Clovelly House

Updated 26 October 2023

The inspection

We carried out this inspection under Section 60 of the Health and Social Care Act 2008 (the Act) as part of our regulatory functions. We checked whether the provider was meeting the legal requirements and regulations associated with the Act. We looked at the overall quality of the service and provided a rating for the service under the Health and Social Care Act 2008.

Inspection team

The inspection team was made up of 3 inspectors

Service and service type

Clovelly House is a ‘care home’. People in care homes receive accommodation and nursing and/or personal care as a single package under one contractual agreement dependent on their registration with us. CQC regulates both the premises and the care provided, and both were looked at during this inspection.

This provider is required to have a registered manager to oversee the delivery of regulated activities at this location. A registered manager is a person who has registered with the Care Quality Commission to manage the service. Registered managers and providers are legally responsible for how the service is run, for the quality and safety of the care provided and compliance with regulations.

At the time of our inspection there was a registered manager in post.

Notice of inspection

This inspection was unannounced. We visited the service on 22 May 2023, 25 May 2023, and 27 September 2023.

What we did before the inspection

We reviewed information we had received about the service since the last inspection. We sought feedback from the local authority and professionals who work with the service. We used the information the provider sent us in the provider information return (PIR). This is information providers are required to send us annually with key information about their service, what they do well, and improvements they plan to make. We used all this information to plan our inspection.

During the inspection

We reviewed care plans, medicine administration records and associated records for 6 people. We also reviewed service documents including governance audits, recruitment files, training records, supervisions, and minutes of meetings. We spoke with 1 person who used the service and 1 relative about their experience of the care provided. We spoke with 8 members of staff including the registered manager, nominated individual, head of care, senior care workers, care workers and administrative staff. We used the Short Observational Framework for Inspection (SOFI). SOFI is a way of observing care to help us understand the experience of people who could not talk with us. We spoke with a health care professional and sought advice from the local fire safety team.

The nominated individual is responsible for supervising the management of the service on behalf of the provider.

Updated 26 October 2023

About the service

Clovelly House is a residential care home providing personal care to 17 people aged 65 and over at the time of the inspection. The care home can accommodate up to 21 people, some of whom live with dementia.

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

Systems to monitor how well the service was running were updated and made more effective during our inspection. The registered manager needs to continue to review the systems they have in place to ensure they are effective.

The provider had some systems in place to manage risks and keep people safe from avoidable harm. We have made a recommendation that the provider keep updated with risk management requirements.

Staff followed good practice guidance to prevent the spread of infection.

People liked the staff that cared for them. Staff were kind and caring and made sure people’s privacy and dignity was respected. People were involved in making decisions on the care they wanted.

Staff received training, supervision and support so that they could do their job well. Staff enjoyed working at Clovelly House. Staff were given incentives to do their job well and keep their training requirements up to date.

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.

Complaints and concerns were followed up to make sure action was taken to rectify the issue.

The manager was passionate about giving people a high-quality person-centred service. They ensured that people were afforded opportunities to have a presence in their local community and experience new and different activities.

The registered manager was receptive to areas of concern we found during the first two days of our inspection. They acted immediately to rectify these issues.

We expect health and social care providers to guarantee autistic people and people with a learning disability the choices, dignity, independence and good access to local communities that most people take for granted. Right support, right care, right culture is the statutory guidance which supports CQC to make assessments and judgements about services providing support to people with a learning disability and/or autistic people. We considered this guidance as there were people using the service who have a learning disability.

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

Why we inspected

The inspection was prompted in part due to concerns received about the safety of people living at the service. A decision was made for us to inspect and examine this risk.

Rating at last inspection and update

The last rating for this service was requires improvement (published 28 January 2021).

The provider completed an action plan after the last comprehensive 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.

You can read the report from our last comprehensive inspection, by selecting the ‘all reports’ link for Clovelly House on our website at www.cqc.org.uk.

Recommendations

We have made a recommendation that the provider consider the different guidance available regarding risk management in their service.

Follow up

We will continue to monitor information we receive about the service, which will help inform when we next inspect.