Background to this inspection
Updated
25 January 2016
We carried out this inspection under Section 60 of the Health and Social Care Act 2008 as part of our regulatory functions. This inspection was planned to check whether the provider is meeting the legal requirements and regulations associated with the Health and Social Care Act 2008, to look at the overall quality of the service, and to provide a rating for the service under the Care Act 2014.
The unannounced inspection took place on 25 and 26 November 2015 and was undertaken by one inspector.
Before the inspection, we asked the provider to complete a Provider Information Return (PIR). This is a form that asks the provider to give some key information about the service, what the service does well and improvements they plan to make.
We reviewed information we held about the service. This included previous inspection reports and notifications we had received. A notification is information about important events which the service is required to send us by law.
During the inspection we spoke with six people who lived at Clann House, two relatives, the registered manager, four members of staff and a member of staff from a care agency. We also spoke with one health professional who had supported a person within the service. We looked around the premises and observed how staff interacted with people.
We looked at four records related to people’s individual care needs and seven people’s records related to the administration of their medicines. We viewed four staff recruitment files, training records for all staff and records associated with the management of the service including quality audits.
Updated
25 January 2016
This was an unannounced inspection which took place over two days on 25 and 26 November 2015. Clann House provides care for up to 34 older people. At the time of our inspection 25 people were living there.
The home had a registered manager. A registered manager is a person who has registered with the Care Quality Commission to manage the service. Like registered providers, they are ‘registered persons’. Registered persons have legal responsibility for meeting the requirements in the Health and Social Care Act 2008 and associated Regulations about how the service is run.
People and their relatives spoke highly of the care and support they received. Care and support focussed on each person’s individual needs, their likes, dislikes and routines that were important to them. Where people were unable to consent to their care or support best interests meetings were held. When people’s needs changed staff reacted promptly involving other social and health care professionals if needed.
People chose the meals they wished to eat and decided where to eat them. Special diets were available for people at risk of losing weight or who were at risk of choking.
People told us they felt safe. All staff had undertaken training on safeguarding vulnerable adults from abuse, they displayed good knowledge on how to report any concerns and described what action they would take to protect people against harm. Staff told us they felt confident any incidents or allegations would be fully investigated.
People were protected by the service’s safe recruitment practices. Staff underwent the necessary checks which determined they were suitable to work with vulnerable adults, before they started their employment.
People had their medicines managed safely. People received their medicines as prescribed, received them on time and understood what they were for. People were supported to maintain good health through regular access to healthcare professionals, such as GPs, community nurses and speech and language therapists.
Relatives and friends were always made to feel welcome and people were supported to maintain relationships with those who mattered to them. People and those who mattered to them knew how to raise concerns and make complaints.
Staff received a comprehensive induction programme. There were sufficient staff to meet people’s needs. Staff were appropriately trained and had the correct skills to carry out their roles effectively.
Staff described the management to be supportive and approachable. Staff talked positively about their jobs. Comments included, "I love it. I love everything about it" and "I love working here because the residents are well looked after. Everyone here is compassionate."
Staff understood their role with regards the Mental Capacity Act (2005) and the associated Deprivation of Liberty Safeguards. Applications were made and advice was sought to help safeguard people and respect their human rights.
There were effective quality assurance systems in place. Incidents were appropriately recorded and analysed. Learning from incidents and concerns raised was used to help drive improvements and ensure positive progress was made in the delivery of care and support provided by the service.