• Care Home
  • Care home

Archived: Cleeve Court Nursing Home

Overall: Requires improvement read more about inspection ratings

Main Road, Cleeve, Bristol, BS49 4PE (01934) 876494

Provided and run by:
Cleeve Rest Limited

All Inspections

21 and 22 October 2015

During a routine inspection

We inspected this service on the 21 & 22 October 2015. This was an unannounced inspection. At our last inspection in December 2013 no concerns were identified.

Cleeve Court is a nursing home and provides accommodation for up to 29 people. At the time of this inspection there were 16 people living at the home. Cleeve Court has 22 bedrooms, a lobby kitchen, dining room, lounge, office, medication and treatment room, sluice, laundry room, gardens and patio area.

There was a registered manager in post. 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 joined the inspection on both days for a few hours.

People were living in a building that was not being adequately maintained or secure. Carpets were frayed, dirty and ill fitting. Some walls were crumbling and had mould and fungus growing and not all doors and windows had restrictors or fire safety devises fitted. During our inspection the front door to the property was left unlocked and there was a lack of security on checking visitor’s identification. The provider confirmed following the inspection the front door is now locked.

Medicine were not being safely managed or stored. Records were not accurate confirming if medicines had been collected or administered. Environmental risks were not being assessed and there were no support arrangements in place to prevent or reduce the risk of incidents occurring. Recruitment procedures were not always robust to ensured people were supported by staff who had adequate checks or that there was adequate paperwork in place. People who were at risk of developing pressure sores had care plans in place to ensure their position was regularly changed but there were no records confirming they received this assessed need.

People who were unable to consent to care and treatment had completed assessments and best interest decision paperwork in place. People did not always receive personal care that reflected their individual wishes. People were able to receive visitors whenever they wished and relatives were able to visit as often as they liked. Staff demonstrated they knew what to do if they suspected abuse. All people and staff we spoke with felt safe. Posters were displayed in areas throughout the home informing people what to do should they suspect abuse.

People were not supported by staff who received regular supervision or training to ensure they were competent and skilled to meet their individual care needs. Staff morale was low and they did not feel well supported. Although people and relatives felt supported by staff who demonstrated a caring and compassionate manner.

People, relatives, staff and health professional’s views were sought however there was no clear action plan in place that identified how the service planned to make improvements to the feedback provided. People and relatives felt happy to raise a complaint and were aware of the provider’s complaints policy. There was a lack of information relating to investigations or what learning had taken place to prevent similar issues occurring. Quality assurance systems were not ensuring they monitored the quality and safety of the service or identified areas for improvement with an action plan. The homes records were not always well organised or accessible.

You can see what action we told the provider to take at the back of the full version of the report.

8 December 2013

During a routine inspection

At the time of our inspection there were 17 residents living in Cleeve Court Nursing Home. During our inspection we spoke with four people who lived in the home, five staff (including the registered nurse in charge of the shift), two visiting relatives and the registered manager.

During our inspection we examined the care records for people who lived in the home and observed how staff interacted and supported people in communal areas. We crossed referenced people's care plans with the observations that we made. We found people were being supported in line with their assessed needs.

Many people were able to tell us of their experience living in the home. Overall people's comments were positive. Comments included, 'staff help me as much as I need they are really good here'. 'They do their best here for me. Sometimes they are very busy though'. 'I am very happy here it is like a family here'. 'Very nice indeed here. It could not be better! The girls are marvellous'.

The home had a stable staff team and staff told us they provided a high standard of care to all people that lived in the home. Staff comments included: 'I love it here its fantastic. I have worked here a long time and wouldn't want to work anywhere else. Staff support is really good'. Staff told us they received regular training that equipped them with the skills required to support people's needs.

The provider had systems in place to monitor and review the service that was provided.

7 February 2013

During a routine inspection

During our inspection we spoke with five people living in the home and five members of staff including the registered manager. We also spoke with one relative who was visiting the home, and examined the care records.

Not all people were able to verbally tell us about the care they received and if they were happy. This was due to some people's level of dementia. Therefore, we observed how staff interacted and supported people, to make a judgement on how their needs were being met.

We observed some people being supported and examined their care plan documentation at different stages of their assessments. This was to ascertain if an appropriate level of care was being provided, in line with their assessed needs.

Overall people we spoke with were happy with the care they received. One person told us "It's nice here I'm my own boss, I can do what I please'. 'People are nice here I know most of them now. Food is nice but sometimes a bit boring'. We checked the menus that were in place and we could see a variety of food was offered each day.

Other comments included;' It's lovely I couldn't wish for better, I have a lovely beautiful room, I only have to ring the bell and they come".

One relative who was visiting the home told us 'staff are very positive here, my relative is very lucky to live here'. This relative also told us they were kept informed of any changes in their relative's care needs at all times.

6 November 2011

During a routine inspection

People who we spoke to us were positive about daily life in the home and how they were supported by the staff. Examples of comments included, 'the service in wonderful the staff are so kind and they do everything to help you', 'it's very, very good here', and 'the staff will do anything to help you'.Staff were approachable and people felt they could make their views known to them. We saw people being supported by staff to have their care needs effectively met. We saw staff spending time listening to people and talking to them with a warm and polite manner. We saw that care plans give clear support and guidance, to ensure people received the care they need.

People who use the service feel safe living at the Cleeve Court. There are systems, practises and procedures in place to protect people from abuse in the home.

The manager provides effective leadership, support and clinical guidance to staff on a day to day basis. People were being supported by staff who had not been consistently supervised in their work. The staff have done training courses and kept up to date and competent about a range of subjects relevant to the needs of the people who use the service.

There are systems used to seek people's views about the quality of service and care they received.