CQC report explained · a nursing home
What the CQC found at Clarendon Nursing Home
Rated Good: inspectors found the home performing well and meeting their expectations.
- Safe?
- Good
- Inspectors found that people were protected from abuse and avoidable harm. Staffing, recruitment, risk management, medicines and infection control were all found to be safe.
- Effective?
- Good
- People's needs were assessed and recorded in detailed care plans. Staff had relevant training, people were supported with food and drink, and the home worked with health professionals.
- Caring?
- Good
- People were treated with dignity and respect. Inspectors heard consistently positive feedback about staff's kindness, understanding and empathy.
- Responsive?
- Good
- Care plans reflected people's needs, preferences and life histories. People were supported to maintain relationships, take part in individual activities and make choices about their care.
- Well-led?
- Good
- Inspectors found an open and person-centred culture, approachable management and effective checks on care, medicines, staff training, accidents and the environment.
What inspectors found, May 2023
Clarendon Nursing Home is rated Good; inspectors found safe, kind and personalised care, with all five areas rated Good.
This was an unannounced inspection. One inspector visited on 9 January 2023 and reviewed information, care records, staff files, training records and other documents. The inspector spoke with people living in the home, relatives, staff and health and social care professionals.
The home supports up to 51 adults with dementia who need personal or nursing care. Inspectors found people were safe, received their medicines properly and had suitable risk assessments. Staffing levels, infection control, staff training and food safety were also found to be suitable.
People and relatives described kind and respectful care. Care plans were detailed and personalised, families were involved in reviews, and people were supported with activities, relationships, healthcare and end of life wishes. The home was rated Good in Safe, Effective, Caring, Responsive and Well-led. The previous overall rating was also Good, published on 28 August 2019.
People felt safe
People and relatives told inspectors they felt safe. Staff understood how to recognise and report abuse, and the provider acted promptly when safeguarding concerns were raised.
“People said they felt safe at Clarendon Nursing Home and well supported by staff.” from the report
Kind and respectful care
People and relatives gave consistently positive feedback about the caring and empathetic approach of staff. Inspectors saw people being treated with dignity and encouraged to remain independent.
“We received consistently positive feedback about the caring nature of staff and their empathetic approach.” from the report
Good management oversight
The home had regular checks on care records, medicines, staffing, training, accidents and equipment. An improvement plan assigned actions and completion dates.
“There was a comprehensive and effective governance system in place.” from the report
Activities and relationships
People were supported to keep in touch with relatives and friends and to take part in activities linked to their interests, culture and religion.
“People's lives were enriched by staff helping them to remain engaged and stimulated; to fulfil their wishes, to follow their interests and to take part in activities appropriate to them.” from the report
Inspectors raised no specific concerns in this report.
- 01How would you assess and update my relative's care plan, and how could our family take part in reviews?
- 02What staffing levels would be in place for my relative's needs, including nursing and dementia support?
- 03Which activities could be matched to my relative's interests, culture, religion and past life?
- 04How are medicines checked, including as-required medicines, and how would you tell us about any changes or mistakes?
- 05How would you record and follow my relative's wishes about end of life care?
This was an unannounced inspection covering all five CQC questions, including infection prevention and control; all five ratings remained Good from the previous inspection. This explanation was written from the published report of 13 May 2023 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 2021
Inspected but not rated; inspectors found good infection control arrangements during the Covid-19 pandemic.
This was an announced, targeted inspection on 22 February 2021. Inspectors looked at infection prevention and control after receiving information of concern.
The home had 53 people living there, although it can care for up to 53 people. Inspectors were assured that the home managed visitors, testing, personal protective equipment, social distancing, admissions and outbreaks appropriately.
The home supported people to keep in touch with relatives through window visits and a visiting pod. These visits were spaced out, limited to 30 minutes and cleaned between visits.
The service was inspected but not rated. Safe was also inspected but not rated. This was not a full inspection of all five areas of care.
Visitor safety
Visitors had temperature checks, rapid flow tests, symptom screening and a Covid-19 risk assessment before entering. They also had to wear face coverings and wash their hands.
“Visitors were required to have their temperatures taken, undertake a rapid flow test and complete a Covid 19 risk assessment” from the report
Testing and infection control
The home tested people and staff and followed government guidance. Inspectors were assured that personal protective equipment and infection control measures were used safely.
“We were assured that the provider was using PPE effectively and safely.” from the report
Support for people and staff
Staff received training about infection control, personal protective equipment and supporting people with dementia during the pandemic. The home also offered staff mental wellbeing support.
“The provider ensured that all their staff received appropriate training and support to understand and to manage Covid 19.” from the report
Family contact
The home provided window visits and a visiting pod so people could keep in touch with relatives and friends while maintaining social distancing.
“The provider made good provision for people using the service to maintain links with family members, relatives and friends.” from the report
Inspectors raised no specific concerns in this report.
- 01How are visitors currently screened, tested and supported to use personal protective equipment?
- 02How often are people and staff tested, and what happens if someone tests positive?
- 03How does the home manage infection outbreaks and keep its infection prevention policy up to date?
- 04How can residents currently see their relatives and friends, and how are visiting areas cleaned between visits?
- 05What are the home's current arrangements for supporting staff wellbeing and people living with dementia during infection outbreaks?
This was a targeted inspection of infection prevention and control measures, with Safe inspected but not rated; the other four areas were not assessed. This explanation was written from the published report of 17 April 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.
Every inspection of Clarendon Nursing Home
3 rated inspections over 5 years: the service has improved, from Requires improvement to Good.
- May 2023Goodcurrent ratingSafe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
- April 2021Inspected but not ratedSafe: Inspected but not rated
- August 2019Goodup from Requires improvementSafe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
- August 2018Requires improvementSafe: Requires improvementEffective: GoodCaring: GoodResponsive: GoodWell-led: Requires improvement
- July 2017
Registered with the Care Quality Commission on 10 July 2017.
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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