Cleveland House

Updated 21 October 2022

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 was carried out by one inspector and one nurse specialist advisor.

Service and service type

Cleveland 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. Cleveland House is a care home with nursing care. CQC regulates both the premises and the care provided, and both were looked at during this inspection.

Registered Manager

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.

What we did before the inspection

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 undertook a tour of the home to ensure it was safe and suitable to meet people’s needs. We also observed the delivery of care and support at various times throughout the day, including the lunch time experience. We spoke with five people who lived at the home, the registered manager, the operations director, five members of staff, including nursing staff and an in-house physiotherapist and a visiting external healthcare professional.

We looked at records in relation to people who used the service including six care plans and systems for monitoring the quality of the service provided.

After the inspection

We continued to seek clarification from the provider to validate evidence found. We looked at quality assurance records and policies. We spoke with three relatives on the telephone to help us understand their experience of the care and support their loved one received. We also sought feedback from five external health and social care professionals who regularly worked with and visited the service.

Updated 21 October 2022

About the service

Cleveland House is registered to provide accommodation for persons who require nursing or personal care and treatment of disease, disorder or injury for up to 32 people. At the time of the inspection 32 people with significant and complex needs were living at the service.

Cleveland House acts as both a residential home and provides short or long-term rehabilitation for people. The service consists of four units which are designated in accordance with people’s needs and level of support.

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

People living at Cleveland House benefited from a service that was committed to providing safe and high-quality care and support and a service which was well-led.

Staff recruitment process ensured staff were safe to work with people. Risks to people were identified and were managed and mitigated by staff to lessen the risk of harm to people. Policies and procedures were also in place to keep people free from the risk of abuse and harm.

We received positive feedback from both people living at the service and their relatives about the quality of the care and support they received from staff. People’s family and friends were actively involved in their loved one’s care. People were empowered and supported by staff to achieve their goals and aspirations.

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 adopted a positive culture which was committed to delivering high-quality and tailor-made care to people. Staff understood, shared and practiced these values. Governance and quality assurance processes helped to monitor service performance and drive up improvements.

The service worked in collaboration with other relevant organisations to help achieve positive outcomes for people and to ensure people had access to the best possible care and support for their individual needs. We received positive feedback about the service from external health and social care professionals.

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 (last report published 10 January 2019).

Why we inspected

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.

The inspection was prompted due to concerns received about the management of people requiring support with mechanical ventilation. A decision was made for us to inspect and examine those risks.

We found no evidence during this inspection that people were at risk of harm from this concern. Please see the safe and well-led sections of this full report.

For those key questions not inspected, we used the ratings awarded at the last inspection to calculate the overall rating.

The overall rating for the service has remained good, based on the findings of this inspection.

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

Follow up

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