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CQC report explained · a nursing home

What the CQC found at Clifton Manor Nursing Home

Goodpublished 16 November 2019, 6 years ago

Rated Good: inspectors found the home performing well and meeting their expectations.

The five questions inspectors ask
Safe?
Good
Inspectors were assured that infection risks were managed, including use of PPE, testing, cleaning, safe admissions and visiting arrangements. The provider also said it had measures to manage COVID-19-related staffing pressures.
Effective?
Good
This was not assessed in this targeted inspection.
Caring?
Good
This was not assessed in this targeted inspection.
Responsive?
Good
This was not assessed in this targeted inspection.
Well-led?
Good
This was not assessed in this targeted inspection.
The latest report, explained

What inspectors found, January 2022

Clifton Manor Nursing Home was inspected but not rated; inspectors found good infection control and visiting arrangements.

Inspectors made an unannounced, targeted visit on 13 January 2022. They looked mainly at infection prevention and control, visiting arrangements and the effect of COVID-19 staffing pressures.

They found the home followed guidance on visitors, face coverings, testing, vaccination checks and personal protective equipment. They were also assured that people were admitted safely, the home was clean, and staff had infection control training.

The service was marked “Inspected but not rated”. This was not a full inspection of the home’s overall quality. The report does not give ratings for caring, effective, responsive or well-led care.

What inspectors praised
  • Infection control

    Inspectors found the home clean and hygienic, with uncluttered areas that allowed effective cleaning. Staff were observed using the correct protective equipment.

    “The home looked clean and hygienic. All areas of the home were uncluttered so cleaning could take place effectively.” from the report
  • Safe visiting

    Visitors were supported to follow infection control measures, including face coverings, handwashing and testing. Visits were facilitated in a risk-managed way.

    “The provider followed the government guidelines to protect visitors from catching and spreading infection.” from the report
  • Safe admissions and testing

    People were tested before admission and supported to isolate in their rooms for 14 days. People and staff had access to COVID-19 testing.

    “People were admitted into the service safely. The provider ensured people had been tested for COVID-19 before admitting them” from the report
  • Staff training and policy

    The report says all staff completed infection prevention training and that the home had an up-to-date infection prevention and control policy.

    “All staff completed infection prevention control training. The provider had an infection prevention and control policy in place” from the report
What inspectors were concerned about

Inspectors raised no specific concerns in this report.

Questions to ask them, based on this report
  1. 01What is the home's latest full CQC rating, since this inspection was not rated?
  2. 02How are staffing pressures being managed now, and have they affected people living at the home?
  3. 03What infection control and visiting arrangements are currently in place?
  4. 04How are new residents tested and supported during their first days after admission?
  5. 05When was the infection prevention and control policy last reviewed?

This was an unannounced targeted inspection of infection prevention and control, visiting arrangements and COVID-19-related staffing pressures; it did not rate the other key questions or the service overall. This explanation was written from the published report of 25 January 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.

An earlier report, explained

What inspectors found, November 2019

Rated Good; inspectors found safe, kind and personalised care, with a staff recruitment audit and activity worker vacancy being addressed.

This was an unannounced planned inspection on 29 October 2019. One inspector spoke with people, relatives and staff, observed daily care, checked the building and reviewed care, medicines, recruitment, training and management records.

The home was rated Good in all five areas: Safe, Effective, Caring, Responsive and Well-led. People said they felt safe, were treated kindly and were happy with the support. Inspectors saw staff respond promptly and found medicines, risk assessments and healthcare arrangements were managed safely.

Inspectors found that staff understood people's needs and preferences. People received choices about food and care, and staff supported their dignity, independence, communication and relationships.

There were two areas to keep an eye on. Two of the three recruitment files checked had unexplained periods before first employment, so the provider was auditing all files. Activities were limited while the home recruited to a vacant activity worker post.

What inspectors praised
  • Safe staffing

    Inspectors found enough staff to meet people's needs and saw staff respond promptly when people needed support or reassurance.

    “During this inspection, we saw staff were available to meet people's needs in a timely manner.” from the report
  • Kind and respectful care

    People said staff were kind, caring and respectful. Staff knew people's personalities, preferences and individual needs.

    “People told us they felt safe and they were consistently treated with kindness, dignity and respect.” from the report
  • Safe medicines

    Medicines were obtained, stored, given and recorded safely. Inspectors found people received medicines as prescribed.

    “People were receiving their medicines as prescribed by their GP, and staff kept accurate records about what medicines they had administered to people and when.” from the report
  • Active management

    The management team carried out monthly checks and acted when they found issues. Staff said the manager was supportive and approachable.

    “The manager and senior staff monitored the quality of the service and acted when issues were identified.” from the report
What inspectors were concerned about
  • Recruitment records

    needs fixing

    Two of the three recruitment files checked had periods before first employment that were not explained. The manager obtained statements and said a full audit of staff files would be completed.

    “Whilst none held gaps in the employment listed, two files had some years between leaving education and commencing first employment.” from the report
  • Activities provision

    minor

    Some activities were provided by care workers, but the home had a vacant activity worker post. The report says filling this post would improve leisure opportunities.

    “At the time of this inspection the home was recruiting to a vacant activity worker post.” from the report
Questions to ask them, based on this report
  1. 01Has the full audit of staff recruitment files been completed, and were any other unexplained employment gaps found?
  2. 02Has the vacant activity worker post been filled, and what activities are now available?
  3. 03How are my relative's risk assessments reviewed when their needs change?
  4. 04How will my relative and family be involved in care plan reviews and decisions?
  5. 05How does the home monitor medicines given as and when required?

This inspection covered all five CQC questions and looked at people's experiences, care and medicines records, staffing, the building and management systems. This explanation was written from the published report of 16 November 2019 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 story over the years

Every inspection of Clifton Manor Nursing Home

4 rated inspections over 5 years: the service has improved, from Requires improvement to Good.

  1. January 2022Inspected but not ratedcurrent rating
    Safe: Inspected but not rated

    Read what inspectors found at Clifton Manor Nursing Home →

  2. November 2019Goodstayed Good
    Safe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good

    Read what inspectors found at Clifton Manor Nursing Home →

  3. May 2017Goodup from Requires improvement
    Safe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good

    Read this report on cqc.org.uk

  4. March 2016Requires improvementstayed Requires improvement
    Safe: Requires improvementEffective: GoodCaring: GoodResponsive: GoodWell-led: Requires improvement

    Read this report on cqc.org.uk

  5. May 2015Requires improvement
    Safe: Requires improvementEffective: GoodCaring: GoodResponsive: Requires improvementWell-led: Requires improvement

    Read this report on cqc.org.uk

  6. August 2013

    Report published without a new overall rating.

    Read this report on cqc.org.uk

  7. March 2013

    Report published without a new overall rating.

    Read this report on cqc.org.uk

  8. August 2011

    Report published without a new overall rating.

    Read this report on cqc.org.uk

  9. January 2011

    Registered with the Care Quality Commission on 17 January 2011.

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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