Background to this inspection
Updated
7 January 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
One inspector carried out this inspection.
Service and service type
Clifton View is a Care Home. People in care homes receive accommodation and nursing or personal care as 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 did not have a manager registered with the Care Quality Commission. However, there was a manager in post who had applied to become the registered manager. This means that the provider is 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. Inspection activity started on 5 December 2019 when we visited service and ended on 16 December 2019 when we finished speaking with people’s relatives and professionals.
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. 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 met the people who used the service and observed the interaction between them and staff to help us understand their experience of the support provided. We spoke with three relatives by telephone about their views of the care provided to their family members. We spoke with five members of staff including the operations manager, manager, senior care workers and care workers. We sought feedback from the local authority, and professionals who work with the service. We reviewed a range of records. This included three people’s care records and medication records. We looked at three 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.
Updated
7 January 2020
About the service
HF Trust Clifton View is a care home providing accommodation and personal care to up to nine people. At the time of the inspection, eight people were living at the service.
The service has been developed and designed in line with the principles and values that underpin Registering the Right Support and other best practice guidance. This 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. People using the service receive planned and co-ordinated person-centred support that is appropriate and inclusive for them.
People’s experience of using this service and what we found
People were safe and protected from avoidable harm. Staff understood their responsibility to reduce the risk of harm whilst also supporting people to be as independent as possible.
The outcomes for people using the service reflected the principles and values of Registering the Right Support by promoting choice and control, independence and inclusion.
People were supported to take their medicines as prescribed and were protected from the risk of infection. They had access to health and social care professionals as required.
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 supported by staff who were passionate about their work and committed to providing good quality care. The manager ensured staff were supported well and received the training and encouragement to do their job well.
We have made recommendations about inclusive care planning and reviews and improving communication with those who are important to people, such as their family.
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 requires improvement (published 19 March 2019).
Why we inspected
The inspection was prompted in part due to concerns received about safe care and treatment, including the management of medicines. A decision was made for us to inspect and examine those risks.
We found no evidence during this inspection that people were at risk of harm from these concerns. Please see the safe, effective and well-led sections of this full report.
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.