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Claremount House Requires improvement

The provider of this service changed - see old profile

Inspection Summary


Overall summary & rating

Requires improvement

Updated 25 March 2020

About the service

Claremount House is a residential care home providing personal and nursing care for up to 26 people. At the time of the inspection there were 21 people in the home, some of whom were aged over 65 years and were living with dementia, and others who were younger and had mental health needs. The home is purpose built with bedrooms located over two floors and communal areas on the ground floor.

People’s experience of using this service and what we found

People and relatives were happy with the care provided which they said had improved since the last inspection. A relative said, “Things had gone downhill when [CQC] last came, but they’re settling down now. It’s much calmer and there are more staff.”

There were enough staff to meet people’s needs and keep them safe. Regular bank and agency staff were used to ensure continuity of care whilst the provider recruited a permanent staff team. Staff were recruited safely and received the induction, training and support they needed to fulfil their role. Effective communication systems ensured staff knew people’s needs and how to meet them.

People and relatives were involved in planning and making decisions about their care. Care records had improved and reflected people’s needs. Medicines were managed safely. Staff were aware of risks to people and knew how to manage them. Safe systems were in place to manage any allegations of abuse and complaints.

The home was clean and well maintained. Infection control had improved although additional facilities were needed in some bathrooms and toilets for the safe disposal of clinical waste. The manager was taking action to address this.

Communal areas had been redecorated and refurbished providing a comfortable and homely environment. Some work had begun on refurbishing bedrooms, with people and relatives involved in choosing colour schemes. However, this work needed to be progressed as many of the bedrooms remained stark with few personal effects or homely touches to make the room comfortable for the person occupying it. The provider was taking action to address this.

Staff were kind, caring and compassionate. They treated people with respect and maintained their privacy and dignity. People enjoyed a variety of activities and had started to go out into the community. People had access to healthcare services and their nutritional needs were met.

People were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible and in their best interests; the policies and systems in the service supported this practice.

Leadership and management had improved. People, relatives and staff praised the manager who had been in post since November 2019 and is in the process of registering with CQC. A relative said, “[Manager’s] only been here a short time but has proved herself; very pro-active, all the time looking at how things can be improved.”

Quality assurance systems were effective. Senior managers carried out regular reviews and provided assurances that actions were being taken to address these. The provider recognised these improvements need to be sustained and developed further to ensure the service is consistently well-led.

For more details, please see the full report which is on the CQC website at www.cqc.org.uk

Rating at last inspection and update

The last rating for this service was inadequate (published 27 August 2019) and there were multiple breaches of regulation.

This service has been in Special Measures since 27 August 2019. During this inspection the provider demonstrated that improvements have been made. The service is no longer rated as inadequate overall or in any of the key questions. Therefore, this service is no longer in Special Measures.

Why we inspected

This was a planned inspection based on the previous rating.

Follow up

We will meet with the provider following this report being published to discuss how they will make changes to ensure the

Inspection areas

Safe

Good

Updated 25 March 2020

The service was safe.

Details are in our safe findings below.

Effective

Requires improvement

Updated 25 March 2020

The service was not always effective.

Details are in our effective findings below.

Caring

Good

Updated 25 March 2020

The service was caring.

Details are in our caring findings below.

Responsive

Good

Updated 25 March 2020

The service was responsive.

Details are in our responsive findings below.

Well-led

Requires improvement

Updated 25 March 2020

The service was not always well-led.

Details are in our well-Led findings below.