Clements House

Updated 25 September 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 was 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.

This inspection took place on 13 September 2018 and was unannounced. The inspection was carried out by one inspector.

Before the inspection we checked information that we held about the home and the service provider. This included information from other agencies and statutory notifications sent to us by the registered manager about events that had occurred at the service. A notification is information about important events which the provider is required to tell us about by law. We used information the provider sent us in the Provider Information Return. This is information we require providers to send us at least once annually to give some key information about the service, what the service does well and improvements they plan to make.

During the inspection we spoke with three people who lived at the home. We spoke with one member of staff, the deputy manager and the registered manager. We also spoke to a social worker from a local mental health team who gave us permission for their views to be included in this report.

We looked at the care plans and associated records for three people. We reviewed other records, including the provider’s internal checks and audits, staff training records, staff rotas, accidents, incidents, records of medicines administered to people and complaints. We looked at staff training records and staff supervision records.

Updated 25 September 2018

This inspection took place on 13 September 2018 and was unannounced.

Clements House is a ‘care home.’ People in care homes receive accommodation and nursing or personal care as single package under one contractual agreement. CQC regulates both the premises and the care provided, and both were looked at during this inspection. The home is registered to provide accommodation and care for up to seven people who may have mental health needs, an eating disorder, physical disability, sensory impairment and/or needs associated with drug and alcohol misuse. At the time of the inspection there were 6 people living at the home. Clements House is a detached two storey home situated in a residential area close to the Bognor Regis seafront. All bedrooms are single occupancy and each has its own en-suite bathroom with a toilet, washbasin and shower. There was an open plan living room and dining room which people used. There was also a separate room for relaxation and quiet space. There was a garden with seating for people to use.

At our last inspection we rated the service as 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.

People said they liked living at the home. People said they got the care they needed and that they were supported to develop and maintain independent living skills. One person told us they would score the service 8/10. People were involved in daily routines in the home such as cleaning and cooking to help them to recover from mental health symptoms and to develop domestic living skills.

People said they felt safe at the home. Staff were trained in safeguarding procedures and had a good awareness of the importance of protecting people. There were comprehensive assessments of risks to people and to others. There were clear written procedures regarding people’s safety and these were devised in line with any guidance or statutory requirements of any relevant legislation.

Medicines were safely managed. Sufficient numbers of staff were provided and checks were made on the suitability of new staff to work in a care setting. The service was clean and hygienic. Reviews of care and incidents took place.

Care staff were supported well and had access to a range of training courses including nationally recognised qualifications in care.

People’s nutritional needs were assessed. There was a choice of food and people said they liked the food. 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.

Staff had a good awareness of people’s rights to care and to be treated equally irrespective of any disability. People were involved in decisions about their care. People’s privacy was promoted.

People received responsive care to meet their individual needs and preferences. People’s needs were assessed and people were involved in decisions about their care. There was a range of activities for people which they enjoyed as well as access to community facilities.

There was an effective complaints procedure.

The service was well – led. The culture of the service supported people to recover and manage mental health symptoms in a safe environment where they could develop their independence. The provider ensured staff were supported to develop their skills and knowledge and that person centred care was provided. The provider and staff worked well with other agencies to ensure people got the right support. There was a system of checks and audits regarding the safety and quality of the service provided.