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Cloverfields Requires improvement

Inspection Summary


Overall summary & rating

Requires improvement

Updated 27 May 2021

About the service

Cloverfields is a nursing home providing personal and nursing care to 17 people aged 55 and over at the time of the inspection. The service can support up to 35 people. The home is split over three floors and people have access to communal areas and a large garden.

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

Risks to people’s safety were not always considered and governance checks were not robust. Areas with the potential to cause harm were identified, for example, missing bedrail assessments. Accident and incident forms were completed but it was not always clear whether lessons had been learnt or families had been notified.

People were supported by enough staff but felt there were times when more staff were needed. People felt safe and were supported by staff who had been trained in recognising abuse.

Medicine guidance and information was not always complete, and staff felt they were not always given clear instructions for administering people's medicine.

Infection, prevention and control measures were in place but not all of the government guidance was being met. Indoor visits to the home were yet to be facilitated.

The provider was open to the concerns raised and was already taking action to improve the care people received.

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 19 November 2019).

Why we inspected

The inspection was prompted in part due to concerns received about the overall governance within the service. A decision was made for us to inspect and examine those risks.

We looked at infection prevention and control measures under the safe key question. We look at this in all care home inspections even if no concerns or risks have been identified. This is to provide assurance that the service can respond to COVID-19 and other infection outbreaks effectively.

Enforcement

We are mindful of the impact of the COVID-19 pandemic on our regulatory function. This meant we took account of the exceptional circumstances arising as a result of the COVID-19 pandemic when considering what enforcement action was necessary and proportionate to keep people safe as a result of this inspection. We will continue to discharge our regulatory enforcement functions required to keep people safe and to hold providers to account where it is necessary for us to do so.

We have identified breaches in relation to safe care and treatment and the overall governance of the home at this inspection.

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

Full information about CQC’s regulatory response to the more serious concerns found during inspections is added to reports after any representations and appeals have been concluded.

Follow up

We will request an action plan from 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 27 May 2021

The service was not always safe.

Details are in our safe findings below.

Effective

Good

Updated 27 May 2021

Caring

Good

Updated 27 May 2021

Responsive

Good

Updated 27 May 2021

Well-led

Requires improvement

Updated 27 May 2021

The service was not always well-led.

Details are in our well-Led findings below.