What the CQC found at Clarence House & The Granary

Inspectors found enough appropriately trained staff to meet people's needs. Recruitment checks and induction arrangements were also in place.

“There were enough appropriately trained staff employed to meet people's needs.” from the report

Staff were trained to administer medicines, with checks of their skills. Medicines were ordered, stored and disposed of safely, with guidance for as-required medicines.

“Medicines were administered by staff who were trained to do so. Regular checks were made to ensure they maintained their skills and knowledge.” from the report

People told inspectors they felt safe and knew how to raise concerns about abuse. Staff understood how to report concerns inside and outside the home.

“People told us they felt safe living at Clarence House & The Granary.” from the report

Inspectors were assured that the home had arrangements for infection prevention, testing, protective equipment and safe visits during the pandemic.

“We were assured that the provider was using PPE effectively and safely.” from the report

People were included in discussions and decisions about their support and how the home was run. Relatives were contacted and visiting arrangements were maintained during the pandemic.

“People told us the registered manager and staff made sure they were included in discussions and decision making about their support and how the home was run.” from the report

Some risk management plans did not clearly explain people's needs or the support required. Measures already in place, such as handrails, were not always recorded.

“However, care plans and risk management plans did not always reflect the knowledge staff had and applied in practice.” from the report

On two occasions after falls, staff said learning had been discussed verbally but there was no written record. Inspectors also found that one incident causing injury had not been reported to CQC at the time.

“However, on two occasions following falls we were told the learning lessons process had been carried out verbally and there was no documentation to confirm this.” from the report

The home's audits and monitoring systems did not identify shortfalls in care plans, risk assessments and incident records. This was a breach of Regulation 17.

“Shortfalls in quality assurance processes and the lack of adequate documentation was a breach of Regulation 17, Good governance, of the Health and Social Care Act 2008 (Regulated Activities) Regulations 2014.” from the report