Claremont

Updated 14 July 2023

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

Two inspectors carried out this inspection.

Service and service type

Claremont 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. Claremont is a care home without 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 CQC 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.

Notice of inspection

This inspection was unannounced.

Inspection activity started on 16 May 2023 and ended on 31 May 2023. We visited the service on 16 and 18 May 2023.

What we did before the inspection

We reviewed information we had received about the service since the last inspection. We sought feedback from the local authority and professionals who work with the service. We used all this information to plan our inspection.

The provider was not asked to complete 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.

During the inspection

We visited the service and completed visual inspections of the building. We spoke to 3 people who use the service and 2 relatives. We spoke with 4 staff members including the registered manager and support workers. We also spoke to a health professional. We reviewed documentation relating to the care of 3 people and paperwork relating to the health and safety of the service. We looked at recruitment records for 3 members of staff. We reviewed records regarding the management of the service, including audits.

Updated 14 July 2023

About the service

Claremont is a residential care home providing personal care to 4 people at the time of the inspection. The service can support up to 4 people.

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

Right Support:

Risks to people were not always managed. There were not always staff trained on duty to administer emergency medications should they be required. Improvements had been made in relation to fire safety. People had developed positive relationships with the staff. People were not supported to have maximum choice and control of their lives and did not support them in the least restrictive way possible and in their best interests; the policies and systems in the service did not support this practice. We continued to find capacity assessments and best interests not in place.

Right Care:

Improvements had been made to staff practice and staff understood their responsibilities under safeguarding. Some improvements had been made to supporting people with their access to the community and activities, however this needed to be embedded for all.

Right Culture:

There had been an improvement in the culture of the service. We received positive feedback from people and their relatives. Further work was required to ensure all people living at the service were promoted to have good outcomes. Staff felt supported in their roles.

For more details, please see the full report which is on the Care Quality Comission (CQC) website at www.cqc.org.uk

Rating at last inspection and update

The last rating for this service was inadequate (published 06 February 2023) and there were breaches of regulation. 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 some regulations. However, sufficient improvement had not been made in all areas and the provider remained in breach of some regulations.

This service has been in Special Measures since 10 February 2023. During this inspection the provider demonstrated that improvements have been made. The service is no longer rated as inadequate overall or in any of the key questions. Therefore, this service is no longer in Special Measures.

Why we inspected

This focused inspection was carried out to follow up on action we told the provider to take at the last inspection. This report only covers our findings in relation to the key questions of safe, effective and well led which contain those requirements. 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 improved to requires improvement based on the findings of this inspection. Please see the safe, effective and well led sections of this full report.

We looked at infection prevention and control measures under the safe key question. We look at this in all care home inspections even if no concerns or risks have been identified. This is to provide assurance that the service can respond to COVID-19 and other infection outbreaks effectively.

You can read the report from our last inspection, by selecting the 'all reports' link for Claremont on our website at www.cqc.org.uk.

Enforcement

We have identified breaches in relation to risk management, consent and governance at this inspection.

Please see the action we have told the provider to take at the end of this report.

Full information about CQC’s regulatory response to the more serious concerns found during inspections is added to reports after any representations and appeals have been concluded.

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.