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We are carrying out a review of quality at The Clough Care Home. We will publish a report when our review is complete. Find out more about our inspection reports.

Inspection Summary


Overall summary & rating

Good

Updated 4 September 2019

About the service

The Clough Care Home is a detached property with large gardens, located in a quiet residential area in Bolton. There are 30 rooms, two of which are shared. The Clough provides accommodation and support for up to 32 older people. On the day of the inspection there were 28 people using the service, two of whom were currently in hospital.

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

At the last inspection there was a breach of regulation 12 (Safe Care and Treatment) of the Health and Social Care Act 2008 (Regulated Activities) Regulations 2014. This was because the provider had failed to manage medicines properly and safely and systems had failed to identify missing documentation relating to health and safety. At this inspection we found enough improvement had been made and the provider was no longer in breach of regulation 12.

Medicine systems were safe. All necessary health and safety records were in place and general and individual risks were documented and addressed as required.

There were appropriate systems to keep people safe from the risk of abuse and there were enough safely recruited staff to meet people’s needs. Staff had a thorough induction and training was plentiful and on-going.

The home was clean and fresh throughout and infection control measures were in place. There was ample room for people with restricted mobility to move about. A very pleasant large garden area was available for people to utilise in good weather

Prior to admission a full assessment of people’s needs was completed. A new electronic care plan system helped ensure information about people’s support needs was kept up to date.

The dining experience was pleasant, food was nutritious, drinks were plentiful and people were given lots of choices. People’s special diets were adhered to and weights were monitored as needed and issues followed up as required.

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.

There was an equality and diversity policy and procedure in place and staff undertook training in this area. People were encouraged to express their opinions via regular themed surveys and meetings. Staff were seen to respect people’s dignity and privacy.

Staff members assisted with activities, such as games and exercises during the day. There were also externally sourced entertainers who visited the home to provide some stimulation.

There was information about how to complain in the entrance to the home, and a complaints/compliments box for people to use.

Advance care plans were included within care files to ensure people’s wishes for when they were nearing the end of their lives had been documented.

A system of monthly audits had been implemented and these helped the service to identify and address any issues. The manager was approachable and supportive to people who used the service, relatives and staff.

Appropriate referrals were made to other agencies, such as dieticians and speech and language therapy teams (SALT). The home was part of the Bolton Care Excellence scheme, which aims to improve the health, care and experience of the people of Bolton.

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

Rating at last inspection (and update)

At the previous inspection (published 18 September 2018)) the service was rated Requires Improvement. This was because there was a breach of Regulation 12 of the Health and Social Care Act 2008 (Regulated Activities) 2014, relating to poor recording and unsafe medicines management. The provider completed an action plan after the last inspection to show what they would do and by when to improve

At this inspection we found improvements had been made and the provider was no longer in breach of regulations.

Why we inspected

This was a planned

Inspection areas

Safe

Good

Updated 4 September 2019

The service was safe.

Details are in our safe findings below.

Effective

Good

Updated 4 September 2019

The service was effective.

Details are in our effective findings below.

Caring

Good

Updated 4 September 2019

The service was caring.

Details are in our caring findings below.

Responsive

Good

Updated 4 September 2019

The service was responsive.

Details are in our responsive findings below.

Well-led

Good

Updated 4 September 2019

The service was well-led.

Details are in our well-Led findings below.