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CQC report explained · a residential care home

What the CQC found at Cloisters Care Home

Goodpublished 15 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 the home had suitable infection prevention and control arrangements. These included testing, symptom monitoring, isolation, cleaning, protective equipment, visitor procedures and outbreak management.
Effective?
Good
This area was not covered by this targeted inspection.
Caring?
Good
This area was not covered by this targeted inspection.
Responsive?
Good
This area was not covered by this targeted inspection.
Well-led?
Good
This area was not covered by this targeted inspection.
The latest report, explained

What inspectors found, March 2021

Inspected but not rated; inspectors found strong infection control arrangements during the COVID-19 pandemic.

This was an unannounced, targeted inspection on 22 February 2021. It looked at infection prevention and control measures because of the coronavirus pandemic.

Inspectors found that people and staff took part in regular COVID-19 testing. People were monitored for symptoms and supported to isolate in their rooms when needed.

The home was clean and well maintained. Staff used personal protective equipment correctly, understood infection control procedures, and had arrangements for visitors, admissions, social distancing and managing outbreaks.

The service was inspected but not rated. This means the inspection did not give an overall quality rating or a rated score for Safe.

What inspectors praised
  • Clean environment

    The home was clean, hygienic and well maintained. Cleaning schedules helped reduce the risk of infection spreading.

    “The environment was clean, hygienic and well maintained.” from the report
  • Correct protective equipment

    Staff were experienced with infection control procedures and used protective equipment safely.

    “Staff wore the correct personal protective equipment (PPE) and they knew how to dispose of it safely.” from the report
  • COVID-19 testing and monitoring

    People and staff took part in regular testing. People were monitored for symptoms and supported to isolate when necessary.

    “People and staff were taking part in regular COVID-19 testing.” from the report
  • Family contact

    Relatives were supported to stay in touch through phone calls and video links.

    “Relatives were supported to keep in touch with people via phone calls and video links to enable ongoing contact with their family members.” 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. 01How are people and staff tested for COVID-19 now?
  2. 02How do you monitor people for symptoms and support them if they need to isolate?
  3. 03How do you manage visits and help relatives keep in touch with people?
  4. 04How do you check that staff use and dispose of personal protective equipment safely?
  5. 05How would you manage an infection outbreak in the home?

This was an unannounced targeted inspection of infection prevention and control measures only; the service was inspected but not rated and the other care questions were not assessed. This explanation was written from the published report of 5 March 2021 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

Cloisters Care Home is rated Good; inspectors found kind, safe and personalised care, with some communication details needing recording.

Inspectors made an unannounced visit on 22 October 2019. They spoke with six people using the home, one relative and seven staff. They also checked care records, medicines records, staff recruitment files and management records.

The home was rated Good in all five areas: Safe, Effective, Caring, Responsive and Well-led. Inspectors found enough staff, safe medicines systems, detailed risk assessments and a clean environment. People received personalised care, nutritious food and support to stay independent.

Staff knew people well and were described as kind, respectful and compassionate. The home had a stable staff team and a positive, person-centred culture. One shortfall was that some care plans did not record enough information about communication needs, although staff knew this information and the manager agreed to update the records.

This was the first inspection of the newly registered service. The previous rating was Good, published in January 2018, but the provider had since changed.

What inspectors praised
  • Personalised care

    The home had a strong person-centred approach. Care plans included people's preferences, backgrounds and life histories.

    “There was an exceptionally strong and visible person-centred culture with staff going out of their way to ensure that people were respected as individuals.” from the report
  • Kind and respectful staff

    Staff knew people well and built trusting relationships. Inspectors saw a caring and friendly atmosphere.

    “Staff treated people with kindness and compassion. There was a stable staff team who knew people well and what mattered to them.” from the report
  • Safe medicines and staffing

    Inspectors found enough staff to meet people's assessed needs. Medicines were given safely and on time, with regular checks.

    “People received their medicines safely and on time. Staff received training in medicines management and had regular competency checks to ensure ongoing safe practice.” from the report
  • Good food and activities

    People were offered varied food based on their preferences, as well as regular drinks and snacks. They took part in trips, music and other activities.

    “People were supported to eat a varied and nutritious diet based on their individual preferences and were offered drinks and snacks throughout the day.” from the report
  • Positive management

    The manager was visible and approachable. Regular audits, staff meetings and handovers were used to monitor and improve care.

    “Quality assurance systems were in place and continued to be used effectively to monitor key aspects of the service.” from the report
What inspectors were concerned about
  • Communication details not always recorded

    needs fixing

    Some care plans did not contain enough information about people's communication needs. Staff knew the details, but new staff could not rely on the records, and the manager agreed to make changes.

    “Some care plans needed more information about people's communication needs, which staff knew in detail, but the information was not recorded for new staff to see.” from the report
Questions to ask them, based on this report
  1. 01Have all care plans now been updated with each person's communication needs and preferred way of communicating?
  2. 02How do you make sure new staff can find and follow information about communication needs?
  3. 03How many staff are normally on duty for the number and needs of residents?
  4. 04What activities and trips are currently available, following the activities coordinator's plans to expand them?
  5. 05How are families kept informed when a person's care needs change?

This was an unannounced inspection covering all five CQC questions and the overall quality and safety of care. This explanation was written from the published report of 15 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 Cloisters Care Home

Each visit the CQC has published, newest first, back to the day the home was registered.

  1. March 2021Inspected but not ratedcurrent rating
    Safe: Inspected but not rated

    Read what inspectors found at Cloisters Care Home →

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

    Read what inspectors found at Cloisters Care Home →

  3. November 2018

    Registered with the Care Quality Commission on 12 November 2018.

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.

Next steps

Weigh the report against the rest

Care at home

38 live-in carers within about an hour of Sefton

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 £980 to £1,270 a week. 34 can care for a couple. 11 years' experience on average.

“He developed a close affinity with Terence, spending time talking with him before he retired to bed and looking after his needs during the night.”
John P., about Rodrigo Javier B.
“It was clear that she genuinely cared and her warm approach really helped put our minds at ease.”
Sara K., about Trudi M.
See live-in carers near SeftonProfiles, rates and reviews are free to look at.

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.