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Cliffe Vale Residential Home Limited Requires improvement

Inspection Summary


Overall summary & rating

Requires improvement

Updated 28 January 2020

About the service

Cliffe Vale residential care home is situated in the Shipley area of Bradford. The home provides accommodation and personal care for up to 26 people, including people living with dementia. Accommodation is provided over three floors. At the time of the inspection there were 24 people living at the home.

People’s experience of using this service and what we found

Systems to monitor and check the service were in place but these needed to be more thorough to ensure the service consistently met the required standards. Improvements were needed in the management of fire safety, including checks on equipment, documentation and staff training. Medication was not always managed safely. Records showed people did not always receive their medicines on time.

Audits and checks were in place to monitor the quality of the service. Improvements were required to ensure they highlighted any shortfalls promptly. The registered manager was approachable and visible. They were open and honest throughout the inspection and were committed to addressing the issues we highlighted.

Recruitment was safely managed. The staff team were consistent and experienced and had the skills to support people appropriately. They were knowledgeable about people and the topics we asked them about. They did not always receive regular supervision and appraisal.

People’s care needs were assessed, and they received person-centred care from staff who understood their needs well. People’s care plans were detailed and up to date. The service was caring and there was a homely and relaxed atmosphere throughout. People were relaxed and comfortable and were treated in a warm and respectful manner. Some activities were available to people, but these were limited. We have made a recommendation about introducing more personalised activities.

People were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible and in their best interests; the policies and systems in the service supported this practice. Improvements were needed to some documentation to fully evidence compliance with the Mental Capacity Act (MCA). We have made a recommendation about updating people’s documentation to fully reflect their involvement.

The service was responsive to people’s health and social care needs. There were very close links with health professionals and other agencies to ensure people’s health and nutrition needs were met and changes responded to promptly. We received positive feedback from health care professionals. One stated, “Cliffe Vale is a lovely care home. Staff are competent and very friendly and helpful.”

For more details, please see the full report which is on the CQC website at www.cqc.org.uk

Rating at last inspection

The last rating for this service was good (published 22 June 2017).

Why we inspected

This was a planned inspection based on the previous rating.

Enforcement

We have found evidence the provider needs to make improvements. We have identified breaches in relation to the management of fire safety, medicines and governance at this inspection.

Please see the action we have told the provider to take at the end of this report.

Follow up

We will request an action plan for the provider to understand what they will do to improve the standards of quality and safety. We will work alongside the provider and local authority to monitor progress. We will return to visit as per our re-inspection programme. If we receive any concerning information we may inspect sooner.

Inspection areas

Safe

Requires improvement

Updated 28 January 2020

The service was not always safe.

Details are in our safe findings below.

Effective

Requires improvement

Updated 28 January 2020

The service was not always effective.

Details are in our effective findings below.

Caring

Good

Updated 28 January 2020

The service was caring.

Details are in our caring findings below.

Responsive

Good

Updated 28 January 2020

The service was responsive.

Details are in our responsive findings below.

Well-led

Requires improvement

Updated 28 January 2020

The service was not always well-led.

Details are in our well-led findings below.