We carried out a review of the data available to us about Clarendon Wellbeing House Ltd on 6 July 2023. We have not found evidence that we need to carry out an inspection or reassess our rating at this stage.
This could change at any time if we receive new information. We will continue to monitor data about this service.
If you have concerns about Clarendon Wellbeing House Ltd, you can give feedback on this service.
About the service
Clarendon Wellbeing House is a 'supported living' service that provides personal care to people who have a learning disability and autistic people. The service accommodates a maximum of 4 people. At the time of our inspection, there were 4 people living in the supported living setting. Each person has their own room with a shared lounge, garden, kitchen and dining area. The service provides 24-hour staff support. Most of the staff team had been working at the service since the service began in 2019 and everyone knew each other well.
People's experience of using this service and what we found
Right Support:
Staff supported people to achieve people’s aspirations and goals and focused on their strengths, this helped people to develop and learn new skills. Staff also supported people to have a choice about their living environment and were able to personalise their rooms.
There were appropriate amount of trained staff working at the service, which met people's individual support needs. The provider ensured that staff were recruited safely and had the right skill mix to support people who used the service. Staff supported people with their medicines and promoted people’s independence as much as possible. The service also took measures to help prevent the spread of infections.
People who used the service 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.
Right Care:
Staff understood people’s cultural needs and provided culturally appropriate care. People spoke positively about the service and told us that they were treated with kindness and their privacy was respected.
People's support plans and risk assessments were well detailed and written in a person-centred way that people understood. Relatives were very positive about the service that people received.
People were supported to take part in activities and interests that were tailored to them. The staff supported people with new opportunities and to try new activities.
Right Culture:
People told us that they felt inclusive and empowered because of the attitudes and behaviours of the management and staff team. People received good quality care and support, as staff were trained to meet people’s needs and wishes.
The staff turnover at the service was low, which supported people to receive consistent care from staff who knew them well. People and those important to them, were involved in planning their care.
For more details, please see the full report which is on the CQC website at www.cqc.org.uk
Rating at last inspection
We last inspected this service on 4 November 2021 where it was rated requires improvement. (Published 10 March 2022). 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 regulations.
For those key questions not inspected, we used the ratings awarded at the last inspection to calculate the overall rating.
The overall rating for the service has changed from Requires Improvement to Good based on the findings of this inspection.
Why we inspected
This inspection was prompted by a review of the information we held about this service.
You can read the report from our last comprehensive inspection, by selecting the 'all reports' link for Clarendon Wellbeing House on our website at www.cqc.org.uk.
Follow up
We will continue to monitor information we receive about the service, which will help inform when we next inspect.
Clarendon Wellbeing House is a ‘supported living’ service that provides personal care to people with a learning disability or autistic spectrum disorder. Each person has their own room with shared lounge, garden, kitchen and dining area. The service provides 24-hour support to up to three people. At the time of our inspection one person was receiving personal care.
Not everyone who used the service received personal care. CQC only inspects where people receive personal care. This is help with tasks related to personal hygiene and eating. Where they do we also consider any wider social care provided.
People’s experience of using this service and what we found
We identified concerns in relation to staff recruitment and governance. Staff were not always recruited safely and systems were not effective in identifying issues found during our inspection, such as, gaps in care records. This put people’s health and safety at risk.
Medicines were managed safely.
People’s nutritional and health needs were met.
Staff received training to help them effectively carry out their role. Safe infection control practices were not always followed in line with government guidelines for regular testing of staff and visitors. We have made a recommendation in relation to regular testing for staff and visitors.
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.
We expect health and social care providers to guarantee autistic people and people with a learning disability the choices, dignity, independence and good access to local communities that most people take for granted. Right Support, right care, right culture is the statutory guidance which supports CQC to make assessments and judgements about services providing support to people with a learning disability and/or autistic people.
The service was able to demonstrate how they were meeting the underpinning principles of right support, right care, right culture. The registered manager and staff demonstrated a commitment to people and strong person-centred values. People’s choices were respected and staff supported them to achieve good outcomes. The environment promoted choice, control and independence in a respected and dignified setting.
For more details, please see the full report which is on the CQC website at www.cqc.org.uk
Rating at last inspection
This service was registered with us on 7 January 2019, and this was the first inspection.
Why we inspected
This was a planned comprehensive inspection based on the service no longer being dormant after becoming active in May 2020.
Enforcement and Recommendations
We are mindful of the impact of the COVID-19 pandemic on our regulatory function. This meant we took account of the exceptional circumstances arising as a result of the COVID-19 pandemic when considering what enforcement action was necessary and proportionate to keep people safe as a result of this inspection. We will continue to monitor the service and will take further action if needed.
We have identified breaches in relation to staff recruitment and good governance. We found no evidence that people had come to harm from these breaches. The provider and manager took prompt action to mitigate risks we found.
Please see the action we have told the provider to take at the end of this report.
Follow up
We will request an action plan from the provider to understand what they will do to improve the standards of quality and safety. We will work alongside the provider and local authority to monitor progress. We will continue to monitor information we receive about the service, which will help inform when we next inspect.