- Care home
Clova House Residential Care Home
Report from 25 January 2024 assessment
Contents
On this page
- Overview
- Learning culture
- Safe systems, pathways and transitions
- Safeguarding
- Involving people to manage risks
- Safe environments
- Safe and effective staffing
- Infection prevention and control
- Medicines optimisation
Safe
Safe – This key question has been rated good. This meant people were safe and protected from avoidable harm. Systems were in place to manage safeguarding incidents and staff were trained in safeguarding people from abuse. Risk assessments were in place to reduce people's risk of harm. Care plans provided staff with an overview of people's care needs. Enough trained staff were deployed, and staff received regular supervisions and training.
This service scored 75 (out of 100) for this area. Find out what we look at when we assess this area and How we calculate these scores.
Learning culture
People told us when they had raised concerns, the registered manager had promptly dealt with these. People also told us they felt safe living at Clova House.
Policies and procedures were in place and followed by staff.
The registered manager told us about the systems they had in place to ensuring learning took place when things went wrong and how this was shared with the wider staff team.
Safe systems, pathways and transitions
Care was delivered in line with people’s care plans and risk assessments.
External professionals confirmed the provider , registered manager and wider staff team worked with them to ensure people's needs were met and their safety was maintained.
The registered manager told us about the systems they had in place and the positive relationships they had built with external professionals to ensure people received care and support in response to their needs.
We observed staff to support people safely. People and their relatives told us they were involved in planning their care. One relative told us, “We have regular meetings about the care plan, its tweaked regularly. I am completely involved.” People also told us they felt staff listened and staff supported them to access healthcare promptly when needed.
Safeguarding
Safeguarding incidents were reported, recorded and investigated. The registered manager analysed accidents and incidents to identify any emerging themes or patterns in order to improve the care provided. Risks which affected people's daily lives were documented and known by staff. The management team monitored and regularly assessed these risks and took action as required to ensure people received care in a safe and consistent way.
We observed staff to treat people with dignity and respect throughout our visit. Staff ensured people were included in activities and spent time with people talking and listening.
The registered manager told us how they managed safeguarding concerns, this was in line with best practice and involved notifying other agencies.
People told us they felt safe living at Clova House. One person told us, “It’s the safest I have ever felt, I have lived in many other homes but not one as good as this.” And another person told us, “I am happy here, I don’t have any problems.” One person’s relative told us “Mum is 100% safe, there is always staff around.”
Involving people to manage risks
We observed staff to promote people’s independence safely and attend to people promptly when they needed assistance.
People told us when they had raised concerns, these had been promptly dealt with. People also told us felt safe and staff knew them well. People told us they felt involved in their care planning and that staff listened and supported them with their needs. One person’s relative said, “They do risk assessments and my brother and I are always involved.”
Risks to people were assessed, and measures were in place to reduce risk. This ensured people received care and support in a consistent and safe way.
The registered manager told us about how they ensured people, and their relatives were involved in planning people’s care and keeping them up to date with any changes.
Safe environments
Peoples care plans evidenced risks relating to the environment had been considered and mitigated. One person’s friend told us, “When [person’s name] was at home they were falling a lot but since they have been here, they have only fallen once. The staff are always looking out for [person’s name].”
We observed the environment and equipment to be clean and well maintained.
People told us they felt safe living at Clova House. Relatives told us the environment was safe. One person said, “I know my relative is safe and well looked after.” Another relative told us, their relative was constantly monitored due to their risk of falls and told us, “The staff keep an eye on [relative].
The registered manager told us about the systems they had in place to ensure regular checks of the environment and equipment used were in place.
Safe and effective staffing
The provider operated safe recruitment processes. This included undertaking appropriate checks with the Disclosure and Barring Service (DBS) and obtaining suitable references. DBS checks provide information including details about convictions and cautions held on the Police National Computer. The information helps employers make safer recruitment decisions.
We observed enough staff to be available when people needed support, the registered manager and deputy manager also provided support to people at peak times such as mealtimes which ensured people did not have to wait for assistance when required.
People told us there were enough staff available and that staff were available when they needed them. People told us staff knew them well. One person’s relative said, “Staff are brilliant. They interact with residents. They know them holistically and know how to approach them.” Another relative told us, “Staff are competent and so caring. They are fantastic.”
The registered manager monitored staffing levels and ensured there was a satisfactory skill mix in the service every day. The management team also worked on shift and ensured staffing levels were increased at peak times.
Infection prevention and control
A IPC policy and procedure were in place, and these were followed by staff and audited by the management team.
People told us the home was kept clean. One relative told us, “It’s very clean, and they let you know if there as any infections.” Another relative said, “So clean and yet so homely. “
The home looked clean and a cleaning schedule was in place to ensure good hygiene standards were maintained.
The registered manager showed us the actions they had taken following an external audit of their Infection Prevention Control (IPC) measures. The management team also regularly carried out audits to identify and action any areas of concern.
Medicines optimisation
People were supported to take their medicines in a safe way by trained staff.
Medicines were administered safely, and staff followed the policies and procedures in place.
The registered manager told us how they ensured medicines were safely managed, this involved staff training, competency checks and audits.