Clandon House

Updated 21 July 2018

We carried out this inspection under Section 60 of the Health and Social Care Act 2008 as part of our regulatory functions. This inspection checked 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.

This comprehensive inspection took place on 12 June 2018 and was unannounced. The inspection team consisted of two inspectors.

Before the inspection we reviewed information available to us about this service. The registered provider had completed a Provider Information Return (PIR). The PIR is a form that asks the registered provider to give some key information about the service, what the service does well and improvements they plan to make. We also reviewed safeguarding alerts and notifications that had been sent to us. A notification is information about important events which the provider is required to send us by law.

We spoke with three people, a relative and an advocate. An advocate is an independent person who represents a person using the service at meetings and care plan reviews. We also received written feedback from a social care professional. We spoke with three care staff, the registered manager and the provider.

We reviewed three people's care records, looked at three staff files and reviewed records relating to the management of medicines, complaints, training and how the registered persons monitored the quality of the service.

Updated 21 July 2018

This unannounced inspection took place on 12 June 2018. At our last inspection in May 2016 the service was rated Good. At this inspection we found the service remained Good.

Clandon House provides accommodation and personal care for up to three people. At the time of our inspection there were three people living at the service.

The service has 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 and associated Regulations about how the service is run.

At this inspection, we found robust processes were not in place to ensure people's personal allowances were managed appropriately. The recording of people's personal expenses and the overall management of personal allowances were not secure and open to abuse.

People received care and support based on their assessed needs, care plans and risk assessments.

Staff knew about safeguarding and protecting people from harm. The premises were clean and infection control practices were evident throughout the service.

People received their medicines as prescribed by their doctors. Staff were trained and experienced in the management and administration of medicines. They were well supported, supervised and had access to training related to their roles.

Staff understood the principles of the Mental Capacity Act 2005 (MCA) and people’s capacity to make decisions was assessed when required.

The staff recruitment process enabled the service to ensure there were suitable and enough staff to support people.

People's diversity and preferences were met by staff. The service provided meals that reflected people’s preferences. People were also supported to access healthcare and community facilities.

The management was open to new ideas and was willing to work with people, families, and health and social care professionals.