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Inspection carried out on 5 March 2021

During an inspection looking at part of the service

Clarendon House is a ‘care home’ that is registered to provide personal and nursing care to a maximum of 8 people who are living with a brain injury. At the time of the inspection they were supporting 3 people.

We found the following examples of good practice.

There were clear processes in place for visitors to the home. Families and friends met with their loved ones in a ‘visitors’ pod’ at the sister home to Clarendon House, there was an option of inside and outside pods which were wheelchair accessible. All visitors direct to the home or to the pods were subject to temperature checks, health screening questions, hand hygiene and Personal Protective Equipment (PPE).

People were supported by staff to continue with their lives and that included support to clean their home, cook and do their laundry. There were cleaning schedules in place for staff and this continued throughout the day. There was enough PPE and staff were observed wearing it correctly and in line with the current government guidance.

People and staff had participated in whole home testing for Covid-19, for staff this included a daily test. Risk assessments had been completed for all aspects of people’s care and support including risks associated with Covid-19. Staff had individual risk assessments in relation to their own health and support needs. People and staff had been offered a Covid-19 vaccine.

Staff had received training in how to put on and take off PPE and training in preventing infections was up to date. Audits took place daily, weekly and monthly to ensure compliance with infection control procedures. The home was supported by a range of in-house professionals such as psychologists and therapists. Weekly contact was maintained with medical professionals who reviewed people’s needs.

The registered manager told us group and individual meetings have enabled them to reflect and learn from the difficult events experienced during the pandemic so far and had also contributed to supporting the wellbeing and mental health of staff. The registered manager told us they were proud of their staff team and said, “I don’t have any worries, they are awesome”.

Inspection carried out on 24 August 2017

During a routine inspection

The inspection was announced and took place on 24 August 2017. We arranged the inspection date with the registered manager two days before our visit that we would be inspecting this service. This was to make sure staff and people we needed to speak with were available and to respect the preferences of people living there who liked to know when visitors would be coming to the home.

Clarendon House provides accommodation and personal care for up to eight people who are recovering from brain injury. At the time of this inspection there were four people living at the home.

There was a registered manager 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 2008 and associated Regulations about how the service is run.

The four people living at the home felt safe and well-supported.

Risk assessments had been completed to minimise the risks, both in terms of the physical environment and also in how to support people as safely as possible in meeting their goals.

Staff had been trained in in safeguarding adults and were aware of the types of abuse and how to make safeguarding referrals.

Plans were in place on how to support people in the event of an emergency.

There were robust recruitment procedures being followed to make sure that appropriate staff were employed to support people.

Staff and people felt the staffing levels were appropriate to meet people’s needs. Staffing levels were planned and adjusted to make sure people were supported to meet their rehabilitation goals.

People were supported with medicines with the aim of people managing their medication on their own.

Staff knew people’s needs well and the organisation had a training programme in place. This ensured that staff had thorough induction and opportunity to develop their skills and knowledge.

Staff were knowledgeable about the Mental Capacity Act 2005 and people’s consent underpinned how staff worked with people in meeting identified goals.

At the time of the inspection the people who lived at the home had full capacity to be involved in all decision making about their goals, care and support.

Systems were in place to support people with budgeting, shopping and cooking.

People felt the staff were very caring and supportive.

People’s needs had been fully assessed and interventions and goals set with people. These were detailed in care plans that were up to date with evidence of regular reviews. Care plans were person centred focusing on their goals for rehabilitation.

People were supported with leisure and recreational goals as well as domestic routines so that they could fill their time meaningfully as well as working to rehabilitation goals.

There was a system in place for managing complaints that people were aware of. No complaints had been made about the service since registration.

The service was well-led with an open culture.

There were systems in place to monitor the quality of service provided to people.