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CQC report explained · a residential care home

What the CQC found at Clayburn Lodge

Outstandingpublished 10 November 2018, 7 years ago

Rated Outstanding: inspectors found the home performing exceptionally well.

The five questions inspectors ask
Safe?
Good
Risks were assessed and managed, staff were safely recruited, and there were enough staff. Medicines were managed safely overall, but staff had sometimes failed to sign records after medicines were given.
Effective?
Good
Staff had training, supervision and support to meet people's needs. People were supported with their diet, physical health and mental health, including access to health professionals.
Caring?
Good
Staff knew people well, respected their privacy and dignity, and supported their independence. People were involved in their care plans and decisions about daily life.
Responsive?
Outstanding
Support was highly personalised and focused on recovery. People were helped to manage their mental health, maintain relationships, pursue interests and take part in community activities.
Well-led?
Outstanding
Inspectors found strong, visible leadership, a motivated staff team and robust quality checks. People, staff, relatives and outside professionals were encouraged to give feedback.
The latest report, explained

What inspectors found, November 2018

Clayburn Lodge: Rated Outstanding overall; inspectors found highly personalised support and strong leadership, with some medicines signing errors.

This was a comprehensive, unannounced inspection on 11 September 2018. The inspector spoke with people and staff, observed care, checked care and medicines records, reviewed recruitment and training documents, and received feedback from health professionals.

The home was rated Outstanding overall. It was rated Good for Safe, Effective and Caring, and Outstanding for Responsive and Well-led. Inspectors found that people received kind, respectful care and were supported to manage their mental health, build independence and take part in activities they chose.

The home had improved since the previous inspection in January 2016, when all five areas were rated Good. Inspectors found that Responsive and Well-led had improved to Outstanding. They found strong quality checks and a clear focus on people's recovery and wellbeing.

There had been some medicines recording errors. People had received their medicines, but staff had sometimes forgotten to sign the medicines records. The errors had been investigated and action had been taken.

What inspectors praised
  • Personalised care plans

    Care plans were tailored to each person and focused on their whole life, recovery and individual goals. People were involved in reviewing them.

    “Care plans were exceptionally person centred, holistic and recovery focussed and clearly reflected people's individual needs.” from the report
  • Meaningful lives

    People were supported to pursue hobbies, volunteer and take part in community activities, while their choice not to join in was respected.

    “People were supported to engage in meaningful activities such as volunteering, pursue their hobbies and interests, and lead fulfilled lives.” from the report
  • Kind and respectful staff

    Staff formed positive relationships with people and responded calmly when someone became anxious or distressed. Privacy, dignity and independence were respected.

    “We observed positive interactions between staff and people.” from the report
  • Strong leadership and improvement

    The home had a clear person-centred approach, regular staff support and detailed checks on care, medicines and incidents.

    “Quality assurance processes were robust to monitor the quality of the service provided.” from the report
What inspectors were concerned about
  • Medicines records

    needs fixing

    Some staff forgot to sign the medicines administration record even though people had received their medicines. The errors were investigated, and the home planned to introduce an electronic system to reduce this risk.

    “There had been some medication errors where, although people had received their medicines, staff had forgotten to sign the MAR.” from the report
Questions to ask them, based on this report
  1. 01Have you introduced the electronic medicines system mentioned in the report, and how do you now check that every medicine is signed for?
  2. 02How would you support my relative's particular mental health needs, relapse indicators and crisis plan?
  3. 03What activities, hobbies or community opportunities could my relative choose from?
  4. 04How are people and their families involved in reviewing care plans and decisions about moving towards greater independence?
  5. 05How would you respond if my relative became more unwell or needed urgent mental health support?

This was a comprehensive, unannounced inspection covering the premises, care provided and all five CQC questions. This explanation was written from the published report of 10 November 2018 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 Clayburn Lodge

2 rated inspections over 3 years: the service has improved, from Good to Outstanding.

  1. November 2018Outstandingcurrent ratingup from Good
    Safe: GoodEffective: GoodCaring: GoodResponsive: OutstandingWell-led: Outstanding

    Read what inspectors found at Clayburn Lodge →

  2. January 2016Good
    Safe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good

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

  3. November 2013

    Report published without a new overall rating.

    Read this report on cqc.org.uk

  4. March 2013

    Report published without a new overall rating.

    Read this report on cqc.org.uk

  5. August 2011

    Report published without a new overall rating.

    Read this report on cqc.org.uk

  6. March 2011

    Registered with the Care Quality Commission on 16 March 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.

Next steps

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