# Clasper Court

*Operated by South Tyneside MBC.*

Clasper Court is a CQC-regulated home-care agency in South Shields.

## CQC Ratings

| Key question | Rating |
| --- | --- |
| Overall | Good |
| Safe | Good |
| Effective | Good |
| Caring | Good |
| Responsive | Good |
| Well-led | Good |

Rating published: 14/02/2020

## Practical info

- Postcode: NE33 1LN
- Registered manager: Whitley, Rachel
- Local authority: South Tyneside
- Region: North East
- City: South Shields
- Last CQC check: 17/Mar/2021 - 00:00

## Inspection findings

### effective

- Finding
  - Staff have the training they need to provide appropriate care
  - Published: 2021-01-24

### Other

- Finding
  - Evidence: Registered manager ensured clear IPC policies and procedures were in place aligned to national guidance
  - Published: 2021-03-17
- Finding
  - Evidence: Staff worked additional shifts and helped with cleaning to ensure continuity of care and minimise cross-service movement
  - Published: 2021-03-17
- Finding
  - Evidence: Video calls and window visits facilitated in line with national guidance
  - Published: 2021-03-17
- Finding
  - Evidence: Staff responded proactively to external IPC advice, sourcing clip-on pens and hand sanitisers to reduce unnecessary contact
  - Published: 2021-03-17
- Finding
  - Evidence: Temperature checks and ample PPE and handwashing facilities at entry points with clear signage
  - Published: 2021-03-17
- Finding
  - Evidence: Regular health and safety checks up to date including fire, gas, electrical and water safety
  - Published: 2021-01-29
- Finding
  - Evidence: Robust recruitment and selection processes including DBS checks and employer references
  - Published: 2021-01-29
- Finding
  - Evidence: Registered manager described as approachable by both people using the service and staff
  - Published: 2021-01-29
- Finding
  - Evidence: People were treated with dignity, respect and patience; 14 out of 18 questionnaire respondents confirmed staff were always kind and respectful
  - Published: 2021-01-29
- Finding
  - Evidence: Monthly medicines audit successfully implemented following previous inspection breach, identifying and tracking MAR gaps
  - Published: 2021-01-29
- Finding
  - Evidence: Incidents and accidents were logged, investigated and used to update risk management plans
  - Published: 2021-01-29
- Finding
  - Evidence: Staff demonstrated good understanding of the Mental Capacity Act 2005 and sought consent before providing care
  - Published: 2021-01-29
- Finding
  - Evidence: Sufficient staffing levels with shift patterns organised around people's needs
  - Published: 2021-01-29
- Finding
  - Evidence: Staff had a good understanding of safeguarding adults and whistle blowing procedures
  - Published: 2021-01-29
- Finding
  - Evidence: People told us they felt safe and gave consistently positive feedback about staff care: 'The care is fantastic', 'They are my guardian angels'
  - Published: 2021-01-29
- **record_keeping** _(minor)_
  - Evidence: three different medicines risk assessment formats in use...some risk assessments we viewed were specific to the person being supported whilst others were generic.
  - Published: 2021-01-29
- **governance** _(moderate)_
  - Evidence: these checks were ad hoc and had not been consolidated into a structured programme of quality assurance checks.
  - Published: 2021-01-29
- **governance** _(moderate)_
  - Evidence: the provider had not made all of the required statutory notifications to the Care Quality Commission...the provider had not submitted statutory notifications for two incidents
  - Published: 2021-01-29
- **care_planning** _(minor)_
  - Evidence: review records were usually brief and did not provide a meaningful update as to how the person was. For example, staff recorded comments such as 'no changes required at present'
  - Published: 2021-01-29
- **care_planning** _(moderate)_
  - Evidence: Some people who used the service did not have up to date care plans that met their current needs...a clear timescale had not been set to complete this piece of work.
  - Published: 2021-01-29
- **staff_training** _(critical)_
  - Evidence: moving and handling training was overdue for six out of 14 staff...one of the six staff whose training was overdue had been involved in an incident in February 2015 relating to inappropriate moving and handling.
  - Published: 2021-01-29
- Finding
  - Evidence: Action plan commitments made following the March 2015 inspection were fully met.
  - Published: 2021-01-24
- Finding
  - Evidence: New manager implemented a colour coded training matrix on the wall to identify when future update training was required.
  - Published: 2021-01-24
- Finding
  - Evidence: Staff had completed overdue moving and handling and food hygiene training by the time of this inspection.
  - Published: 2021-01-24
- **staff_training** _(critical)_
  - Evidence: 6 out of 14 staff had not completed moving and handling training... one of these staff members had been involved in an incident relating to inappropriate moving and handling.
  - Published: 2021-01-24
- Finding
  - Evidence: Strong partnership working with external professionals including district nurses, social workers and therapists.
  - Published: 2020-02-14
- Finding
  - Evidence: Effective use of assistive technology (Canary system) to promote independence and safety.
  - Published: 2020-02-14
- Finding
  - Evidence: Well-led service with engaged manager who listened to staff and people; breach of Regulation 17 resolved since last inspection.
  - Published: 2020-02-14

### safe

- Finding
  - S5 How well are people protected by the prevention and control of infection?
  - Published: 2021-03-17

## Source

Data published by the [Care Quality Commission](https://www.cqc.org.uk/) under the Open Government Licence v3.0. Canonical page: https://homecarecompass.co.uk/agency/1-124617619

HomeCare Compass is an independent guide and is not affiliated with the CQC.