5 December 2018
We carried out this inspection under Section 60 of the Health and Social Care Act 2008 as part of our regulatory functions. This inspection was planned to check whether the provider is meeting the legal requirements and regulations associated with the Health and Social Care Act 2008, to look at the overall quality of the service, and to provide a rating for the service under the Care Act 2014.
This was a routine comprehensive inspection. The inspection took place on 31 October and 1 November 2018. The first day of the inspection was unannounced. The inspection team was made up of an adult social care inspector, an assistant inspector, a specialist advisor in general adult nursing and an expert by experience. An expert by experience is a person who has personal experience of this type of service either because they have used this type of service or have cared for someone who has used this type of service. Their experience related to older people and to people living with dementia.
We used the information the provider sent us in the Provider Information Return (PIR). This is information we require providers to send us at least once annually to give some key information about the service, what the service does well and the improvements they plan to make. We reviewed all the other information we held about the service, including previous inspection reports and any notifications received by the Care Quality Commission. A notification is information about important events, which the provider is required to tell us about by law. We also contacted the local authority commissioners of the service to establish their view of the service.
As part of the inspection we spoke with eight people who lived at the home to find out about their experiences of the care and support they received. We also spoke with nine staff members, a registered manager who was providing management support at the home and two operational staff from the registered provider who also supported the home. In addition, we spoke with nine visitors to people living in the home.
We looked at seven people’s care plans; these included risk assessments and medicine records. We also looked at records relating to the management of the service including audits, maintenance records, and three staff recruitment, training and supervision files.
5 December 2018
This comprehensive inspection took place on 31 October and 1 November 2018. The first day was unannounced.
Avon Cliff 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.
Avon Cliff accommodates up to 52 older people in purpose-built premises. Nursing care is provided. There were 43 people living or staying there when we inspected.
The registered manager, who had been in post since April 2018, had recently resigned. 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 service had been through a period of change. The previous registered manager had worked at the home for several years and had moved to another home operated by the registered provider in February 2018. The registered provider had provided interim management for the service and everyone we spoke with during the inspection had confidence in these arrangements and staff told us they felt well supported.
At our last inspection we rated the service good. At this inspection we found the evidence continued to support the rating of good and there was no evidence or information from our inspection and ongoing monitoring that demonstrated serious risks or concerns. This inspection report is written in a shorter format because our overall rating of the service has not changed since our last inspection.
All of the feedback we received about Avon Cliff from people, visitors was positive. People were happy living at the home and reported that they felt well cared for. The atmosphere in the home was warm and friendly.
People were supported by staff who understood how to recognise the risks and how to support them to reduce these. Staff understood how to identify and report abuse and how to whistle blow. Staff also supported people to take medicines safely.
People were supported by skilled and caring staff who were well trained and supported.
People were enabled to have maximum choice and control of their lives and staff did this in the least restrictive way possible; the policies and systems in the service supported this practice.
People, relatives and professionals told us they could confidently raise any concerns, and these were addressed appropriately.
Quality assurance systems involved people and led to a safer and better-quality service.
Further information is in the detailed findings below.