Background to this inspection
Updated
10 March 2020
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 Care Act 2014.
Inspection team
This inspection was carried out by one inspector and an expert by experience. An expert by experience is someone who has experience of care related to this inspection setting.
Service and service type East Clune is a registered care home. People in care homes receive accommodation and nursing or personal care. CQC regulates both the premises and the care provided, and both were looked at during this inspection.
The service had a manager registered with the Care Quality Commission for this location. Like the provider, they are legally responsible for how the service is run and for the quality and safety of the care provided.
Notice of inspection: The inspection was unannounced.
What we did
We looked at information we held about the service to help us plan the inspection. This included written notifications the provider had sent to us about any important events when they happened at the service. On this occasion we did not ask for a Provider Information Return. This is information we ask the provider to send us; to give some key information about the service, what the service does well and any improvements they plan to make. However, we gave the provider opportunity to provide us with any related information, to help inform this inspection.
During the inspection we spoke with five people receiving care at the service and two relatives. We spoke with three care staff, including a senior and a cook and domestic. We also spoke with the registered manager and a deputy manager. We reviewed three people’s care records to check whether they were accurately maintained and checked a range of records relating to the management of the service. This included staffing, medicines, meeting minutes and records relating to the provider’s check of the quality and safety of people’s care.
Updated
10 March 2020
About the service
East Clune Care Home is a residential care home providing personal care for up to 30 older people, in one adapted building. This includes older people who may be living with dementia, a physical or mental health disability and a sensory impairment. At this inspection there were 25 people living at the service
People’s experience of using this service and what we found
Staff now received timely training for peoples’ care. The service was well managed and led internally by the registered manager, to help ensure person centred, safe and effective care. The provider’s external governance and oversight arrangements had been revised and improved since our last inspection, to consistently ensure this for people’s care ongoing.
People’s care and diverse needs were effectively assessed before they received care and consistently accounted for. Staff supported people to maintain or improve their health and nutrition when needed; as agreed with them and any external health professionals involved in their care.
People were supported to have maximum control of their lives and staff supported them in the least restrictive way possible. The provider’s related policies and systems supported this practice. Jointly agreed information sharing protocols were followed, to ensure consistent, informed care as agreed for people’s care, if they needed to move across local care services.
Staffing, risk management and medicines arrangements for people’s care, helped to ensure people were protected from the risk of harm or abuse when they received care from staff. The provider took action when things went wrong at the service and referred to relevant authorities involved with people’s care when required to do so.
People received care from kind, caring staff who ensured their dignity, equality and rights in their care. Staff knew people well; how to communicate with them and understood what was important to them for their care. People were appropriately informed, involved and supported to understand, agree and make ongoing decisions about their care.
People received timely care that was tailored to their individual needs and wishes. People’s independence, choice and engagement in relation to home life, community access and their contact with family and friends was promoted
People and their relatives were informed and confident to raise any complaint or concerns about the service, if they needed to. People’s views and feedback were regularly sought. Findings from complaints and feedback were used to help inform and ensure any service improvements needed.
Management and staff understood their role and responsibilities for people’s care. There were effective arrangements for communication, record keeping and information handling at the service, along with relevant engagement and partnership working for people’s care and safety
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 Requires Improvement (published March 2019). There was a breach of regulation. The provider completed an action plan to show what they would do and by when to improve. At this inspection we found improvements had been made and the provider was no longer in breach of regulations.
Why we inspected
This was a planned inspection based on the previous rating.
Follow up
We will continue to monitor information we receive about the service until we return to visit as per our re-inspection programme. If we receive any concerning information we may inspect sooner.