We carried out a review of the data available to us about Culliford House on 6 July 2023. We have not found evidence that we need to carry out an inspection or reassess our rating at this stage.
This could change at any time if we receive new information. We will continue to monitor data about this service.
If you have concerns about Culliford House, you can give feedback on this service.
Culliford House is a residential care home proving accommodation and personal care. Nursing care is not provided by staff at Culliford House. This is provided by the community nursing service. The home is registered to accommodate up to 25 older people, some of whom are living with dementia, in one adapted building. At the time of this inspection there were 20 people living in the home.
People’s experience of using this service and what we found
People felt safe and were comfortable and relaxed with staff who supported them. Relatives told us they felt their family members were safe and very well cared for. Throughout the inspection we saw kind, relaxed, compassionate and caring interactions between people and staff. We observed that staff were respectful of people and took time to offer support and reassurance when needed.
There were enough staff to meet people’s needs and there was a core of staff who had worked at the home for a number of years. Staff understood and anticipated people’s needs which contributed to the calm and homely atmosphere at the home.
Staff knew people well and how to identify, assess and mitigate any risks to their safety. Medicines were managed safely and effectively by staff who were trained and competent to do so.
Staff received training, support and supervision. Staff told us they felt well supported to carry out their roles and told us everyone worked very well together as a team for the benefit of the people living at Culliford House.
People had access to nutritious, home cooked food that they enjoyed and were given choice in their menu selections.
People were supported to maintain their independence and have maximum choice and control in their lives. Where people lacked mental capacity to make decisions, these were made in line with the Mental Capacity Act and staff supported people in the least restrictive way; the policies and systems in the service supported this practice.
Care plans were person centred and they detailed how people wished and needed to be cared for. There was a happy relaxed atmosphere with a wide variety of activities and social stimulation for people. People were able to make choices about their day to day lives and were encouraged to continue to follow their interests.
There was an open and positive culture within the home and people, their relatives, staff and professionals told us the registered manager/provider and management team were approachable and helpful.
There were governance arrangements in place and systems to monitor the quality and safety of the service provided. The registered manager/provider took immediate action to address some governance shortfalls identified at the start of the inspection. This had been as a result of a short period of time where the registered manager/provider and management staff had needed to cover care and catering roles at the home. A new management team and structure were implemented to minimise the risk of any reoccurrence.
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 the service under the previous legal entity was Good, published on 12 April 2018.
Why we inspected
This was a comprehensive inspection based on the date the provider was registered with the Care Quality Commission.
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.
You can read the report from our last comprehensive inspection by selecting the ‘all reports’ link for Culliford House on our website at www.cqc.org.uk.
We found the following examples of good practice.
People were supported to understand the measures that were in place regarding infection prevention and control.
People were supported to stay in touch with their loved ones in ways that were meaningful to them.
Staff were committed to keeping people safe. They understood the importance of wearing appropriate PPE and ensuring all additional cleaning measures were maintained.
The senior team had robust systems and checks in place to promote people's safety and well being.