HF Trust - 1 & 2 Clementi Court Houses

Updated 20 December 2022

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 carried out by 2 inspectors on the first day of the visit to the home on 20 October 2022 and one inspector on the second visit to the home on 21 October 2022.

Service and service type

HF Trust - 1 & 2 Clementi Court Houses 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. HF Trust - 1 & 2 Clementi Court Houses 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 service is required to have a registered manager. A registered manager is a person who has registered with the Care Quality Commission to manage the service. This means that they and the provider are legally responsible for how the service is run and for the quality and safety of the care provided.

At the time of our inspection there was a registered manager in post.

Notice of inspection

The first day of the inspection was unannounced. We announced the second day of the inspection.

What we did before the inspection

We reviewed information we had received about the home. We sought feedback from the local authority. 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 spent time seeing how people were cared for by staff. We spoke with 2 relatives about their experience of the care provided to their family members.

We spoke with 12 members of staff including the registered manager, a provider’s representative, support staff and 2 agency staff members.

We reviewed a range of records. This included 5 people’s care and health plans and multiple medication records. We looked at 3 staff recruitment files. We checked governance arrangements including audits on the quality and safety of people’s care, such as accidents and incidents, and how key information was communicated to staff. We saw how the premises, fire risks and infection control were managed. We checked policies and procedures and staff training records.

Updated 20 December 2022

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.

About the service

HF Trust - 1 & 2 Clementi Court Houses is a residential care home providing personal care to 7 at the time of the inspection. The service can support up to 8 people.

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. Staff supported people to make decisions following best practice in decision-making. Staff focused on people’s strengths and promoted what they could do, so people had a fulfilling and meaningful everyday life.

People received care and support in a safe, clean, well equipped, well-furnished and well-maintained environment that met their sensory and physical needs. People were able to personalise their rooms. Staff enabled people to access specialist health and social care support in the community. Staff supported people with their medicines in a way which achieved the best possible health outcome.

Right Care:

People received kind and compassionate care. Staff understood and responded to people’s individual needs. Staff had training on how to recognise and report abuse and they knew how to apply it. Relatives, the registered manager and provider were working together to ensure there continued to be enough appropriately skilled staff to meet people’s needs and keep them safe.

People’s risk assessments, care, treatment and support plans reflected their range of needs and this promoted their wellbeing and safety.

Right Culture:

People’s well-being needs were met because of the ethos, values, attitudes and behaviours of the management and staff. People received good quality care, support and treatment because trained staff and specialists could meet their needs and wishes. People were supported by staff who understood best practice in relation to the wide range of strengths, impairments or sensitivities people with a learning disability and/or autistic people may have. Staff placed people’s wishes, needs and rights at the heart of everything they did.

Staff evaluated the quality of support provided to people, focusing on the person, consulting their families and other professionals as appropriate. Staff ensured risks of a closed culture were minimised so that people received support based on transparency, respect and inclusivity.

Rating at last inspection

The last rating for this service was good, (published 6 June 2019).

Why we inspected

This inspection was prompted by a review of the information we held about this service. In addition, we had received concerns about staffing levels and staff turnover. We found no evidence during this inspection that people were at risk of harm from these concerns. Please see the safe and well-led sections of this full report.

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.

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 remains 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 HF Trust - 1 & 2 Clementi Court Houses 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.