CQC report explained · a residential care home
What the CQC found at Clovelly House Care Home
Rated Good: inspectors found the home performing well and meeting their expectations.
- Safe?
- Good
- The inspectors were assured that infection risks were managed well. This included testing, personal protective equipment, cleaning, visiting, admissions and the prevention or management of outbreaks.
- 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 as a separate rated area in this targeted inspection, although policies, risk assessments and audits relating to infection control were considered.
What inspectors found, March 2021
Inspected but not rated; inspectors found strong infection prevention and control arrangements during the COVID-19 pandemic.
This was an unannounced, targeted inspection on 23 February 2021. It looked at how well the home prevented and controlled infection during the COVID-19 pandemic.
The inspectors found good practice. They were assured that the home used personal protective equipment safely, followed shielding and social distancing rules, tested people and staff, and had suitable visiting arrangements.
The home was very clean and had extra cleaning routines. Its policies, risk assessments and audit systems were established and reviewed appropriately.
The overall service was inspected but not rated. Safe was also inspected but not rated. This means the visit checked infection control arrangements, rather than giving a full quality rating across all five areas.
Infection control
The inspectors were assured that the home had arrangements to prevent and control infections, including safe use of personal protective equipment and outbreak planning.
“We were assured that the provider was making sure infection outbreaks can be effectively prevented or managed.” from the report
Testing and vaccination
Visitors, staff and people living at the home were tested regularly. The report also says people and staff had received their first vaccine dose at the time of inspection.
“Testing routines were robust. For example all visitors were tested, and staff and people who used the service received regular testing” from the report
Clean environment
The home was described as very clean, with extra cleaning routines and effective checks in place.
“The service was very clean, additional cleaning routines were in place, and effective audit systems were in place” from the report
Visiting arrangements
The home had arrangements in place for friends and relatives to visit during the pandemic.
“Suitable visiting arrangements, for people's friends and relatives were in place. Effective visiting arrangements were in place” from the report
Policies and risk assessments
The home's infection control policies and risk assessment processes were established and reviewed appropriately.
“Policies and risk assessment processes were well established, and appropriately reviewed.” from the report
Inspectors raised no specific concerns in this report.
- 01How are visitors tested and supported to prevent infection now?
- 02What are the current arrangements for visiting friends and relatives?
- 03How often are staff and residents tested, and what happens if someone tests positive?
- 04How do you check that extra cleaning and infection control procedures are being followed?
- 05How do you manage new admissions and possible infection outbreaks?
This was an unannounced targeted inspection of infection prevention and control during the COVID-19 pandemic; the service and Safe were inspected but not rated, and the other four areas were not assessed. This explanation was written from the published report of 13 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.
What inspectors found, February 2018
Clovelly House Care Home was rated Good; inspectors found safe, kind care, with some records and signage needing attention.
This was an unannounced, comprehensive inspection on 8 January 2018. One inspector spoke with people living in the home, relatives, staff, managers and a visiting health professional. They also reviewed care, staff and management records, and checked the building.
The inspectors found that people were safe and treated with kindness and respect. Staffing levels were sufficient, medicines were managed safely, staff were trained, and people's health and care needs were monitored. People and relatives spoke positively about the home.
The home was rated Good overall and Good in all five areas: Safe, Effective, Caring, Responsive and Well-led. Inspectors noted some improvements were needed, including clearer reasons for some care plan changes and better signage.
Kind and respectful staff
Inspectors observed staff spending time with people and responding sensitively when someone became anxious. People said staff respected their privacy and dignity.
“Staff had time to sit and chat with people.” from the report
Safe staffing and medicines
There were enough staff to meet people's needs, and call bells were answered quickly. Medicines, including controlled medicines, were administered and recorded safely.
“Call bells were responded to quickly and people told us they never had to wait long for staff to answer their calls.” from the report
Staff skills and training
Staff had training relevant to their roles and to people's conditions, including dementia, diabetes and end of life care. New staff worked alongside experienced staff before working alone.
“People and relatives told us they felt the staff were well trained, competent and knowledgeable.” from the report
Individual choices and support
People could choose their routines, meals, activities and where to spend their time. Staff regularly checked on people who stayed in their rooms.
“This demonstrated the management team and staff used a person-centred approach in response to people's preferred daily routines and activities.” from the report
Open management
The manager and deputy manager were available to people, relatives and staff. Audits, meetings and surveys were used to review and improve the service.
“There were clear lines of responsibility and accountability with a structured management team in place.” from the report
Limited detail in some care records
needs fixingSome care plans did not explain why changes had been made or put in place. The manager was asked to review the plans and add information supporting those decisions.
“There was limited information about why some changes had occurred or had been put in place.” from the report
Lack of signage
minorThere were no numbers on bedroom doors. The manager accepted that clearer signs could help new people or people who became confused while moving around the home.
“There was a lack of signage around the service.” from the report
Electrical certificate unavailable
minorThe electrical certificate could not be seen on the inspection day. The manager said another electrical service was due in April 2018.
“The electrical certificate was not available on the day of the inspection” from the report
- 01What changes have you made to care plans so they explain why decisions or changes were made?
- 02Have you added numbers or other signs to bedroom doors to help people find their way around?
- 03Was the electrical certificate obtained after the inspection, and can families see the current safety records?
- 04How do you check that staffing levels remain sufficient when people's needs change?
- 05How are people's end of life wishes recorded and kept up to date?
This was an unannounced comprehensive inspection covering all five areas, and the previous comprehensive inspection in January 2016 found that the home was meeting regulatory requirements. This explanation was written from the published report of 16 February 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.
Every inspection of Clovelly House Care Home
2 rated inspections over 2 years: the service has held its Good rating throughout.
- March 2021Inspected but not ratedcurrent ratingSafe: Inspected but not rated
- February 2018Goodstayed GoodSafe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
- January 2016GoodSafe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
- September 2014
Report published without a new overall rating.
- June 2014
Report published without a new overall rating.
- September 2013
Registered with the Care Quality Commission on 12 September 2013.
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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