Tanglewood Cloverleaf

Tanglewood Cloverleaf is a nursing and residential home providing personal and nursing care to 65 people at the time of the inspection. The service can support up to 72 people. The care home is purpose built and accommodates people over three floors.

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

On the day of our visit there were enough staff to support people. However, the feedback from people, staff and the management team was that the service had been short staffed due to sickness and staff leaving. The management team had clear plans in place to manage sickness and had already recruited new staff. They continued to work on recruitment to strengthen the staff team.

People felt safe and there were systems and processes in place to ensure staff were safeguarding people from possible abuse. Risks to people’s safety were assessed and measures in place to reduce those risks. Staff received appropriate training for their role.

People’s medicines were safely managed and there was clear infection prevention practices in place to protect people from possible infections such as COVID-19. Their nutritional and health needs were well managed and the environment they lived in was well maintained.

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.

People and their relatives told us the staff team treated them with care and respect, and their views on their care were listened to. Staff showed a good awareness of supporting people’s privacy and encouraging their independence.

People received person centred care in a way of their choosing. Staff supported people at the end stages of their lives in a caring and empathetic way. Staff had a good knowledge of people’s needs. People were supported to engage in social activities of their choice, and although people told us they had no complaints, there were processes in place to deal with any should they arise.

The service was well-led and the registered manager worked in an open way with people, their relatives, staff and health professionals to provide a good quality of life for people. There were quality monitoring processes in place to monitor practices and maintain good standards of care.

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

This service was registered with us on 07/10/2019 and this is the first comprehensive inspection.

Why we inspected

The inspection was prompted in part due to concerns received about staffing. A decision was made for us to inspect and examine those risks. During our inspection we found there had been times when the service had been short staffed. However, the provider had responded to these issues and at the time of our inspection there was sufficient staff in place to support people and the registered manager continued to work to maintain this.

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 will continue to monitor information we receive about the service until we return to visit as per our re-inspection programme. If we receive any concerning information we may inspect sooner.

We were assured that this service met good infection prevention and control guidelines as a designated care setting.

We found the following examples of good practice.

¿ The provider had identified a specific area within the home to ensure effective use of cohorting and zoning to reduce the potential for the infection to spread. Staff were appointed to work in designated areas which further reduced the potential for transfer of infections.

¿ There was a detailed entry system into the home, with temperature testing, contact questionnaire and hand disinfection on entry. Any people being admitted from hospital who were Covid positive had an exclusive lift and stairwell which allowed swift transfer to their appointed area.

¿ The provider had ensured there was a plentiful supply of personal protective equipment and we saw staff used this appropriately.

¿ The provider participated in regular testing of staff and people living in the service for Covid-19 symptoms. That ensured action could be taken swiftly to reduce the potential spread of infection if a positive test was returned.

¿ Areas were thoroughly cleaned and disinfected with approved products to reduce the potential of transfer of infection. Staff were aware of the process to disinfect floors and hard surfaces

¿ Risk assessments had been completed to protect people and any staff who may be at higher risk of being infected with Covid-19 and measures were in place to support them. Staff were supported by regular information and the option of accessing wellbeing support.

¿ Staff worked on a regular shift pattern with few changes of staff from shift to shift. Staff were employed on variable contracts, where with staff agreement, they could work hours in addition to their normal contracted hours. That ensured continuity of practice and lessened the potential of cross infection.

Further information is in the detailed findings below.

Tanglewood Cloverleaf is a purpose built care home, providing residential, personal and nursing care over three floors, to 49 people at the time of the inspection. The service can support up to 72 people.

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

People living at the service were safe. There were processes in place to manage risks to people’s safety, staff received training to provide the skills to support people in all areas of care including safeguarding. This was supported by good processes for managing any safeguarding issues that arose, including strategies to support staff learning from events.

Staff were recruited safely, and people were supported by adequate numbers of staff. People received their medicines safely from staff who had been trained in the safe handling of medicines. People were protected from the risks of infection as the provider had robust processes in place to ensure the service was clean, and staff and visitors followed safe hygiene practices to reduce the risks of infection.

People were supported by a caring group of staff who worked in a person centred way when they provided care. People were given choice and were supported to maintain their independence.

The service was well led, had good processes in place to monitor the quality of the service and make improvements based on the findings. The management team engaged with people, their relatives, staff, health professionals and the local community to support the best outcomes for people in their care.

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

This service was registered with us on 07/10/2019 and this is the first inspection.

Why we inspected

We undertook this focused inspection to assure ourselves the safeguarding processes in this large complex service were being managed effectively.

We found no evidence during this inspection that people were at risk of harm from this concern.

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 coronavirus and other infection outbreaks effectively.

We will continue to monitor information we receive about the service until we return to visit as per our re-inspection programme. If we receive any concerning information we may inspect sooner.