CQC report explained · a residential care home
What the CQC found at Cliffe Vale Residential Home Limited
Rated Requires improvement: inspectors found the home was not performing as well as it should and told it what to change.
- Safe?
- Requires improvement
- Inspectors were assured about most infection-control measures, including PPE, testing, cleanliness and the management of outbreaks. They found that checks on visiting professionals' COVID passports were not being documented or monitored consistently.
- Effective?
- Requires improvement
- This question was not covered by this targeted inspection.
- Caring?
- Good
- This question was not covered by this targeted inspection.
- Responsive?
- Good
- This question was not covered by this targeted inspection.
- Well-led?
- Requires improvement
- This question was not covered by this targeted inspection.
What inspectors found, February 2022
Cliffe Vale Residential Home Limited was inspected but not rated; inspectors found good infection control, with a gap in monitoring visiting professionals' COVID passports.
This was an announced, targeted inspection on 21 January 2022. Inspectors looked mainly at infection prevention and control, visiting arrangements, and whether COVID-19 staffing pressures affected people.
The home had regular COVID-19 testing, enough personal protective equipment, extra infection-control training, and a clean, well-ventilated environment. Visits were supported through a summer house and indoor visiting arrangements.
Inspectors were assured about most infection-control arrangements. However, the home did not have a process to record or monitor visiting professionals' COVID passports, so inspectors could not be sure these checks always took place. The manager introduced a new process immediately.
The service was inspected but not rated. This means the inspection did not give an overall quality rating or a new rating for the five key areas.
Testing and PPE
People and staff took regular COVID-19 tests, and the home had enough personal protective equipment.
“Staff and people living at the home completed regular COVID-19 testing, and there were enough supplies of personal protective equipment (PPE) in the service.” from the report
Infection-control training
Staff, including ancillary staff, received extra training on infection control and the safe use of PPE.
“Staff inclusive of ancillary had been provided with additional training during the pandemic on infection prevention and control practices, correct use of PPE and correct donning and doffing procedures.” from the report
Visiting arrangements
The home provided a summer house for visits and also supported indoor visits in line with government guidance.
“The home has a designated summer house to accommodate visits, as well as facilitating indoor visits in line with the government guidelines.” from the report
Clean environment
Inspectors found the home clean and well ventilated.
“The home was well ventilated and clean.” from the report
Visitor checks were not recorded
needs fixingThere was no process to document or monitor visiting professionals' COVID passports. The manager responded immediately and introduced a new process.
“The service did not have a process for documenting or monitoring visiting professionals COVID passports, therefore we could not be assured these were always asked for.” from the report
- 01How is the new process for checking visiting professionals' COVID passports being used and recorded?
- 02How do you check that current infection-control and PPE training is understood by all staff, including ancillary staff?
- 03How are indoor visits and visits in the summer house arranged under the current guidance?
- 04How do you manage COVID-19-related staffing pressures if they arise?
- 05What are the home's current ratings for Effective, Caring, Responsive and Well-led, as these were not assessed in this inspection?
This was a targeted, announced inspection focused on infection prevention and control, visiting arrangements and COVID-19-related staffing pressures; Safe was inspected but not rated. This explanation was written from the published report of 9 February 2022 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, December 2020
Cliffe Vale Residential Home Limited was inspected but not rated; inspectors found good infection prevention and control practice.
Inspectors made an unannounced, targeted visit on 26 November 2020. They checked how the home was preventing and controlling coronavirus infections, including its use of protective equipment, testing, cleaning and visiting arrangements.
They found the home was clean and well ventilated. Staff used protective equipment appropriately, and the home was accessing the government testing scheme. Inspectors were assured that infection control arrangements covered visitors, shielding, social distancing, admissions and outbreaks.
The inspection was only about infection prevention and control. The service was marked “Inspected but not rated”, so this report does not give a new overall quality rating or ratings for most areas of care.
Testing
The home was using the government testing scheme for people living there and staff.
“The service was accessing the government testing scheme.” from the report
Infection control
Inspectors were assured that protective equipment was being used effectively and safely.
“We were assured that the provider was using PPE effectively and safely.” from the report
Clean environment
The home was clean and well ventilated, supporting its infection prevention arrangements.
“The home was clean and well ventilated.” from the report
Support during isolation
Staff kept regular contact with people isolating in their rooms and helped them stay in touch with family and friends.
“Staff made regular contact with people who were isolating in their rooms and supported people to maintain contact with family and friends.” from the report
Inspectors raised no specific concerns in this report.
- 01What infection prevention and control arrangements are in place now, and how have they changed since the inspection on 26 November 2020?
- 02How often are people living here and staff tested, and what happens when someone receives a positive result?
- 03How are visits managed now, including protective equipment and social distancing?
- 04How do staff support people who need to isolate in their rooms to stay in contact with family and friends?
- 05Can you show us the latest full inspection report and explain the current overall rating?
This was an unannounced targeted inspection of infection prevention and control practices only, and it was inspected but not rated. This explanation was written from the published report of 18 December 2020 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.
Every inspection of Cliffe Vale Residential Home Limited
5 rated inspections over 5 years: the service has held its Requires improvement rating throughout.
- February 2022Inspected but not ratedcurrent ratingSafe: Inspected but not rated
Read what inspectors found at Cliffe Vale Residential Home Limited →
- December 2020Inspected but not ratedSafe: Inspected but not rated
Read what inspectors found at Cliffe Vale Residential Home Limited →
- January 2020Requires improvementdown from GoodSafe: Requires improvementEffective: Requires improvementCaring: GoodResponsive: GoodWell-led: Requires improvement
- June 2017Goodup from Requires improvementSafe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
- June 2016Requires improvementup from InadequateSafe: Requires improvementEffective: Requires improvementCaring: GoodResponsive: Requires improvementWell-led: Requires improvement
- February 2016Inadequatedown from Requires improvementSafe: InadequateEffective: InadequateCaring: Requires improvementResponsive: InadequateWell-led: Inadequate
- March 2015Requires improvementSafe: GoodEffective: Requires improvementCaring: GoodResponsive: GoodWell-led: Requires improvement
- October 2013
Report published without a new overall rating.
- June 2013
Report published without a new overall rating.
- March 2013
Report published without a new overall rating.
- May 2012
Report published without a new overall rating.
- November 2010
Registered with the Care Quality Commission on 22 November 2010.
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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