Cliffdale Rest Home

Updated 25 April 2020

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 two inspectors.

Service and service type

Cliffdale Rest Home is a ‘care home’. People in care homes receive accommodation and 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 unannounced.

What we did before 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 five people who used the service and one relative about their experience of the care provided. We spoke with ten members of staff including the provider, registered manager, deputy manager, senior care workers, care workers and the kitchen staff.

We used the Short Observational Framework for Inspection (SOFI). SOFI is a way of observing care to help us understand the experience of people who could not talk with us. We 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.

After the inspection

We continued to seek clarification from the provider to validate evidence found. We looked at the feedback we received from the provider following actions identified and reviewed the feedback received from other agencies.

Updated 25 April 2020

About the service

Cliffdale rest home is a residential care home providing personal care to 22 people at the time of the inspection. The home is able to support up to 27 older people.

CQC only inspects where people receive personal care. This is help with tasks related to personal hygiene and eating. Where they do we also consider any wider social care provided.

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

The governance systems in place had not ensured compliance with all health and safety regulations. The provider took immediate action to ensure the building was safe. However, the provider needs to improve how they ensure the building maintains compliance with all regulations.

Risks to people’s safety were assessed and action was taken to mitigate the risk of harm. Where appropriate lessons had been learnt when things went wrong to ensure accidents did not reoccur.

People were supported by sufficient numbers of staff and protected from abuse by staff who had received appropriate training. People received their medicine as prescribed.

People’s needs were assessed prior to them moving to the service. They were supported to access health care and the provider worked with other professionals to ensure effective care. People were supported to maintain a balanced diet and were complimentary of the food provided.

Staff received training to ensure they had the knowledge and skills to carry out their duties. The building was decorated to a good standard and improvements continued to be made.

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 were treated with kindness and respect. People were involved in decisions about their care and their independence maintained, which included engaging in activities in the community.

People’s care plans were personalised to them and their known relationships and interests were actively promoted.

People’s needs under the accessible information standard were assessed and people had access to a complaint’s procedure should they need to use it.

At the time of inspection no one was receiving end of life care. However, the systems were in place to ensure the service could provide the increased level of care.

The provider and the registered manager had a clear vision for the service and everyone we spoke to was aware of what the vision was. Both parties understood their duty of candour and worked with others to improve outcomes and ensure there was continuous learning.

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 of this service was requires improvement (published 6 March 2019).

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.