16 June 2022
During an inspection looking at part of the service
Cliftonville Care Home is a residential care home providing personal and nursing care for up to 106 people. The service provides support to older or younger adults with a diagnosis of dementia or physical disability. At the time of our inspection there were 59 people using the service.
Cliftonville Care Home provides accommodation across three floors with communal lounge and dining rooms on each floor. One of the floors specialises in providing care to people living with dementia. The upper floors can be accessed via two lifts. All bedrooms have private en-suite facilities.
People’s experience of using this service and what we found
The providers systems and processes to monitor oversight of the safety and quality of the service had not always been effective in identifying some concerns we found during inspection, including, some areas of safety in the environment. The provider was responsive to the concerns raised and made the required changes.
People were mostly protected from the risk of infection and we found the home was clean and odour free. However, the manager had not ensured COVID-19 testing for visiting professionals had been adhered to as per government guidance. Government guidance has changed since our inspection and testing is no longer required.
Individualised risk assessments were in place and strategies to reduce risk were planned into care and recorded for staff guidance. There was a system in place to review accidents and incidents and prevent reoccurrence. Positive risk was supported and people were encouraged to be as independent as possible.
Systems and processes protected people from the risk of abuse, staff knew how to raise concerns to safeguard people. People told us they felt safe.
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 a robust system in place to ensure staff were recruited safely. Although there were enough staff to meet people’s needs, people found the high use of agency staffing at times unsettling. The provider had listened to people’s concerns and was actively recruiting permanent staff.
Medicines were administered, stored and disposed of safely. Staff were trained and competency checked and ensured people received their medicine when they needed it.
The provider and manager understood the duty of candour and were open and honest when things went wrong. There was evidence of feedback sought from people and staff, both felt listened to and improvements were made.
The provider worked in partnership with healthcare professionals to ensure people’s needs could be met.
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
The last rating for this service was requires improvement (published 22 December 2021) and there were breaches of regulation. The service remains rated requires improvement. 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
We received concerns in relation to the safety and managerial oversight of the service. As a result, we undertook a focused inspection to review the key questions of safe and well-led only. For those key questions not inspected, we used the ratings awarded at the last inspection to calculate the overall rating.
We looked at infection prevention and control measures under the Safe key question. We look at this in all care home inspections even if no concerns or risks have been identified. This is to provide assurance that the service can respond to COVID-19 and other infection outbreaks effectively.
We have found evidence that the provider needs to make improvements. Please see the safe and well-led sections of this full report.
You can read the report from our last comprehensive inspection, by selecting the ‘all reports’ link for Cliftonville Care Home on our website at www.cqc.org.uk.
Follow up
We will continue to monitor information we receive about the service, which will help inform when we next inspect.