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Medihands Clifton Requires improvement

Inspection Summary


Overall summary & rating

Requires improvement

Updated 16 July 2019

About the service

Medihands Clifton is a residential care home. At the time of our inspection the service was providing personal care and support to 12 older people with mental health needs. The care home can accommodate up to a maximum of 14 people in one adapted building.

People’s experience of using this service

Most people remained positive about the quality of the care and support they received from this service. A person living there summed up how most people felt about the service in one quote, "This is a good care home and I’m happy living here…The staff treat me well and know what I like and don’t like."

However, we found the service was not always safe, effective or well-led? This was because people were not supported by staff who had ongoing training, the provider did not always follow relevant national guidelines regarding the safe storage of medicines and their governance systems were not sufficiently robust to pick up all the issues we identified during this inspection.

Nonetheless, despite these failings, we found the service remained caring and responsive.

People received their medicines as prescribed and were cared for by staff who knew how to keep them safe and protect them from avoidable harm. Sufficient numbers of staff whose suitability to work in adult social care had been checked were available to meet people's needs. The premises were clean and staff followed relevant national guidelines regarding the prevention and control of infection.

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. People were provided with a well-balanced meals that meet their dietary needs and wishes. People were supported to stay physically and emotionally healthy and well.

People continued to be cared for and supported by staff who were kind and compassionate. People were encouraged to make decisions about the care and support they received and have their choices respected. People's privacy was respected and their dignity maintained. People were supported to be as independent as they could and wanted to be.

The service remained responsive. People received personalised care that was tailored to their individual needs and wishes. People had access to a range of activities and entertainment that reflected their social interests. People were aware of the providers complaints policy and how to raise any concerns or complaints they may have. People nearing the end of their life received compassionate palliative care.

The service continued to have the same manager registered with the Care Quality Commission (CQC) who people using the service and staff spoke positively about. The registered manager promoted an open culture within the service and always sought the views of people using the service and staff. The provider worked in close partnership with other health and social care professionals and agencies to plan and deliver people’s packages of care and support.

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

Rating at the last inspection

The last rating for this service was good (published 24 December 2016).

Why we inspected

This was a planned inspection based on the previous rating of good.

Enforcement

We have identified two breaches in relation to the unsafe storage of medicines and the ongoing training of staff. This was because we found the cupboard where medicines were kept had been left open in an unlocked office on both days of our inspection. We also found most staff had not refreshed their training for at least three years in relation to most areas the provider identified as relevant to their roles. This included mental health awareness, safeguarding adults, food hygiene, infection control, Mental Capacity Act 2005 (MCA) and Deprivation of Liberty Safeguards, equality and diversit

Inspection areas

Safe

Requires improvement

Updated 16 July 2019

The service was not always safe.

Effective

Requires improvement

Updated 16 July 2019

The service was not always effective.

Caring

Good

Updated 16 July 2019

The service was caring.

Responsive

Good

Updated 16 July 2019

The service was responsive.

Well-led

Requires improvement

Updated 16 July 2019

The service was not always well-led.