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Inspection Summary


Overall summary & rating

Good

Updated 15 August 2018

Clover House is registered to provide accommodation and care for up to six adults who have mental health issues and/or have learning disabilities. The home is an adapted building in Heysham with two small lounges, a dining area and a small garden. There were 6 people living at the home when we visited.

At our last inspection we rated the home 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 home has not changed since our last inspection.

At this inspection we found the home remained Good.

The home had procedures to minimise the potential risk of abuse or unsafe care. Staff had received safeguarding training and were able to describe good practice about protecting people from potential abuse or poor practice. We did find some incidents had not been reported to CQC as per the regulations. We discussed this with the registered manager who was able to show us the incidents had been safeguarded and reported to the local authority as appropriate. We have made a recommendation about this.

During this inspection we found the principles of the MCA were not consistently embedded in practice. We found people’s capacity to consent to care had not always been assessed and information was, at times, conflicting. People were not supported to have maximum choice and control of their lives and staff did not support them in the least restrictive way possible. We have made a recommendation around this.

At the last inspection we found the provider did not have a response-planning document. This would show how the provider planned to operate in emergency situations, such as the outbreak of fire. During this inspection we checked to see the improvements made in this area. We found the home has implemented a full contingency business plan to ensure the home could continue to be provided in the event of an emergency.

Everyone we spoke with told us they felt safe with staff who supported them. We found people were protected from risks associated with their care because the registered provider had completed risk assessments. These provided updated guidance for staff to keep people safe. Staff we spoke with demonstrated they were aware of the different risks people were vulnerable to.

We found recruitment of staff was safe at the home. We reviewed the staffing levels and found the home was adequately staffed.

Systems were in place that showed people's medicines were managed consistently and safely by staff. Staff were aware of their responsibilities in relation to infection control and they told us they were provided with personal protective equipment.

The staff training is ongoing and evidence has been seen of staff completing training. We asked the registered provider how they obtained and implemented information on best practice guidance and legislation. They told us they attended all relevant conferences and provider forums. They commented involvement helped gather and share good practice.

Peoples needs for nutrition and fluids had been considered. Files contained likes and dislikes with regards to food and drink. The people we spoke with said they were given choices on what meals they wanted making and choices of drinks. One person told us, “The food is goods.” Another said, “The staff can cook.”

We received consistent positive feedback about care provided at Clover House from people who lived at the home and their relatives. We observed staff as they went about their duties and provided care and support. We saw staff speaking with people who lived at the home in a respectful and dignified manner.

The registered manager and staff told us they fully involved people and their families in their care planning. People's beliefs, likes and wishes were recorded within care records and g

Inspection areas

Safe

Good

Updated 15 August 2018

The service remains Good

Effective

Good

Updated 15 August 2018

The service remains Good

Caring

Good

Updated 15 August 2018

The service remains Good

Responsive

Good

Updated 15 August 2018

The service remains Good

Well-led

Good

Updated 15 August 2018

The service remains Good