Clarendon Beechlands

At our last inspection, the provider was in breach of Regulation 12 (Safe Care and Treatment), Regulation 13 (Safeguarding), Regulation 15 (Premises and Equipment) and Regulation 18 (Staffing) and needed to make significant improvements to the service.

At this assessment, the whole staff team demonstrated they had worked very hard to implement positive changes within the service and were now meeting the standards expected. This meant the provider was no longer in breach of regulations 12, 13, 15 and 18.

People felt safe living at the service. Relatives were pleased with the care their loved ones received. Risks to people were now effectively assessed and mitigated where possible.

The provider had invested heavily in redecoration works and domestic staff, resulting in a clean, sanitary, and homely environment for people to live and staff to work. Sufficient numbers of staff were now in place, and staff had received the necessary training to allow them to competently complete their roles. People told us staff were readily available.

People’s rights were now upheld, and staff had increased knowledge of safeguarding issues and procedures.

Some minor issues were identified with medicines, however no one at the service was impacted. The registered manager took immediate action to remedy the issues and we were assured by this.

At our last inspection, the provider was in breach of Regulation 11 (Consent to Care) and needed to make improvements to the way they managed mental capacity assessments and best interest decisions.

At this assessment, the provider, registered manager and staff demonstrated they had made the necessary improvements and this meant the provider was no longer in breach of regulation 11.

People were supported to have visits from friends and family.

Feedback from another professional was extremely positive about the improvements in outcomes for people. This was also observed by the inspection team.

People were supported to access and attend medical appointments, and people received continuity of care when multiple professionals were involved in their support.

People experienced kind and caring support from staff, along with a warm, friendly and homely environment within the service.

The leadership team were proactive in ensuring people were treated as individuals.

People received personalised support when they needed it. Staff knew when to support people with decision making, and when to give people the freedom to make their own decisions. Feedback from partners and observations during the assessment process demonstrated that staff knew people well.

The staff team told us they felt supported by the registered manager, and the provider offered a confidential counselling service which staff could access at any time.

People received care and treatment that was tailored to meet their individual needs.

People and relatives felt listened to, and knew how to make a complaint, although we were advised it was rare a complaint was required as everyone was happy with the care being delivered.

People’s wishes for the future were respected and planned ahead of time.

The service was accessible to all, and people could receive information in a variety of formats.

At our last inspection we rated this key question inadequate. The provider was in breach of Regulation 17 of the Health and Social Care Act 2008 (Regulated Activities) Regulations 2014.

Since the last inspection, a new registered manager had been appointed and had brought about significant positive changes to the service. This meant the provider was no longer in breach of Regulation 17.

The new registered manager had followed the provider’s policies and processes, which meant they had good oversight over the service as a whole.

The culture of the service had vastly improved, and people and staff were now alert, engaged and communicated well with inspectors. People, relatives and staff were confident they could raise any concerns with the new registered manager, and that these would be listened to and acted upon.

All risks to people and staff had been reassessed and processes had been implemented to mitigate the impact of these risks.

Care plans were detailed and descriptive for staff to follow, and audits were used as a tool for continuous improvement within the service. .