Clement Court

Clement Court is a residential care home providing both personal and nursing care. The home is registered to support up to 80 people in a single adapted building. On the day of inspection, 73 people lived at the home, some of whom were living with dementia. The accommodation consisted of a single building, arranged over two floors. Communal lounges and a large dining room were located on each floor. There were secure outside areas and gardens.

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

We have recommended how the cleaning schedules need to be further enhanced to ensure the home is cleaned and maintained to a high standard. The registered manager has acted on this recommendation.

The mealtime experience was a very sociable event. The food smelt and looked appetising and people told us how much they enjoyed their meals.

Staff used personal protective equipment (PPE) effectively and had attended infection prevention control training.

People told us they felt safe with the care provided and with the carers supporting them. Staff understood their safeguarding responsibilities and were confident about how to report abuse.

People told us they did not have to wait long for care and support. Staff told us there were adequate numbers of staff on duty.

Staff were recruited safely, they received regular training and refresher courses.

Medicines were stored and administered in a safe way by suitably trained staff. Quality audits were in place to ensure medicines were safely managed. People were offered and received pain relief medication.

Accident and incident forms were investigated by the management team. Lessons learnt were shared with the staff team.

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.

Relatives told us how people received care from kind and compassionate staff members. They said they felt their family members received person-centred care. People’s needs, choices and preferences were assessed and recorded in detailed care plans. This included people’s dietary needs and requirements.

People’s communication abilities and preferences were assessed and regularly reviewed.

People, relatives and staff told us they felt involved in the service and able to express their opinions, raise concerns and make suggestions to improve the care provided.

Relatives told us they were confident how end of life care and wishes would be respected by staff. They said they were supported by compassionate staff during their family members end of life.

Staff told us they felt supported by the registered manager and received regular supervisions.

The provider and staff worked in partnership with health and social care professionals to deliver good outcomes for people and ensure their needs were met and reviewed.

There were systems to monitor safety and the quality of the service people received. Regular audits identified improvements to the care provided, these were actioned by the registered manager and the management team.

People, relatives, visiting professionals and staff told us they had confidence in the abilities of the registered manager and felt they were an effective leader.

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 the service under the previous provider was requires improvement, published on 28 June 2019. The service has improved to good.

Why we inspected

The inspection was prompted in part due to concerns received about monitoring people’s fluid, weight and food intake. A decision was made for us to inspect and examine those risks. We found no evidence during this inspection that people were at risk of harm from this concern. Please see the safe, effective and caring 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 comprehensive inspection, by selecting the ‘all reports’ link for Clement Court 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.