CQC report explained · a residential care home
What the CQC found at Clifton Manor Residential Home
Rated Good: inspectors found the home performing well and meeting their expectations.
What inspectors found, January 2020
Clifton Manor Residential Home was rated Good; inspectors found kind, personalised care, with minor concerns about medicine dating and staffing at breakfast.
Inspectors made an unannounced visit on 12 December 2019. They spoke with people living at the home, relatives, staff and health professionals. They also reviewed care plans, staff recruitment records, medicine records, and records about incidents and how the home was managed.
All five areas were rated Good: Safe, Effective, Caring, Responsive and Well-led. Inspectors found people were protected from abuse, received their medicines, had enough to eat and drink, and were supported by trained staff.
People were treated with kindness, dignity and respect. Their care was personalised, their choices were respected, and they were supported to take part in activities and maintain relationships.
The home was rated Good at its previous inspection, published on 27 April 2017, and remained Good. Inspectors found two areas needing attention: some medicines were not dated when opened, and staffing arrangements at breakfast needed review.
Kind and respectful care
Inspectors saw positive interactions. Staff knew people well and supported their dignity, privacy and independence.
“We observed staff to be caring and kind with interactions with people.” from the report
Personalised support
Care plans described people's preferences and needs. People were involved in decisions and supported to make lifestyle choices.
“People's care records were person-centred and contained guidance for staff to support them in their preferred way.” from the report
Food and drink
People had a choice of meals, snacks and drinks. Staff monitored nutrition and acted when concerns were identified.
“People were positive about the choice and quality of meals and drinks.” from the report
Activities and relationships
People were supported to take part in activities, follow their interests and maintain family and social relationships.
“Social activities, interests and hobbies were encouraged.” from the report
Management oversight
The home used regular audits and checks covering areas such as medicines, incidents, health and safety, and care plans.
“There was a robust system of audits and processes in place that continually checked on the quality and safety of people's care.” from the report
Medicines not always dated
needs fixingNot all medicines were dated when opened. Inspectors said expiry dates needed monitoring and the deputy manager agreed that improvements would be made.
“There was one exception to this, medicines were not all dated when opened.” from the report
Staffing at breakfast
needs fixingStaff gave mixed views about staffing levels. Inspectors saw one staff member supporting a high number of people at breakfast, and the manager agreed to review staff deployment.
“An exception to this was the observation of breakfast, where one staff member was supporting a high number of people.” from the report
- 01What action was taken to make sure all medicines are dated when opened?
- 02How has staff deployment been reviewed at breakfast and other busy times?
- 03How are staffing levels adjusted when people's dependency needs change?
- 04How will you make sure my relative's care plan reflects their preferences and communication needs?
- 05How are activities and family contact matched to each person's interests and wishes?
This was an unannounced inspection covering all five CQC questions, including the premises and the care provided; the previous Good rating from 2017 remained unchanged. This explanation was written from the published report of 1 January 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.
What inspectors found, April 2017
Clifton Manor Residential Home was rated Good; inspectors found safe, kind care, but mealtime support and some care records needed improvement.
This was an unannounced inspection on 31 January 2017. Inspectors spoke with people living in the home, relatives, staff and a healthcare professional. They reviewed care plans, medicines records, staff training records and quality checks.
The home was rated Good in all five areas: Safe, Effective, Caring, Responsive and Well-led. Inspectors found that people were protected from abuse, received their medicines safely and were supported by trained staff. People were treated with dignity, involved in decisions and offered activities and individual support.
There were some areas to improve. Some people needed more help to eat and drink during mealtimes. The recently introduced electronic care plans were not always accurate or easy to use. At the time of the inspection, there was no registered manager, although a new manager was applying for registration.
Keeping people safe
Inspectors found that staff understood people's risks and knew how to protect them from harm. Safety equipment, evacuation plans and environmental checks were also in place.
“People were supported by staff who understood the risks they could face and knew how to keep them safe.” from the report
Safe medicines
Medicines were given as prescribed and records were completed consistently. Storage temperatures and medicine audits were checked.
“We checked MAR sheets and found these had been completed consistently and correctly.” from the report
Kind and respectful care
Staff treated people as individuals, respected their dignity and supported their choices. Inspectors saw attentive staff who interacted well with people.
“People were cared for and supported by staff who respected them as individuals.” from the report
Activities and personal support
People received personalised care and could take part in group and individual activities. Visitors were welcome and people were supported to maintain family contact.
“People received individualised care and they were able to participate in meaningful interaction and activities.” from the report
Management during change
The new manager had made a positive impression, and quality monitoring continued while management arrangements changed.
“Quality monitoring systems were in place which had been maintained during the change of manager to ensure the service did not decline in that period.” from the report
Mealtime support
needs fixingSome people waited for help with eating, and there was a long gap between courses. Inspectors asked management to improve and monitor mealtimes.
“However, some people would benefit from more support to have sufficient to eat and drink.” from the report
Care records
needs fixingThe new electronic care plans were not always easy to follow and some information was inaccurate or irrelevant. Management said this was being addressed.
“There were some care plans which provided guidance and information that was not accurate or relevant for the person concerned.” from the report
Unrecorded handovers
minorInformation was passed between shifts, but handover meetings were not always written down. The manager said this would be corrected.
“These handover meetings were not always recorded and the manager said they would ensure staff did so in future.” from the report
No registered manager
minorThere was no registered manager during the inspection because the previous manager had left. A new manager was present and was applying to become registered.
“On the day of our inspection visit there was not a registered manager in place.” from the report
- 01What changes have been made to support people who need help to eat and drink during mealtimes?
- 02How do you check that electronic care plans are accurate, relevant and easy for staff to use?
- 03Are shift handovers now recorded every time, and how is important information passed between staff?
- 04Who is currently managing the home, and has the manager completed the registration process?
- 05How do you monitor whether people are receiving the activities and individual support recorded in their care plans?
This was an unannounced comprehensive inspection covering all five CQC questions and the overall rating. This explanation was written from the published report of 27 April 2017 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 Clifton Manor Residential Home
4 rated inspections over 5 years: the service has improved, from Requires improvement to Good.
- January 2020Goodcurrent ratingstayed GoodSafe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
Read what inspectors found at Clifton Manor Residential Home →
- April 2017Goodup from Requires improvementSafe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
Read what inspectors found at Clifton Manor Residential Home →
- March 2016Requires improvementstayed Requires improvementSafe: Requires improvementEffective: Requires improvementCaring: GoodResponsive: Requires improvementWell-led: Requires improvement
- May 2015Requires improvementSafe: GoodEffective: Requires improvementCaring: GoodResponsive: Requires improvementWell-led: Requires improvement
- August 2013
Report published without a new overall rating.
- December 2012
Report published without a new overall rating.
- February 2012
Report published without a new overall rating.
- July 2011
Report published without a new overall rating.
- 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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