Background to this inspection
Updated
24 April 2018
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, to look at the overall quality of the service, and to provide a rating for the service under the Care Act 2014.
The inspection was a comprehensive inspection which took place on 23 March 2018 and was announced. We gave the service 48 hours’ notice of the inspection visit because the location was a small care home for younger adults who are often out during the day. We needed to be sure that they would be in.
The inspection was carried out by one adult social care inspector.
We checked the information that we held about the service and the service provider. This included statutory notifications sent to us by the registered manager about incidents and events that had occurred at the service. A notification is information about incidents and events which the registered provider is required to send to us by law. We used all of this information to plan this inspection.
We spoke with both people who used the service, a member of staff and the provider/manager. We reviewed care records for both people who used the service. We also reviewed training records for two staff and a selection of other records relating to the management of the service.
Updated
24 April 2018
Clare Care is a care home which accommodates up to three adults with learning disabilities. At the time of the inspection, two people were living at the home. Each person has their own bedroom and the use of communal areas including a lounge, kitchen/diner and bathroom.
The care service has been developed and designed in line with the values that underpin the Registering the Right Support and other best practice guidance. These values include choice, promotion of independence and inclusion. People with learning disabilities and autism using the service can live as ordinary a life as any citizen.
People in care homes receive accommodation and nursing or personal care as single package under one contractual agreement. The Care Quality Commission (CQC) regulates both the premises and the care provided and we reviewed both areas during this inspection.
At our last inspection we rated the service good. At this inspection we found the evidence continued to support the rating of good and there was no evidence or information from our inspection and ongoing monitoring that demonstrated serious risks or concerns. This inspection report is written in a shorter format because our overall rating of the service has not changed since our last inspection.
The registered manager had recently left the service and the provider had taken up the position of manager and was in the process of applying to CQC to become the registered manager. 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 were assessed and measures were taken to reduce the likelihood of harm occurring. Staff knew the different types of abuse and how to recognise and report any concerns they had. The process for recruiting new staff was safe and thorough and there were sufficient staff to meet people’s needs and keep them safe. Medication was managed and stored safely and people received their medicines at the right times.
People received care and support from staff who received appropriate training and supervision for their role. People were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible; the policies and systems in the service supported this practice. People's consent was obtained prior to the delivery of any care and support. People's dietary needs were understood and met and people were provided with food and drink appropriate to their needs.
People were treated with dignity and respect and their privacy was promoted. Staff were knowledgeable about people and they had formed positive relationships with them.
People’s needs were kept under review and updated accordingly. Information was made available to people in an accessible format. A complaints policy and procedure was made available to people and relevant others. People were confident about complaining should they need to.
The leadership of the service was inclusive and positive. The quality and safety of the service was assessed and monitored and improvements were made.
Further information is in the detailed findings below.