Background to this inspection
Updated
3 November 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 2 inspectors.
Service and service type
Clevedon 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. Clevedon House 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 reviewed the information we had received from, and about, the service.
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 information gathered as part of monitoring activity which took place on 19 July 2023 to help plan the inspection and inform our judgements.
We used all this information to plan our inspection.
During the inspection
We spoke with 5 people who lived at the home. We also spoke with 2 members of staff and 1 visiting professional. During the visit we observed care and interactions between people and staff in communal areas. This helped us to understand the experience of people who did not wish to speak with us.
We looked at a number of records relating to people’s individual care and the running of the home. These included, 3 care plans, 2 staff files, minutes of meetings and quality monitoring audits.
The registered manager was available throughout the inspection and a senior manager from the organisation visited to speak with us.
After the inspection 3 members of staff provided written feedback to us.
Updated
3 November 2023
About the service
Clevedon House is a residential care home providing accommodation and personal care to up to 11 people. At the time of our inspection there were 9 people using the service.
The care home specialises in the care of people who have a learning disability and autistic people.
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.
People’s experience of using this service and what we found
Right Support:
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.
People lived in a residential area of Weston Super Mare. This enabled them to easily access their community for leisure and work.
People were able to make choices about their day to day lives and how they wished to spend their time.
People received very personalised care which was built around their needs and wishes. This enabled people to gain independence and follow their own interests.
People were supported safely with their medicines. Some people were able to self-administer their medicines following risk assessments.
Right Care:
People felt safe at the home and with the staff who supported them. People looked comfortable and relaxed in their environment.
Risk assessments were carried out to promote people’s safety and wellbeing. Staff worked with other professionals to make sure people received the care and support they needed.
People were supported by adequate numbers of staff to meet their needs and support them in their chosen social activities.
Right Culture:
People were supported by a registered manager and staff team who treated everyone as an individual. Care provided was person centred which enabled people to follow their own routines and interests.
People were happy at the home. They told us they felt well cared for and ‘at home.’
Staff were well motivated and cheerful which provided a happy and comfortable atmosphere for people to live in.
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 this service was good (published 21 December 2017)
Why we inspected
This inspection was prompted by a review of the information we held about this service and the length of time since the last inspection.
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.
This report only covers our findings in relation to the Key Questions Safe and Well-led.
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 not changed from good. This is based on the findings at this inspection.
You can read the report from our last comprehensive inspection, by selecting the ‘all reports’ link for Clevedon House 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.