- Care home
Clement Court
Report from 21 February 2024 assessment
Contents
Ratings
Our view of the service
Date of assessment 12 March to 5 April 2024. Clement Court is a care home providing personal and nursing care to up to 80 people. The home was split between two floors, each with their own communal facilities. The service provides support to younger and older people who may be living with dementia or have a physical disability. At the time of our inspection there were 75 people using the service. Clement Court was last rated good (published 23 June 2022). The report was published following the Care Quality Commission’s (CQC) old inspection approach using key lines of enquiry (KLOEs), prompts and ratings characteristics. This assessment has been completed following the CQC new approach to assessment; Single Assessment Framework (SAF). We carried out our on-site assessment on 12 and 13 March 2024. This was an unannounced assessment, which means the provider was not told an assessment was going to be starting beforehand. During this assessment we looked at 11 quality statements; Safeguarding; Involving people to manage risks; Safe environments; Safe and effective staffing; Infection prevention and control; Medicines optimisation; Delivering evidence-based care and treatment; Capable, compassionate, and inclusive leaders; Governance, management and sustainability; Partnership and communities; and Learning, improvement and innovation. We assessed some but not all quality statements at this visit which means we use the ratings from the previous inspection to rate the key questions of safe, effective, and well-led. We have not assessed any quality statements under caring and responsive, so the rating judgement for this has not changed since our last inspection. We have identified breaches of regulation in relation to safe care and treatment, including medicines management and the assessing and management of risk, and good governance. We will ask for an action plan from the provider about how they will address shortfalls.
People's experience of this service
People told us they felt safe. One person said, “I feel safe and looked after. They [staff] never shout or say nasty things.” Another person said, “I feel safe with staff." People told us staff supported them well. One person said, “I feel safe, no issues.” Another person commented, “Staff know how to handle me.” We observed one person was supported in bed with their breakfast, however their care plan stated they should be supported in a chair for meals as there was a choking risk. We observed people were supported safely with moving and handling. People had mixed feedback about whether they had regular staff. Most people felt they saw regular faces and most felt staff knew what they were doing. Although there was some feedback about there being staff changes. One person said, “There are some changes of staff, you get used to someone then they go.” A relative said, “There are changes of staff…. But the regular staff know my relative well.” We observed people had to wait for support to get out of bed, as there was a high proportion of people who were able to get out of bed, who were not supported out of bed until nearly lunch time. We also observed people’s experience at lunch time differed – some waited a long time for support and food was left to go cold, and others were supported swiftly. There was mixed feedback about the food. People who had a modified diet did not always feel there was enough choice. One person said, “The food is not always good.” Another person told us, “Some food looks sad, that’s okay, I eat it.” Staff would show people who were able to eat a normal consistency diet the meal choices. However, rather than leaving the meal choice with the person, they would take away both options before returning with the meal. This caused confusion for some people and 1 person became distressed by this.