Background to this inspection
Updated
3 December 2020
We carried out this inspection under Section 60 of the Health and Social Care Act 2008 as part of our regulatory functions. This inspection was planned to check whether the provider is meeting the legal requirements and regulations associated with the Health and Social Care Act 2008.
The inspection
This was a targeted inspection to check on a specific concern we had received about staffing levels, medicine management, safeguarding incidents not being reported or followed up and recruitment practices. There was also concerns over the management of the service.
As part of this inspection we looked at the infection control and prevention measures in place. This was conducted so we can understand the preparedness of the service in preventing or managing an infection outbreak, and to identify good practice we can share with other services.
Inspection team
The inspection team consisted of two inspectors.
Service and service type
Clann House is a ‘care home’. People in care homes receive accommodation and nursing or personal care as a single package under one contractual agreement. CQC regulates both the premises and the care provided, and both were looked at during this inspection.
Notice of inspection
This inspection was unannounced.
What we did before the inspection
We reviewed information we had received about the service since the last inspection. The provider was not asked to complete a provider information return prior to this inspection. This is information we require providers to send us to give some key information about the service, what the service does well and improvements they plan to make. We took this into account when we inspected the service and made the judgements in this report.
During the inspection
We spoke briefly with three people who used the service, three staff, the registered manager and senior carer. We observed staff providing care and support to people during the morning from a socially distanced position.
We reviewed a range of records. This included two people’s care records and a sample of medicine records. A variety of records relating to the management of the service, including notification sent to CQC and audits.
Updated
3 December 2020
About the service
Clann House is a residential care home providing personal care and accommodation for up to 34
predominantly older people. Accommodation is spread over two floors. Clann House is an older style property on the outskirts of Lanivet village, which is near Bodmin.
People’s experience of using this service and what we found
The service had suitable safeguarding systems in place, and staff knew how to recognise and what to do if they suspected abuse was occurring.
Risk assessment procedures were satisfactory so any risks to people were minimised.
Staff were recruited appropriately. Overall, satisfactory recruitment procedures were followed in line with interim guidance issued by CQC during the Covid 19 Pandemic.
The building was clean, and there were appropriate procedures to ensure any infection control risks were minimised.
Assessment and care planning systems were satisfactory. Care plans outlined people’s needs and were reviewed when people’s needs changed.
People said they received support from staff which was caring and respectful. Care promoted people’s dignity and independence. People were involved in decisions about their care.
The team worked well together and had the shared goal of providing a good service to people who lived at the service.
The service was managed effectively. The service had appropriate audit and quality assurance systems. People, relatives and staff had confidence in the management of the service.
For more details, please see the full report which is on the CQC website at www.cqc.org.uk
Rating at last inspection
The last rating for this service was Requires Improvement (published 30 March 2020). The provider completed an action plan after the last inspection to show what they would do and by when to improve. At this inspection we found improvements had been made and the provider was no longer in breach of the regulations.
Why we inspected
We undertook this targeted inspection to follow up on actions taken after enforcement action was taken, subsequent to our report published on 22 October 2020. Our report published on 30 March 2020 found improvement in the operation of the service. This inspection wanted to check suitable action had been taken regarding outstanding regulatory breaches, and previously noted improvements had been sustained.
CQC have introduced targeted inspections to follow up enforcement action. They do not look at an entire key question, only the part of the key questions we are specifically concerned about. Targeted inspections do not change the rating from the previous inspection. This is because they do not assess all areas of the key question.
Follow up
We will continue to monitor information we receive about the service until we return to visit as per our re-inspection programme. If we receive any concerning information we may inspect sooner.