Whilst meeting the legal requirements that were previously in breach, practices need time to be embedded to ensure consistent good care.

There were systems in place to make sure risks were assessed and measures put in place where possible to reduce or eliminate risks. Medicines were stored and administered safely.

Comprehensive staff recruitment procedures were followed. There were enough staff to meet people�s individual needs. Staffing arrangements were flexible to provide additional cover when needed, for example during staff sickness or when people�s needs increased.

Staff had received training on safeguarding adults and were confident they could recognise abuse and knew how to report it. Visitors were confident that their loved ones were safe and supported by the staff.

Effective

Good

Updated 27 January 2017

Clyde House was effective and was meeting the legal requirements that were previously in breach.

Mental Capacity Act 2005 (MCA) assessments were completed routinely as required and in line with legal requirements.

People were given choice about what they wanted to eat and drink and were supported to stay healthy.

People had access to health care professionals for regular check-ups as needed.

Staff had undertaken essential training and had formal personal development plans, such as one to one supervision.

Caring

Good

Updated 27 January 2017

Clyde House was caring and was meeting the legal requirements that were previously in breach.

Staff communicated clearly with people in a caring and supportive manner. Staff knew people well and had good relationships with them. People were treated with respect and dignity.

Each person�s care plan was individualised. They included information about what was important to the individual and their preferences for staff support.

Staff interacted positively with people. Staff had built a good rapport with people and they responded well to this.

.

Responsive

Good

Updated 27 January 2017

Clyde House was responsive and was meeting the legal requirements that were previously in breach.

People had access to the complaints procedure. They were able to tell us who they would talk to if they had any worries or concerns.

People were involved in making decisions with support from their relatives or best interest meetings were organised for people who were not able to make informed choices.

People received care which was personalised to reflect their needs, wishes and aspirations. Care records showed that a detailed assessment had taken place and that people were involved in the initial drawing up of their care plan.

The opportunity for social activity and outings was available should people wish to participate.

Well-led

Requires improvement

Updated 27 January 2017

Clyde House was meeting the legal requirements that were previously in breach. However quality assurance systems need time to be fully embedded.

There was a registered manager in post, supported by a senior management team

The home had a vision and values statement and staff were committed to improvement.

People spoke positively of the care. People and visitors had an awareness of changes of management and felt that the new management team of the home were approachable.