• Care Home
  • Care home

Clare Mount

Overall: Requires improvement read more about inspection ratings

376-378, Rochdale Road, Middleton, Manchester, M24 2QQ (0161) 643 3317

Provided and run by:
Rose Petals Health Care Ltd

Latest inspection summary

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Background to this inspection

Updated 13 February 2024

The inspection

We carried out this inspection under Section 60 of the Health and Social Care Act 2008 (the Act) as part of our regulatory functions. We checked whether the provider was meeting the legal requirements and regulations associated with the Act. We looked at the overall quality of the service and provided a rating for the service under the Health and Social Care Act 2008.

Inspection team

The inspection was carried out by 2 inspectors. An Expert by Experience made calls to relatives following the inspection. An Expert by Experience is a person who has personal experience of using or caring for someone who uses this type of care service.

Service and service type

Clare Mount is a ‘care home’. People in care homes receive accommodation and nursing and/or personal care as a single package under one contractual agreement dependent on their registration with us. Clare Mount is a care home with nursing care. CQC regulates both the premises and the care provided, and both were looked at during this inspection.

Registered Manager

This provider is required to have a registered manager to oversee the delivery of regulated activities at this location. A registered manager is a person who has registered with the Care Quality Commission to manage the service. Registered managers and providers are legally responsible for how the service is run, for the quality and safety of the care provided and compliance with regulations.

At the time of our inspection there was a registered manager in post however they were overseas when we visited the service.

Notice of inspection

This inspection was unannounced.

What we did before the inspection

The provider had completed a Provider Information Return (PIR) prior to this inspection. A PIR is information providers send us to give some key information about the service, what the service does well and improvements they plan to make. We reviewed information we had received about the service since the last inspection. We sought feedback from the local authority and Healthwatch. Healthwatch is an independent consumer champion that gathers and represents the views of the public about health and social care services in England. We used all this information to plan our inspection.

During the inspection

We spoke with 2 people who used the service and 12 relatives. We also spoke with 8 staff including the operations manager, care staff and nurses. We received virtual feedback from a further 28 staff following the inspection. We reviewed a range of records. These included care records, records relating to medicines, staff recruitment, training and supervision, building maintenance, cleaning and equipment checks, accident and incidents and safeguarding logs and policies and procedures. Also, a variety of records relating to the management of the service, including audits were requested.

Overall inspection

Requires improvement

Updated 13 February 2024

About the service

Clare Mount is a residential care home providing personal and nursing care for up to 29 people in one adapted building. At the time of the inspection there were 27 people using the service.

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

Health and safety actions relating to fire safety, the electrical installation and the passenger lift required completion. Infection control checklists required further development and some areas of the home required refurbishment to promote infection control. Safeguarding systems were in place. Staff understood their responsibilities in relation to safeguarding and felt comfortable to raise concerns. There were sufficient numbers of staff to provide care and support to people promptly. Medicines were well managed.

Audits were carried out by the nominated individual and the operations manager to monitor the quality and safety of the service. However, there had been delay in starting some works assessed as high risk. The provider was asked to provide an initial action plan following the inspection to inform us about when and how they would make the required improvements. Relatives were complimentary about the staff and management team and said communication had improved.

Staff had received appropriate training. 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.

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 requires improvement (published 28 July 2022). The service remains rated requires improvement. This service has been rated requires improvement or inadequate for the last three consecutive inspections.

At our last inspection we made a recommendation about the audit and management of some medicines. At this inspection we found the provider had made improvements.

Why we inspected

We received concerns in relation to staffing, communication, safety and person-centred care. As a result, we undertook a focused inspection to review the key questions of safe and well-led only.

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 remained the same based on the findings of this inspection.

We have found evidence that the provider still needs to make improvements. Please see the safe and well-led sections of this full report. You can see what action we have asked the provider to take at the end of this full report.

You can read the report from our last comprehensive inspection, by selecting the ‘All inspection reports and timeline’ link for Clare Mount on our website at www.cqc.org.uk.

Enforcement and Recommendations

We have identified breaches in relation to safety and governance at this inspection. Please see the action we have told the provider to take at the end of this report.

Follow up

We will request a further 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.