This inspection was carried out on 03 and 04 May 2017, the first day of the inspection was unannounced. Clayton Manor is a purpose built care home with three units over two floors. Two units provided residential and nursing care and there was a unit specifically for people under 65. The service was for up to 75 people with varying needs and these included specialist nursing support, respite care, end of life care and general assistance with everyday living for people with dementia. On each unit there was a communal lounge and dining area decorated to a high dementia friendly standard and the building was in the process of undergoing a refurbishment programme. At the time of inspection there were 68 people living at the home.

The home has a registered manager. A registered manager is a person who has registered with the Care Quality Commission to manage the service. Like registered providers, they are ‘registered persons’. Registered persons have legal responsibility for meeting the requirements in the Health and Social Care Act 2008 and associated Regulations about how the service is run. The registered manager and regional manager were in attendance at the time of the inspection.

We found that the service was safe and effective. People told us they felt safe and we saw that staff knew how to ensure they were safe. From our observations it was clear that staff cared for the people they looked after and knew them well. People who lived at the home were protected from the risk of potential abuse because staff had undertaken safeguarding training, to recognise and respond to potential signs of abuse. Staff had a good understanding of what safeguarding meant and how to report it.

People's medicines were handled safely and were given to them in accordance with their prescriptions. Care plans showed that people's GPs and other healthcare professionals were contacted for advice about people’s health needs whenever necessary.

Staff were recruited safely and we saw evidence that staff had been supervised regularly. Staff told us that they enjoyed working at the service and felt well supported in their roles. They had access to a wide range of training which equipped them to deliver their roles effectively.

Each person living in the home had a plan of care and risk assessments in place. These were specific to them and were regularly reviewed. The home offered a wide range of both group and individual activities that had a positive impact on their lives. Visiting was unrestricted and people's relatives told us they felt included in the care of their family members.

The Mental Capacity Act 2005 and the associated deprivation of liberties safeguards legislation had been adhered to in the home. The provider told us that some people at the home lacked capacity and that a number of Deprivation of Liberty Safeguard (DoLS) applications had been submitted to the Local Authority in relation to people’s care. We found that in applying for these safeguards, peoples’ legal right to consent to and be involved in any decision making had been respected.

We saw that infection control standards in the home were monitored and managed appropriately. The home was clean, safe and well maintained. We saw that the provider had an infection control policy in place to minimise the spread of infection and that all staff had attended infection control training.

People living in the home knew who the registered manager was. People and relatives we spoke with said they would know how to make a complaint, none of the people or their relatives we spoke with had any complaints.

The home had quality assurance processes in place including audits, staff meetings and quality questionnaires. The home also had up to date policies in place that were updated regularly. The provider regularly checked the quality of care at the home through visits and audits. These showed the home was performing well in all aspects of care and people’s care records were maintained to a