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CQC report explained · a residential care home

What the CQC found at Claxton House

Goodpublished 25 May 2019, 7 years ago

Rated Good: inspectors found the home performing well and meeting their expectations.

The five questions inspectors ask
Safe?
Good
People were protected from abuse and avoidable harm. Inspectors found suitable risk assessments, enough staff, safe recruitment and safe medicines management.
Effective?
Good
People’s needs were assessed and care followed current guidance. Staff had training and support, and people received help with food, healthcare and exercise.
Caring?
Good
Staff were kind, compassionate and respectful. People were involved in decisions and supported to communicate, maintain relationships and become more independent.
Responsive?
Good
Care was personalised around people’s needs, interests and goals. People were supported with activities, education, work, holidays and links with their local community.
Well-led?
Good
Inspectors found strong, accessible leadership, shared values and effective checks on quality. People, relatives and staff were asked for their views.
The latest report, explained

What inspectors found, May 2019

Claxton House was rated Good; inspectors found safe, kind and person-centred care, with a small medicines-recording issue and a design concern.

This was an unannounced, planned inspection on 20 March 2019. One inspector observed care, spoke with four people, staff, managers and a healthcare professional, and reviewed three care records and other records.

All five areas were rated Good: Safe, Effective, Caring, Responsive and Well-led. Inspectors found enough trained staff, safe medicines management, good links with healthcare services, kind relationships and support for people’s choices, independence, activities and community links.

The home was clean and well maintained, with effective checks and systems for improving care. Inspectors noted that staff had not always signed when applying prescribed creams, although action had been taken. They also said the home was not designed in line with the values of Registering the Right Support, including choice, independence and inclusion.

What inspectors praised
  • Kind and respectful care

    People had positive relationships with staff, who understood their communication needs and offered reassurance when they were distressed.

    “People were treated with kindness and compassion. People told us that all the staff were kind.” from the report
  • Support for independence

    People were helped to develop skills and pursue their own goals, including using public transport, attending courses and seeking paid work.

    “People were supported to be as independent as possible.” from the report
  • Community involvement

    People took part in activities outside the home and were supported to keep important local relationships and community links.

    “People had links with the local community and church.” from the report
  • Strong leadership

    Managers were described as visible, accessible and supportive. Quality checks were used to identify and resolve shortfalls.

    “There was effective quality monitoring. Checks and audits were carried out routinely.” from the report
What inspectors were concerned about
  • Building design did not follow best-practice values

    minor

    The home was not designed in line with guidance promoting choice, independence and inclusion for people with learning disabilities and autism. The report also says people were given choices and encouraged to take part in the local community.

    “The care service was not designed in line with the values that underpin the Registering the Right Support and other best practice guidance.” from the report
  • Some prescribed-cream records were incomplete

    needs fixing

    Staff had not always signed to show that prescribed creams had been given. The provider had taken action to remind staff to follow the correct procedure.

    “The provider had identified that's staff had not always signed for prescribed creams they had administered.” from the report
Questions to ask them, based on this report
  1. 01What changes have been made, or are planned, to improve choice, independence and inclusion in the design of the home?
  2. 02How do you now check that staff sign the records every time prescribed creams are administered?
  3. 03How will you support my relative to maintain local relationships and take part in activities outside the home?
  4. 04How are my relative’s communication needs recorded and shared with all staff?
  5. 05How will my relative be involved in planning and reviewing their care and daily activities?

This was an unannounced planned inspection covering all five CQC areas and both the premises and care provided. This explanation was written from the published report of 25 May 2019 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.

The story over the years

Every inspection of Claxton House

2 rated inspections over 3 years: the service has held its Good rating throughout.

  1. May 2019Goodcurrent ratingstayed Good
    Safe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good

    Read what inspectors found at Claxton House →

  2. June 2016Good
    Safe: GoodEffective: GoodCaring: OutstandingResponsive: GoodWell-led: Good

    We are reading this report · the original is on cqc.org.uk

  3. February 2014

    Report published without a new overall rating.

    Read this report on cqc.org.uk

  4. November 2012

    Report published without a new overall rating.

    Read this report on cqc.org.uk

  5. November 2010

    Registered with the Care Quality Commission on 30 November 2010.

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.

Next steps

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Care at home

13 live-in carers within about an hour of Norfolk

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.

Most charge £990 to £1,120 a week. 9 can care for a couple. 14 years' experience on average.

See live-in carers near NorfolkProfiles, rates and reviews are free to look at.

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.