Claremont House

Updated 5 May 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

The inspection was completed by 2 inspectors.

Service and service type

Claremont House 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 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

This inspection was unannounced.

What we did before the inspection

We looked at information sent to us since the last inspection, such as notifications about accidents and safeguarding alerts. 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 spoke with 5 members of staff including care staff, senior staff and the registered manager. We also spoke with 5 people who used the service, 3 relatives and observed staff interactions.

We looked around the home to review the facilities available for people and the infection prevention and control procedures in place. We also looked at a range of documentation including care files and daily records for 4 people and medication administration records for 3 people. We looked at 3 staff recruitment files and reviewed documentation relating to the management and running of the service such as staff rotas, training and audits.

Updated 5 May 2023

About the service

Claremont House is a purpose-built residential care home in Beverley providing personal care to up to 75 people who may be living with dementia, mental health needs, physical disabilities or sensory impairments. The accommodation is situated across three floors, with each floor having its own lounge and dining room. At the time of the inspection, 40 people were using the service.

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

People were kept safe by staff who understood how to manage risks and actions to take if they had any concerns for people’s safety and well-being. Staff worked closely with professionals to meet people’s needs. Accidents and incidents had been suitably responded to, lessons were learned, and changes made. Although not all notifications had been submitted.

People’s medicines were administered safely, and staff were knowledgeable about when people needed their medicines. Appropriate checks were completed during staff recruitment to ensure staff were safe to work with vulnerable people. The environment was clean and well maintained.

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.

We received mostly positive feedback form people and their relatives about the care they received and the polite and respectful staff. Systems were in place to gather and monitor people’s feedback about the service which was used to improve the service in the way people wanted.

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

Rating at last inspection

The last rating for this service was good (published 12 April 2018).

Why we inspected

The inspection was prompted in part due to concerns received about medicines, staffing and infection control practices. A decision was made for us to inspect and examine those risks.

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.

We found no evidence during this inspection that people were at risk of harm from this concern. Please see the safe and well-led sections of this full report.

For those key questions not inspected, we used the ratings awarded at the last inspection to calculate the overall rating.

Recommendation

We have made a recommendation regarding reporting systems for notifiable incidents.

Follow up

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