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Inspection Summary


Overall summary & rating

Good

Updated 17 October 2018

This unannounced inspection took place on 9 and 10 August 2018.

At our last inspection in November 2017 we identified breaches of regulations relating to safe care and treatment, good governance, meeting people’s nutritional needs, premises and equipment, person-centred care and submitting notifications of significant incidents to CQC. We rated the service ‘Requires Improvement’ overall and in each key question and we served the provider with requirement notices and warning notices. At this inspection we found the provider had taken the necessary action and was now meeting the legal requirements.

Clifton House is a 'care home'. People in care homes receive accommodation and nursing or personal care as a single package under one contractual agreement. CQC regulates both the premises and the care provided, and both were looked at during this inspection. Clifton House accommodates up to 16 older people in one adapted building.

The provider was a partnership. One of the partners was also the registered manager. 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. For the purposes of this report where we have referred to the provider we are referring to the person that is also the registered manager.

The provider undertook a range of risk assessments to keep people safe. These included reviewing risks related to people’s specific needs and the care home environment. The registered manager reviewed risk assessments and risk management plans to ensure they reflected changes and continued to be relevant. Staff understood the provider’s safeguarding procedures and the actions they should take to keep people safe. Safe recruiting procedures were in place to ensure they were suitable to deliver care. Staff followed appropriate infection prevention and control practices when delivering care, cleaning the environment and managing food.

People were supported with an assessment of their needs prior to admission and their needs were reassessed on an ongoing basis or when their needs changed. Staff received induction and ongoing training and were supported by the registered manager with supervision and appraisal. People’s nutritional needs were assessed by healthcare professionals and staff following guidelines to meet people’s eating and drinking requirements. Staff supported people with timely access to healthcare professionals and monitored people’s health needs.

People received their care and support from staff they described as kind. Staff encouraged people to be independent and promoted their dignity. Staff ensured that visitors were made to feel welcome and people received the support they required around their spirituality.

People’s care plans were personalised and reflected their preferences for care and support. The service provided activities for people to participate in at home and in the community and people were protected from social isolation. People had access to the provider’s complaints procedure.

The registered manager and leadership team took decisive action to address the shortfalls we found at our last inspection. Good governance was in evidence in the provider’s quality assurance processes and staff felt supported. The views of people, relatives, staff and visiting health and social care professionals were gathered and used to shape service delivery. The provider worked in partnership with other services to secure positive outcomes for people.

Inspection areas

Safe

Good

Updated 17 October 2018

The service was safe. People�s risks were assessed and plans were in place to reduce them.

Staff received safeguarding training and understood their responsibility to take action to keep people safe.

Staff were recruited through safe and appropriate procedures.

People were protected from the risks associated with poor hygiene practices during personal care and food preparation.

Effective

Good

Updated 17 October 2018

The service was effective. People�s needs were assessed and reviewed.

People were supported to eat and drink well. People�s special dietary requirements were identified and met.

People saw healthcare professionals whenever they needed to.

Staff respected people�s choices and treated them in line with the Mental Capacity Act 2005 and Deprivation of Liberty Safeguards.

Caring

Good

Updated 17 October 2018

The service was caring. People told us the staff were nice and kind.

Staff protected people�s dignity and promoted their privacy.

People were encouraged to be independent.

Relatives were made to feel welcome when their visited the people at the care home.

Responsive

Good

Updated 17 October 2018

The service was responsive. People had individualised care plans which they were involved in developing and reviewing.

Care records reflected people�s choices and preferences.

People were supported to engage in a range of activities.

The provider�s complaints policy was clear and understood by people.

Well-led

Good

Updated 17 October 2018

The service was well-led. Robust quality assurance processes were in place.

Feedback from people and their relatives was gathered and acted upon.

Staff felt supported by the management team.

The provider engaged in partnership working with other agencies.