Clifton Lawns

Updated 6 July 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

This inspection was carried out by one inspector and an assistant inspector.

Service and service type

Clifton Lawns is a ‘care home’. People in care homes receive accommodation and nursing or personal care as 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 unannounced.

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. This is information providers are required to send us with key information about their service, what they do well, and improvements they plan to make. This information helps support our inspections. We used all of this information to plan our inspection.

During the inspection

We spoke with 10 people who used the service about their experience of the care provided. We also spoke with the registered manager, a registered nurse, three care workers, one housekeeper and a cook.

We looked round the premises and reviewed a range of records. This included two people’s care records and multiple medication records. We looked at two staff files in relation to recruitment and staff supervision. A variety of records relating to the management of the service, including policies and procedures were reviewed.

Updated 6 July 2019

About the service

Clifton Lawns specialises in providing a rehabilitation service for people with enduring mental

health conditions. The service can support up to 18 people. There were 14 people using the service on the day of our inspection.

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

People told us they felt safe. Staff understood their responsibilities in relation to safeguarding and had completed the relevant training. Sufficient staff were available to meet people’s needs and robust recruitment systems and processes were in place. The management of medicines was safe. People were supported, whenever possible, to administer their own medicines with varying degrees of support. The premises were clean, and staff followed infection control and prevention procedures.

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's needs were assessed, and care was planned and delivered to meet legislation and good practice guidance. People were provided with a nutritious and varied diet and were also supported to shop and prepare meals for themselves on a weekly basis.

The majority of people told us they were well supported by staff. We observed kind and caring interactions from staff. There was a warm and friendly atmosphere in the service and staff were considerate towards people they were supporting. There was a strong emphasis on people being independent and rehabilitation. People’s privacy and dignity was respected.

The registered manager assessed people prior to them using the service, this also ensured people were willing to engage in the rehabilitation ethos within the service. People were well engaged in the ‘recovery star’ model to develop care plans and set achievable goals. Monthly reviews were undertaken with their identified key worker. People had a lot of activities to choose from including volunteering in the local community. This promoted community links for when people moved on from the service.

We have made a recommendation about end of life care.

We received positive feedback about the registered manager and staff felt supported in their roles. The registered manager ensured they sought feedback about the service from people, visitors, family and staff to drive and improve the service. Systems were in place to monitor the quality of care provided and continuously improve the service.

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

Rating at last inspection

The last rating for this service was good (published 13 December 2016).

Why we inspected

This was a planned inspection based on the previous rating.

Follow up

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.