Clayton House

Updated 20 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.

As part of this inspection we looked at the infection control and prevention measures in place. This was conducted so we can understand the preparedness of the service in preventing or managing an infection outbreak, and to identify good practice we can share with other services.

Inspection team

The inspection was carried out by 1 inspector.

Service and service type

Clayton House is a ‘care home’ without nursing care. 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. 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.

Notice of inspection

We gave the service 48 hours’ notice of the inspection. This was because the service is small and people are often out and we wanted to be sure there would be people at home to speak with us.

What we did before the inspection

We reviewed information we had received about the service since the last inspection. We used the information the provider sent us in the provider information return (PIR). This is information providers are required to send us annually with key information about their service, what they do well, and improvements they plan to make. We used all this information to plan our inspection.

During the inspection

We met with 2 people who used the service and spoke with 3 relatives about their experience of the care provided. We spoke with 3 members of staff including the registered manager.

We reviewed a range of records. This included all people’s care records. We looked at records in relation to staff training and staff supervision.

Following our visit to the service we looked at additional documents the registered manager sent us. This included a variety of records relating to the management of the service including quality assurance records and audits.

Updated 20 July 2023

About the service

Clayton House is a small care home registered to provide care and support to 6 people who have a learning disability. There were 5 people living at the home at the time of the inspection. The home is a registered location of Outreach 3-Way, which is part of Dimensions.

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

We expect health and social care providers to guarantee people with a learning disability and autistic people respect, equality, dignity, choices and independence and good access to local communities that most people take for granted. ‘Right support, right care, right culture’ is the guidance CQC follows to make assessments and judgements about services supporting people with a learning disability and autistic people and providers must have regard to it.

Right Support:

People’s risks in relation to their care were well managed. 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.

There were sufficient staff deployed to meet people’s needs and people received their one-to-one support hours appropriately. Staff supported people to live as independently as possible and be in control of their daily lives.

Right Care:

People’s care plans reflected their needs. Staff had undertaken the training they needed to support people effectively. People’s right to privacy was respected and care provided was consistent and delivered by staff who knew people well. People appeared happy and looked well cared for.

We observed staff interacting in a kind and compassionate way with people who used the service and amongst themselves.

Right Culture:

The culture of the service was open, inclusive and empowered people to live confident lives. The service worked in partnership with other organisations to improve outcomes for people.

People were happy with the service and the leadership. A relative told us, “It all works very well. It’s been brilliant. [Name] has a really good life.” Management had undertaken regular audits and made appropriate improvements to the service.

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

Rating at last inspection

The last rating for the service was good, published on 31 May 2018.

Why we inspected

This inspection was prompted by a review of the information we held about this service and due to the time since it was last inspected.

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 good.

Follow up

We will continue to monitor information we receive about the service, which will help inform when we next inspect.