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Archived: Cliffemount Community Care Inadequate

Inspection Summary


Overall summary & rating

Inadequate

Updated 25 October 2019

This inspection took place on 5 and 6 June 2018 with the first day being unannounced.

Cliffemount Community Care is a ‘care home’. People in care homes receive accommodation and nursing or personal care as single package under one contractual agreement. The Care Quality Commission (CQC) regulates both the premises and the care provided, and both were looked at during this inspection.

Cliffemount accommodates up to five people with a learning disability or autism. At the time of our inspection there were four people living at the service. The service was last inspected in August 2017 when it was rated as 'requires improvement'; however, there were no breaches of the of Health and Social Care Act 2008 at that time.

The care service has been developed and designed in line with the values that underpin the Registering the Right Support and other best practice guidance. These values include choice, promotion of independence and inclusion. People with learning disabilities and autism using the service can live as ordinary a life as any citizen.

There was a new manager in post at the home who was in the process of registering with the CQC. A registered manager is a person who has registered with the CQC 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 new manager was supported by a new Chief Operating Officer (COO) whose role was financial management and oversight of the service.

The inspection was prompted in part by the receipt of information of concern from a whistle blower who had worked at the service. This information indicated potential concerns about the provider’s financial management and oversight of the service.

The overall rating for this service, following this latest inspection, is ‘Inadequate’ and the service is therefore in ‘special measures’.

Services in special measures will be kept under review and, if we have not taken immediate action to propose to cancel the provider’s registration of the service, will be inspected again within six months.

The expectation is that providers found to have been providing inadequate care should have made significant improvements within this timeframe.

If not enough improvement is made within this timeframe, so that there is still a rating of inadequate for any key question or overall, we will take action in line with our enforcement procedures to begin the process of preventing the provider from operating this service. This may lead to cancelling their registration or to varying the terms of their registration within six months if they do not improve.

For adult social care services the maximum time for being in special measures will usually be no more than 12 months. If the service has demonstrated improvements when we inspect it and it is no longer rated as inadequate for any of the five key questions it will no longer be in special measures.

During this inspection we found five breaches of the Health and Social Care Act 2008 (Regulated Activities) Regulations 2014, relating to the lack of clear guidelines and for the use of physical intervention, staff training for the use of physical intervention, the lack of pre-employment checks with the Disclosure and Barring Service (DBS), the governance and oversight of the service and the fitness of the provider, Cliffemount Community Care Limited, and its director to fulfil their statutory responsibilities.

Full information about CQC’s regulatory response to the more serious concerns found during inspections is added to reports after any representations and appeals have been concluded.

We found serious concerns about the financial management of Cliffemount Community Care by the provider, (Cliffemount Community Care Limited) and its director. Bills for utilities had not been paid resulting in bailiffs’ letters stating that

Inspection areas

Safe

Inadequate

Updated 25 October 2019

The service was not safe.

Checks with the Disclosure and Barring Service had not been completed for a three-year period up to April 2018.

Risk assessments were in place. However, guidelines for the physical intervention techniques to be used for one person were not documented.

Medicines were safely stored and administered as prescribed.

Effective

Requires improvement

Updated 25 October 2019

The service was not always effective.

New staff had not received training in the physical intervention techniques to be used. All staff had completed a range of e-learning courses.

Initial assessments were completed. However, for one person the information was not representative of their needs on a typical day.

The service worked within the principles of the Mental Capacity Act (2005).

Caring

Good

Updated 25 October 2019

The service was caring.

Detailed information was provided about people�s methods of non-verbal communication. Staff knew how to communicate with the people they supported.

Positive interactions between staff and people living at the service were observed.

Staff could explain how they maintained people�s privacy and dignity.

Responsive

Good

Updated 25 October 2019

The service was responsive.

Care plans identified people�s needs and provided clear guidance for staff in how to meet these needs.

People were engaged in a range of activities within their local community.

Well-led

Inadequate

Updated 25 October 2019

The service was not well-led.

We found serious concerns with the financial management of the service by the provider.

We found serious concerns with the oversight of the service by Cliffemount Community Care Limited.

A quality assurance system was in place at the service. This had not implemented since April 2018 due to a change in manager and staff. It was due to recommence in June 2018.