What the CQC found at Cleveland House

Inspectors found enough staff to meet people's needs, and the home did not use agency staff.

“There were enough staff employed to meet the needs of the people using the service.” from the report

The provider carried out recruitment checks before staff started work.

“The provider had effective recruitment and selection processes in place.” from the report

Staff had safeguarding training and could explain how to report concerns. The provider investigated concerns and reported them to the local safeguarding team where appropriate.

“Staff were aware of their responsibilities in relation to safeguarding people.” from the report

People, relatives and staff said management was approachable and kept them informed. The manager had regular contact with people and relatives.

“The peripatetic manager operated an 'open door' policy.” from the report

Some medicines were stored above the recommended temperature, and medicines prescribed for use only when needed were sometimes given regularly or without clear guidance.

“People's medicines were not always managed safely because we found shortfalls around the provider's arrangements to make sure people received their medicines safely.” from the report

Two people did not have risk assessments for walking without footwear, and another person's assessment had not been reviewed since March 2021.

“We found that systems were not always in place to effectively assess and manage risks to people while they received a service.” from the report

Weekly fire alarm checks and daily and monthly health and safety checks had not been completed as required.

“The provider was failing to ensure people had access to clean drinking water as we found the shower heads in 2 shower rooms could drop below the water level when the showers were in use.” from the report

The provider's audits had not identified several medicines, risk and premises safety issues found during the inspection.

“The provider had not ensured there was effective governance and quality systems in place to ensure the quality and safety of care was assessed, monitored and improved when needed.” from the report

Inspectors saw limited interaction between staff and people during lunch, and one person was left sleeping in a dining-room chair without staff attending to their needs.

“During our inspection, we noted the interaction between staff and people could be further improved.” from the report

Several safeguarding concerns had recently been raised about staff. The local safeguarding team and the provider's external investigator were investigating them at the time of the inspection.

“There had been a number of safeguarding concerns raised recently about staff working at the service.” from the report