CQC report explained · a nursing home
What the CQC found at Cleves Place
Rated Outstanding: inspectors found the home performing exceptionally well.
- Safe?
- Good
- People were protected from avoidable harm. Inspectors found enough staff, suitable risk assessments, safe medicines management and effective infection prevention arrangements.
- Effective?
- Good
- The report does not give a separate Effective rating. It found that staff had suitable training and that the home worked within the principles of the Mental Capacity Act.
- Caring?
- Outstanding
- Staff treated people with exceptional kindness, dignity and respect. People and relatives said staff knew individuals very well and supported their choices and independence.
- Responsive?
- Outstanding
- Care plans were personalised and regularly reviewed. People could take part in varied activities, maintain relationships and receive care that reflected their preferences, communication needs and backgrounds.
- Well-led?
- Good
- The home had a positive, person-centred culture. Audits and other checks were used to monitor quality, and the manager involved people, relatives and staff in feedback and improvements.
What inspectors found, March 2023
Rated Outstanding; inspectors found exceptionally kind, personalised care, with safety and leadership rated Good.
The inspection was unannounced and took place on 12 and 29 December 2022. Inspectors spoke with people living in the home, relatives and staff. They also observed care and checked care plans, medicines, recruitment, training, audits and maintenance records.
People were found to be safe and well supported. There were enough staff, risks were assessed and managed, medicines were handled safely, and infection control arrangements were effective. Staff had suitable training and checks before starting work.
Care was exceptionally kind, respectful and tailored to each person. People were supported to make choices, stay independent and take part in activities that mattered to them. End of life care was also described as compassionate and highly personalised.
The overall rating is Outstanding. Caring and Responsive were rated Outstanding, while Safe and Well-led were rated Good. These ratings were unchanged from the previous inspection published in June 2018.
Kind and respectful care
Inspectors found staff to be exceptionally kind and considerate. People and relatives consistently praised the compassion and respect shown.
“Staff were exceptionally kind and considerate and treated people with respect and dignity.” from the report
Personalised support
Staff knew people's individual preferences and supported them in the way they wanted. Care plans included personal histories, wishes and support needs.
“People's care was exceptionally personalised.” from the report
Activities and inclusion
People were offered activities linked to their interests, history, culture and religion. The home also supported people who were cared for in bed or found group activities difficult.
“The service offered varied activities and entertainment to meet people's preferences when they were cared for in bed or where they found it difficult to engage in group situations” from the report
Staffing and safety
Inspectors found enough staff to meet people's needs safely. Recruitment checks, risk management, medicines systems and infection control were also found to be effective.
“People were supported by enough staff to meet their needs safely.” from the report
End of life support
End of life care was planned around each person's wishes, beliefs and preferences. Relatives could stay close to their loved one and receive practical support.
“People had access to excellent end of life care from a compassionate and caring staff team.” from the report
Inspectors raised no specific concerns in this report.
- 01How would you tailor care for my relative's specific nursing, dementia or complex care needs?
- 02How are my relative's care plan, risks and personal preferences reviewed and updated?
- 03What activities would be available for my relative, including if they are cared for in bed or do not enjoy group activities?
- 04How would you involve me and my relative in decisions about care and communicate important updates?
- 05How would you support my relative and our family if end of life care became needed?
This was an unannounced inspection covering all five key questions and infection prevention and control measures; Safe and Well-led were rated Good, while Caring and Responsive were rated Outstanding. This explanation was written from the published report of 23 March 2023 by an AI system and checked against the report text: every quoted line appears in the report. It is a guide to the report, not a substitute for it. Read the full report on cqc.org.uk.
What inspectors found, June 2018
Cleves Place was rated Outstanding; inspectors found exceptionally caring and personalised support, with the other areas rated Good.
This was an unannounced, comprehensive inspection on 5 April 2018. Inspectors reviewed nine people's care records, medicines, staff recruitment and training records, meeting notes and quality checks. They spoke with people, relatives, staff, managers and healthcare professionals.
The home was rated Good for Safe, Effective and Well-led. Inspectors found enough staff, safe medicines systems, suitable training, good food and support with healthcare. They also found that people's rights under the Mental Capacity Act and Deprivation of Liberty Safeguards were being followed.
Caring and Responsive were rated Outstanding. Inspectors found that staff knew people very well, respected their choices and dignity, and provided highly personalised care. Activities, family relationships and end of life care were tailored to people's wishes.
The overall rating improved from Good at the previous comprehensive inspection in November 2015. The report says the home had developed further, leading to Outstanding ratings for caring and responsiveness and an overall Outstanding rating.
Kind and respectful staff
Inspectors saw staff treating people with warmth, patience and respect. Staff had time to talk with people and supported their privacy and dignity.
“Staff were exceptionally caring and kind towards the people they supported.” from the report
Personalised care
Care plans recorded people's likes, dislikes, histories and preferred ways of receiving support. People were involved in choices about their daily care.
“People who lived at the home received care and support that was highly personalised to their individual needs wishes and aspirations.” from the report
Meaningful activities
Activities reflected people's interests and included hobbies, gardening, social events and time with family. People were supported to take part in ways that gave their day purpose.
“People were offered meaningful and person centred choices of activities both in the home and the wider community.” from the report
End of life support
Staff were committed to compassionate end of life care. Records included people's choices about where and how they wanted to be cared for at the end of life.
“The registered manager and staff at Cleves Place were very clearly passionate about providing the best and most compassionate and respectful end of life care to people.” from the report
Inspectors raised no specific concerns in this report.
- 01How do you make sure care plans still reflect each person's current likes, dislikes, routines and communication needs?
- 02How many staff are available on each shift, and how do you adjust staffing when people's needs change?
- 03How are medicines checked, including medicines that carry a higher risk?
- 04What activities are available for someone with my relative's interests, abilities or dementia needs?
- 05How would you involve us in decisions about end of life care and respond to any changes in our relative's wishes?
This was an unannounced comprehensive inspection covering all five CQC questions; the previous comprehensive inspection in November 2015 had rated all five areas Good. This explanation was written from the published report of 16 June 2018 by an AI system and checked against the report text: every quoted line appears in the report. It is a guide to the report, not a substitute for it. Read the full report on cqc.org.uk. The report was longer than we could read in one go; the later sections may not be reflected.
Every inspection of Cleves Place
3 rated inspections over 7 years: the service has improved, from Good to Outstanding.
- March 2023Outstandingcurrent ratingstayed OutstandingSafe: GoodEffective: GoodCaring: OutstandingResponsive: OutstandingWell-led: Good
- June 2018Outstandingup from GoodSafe: GoodCaring: OutstandingResponsive: OutstandingWell-led: Good
- February 2016GoodSafe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
- March 2015
Registered with the Care Quality Commission on 5 March 2015.
Ratings and report dates from the Care Quality Commission, Open Government Licence v3.0. A home can also be visited without a new rating being published, so the timeline shows published inspections.
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23 live-in carers within about an hour of Suffolk
These are self-employed carers on PrimeCarers, the introductory agency that runs this directory. Each has a profile with their own rates and reviews from families, and you choose who to talk to.
Most charge £1,020 to £1,260 a week. 17 can care for a couple. 7 years' experience on average.
“Not only was she professional, polite and efficient but she bought a lovely smile and laughter to my parents home.”
Every carer has had an enhanced DBS check in the last 18 months, ID and right-to-work checks and an online interview. Their skills and training are for you to check with them. Carers set their own rates, and who is free changes week to week.