Cloverdale

Updated 26 October 2019

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 Care Act 2014.

Inspection team

The inspection was completed by an adult social care inspector.

Service and service type

Cloverdale 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.

The service had a manager registered with the Care Quality Commission. This means that they and the provider are legally responsible for how the service is run and for the quality and safety of the care provided.

Notice of inspection

This inspection was completed on 9 and 10 September 2019 and was unannounced.

What we did before the inspection

Prior to the inspection the provider sent us a Provider Information Return. Providers are required to send us information about their service, what they do well, and improvements they plan to make. This information helps support our inspections.

We reviewed information we held about the service, for example, statutory notifications. A notification is information about important events which the provider is required to tell us about by law.

During the inspection we spoke with all four people and two relatives. Only one person was able to give us detailed verbal feedback about their care. So we spent time observing the care staff provided. We spoke with three care staff, the registered manager and the operations manager about people’s care.

We reviewed two people’s care plans and two staff files. We reviewed people’s medication records, staffing rosters and records related to the management of the service.

After the inspection

We spoke with a further three relatives to gather their feedback on the service.

Updated 26 October 2019

About the service

Cloverdale is a residential care home which provides accommodation and support to four people who have a learning disability and who may also have a physical health condition.

The service has been developed and designed in line with the principles and values that underpin Registering the Right Support and other best practice guidance. This ensures that people who use the service can live as full a life as possible and achieve the best possible outcomes. The principles reflect the need for people with learning disabilities and/or autism to live meaningful lives that include control, choice, and independence. People using the service receive planned and co-ordinated person-centred support that is appropriate and inclusive for them.

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

Relatives told us the service was exceptionally well-led. One said, the service provided, “Excellent care" and another commented, “The manager is very skilled she is always thinking about what improvements she can make." The registered manager had created a relaxed and highly person centred culture. Staff were motivated and proud to work for the service. The registered manager continually reflected with staff and people about what could be improved. This had led to significantly improved outcomes for people, in terms of a reduction in presenting behaviours, better quality of life, increased level of satisfaction, increased independence, increased levels of community participation, more fulfilling activities and improvements to the living environment.

People and relatives told us staff really cared. We observed staff were very caring towards people. They liked being with the staff. The registered manager led by example and modelled the behaviours she expected from staff. Staff supported people to express their views and to be as actively involved in decisions about their care as possible. People’s privacy and dignity were fully respected and promoted by staff.

The provider had robust systems, processes and practices in place to safeguard people from the risk of abuse. People were supported to stay safe, whilst any restrictions on their freedoms were kept to a minimum. There were always sufficient suitable staff deployed to support people and ensure their safety. Processes were in place to ensure the safe management of medicines. People were supported to minimise their need and use of medicines to ensure they only took what they absolutely needed in line with national guidance. Staff ensured people were protected from the risk of acquiring an infection.

People’s needs were holistically assessed and the delivery of their care was based on national good practice guidance. This achieved good outcomes for people. People were cared for by staff who were well trained and supported within their role. They had the skills to meet people’s specific care needs. Staff ensured people were offered a range of healthy meals. Staff supported people to live healthier lives and were prompt to refer people to other services as required. People’s environment met their needs and they had chosen how to decorate it.

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.

The service was responsive to people’s needs. The service was flexible to changes in people’s care needs. People attended different activities which met their current preferences and interests. People were supported to identify areas for self-development and actively supported to meet their goals. Processes were in place to respond to any complaints received.

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

Rating at last inspection:

At the last inspection the service was rated good (06 July 2017).

Why we inspected:

This was a planned inspection based on the previous rating.

Follow up:

We did not identify any concerns at this inspection. 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.