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Reports


Inspection carried out on 29 October 2018

During a routine inspection

What life is like for people using this service:

People who lived at Clapham Lodge Care Home told us that they were very happy living there. People and their relatives felt that they were treated with dignity and respect by the staff and were all, without exception, very complimentary about the management of the home. One person said, “It’s got a real homely feel to it. The minute I walked in here it just felt right. It’s a lovely, happy place.”

People felt safe and were supported in person-centred ways to live the lives they wanted to. Staff supported people to have contact with the wider community outside of the home and to engage in meaningful activities.

People had access to healthcare as they needed and staff supported them to attend appointments that were important for their wellbeing.

People’s dietary needs and preferences were met. People had been involved in developing and redesigning the menu. This meant that hot meals were also now provided at tea / dinner time.

Relatives were invited to visit the home without any restrictions. People’s independence was of utmost importance to the staff and management team. One person was being supported to return home following a stay at the care home.

The home was well managed by a passionate and dedicated staff management team who placed people at the centre of the support. A healthcare professional [admission avoidance community matron] told us that the staff and registered manager ensured the wellbeing of people at the home was, “most important to them” and, “they’re [staff] lovely with them [people].”

More information can be seen in the main body of the report for each Key Question below.

Rating at last inspection: Requires improvement (report published 24 November 2017).

About the service: Clapham Lodge Care Home is a residential care home that accommodates a maximum of 27 people. At the time of this inspection 25 people lived at the home. Older people who lived with dementia, Parkinson's disease and other conditions which included diabetes, were supported with personal care and accommodation in a homely service that was tailored to people’s individual preferences.

At the time of this inspection, the provider had developed the service with an extension to the building with new rooms for people. These were not registered with us at the time of the inspection but the provider planned to do this. People who lived at the home had already chosen their preferred bedrooms in the new build section of the home. Rooms had been personalised as people had chosen.

Why we inspected: This was a scheduled and planned comprehensive inspection based on the previous rating. We inspect all services rated as ‘Requires improvement’ every 12 months to ensure that we regularly monitor and review the quality and safety of the service people receive. We saw that improvements had been made to the service people received since our last inspection. Records about people had improved and measures which ensured that people’s dietary needs were met safely had been implemented.

Inspection carried out on 2 October 2017

During a routine inspection

The inspection took place on the 2 October 2017 and was unannounced.

Clapham Lodge is a residential care home offering personal care and accommodation for older people including people who are living with dementia and Parkinson’s disease. The service is currently registered to provide accommodation for a maximum of 26 people. At the time of the inspection 23 people were using the service. The provider had carried out extensive building works in keeping with the original building to extend the property. The extension had been built with wide corridors, an additional lift, private dining area, lounge and bedrooms with views of the surrounding fields and the South Downs National Park. A viewing window had also been created. The provider told us how the new build has been named after a person who previously lived at the service. The new build was yet to be completed and therefore there was no one living in that part of the home.

The interior of the home was comfortable and homely, with people being encouraged to bring their own items and belongings to personalise their rooms. People were encouraged to participate with gardening as desired to further personalise their outdoor space.

There was a registered manager in post. A registered manager is a person who has registered with the Care Quality Commission (CQC) 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.

Records did not always provide sufficient detail in relation to peoples’ specific needs and therefore did not always reflect the positive care and support that we observed. This is an area in need of improvement. This related to a person who required a soft diet as well as a person who required their fluid intake to be monitored. When this was raised with the registered manager they responded to this immediately which meant that the risks to these people were reduced.

People were safeguarded from the risk of abuse. Staff knew how to recognise the signs of abuse and how to report concerns. There was a sufficient number of staff deployed to meet people’s needs. Staff had received training, supervision and appraisals and staff meetings were held. Recruitment procedures were in place.

The CQC is required by law to monitor the operation of Deprivation of Liberty Safeguards (DoLS) which applies to care homes. The registered manager had not submitted applications to the Local Authority for people who may be being deprived of their liberty. Staff sought and obtained people's consent before they helped them. Consent forms were seen for people.

Medicines were administered safely despite some gaps in documentation staff were able to demonstrate that people were given their medicines safely. Staff could clearly describe how and when people’s medicines should be given and how medicines are stored safely. Staff giving medicines to people had received training and supervision to support them to do this. Monthly audits of the medicines were completed by the registered manager.

People knew how to raise a complaint and their views were listened to and responded to comprehensively and in a timely manner, with positive outcomes.

Feedback provided by people at residents meetings and surveys was listened to and positive changes to the service were made as a result of listening to people.

The registered manager was very welcoming and evidently caring about people who lived here and they knew people well. People, staff and visitors were seen to have an open and transparent relationship with the registered manager. There was a friendly and welcoming atmosphere at the home and people told us that they were happy using the service and that they felt safe and secure.

People were able to participate in a range of interactive and stimulating activities, with a number of people actively e

Inspection carried out on 14 and 19 August 2015

During a routine inspection

The inspection took place on 14 and 19 August 2015 and was unannounced.

Clapham Lodge Care Home provides care for up to 26 people older people with a variety of needs including dementia care. The original house was built over 140 years’ ago and is situated within the South Downs National Park. It was converted to a care home in 1970. Clapham Lodge Care Home is a large detached building surrounded by well-kept gardens and downland views. People have their own rooms and access to an extensive lounge, dining room and there are other areas around the home for people to engage in recreational activities or quiet contemplation.

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.

Risks to people had been identified, assessed and managed safely. There was guidance for staff on how to manage people’s care needs safely. Staff understood the signs of potential abuse and what action they needed to take. Premises and equipment were managed safely and the provider was in the process of redecoration and refurbishment to some parts of the home. There were sufficient numbers of staff employed to meet people’s needs and the service followed safe recruitment practices. People’s medicines were managed safely and were administered by trained staff.

Staff were trained in all essential areas and participated in a comprehensive induction programme. New staff followed the Care Certificate and all staff were encouraged to take additional qualifications. Staff had regular meetings with their managers. In addition, group supervisions enabled wider discussion, for example, on a particular policy or procedure. Handover between shifts involved a ‘walkabout’ when staff visited people in their rooms and discussed people’s care and support with other staff and management. Consent was gained from people in line with the requirements of the Mental Capacity Act (MCA) 2005. No-one living at Clapham Lodge Care Home was subject to the Deprivation of Liberty Safeguards (DoLS) and were free to come and go. People were supported to have sufficient to eat and drink and to maintain a healthy lifestyle. A range of menu choices was available and food was freshly cooked. People had access to a range of healthcare professionals and services.

People and staff had developed positive, caring relationships. People felt they were well looked after by kind, friendly staff who understood and knew them well. People’s preferences and choices were known and respected by staff and they were encouraged to express their views and be involved in all aspects of their care. Their privacy and dignity were respected and promoted. Relatives and friends could visit without undue restriction and could join family members at mealtimes. As people approached the end of their lives, the home cared for them in a private, comfortable and sensitive way in line with their wishes.

Care records provided staff with comprehensive, detailed information about people’s care needs and how they wished to be cared for. A wide range of activities were organised for people and they were also involved in choosing what they wanted to do, in line with their hobbies and interests. Complaints were listened to and dealt with in a timely fashion and led to a satisfactory outcome for all concerned.

People were involved in developing the service and they expressed their views at residents’ meetings. Suggestions made were listened to and acted upon. People were encouraged to be involved in the review of their care plans at monthly meetings as ‘Resident of the month’. The vision and values were embedded into the culture of the service and staff and management were proactive in this. Good management and leadership were evident and staff knew what was expected of them and were able to contribute their views and suggestions; these were listened to and acted upon. Robust audit systems were in place to measure the quality of the care provided. There was a holistic approach in how care was managed that supported people to have meaningful lives.

Inspection carried out on 25 September 2013

During a routine inspection

The name of the registered manager appears on this report because at the time of the inspection they were still registered with the commission. A new manager has been appointed and is in the process of registering with the commission.

We met with nine of the 24 people who lived at Clapham Lodge Care Home. They told us that they liked living at the home and that they felt the staff were very caring. We were told ‘’I enjoy being here, there is always something to do and I like the food’’. Another person said ‘’I am very happy here, if I want anything I only have to ask’’.

People told us about their life at the home and the activities they participated in. We looked at a five incident records. We found that events had been properly and timely recorded and had been responded to appropriately. This gave us a good insight into how the home was run and provided us with evidence that the home met people's needs and expectations.

We talked with five staff who were employed to work in the home, including the manager. Staff told us that they felt people were well looked after and experienced a good quality of life. Staff also told us that they felt well supported in their jobs with access to appropriate training and guidance from their manager. We found that the home had systems in place for monitoring the quality of care and support the home offered.

Inspection carried out on 22 February 2013

During a routine inspection

We met with twelve of the nineteen people who lived at Clapham Lodge Care Home. They told us that they liked living at the home and that they usually got on well with staff. We were told “This is a care home and they do care about us.” Another person said “I love it here. If you’ve got to leave your home then this is the place to come.”

People told us about their life at the home and the activities they participated in. We looked at a sample of care records and found them to be comprehensive and up to date. This gave us a good insight into how the home was run and provided us with evidence that the home met people’s needs and expectations.

We talked with four staff who were employed to work in the home, including the registered manager. Staff told us that Clapham Lodge Care Home was a nice place to work. They told us that they felt people were well looked after and experienced a good quality of life. Staff also told us that they felt well supported in their jobs with access to appropriate training and guidance from their manager. We found that the home had systems in place for monitoring the quality of care and support the home offered.