We carried out a review of the data available to us about Cloverdale 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 Cloverdale House, you can give feedback on this service.
Cloverdale House is a residential care home that provides care and accommodation for people with physical and learning disabilities. It was registered for the support of up to 11 people. 11 people were living at the service on the day of our inspection.
People’s experience of using this service and what we found
We expect health and social care providers to guarantee autistic people and people with a learning disability the choices, dignity, 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 providing support to people with a learning disability and/or autistic people.
The service was registered before Right Support, Right Care, Right Culture was developed. The service has not been developed and designed in line with the principles and values that underpin right support, right care, right culture and other best practice guidance. The guidance ensures that people who use the service can live as full a life as possible and achieve the best possible outcomes. The principles reflect the need for people with learning disabilities and/or autism to live meaningful lives that include control, choice, and independence.
This service was able to demonstrate how they were meeting most of the underpinning principles of right support, right care, right culture.
Right support:
• The service was a large domestic property, that was bigger than would be considered in line with current best practice guidelines. However, the provider had made the service homely and welcoming. People received personalised care and support specific to their needs and preferences. People were protected from the risks of harm, abuse or discrimination because staff knew what actions to take if they identified concerns. There were enough staff working to provide the support people needed. Staff understood the risks associated with the people they supported. Risk assessments provided guidance for staff about individual and environmental risks. People received their medicines safely, when they needed them.
Right care:
• Care was person-centred and promoted people’s dignity, privacy and human rights. People’s individual needs and choices were recognised, and respected. This had been effective in supporting people to achieve goals and encouraged them to learn and grow as individuals. People were supported to have 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:
• Despite the need to keep people safe during the COVID-19 pandemic taking priority, the provider and staff had worked hard to develop good leadership. Quality monitoring systems had been embedded and morale was good amongst the staff team. We received positive feedback in relation to the care people received and how the service was run. One relative told us, “I’m more than happy, I think they are amazing. I work in the care sector and know how challenging it can be, but they provide brilliant care for [my relative]. I couldn’t ask for more.”
Due to the COVID-19 pandemic, the provider had ensured that appropriate infection control procedures were in place to keep people safe. This included increased cleaning and ensuring adequate supplies of personal protective equipment (PPE) were available. Staff completed training in relation to COVID-19. We were assured the provider managed infection prevention and control through the COVID-19 pandemic.
For more details, please see the full report which is on the CQC website at www.cqc.org.uk
Staff had the skills and knowledge to meet people's needs and preferences. They received training, regular supervision and attended team meetings to support them in their roles. People's nutritional and hydrational needs were met. There was regular involvement from health and social care professionals, who spoke positively about the support people received.
We observed a kind and caring culture. Relatives and people spoke positively about the support staff gave to people. We observed positive interactions between people and staff throughout the inspection.
People’s care plans were personalised and gave staff the information they needed to support people. Staff received training and support from the provider’s positive behaviour support team which ensured there was a person-centred approach to supporting people. Health care professional input was accessed when required and, we saw people were supported with their communication needs and their preferred activities in accordance with their care plans.
Rating at last inspection
This service was registered with us on 21 September 2020 and does not currently have a rating.
Why we inspected
We carried out a targeted inspection of the service in March 2021 to look at infection control practices. However, we could not provide a rating, as we did not look at all five key questions. This was a planned comprehensive inspection to enable us to provide an overall rating for the service.
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.
We found the following examples of good practice.
The environment had been adapted to encourage social distancing. Communal areas were arranged to enable appropriate spacing between people.
The home was clean and tidy. Staff worked through all parts of the home to maintain cleanliness and good infection control. This included regular cleaning of areas which were frequently touched, for example door handles.
Staff were seen to be wearing appropriate personal protective equipment (PPE), and there was a plentiful supply evident throughout the home.
Through the use of easy read documentation and innovative activity workshops, staff had helped people understand the impact of COVID-19 and how they could do their best to protect themselves.
The provider had policies and procedures for infection prevention and control, which were understood and followed by staff. All staff had received additional training in infection prevention and control and had completed regular competency checks.
Staff and people were fully engaged in the appropriate COVID-19 testing regime. The test results were clearly displayed in a folder which was checked regularly by staff to ensure the frequency of tests and results were monitored and correct.