CQC report explained · a nursing home
What the CQC found at Clipstone House
Rated Good: inspectors found the home performing well and meeting their expectations.
- Safe?
- Good
- People told inspectors they felt safe, and risks were assessed with guidance for staff. Staff vacancies were covered by regular agency workers, but wider medicines audits were not yet being completed.
- Effective?
- Good
- People's needs were assessed before they moved in. Staff were trained and supported people with food, healthcare, independence and positive outcomes.
- Caring?
- Good
- People and relatives described staff as kind and caring. People were involved in decisions about their care and were treated with privacy and dignity.
- Responsive?
- Good
- Care plans recorded people's needs, preferences, communication methods and triggers. People were supported with chosen activities, relationships, complaints and future goals.
- Well-led?
- Good
- The manager and staff had a clear vision and completed a range of quality checks. People, relatives and staff were involved in how the home was run, although some staff feedback raised concerns about accountability.
What inspectors found, November 2021
Rated Good; inspectors found safe, kind and personalised care, but the home had staff vacancies and needed stronger medicines audits.
This was an unannounced planned inspection on 14 October 2021. One inspector spoke with three people, eight staff members and two relatives. They reviewed care, medicines, staff recruitment, training and management records.
All five areas were rated Good: Safe, Effective, Caring, Responsive and Well-led. People said they felt safe and were treated kindly. Inspectors found that staff knew people well, supported their choices and helped them take part in activities and maintain relationships.
The home had a high number of staff vacancies, so regular agency workers were used. Medicines were being given safely, but the manager was not carrying out wider medicines audits. The manager said monthly audits would be introduced.
This was the first inspection since the service registered in January 2020. There was no previous rating to compare with. The home was not placed in special measures.
People felt safe
People told inspectors they felt safe. Staff understood safeguarding and risks were assessed with clear guidance on how to support people.
“People told us they felt safe living at the service.” from the report
Kind and respectful care
People and relatives described staff as kind and caring. Inspectors found that privacy, dignity and equality were respected.
“People and their relatives told us the staff were kind and compassionate and people were well cared for.” from the report
Personalised support
Care plans included people's likes, dislikes, communication needs and behaviour triggers. Staff were matched with people where possible according to their interests.
“People had detailed and person-centred care plans which provided staff with the information they needed to support them.” from the report
Positive outcomes
The home worked with health professionals and supported some people to reduce restrictions and access the community more often.
“Since arriving at Clipstone House, this person is now accessing the community at least three times a week visiting various locations.” from the report
Staff vacancies and agency use
needs fixingThe home had a high number of staff vacancies and used regular agency workers to cover shortages. Ask how this affects consistency and whether vacancies have since reduced.
“The registered manager told us the service was proactively recruiting new staff because they had high number of staff vacancies.” from the report
Medicines audit checks
needs fixingStaff completed daily medicine counts, but the manager was not carrying out other medicines audits at the time of inspection. The manager said monthly audits would be introduced.
“However, no other medicine audits were completed by the manager.” from the report
Mixed staff feedback
minorMost staff feedback was positive, but some comments suggested there was not always enough accountability when tasks were not completed.
“Feedback from staff had been mixed, some positive comments included, "good teamwork", "feel part of team" and "love it here" where negative comments included "no consequence to staff for not doing xyz.” from the report
- 01How many staff vacancies are there now, and how often are agency workers used?
- 02What monthly medicines audits were introduced after the inspection, and what have they found?
- 03How do you make sure agency workers understand each person's communication needs, routines and behaviour support plan?
- 04What action was taken in response to staff comments about there being no consequence when tasks were not completed?
- 05How will my relative be involved in choosing activities, reviewing their care plan and planning for greater independence?
This was the first unannounced inspection of the newly registered home and covered all five key questions, including infection prevention and control. This explanation was written from the published report of 6 November 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 Clipstone House
Each visit the CQC has published, newest first, back to the day the home was registered.
- November 2021Goodcurrent ratingSafe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
- January 2020
Registered with the Care Quality Commission on 10 January 2020.
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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75 live-in carers within about an hour of Nottinghamshire
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 £980 to £1,260 a week. 63 can care for a couple. 10 years' experience on average.
“Ernest is an amazing professional carer who delivers care from the heart.”
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.