Clumber Court Care Centre, Bolham Lane, which is run by Countrywide Care Homes Limited, was inspected on 1st December 2014. The unannounced inspection was carried out by three inspectors. The centre accommodates for people who require nursing or personal care, dementia, diagnostic and screening procedures, mental health conditions, physical disabilities, treatment of disease, disorder or injury. According to the report, the centre ‘requires improvement’ for the categories of ‘safe’, ‘effective’, ‘response’ and ‘well-led’. Inspectors marked the level of care at the centre as ‘good’. The overall summary says: “The service did not have a registered manager in place at the time of our inspection. The previous registered manager left the service on 22nd October 2014.” “Not all of the staff knew how to keep people safe or how to raise any concerns if they suspected someone was at risk of harm or abuse.” “People may not receive the care they required because there was not always sufficient staff on duty to meet their needs.” “People were supported by staff who were caring and respectful, however staff were not given the knowledge and skills needed to deliver appropriate care and support.” “People were encouraged to eat well and supported to have their required nutritional and fluid intake. People were supported with their healthcare needs, although care plans did not provide staff with the information they needed to support people appropriately.” “People were supported in a kind and caring way and had their dignity respected.” “People’s individual preferences to care and support were not taken into account so that care could be delivered as they preferred it to be. People knew how to raise a concern and concerns were taken seriously and were addressed.” “A lack of effective systems to monitor the quality of the service resulted in people not receiving safe, effective and responsive care which met their needs.” In the past week the CQC has published 55 reports on the quality of care provided by adult social care services across the central region. Following recent inspections, 30 of these care homes and homecare agencies have been rated as ‘good’ and 24 have been rated ‘requires improvement’ and one has been rated #’inadequate’. Sue Howard, deputy chief inspector for Adult Social Care in the central region, said: “People are entitled to services which provide safe, effective, compassionate and high quality care. If that is what we find on inspection - we give the service a rating of ‘good’, or ‘outstanding’.” “Where we find that services are not good enough, we will give a rating of Requires Improvement or Inadequate. If we find that a service requires improvement, we will expect them to provide us with a full plan setting out how they will address the issue. We will share our findings with local commissioners, and we will return in due course to check that the required improvements have been made.” “Whenever we find a service to be Inadequate, we will consider taking further action on behalf of the people who use the service.” Full reports on all 55 inspections are available at: http://www.cqc.org.uk