Clevedon Court Nursing Home

Updated 16 August 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 one inspector and a nurse specialist advisor.

Service and service type

Clevedon Court Nursing Home 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. Clevedon Court Nursing Home is a care home with 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 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 reviewed all information we had received about the service since registration. We used all this information to plan our inspection.

During the inspection

We spoke with 6 people living in the home and 1 relative. We spoke with the registered manager and 8 members of staff, including nurses, care staff and housekeeping staff. We also reviewed a range of records relating to peoples care and the management of the service.

Updated 16 August 2023

About the service

Clevedon Court Nursing Home is a residential care home providing personal and nursing care for up to 50 people. The service provides support to older people, some of whom are living with dementia. At the time of our inspection there were 46 people using the service. The home accommodates people over three floors; the ground floor being for people with palliative and higher level nursing needs, the 1st floor for people living with dementia and nursing needs and the top floor for people needing residential care.

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

People received safe care, however we have made a recommendation in relation to care planning and recording of care.

The registered manager was open and transparent and clearly committed to making improvements to the service and addressing any concerns identified. They promptly sent us an action plan following the inspection detailing their response. It was also clear that they had created a person centred culture in the service.

People told us they were happy living in the home. They told us staff were kind and caring and treated them well. We observed staff interact with people in a kind and caring way. People’s views and opinions were sought in planning and running the service. Relatives were included in decision making about people’s support.

There were sufficient numbers of staff to meet people’s needs. Staff were allocated to floors of the home flexibly according to need each day. People had access to call bells, should they need to get hold of staff urgently. There were systems in place to recruit new staff safely, this included gathering references and undertaking criminal record checks. The service was registered with the home office to enable them to recruit staff from overseas. This had supported them in staffing the service with safe numbers.

Staff were well supported by the registered manager and received training and supervision to help them carry out their roles effectively. Staff arriving to work at the service from overseas were supported to settle into life in the UK.

People were happy with the meals in the home; menus were planned according to people’s needs and people could request alternatives if they didn’t want what was on the menu.

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.

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

Why we inspected

The service was registered in January 2022, following a change in provider. There was a targeted inspection, published 15 March 2022. This did not provide a rating for the service. This is the first comprehensive inspection of the home under its current ownership. We inspected the service in order to check the performance of the home and provide rating under the new provider.

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.