Cloud House

Updated 14 December 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

This inspection was carried out by 2 inspectors.

Service and service type

Cloud 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. Cloud House is a care home without 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

We gave the service 1 hour notice of the inspection. This was because we needed to be sure that the provider or registered manager would be in to support the inspection.

What we did before inspection

We reviewed information we had received about the service since the last 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 looked at notifications we had received from the service. A notification is information about important events, which the provider is required to tell us about by law. We used all this information to plan our inspection.

During our inspection

We spoke with 3 people who used the service, 2 relatives, 2 members of staff, the registered manager and the 2 deputy managers. We reviewed a range of records. This included 3 people’s care records, 3 staff files, staff rota, risk assessments and medicine administration records. We also looked at audits and a variety of records relating to the management of the service, including policies and procedures.

After the inspection we spoke with 3 relatives to obtain their views of the service. We continued to seek clarification from the registered manager to validate evidence found.

Updated 14 December 2023

About the service

Cloud House is a 10 bedded service for people with mental health conditions, learning disabilities or substance misuse problems. At the time of our inspection, there were 9 people using the service.

We expect health and social care providers to guarantee people with a learning disability and autistic people respect, equality, dignity, choices and independence and good access to local communities that most people take for granted. ‘Right support, right care, right culture’ is the guidance CQC follows to make assessments and judgements about services supporting people with a learning disability and autistic people and providers must have regard to it.

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

Right support

People and their relatives commented positively about the care and support provided by staff. The registered manager worked well with other health and social care professionals to support people using the service. Medicines were managed in a safe way. There were policies and procedures in place regarding the prevention and control of infection. The provider had systems for recording of incidents or accidents. There were enough staff to meet people’s needs and to provide personalised care and support. The provider had an effective recruitment procedure to ensure staff had the appropriate skills and experience for the role.

Right care

People received care and support that was personalised and responsive to their individual needs. Risks to people were assessed by the registered manager and management plans were in place where risks were identified. 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.

Right culture

The management team operated an ‘open door’ policy and was in regular contact with people, relatives and staff to ensure the service ran smoothly. The provider had system in place to assess, monitor and improved the quality and safety of the services provided. People were safeguarded from abuse or harm. Staff understood what abuse was and the actions to take if a person using the service was being abused.

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 on 15 August 2018).

Why we inspected

This inspection was prompted by a review of the information we held about this service.

We undertook a focused inspection to review the key questions of safe and well-led only. For those key question not inspected, we used the ratings awarded at the last inspection to calculate the overall rating.

You can read the report from our last comprehensive inspection by selecting the ‘all reports’ link for Cloud 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.