Clumber House Nursing Home

Information relating to people's care and support was not always reflective of observations we made during this inspection, which meant people were not consistently receiving person centred support.

There was a system in place to review accidents and incidents. However this did not always improve safety of the service and mitigate risk.

We found that support dependency for people was high at the service. this meant staff had little time for social engagement as there was not always enough staff to respond to people's needs quickly. We spoke to the manager about our concerns and made a recommendation they review and monitor staffing levels and deployment.

Although processes were in place to assess people under the Mental Capacity Act (MCA) we found that the service was not always working inline with this. We spoke to the manager regarding our concerns and made a recommendation they reviewed information held on people.

People were not always supported to have maximum choice and control of their lives and staff did not support always them in the least restrictive way possible and in their best interests; the policies and systems in the service were not always followed to support good practice.

Auditing systems were not robust or effective to ensure the management team had oversight on identifying risk and acting on lessons learnt.

The manager was new in post and demonstrated a positive approach to make improvements in the home.

Overall people and relatives spoke positively about the service and communication from the management team.

Staff recruitment processes were followed. Staff received training appropriate to their role, with on-going training given.

Staff spoke positively about working at clumber house and felt well supported by the management team.