Clifton Manor Residential Home

Updated 1 January 2020

The inspection

We carried out this inspection under Section 60 of the Health and Social Care Act 2008 (the Act) as part of our regulatory functions. We checked whether the provider was meeting the legal requirements and regulations associated with the Act. We looked at the overall quality of the service and provided a rating for the service under the Care Act 2014.

Inspection team

The inspection team consisted of one inspector and one assistant inspector.

Clifton Manor Residential Home is a ‘care home’. People in care homes receive accommodation and nursing or personal care as single package under one contractual agreement. CQC regulates both the premises and the care provided, and both were looked at during this inspection.

The service had a manager registered with the Care Quality Commission. This means that they and the provider are legally responsible for how the service is run and for the quality and safety of the care provided.

Notice of inspection

The inspection was unannounced.

What we did before the inspection

We reviewed any notifications we had received from the service (events which happened in the service that the provider is required to tell us about). We reviewed the last inspection report. We asked Healthwatch Nottingham for any information they had about the service. Healthwatch is an independent consumer champion that gathers and represents the views of the public about health and social care services in England. We also asked commissioners for their feedback about the service.

On this occasion, we had not asked the provider to send us a provider Information return (PIR). A PIR is a form that asks the provider to give some key information about the service. This includes what the service does well and improvements they plan to make. However, we offered the provider the opportunity to share information they felt was relevant. We used all of this information to plan our inspection.

During the inspection

We spoke with three people who used the service, four visiting relatives and a visiting health care professional and asked them about the quality of the care provided. We also spoke with the registered manager, deputy manager, compliance manager, regional business manager, internal trainer, a senior care staff, four care staff, the cook and domestic. We reviewed a range of records. This included three people's care records. We looked at three staff files in relation to recruitment. We reviewed a variety of records relating to the management of the service, including accidents and incidents and numerous medicine records.

After the inspection

We continued to seek clarification from the provider to validate evidence found. We asked the regional manager to provide us with further details of quality assurance information, records of meetings and current action plan. We also contacted the GP, dementia outreach community nurse, community physiotherapist and community pharmacy lead and invited them to provide feedback about the service.

Updated 1 January 2020

About the service

Clifton Manor Residential Home can accommodate 47 older people and people living with dementia in one adapted building. Accommodation is provided on two floors; a passenger lift is available. At the time of our inspection 29 people were living at the service.

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

People received safe care. Staff had received safeguarding training and were aware of their responsibilities to protect people from abuse and avoidable harm. Risks were assessed and planned for and staff had detailed guidance of how to mitigate and manage risks. There was a positive approach to risk taking and people's lifestyle choices were respected.

There were sufficient staff available to meet people's individual needs and staffing levels were flexible and reviewed to meet people's dependency needs. Safe staff recruitment checks were completed when new staff were appointed. People received their prescribed medicines and they were protected from the risks associated with infections and cross contamination. Systems were in place to monitor accidents and incidents and lessons were learnt to reduce further risks.

People received effective care from staff who were well trained and supported. National best practice guidance and current legislation were used to support the assessment process, to ensure care standards and expectations were met.

People received sufficient to eat and drink and their choices and preferences were respected. Health care needs were monitored and staff worked effectively with external heath care professionals in people's ongoing care.

People were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible; the policies and systems in the service supported this practice.

People received care that respected their dignity and privacy and they were involved in their care. People were encouraged to participate in activities, interests and hobbies. End of life care was planned with people. People’s care records were person-centred and contained guidance for staff to support them in their preferred way. People had access to the provider's complaint policy and procedure.

There was a robust approach to audits, checks and continued monitoring, and oversight of the service. Quality assurance processes helped the provider and the registered manager to monitor quality and safety. The registered manager had a good knowledge of their regulatory requirement to report concerns to the CQC.

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 27 April 2017). The service remains rated Good.

Follow up

We will continue to monitor information we receive about the service until we return to visit as per our re-inspection programme. If we receive any concerning information we may inspect sooner.