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Archived: Cliffe House Good

Inspection Summary


Overall summary & rating

Good

Updated 16 June 2016

The inspection took place on 18 March 2016 and was unannounced.

Cliffe House is registered to provide accommodation for up to three people who require personal care and support. At the time of our inspection two people were using the service.

There was a registered manager at the service. 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.

People felt safe at the service and knew who to tell if they had any concerns. Staff knew how to identify any possible signs of abuse.

People's care needs had been assessed. Risks associated with people's care and support had been identified and control measures had been put in place.

People were supported to access appropriate healthcare professionals. Relevant healthcare professionals had been contacted in relation to incidents and accidents that had occurred. They had not been referred through to the local authority safeguarding team for their consideration.

There were systems in place to support the safe management of medicines. Records did not always accurately reflect the amount of medicines in stock.

Staff felt well supported within their roles and received appropriate training and supervision to enable them to meet people's needs.

Where there was a concern around a person’s capacity to consent in relation to a particular area of their care and support then it had been identified. However, where a best interest decision had then been made there was no information about how this decision had been reached.

Staff knew and understood people that used the service well. People's independence was promoted and people's privacy and dignity was respected.

People were supported to follow their hobbies and interests. People were encouraged and supported to attend a variety of social events.

The service aimed to provide a secure and caring environment where people were able to live and participate in the community. This was clearly set out in the statement of purpose and reflected by the care that was provided.

Inspection areas

Safe

Requires improvement

Updated 16 June 2016

The service was not consistently safe.

People at the service felt safe and staff knew how to identify any possible signs of abuse.

Incidents and accidents had been recorded and dealt with but they had not been referred through to the local authority safeguarding team for their consideration.

There were systems in place to support the safe management of medicines. Records did not always accurately reflect the amount of medicines in stock.

Effective

Good

Updated 16 June 2016

The service was effective.

People received care from staff that had training to enable them to meet their needs.

People's consent was gained prior to staff assisting them in anyway. The service was working to the principles of the Mental Capacity Act 2005 although best interest decisions had not always been fully documented.

People were supported to access appropriate healthcare professionals as required.

Caring

Good

Updated 16 June 2016

The service was caring.

Staff showed concern for people�s wellbeing and spoke to people in a kind and considerate way.

People's independence was promoted. People's privacy and dignity was respected.

Staff knew and understood people that used the service well.

Responsive

Good

Updated 16 June 2016

The service was responsive.

People contributed to their plans of care and support. People�s care records were reviewed when their needs changed.

People were supported to follow their hobbies and interests.

People told us that they were happy at the service and did not have any complaints. There was a complaints policy in place.

Well-led

Good

Updated 16 June 2016

The service was well led.

People were supported to complete an annual satisfaction questionnaire that was available in a format to meet their needs.

Staff members, the registered manager and manager had a consistent understanding of the overall aims of the service that reflected the statement of purpose.

The service welcomed feedback and took action to address any concerns.