CQC report explained · a residential care home
What the CQC found at Clarendon Grange
Rated Good: inspectors found the home performing well and meeting their expectations.
- Safe?
- Good
- Inspectors were assured that the home was using personal protective equipment safely, managing visitors, carrying out testing and keeping its infection prevention policy up to date.
- Effective?
- Good
- This was not assessed in this targeted inspection.
- Caring?
- Good
- This was not assessed in this targeted inspection.
- Responsive?
- Outstanding
- This was not assessed in this targeted inspection.
- Well-led?
- Good
- This was not assessed in this targeted inspection.
What inspectors found, May 2021
Clarendon Grange was inspected but not rated; inspectors found strong infection control and visiting arrangements.
This was an announced, targeted inspection on 20 April 2021. It looked at infection prevention and control during the COVID-19 pandemic.
Inspectors found the home was clean and free from clutter. Staff used and stored personal protective equipment properly. Policies were kept up to date, and the home had testing, screening and visiting arrangements to reduce infection risks.
The home was inspected for safety in relation to infection control, but it was not given a rating. This was not a full inspection of the home's overall quality.
Clean environment
The environment and equipment were arranged to reduce infection risks and were clean and free from clutter.
“The environment and equipment had been arranged to minimise the risk of infection and was clean and clutter free.” from the report
Visiting arrangements
The home had a booking system, screening, lateral flow testing and personal protective equipment for visitors.
“There were robust visiting arrangements in place to reduce the risk of infection, including a booking system, screening form, lateral flow tests and use of PPE.” from the report
Up-to-date policies
COVID-19 policies were described as comprehensive and regularly reviewed against current guidance.
“Policies in relation to COVID-19 were comprehensive and regularly reviewed to reflect current guidance.” from the report
Inspectors raised no specific concerns in this report.
- 01How have your infection prevention and control policies changed since the inspection on 20 April 2021?
- 02What visiting arrangements, screening and testing do you use now?
- 03How do you check that staff continue to use personal protective equipment correctly?
- 04How do you manage new admissions and possible infection outbreaks?
- 05What were the ratings for caring, effective care, responsiveness and leadership at the home's most recent full inspection?
This was a targeted inspection of infection prevention and control under the Safe question; it did not assess the other four questions or give an overall rating. This explanation was written from the published report of 7 May 2021 by an AI system and checked against the report text: every quoted line appears in the report. It is a guide to the report, not a substitute for it. Read the full report on cqc.org.uk.
What inspectors found, April 2020
Rated Good overall; inspectors found kind, safe care and Outstanding responses to people's individual and end-of-life needs.
This was an unannounced inspection on 11 February 2020. Two inspectors and an Expert by Experience observed daily life, checked the building and records, and spoke with 12 people, relatives, staff and visiting professionals.
Inspectors found enough trained staff, safe medicines practice, good cleanliness and suitable safeguarding systems. People received nutritious food, healthcare support and care based on their choices. Staff were described as kind, respectful and knowledgeable.
The strongest area was responsiveness, rated Outstanding. The home provided highly personalised care, a varied programme of activities and especially compassionate end-of-life support for people and their families. The overall rating was Good, with Good ratings in the other four areas.
Personalised care
Staff knew people's histories, interests and preferences. They adapted care and equipment quickly when people's needs changed.
“Staff provided consistently person-centred care and support to meet people's individual needs and preferences, including social and cultural needs.” from the report
Kind and respectful staff
People were treated warmly and with respect. Staff supported people's choices, privacy, dignity and independence.
“We saw people were treated with kindness and compassion by staff who understood and promoted equality and diversity.” from the report
Activities and relationships
People could take part in activities they enjoyed, attend religious services and keep in touch with relatives. The programme included trips, entertainers, games and pet encounters.
“People were supported to maintain their important relationships and the involvement in the local community and used technology to help people keep in touch.” from the report
Incomplete recruitment records
minorTwo of three recruitment files did not record why previous jobs had ended, and one previous employer had not been contacted for a reference. The manager dealt with this immediately, but the issue had not been found by the home's usual checks.
“However, we noted that two of the three files did not state reasons for leaving a previous post and for one the previous social care employer had not been approached for a reference.” from the report
- 01How do you now check that every recruitment file includes reasons for leaving previous jobs and appropriate references?
- 02What changes were made to the audit system after inspectors found that recruitment recording problems had not been identified?
- 03How are people's end-of-life wishes recorded and shared with families and health professionals?
- 04How do you review whether activities still match each person's interests, abilities and cultural needs?
- 05How quickly do you review care plans and arrange specialist equipment when someone's needs change?
This was a planned but unannounced inspection covering all five CQC questions, the premises, care records, medicines, staffing, training and quality monitoring; all ratings were assessed at this inspection. This explanation was written from the published report of 3 April 2020 by an AI system and checked against the report text: every quoted line appears in the report. It is a guide to the report, not a substitute for it. Read the full report on cqc.org.uk.
Every inspection of Clarendon Grange
3 rated inspections over 5 years: the service has held its Good rating throughout.
- May 2021Inspected but not ratedcurrent ratingSafe: Inspected but not rated
- April 2020Goodstayed GoodSafe: GoodEffective: GoodCaring: GoodResponsive: OutstandingWell-led: Good
- August 2017Goodstayed GoodSafe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
- March 2015GoodSafe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
- August 2013
Report published without a new overall rating.
- May 2012
Report published without a new overall rating.
- January 2011
Registered with the Care Quality Commission on 18 January 2011.
Ratings and report dates from the Care Quality Commission, Open Government Licence v3.0. A home can also be visited without a new rating being published, so the timeline shows published inspections.
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9 live-in carers within about an hour of Cumberland
These are self-employed carers on PrimeCarers, the introductory agency that runs this directory. Each has a profile with their own rates and reviews from families, and you choose who to talk to.
8 can care for a couple. 9 years' experience on average.
Every carer has had an enhanced DBS check in the last 18 months, ID and right-to-work checks and an online interview. Their skills and training are for you to check with them. Carers set their own rates, and who is free changes week to week.