CQC report explained · a residential care home
What the CQC found at Clover Cottage
Rated Good: inspectors found the home performing well and meeting their expectations.
- Safe?
- Good
- Inspectors were assured that the home was following safe infection prevention and control procedures. They reviewed visiting, testing, protective equipment, social distancing, hygiene and outbreak arrangements.
- Effective?
- Good
- This question was not assessed in this targeted inspection.
- Caring?
- Good
- This question was not assessed in this targeted inspection.
- Responsive?
- Good
- This question was not assessed in this targeted inspection.
- Well-led?
- Good
- This question was not assessed in this targeted inspection.
What inspectors found, September 2020
Inspected but not rated; inspectors found good infection control arrangements during the Covid-19 pandemic.
The inspection took place on 24 August 2020 and was announced. It was a targeted inspection about infection prevention and control in response to the coronavirus pandemic.
Inspectors found arrangements for safer visiting, regular Covid-19 testing, social distancing and the use of protective equipment. The home had designated areas for people who developed symptoms or tested positive.
The home was inspected but not rated overall. The safe question was also inspected but not rated. Inspectors said they were assured that infection prevention and control procedures were keeping people safe.
Safer visiting
Visits were arranged in advance, staggered and mainly held outside where possible. Visiting areas were cleaned between visits.
“Relatives primarily visited people in outside space where possible. Visits were staggered and restricted to one-hour slots and these areas were cleaned between visits.” from the report
Covid-19 testing
The home had arrangements for regular testing of people and staff, including steps to take if someone tested positive.
“The provider had appropriate arrangements to test people and staff for Covid-19 and was following government guidance on regular testing.” from the report
Protective equipment
Staff had training in infection control and protective equipment. Inspectors saw staff using protective equipment and found adequate supplies.
“Adequate supply of PPE was in place and systems were in place to ensure there was not a shortfall of PPE.” from the report
Inspectors raised no specific concerns in this report.
- 01How have your visiting arrangements changed since the inspection in August 2020?
- 02How often are people and staff tested now, and what happens after a positive test?
- 03How do you make sure there is always enough protective equipment?
- 04What arrangements are in place now for people who develop symptoms or test positive?
- 05When were the other areas of care, such as caring, responsive and well-led, last assessed?
This was a targeted inspection of infection prevention and control under the safe question; the service was inspected but not rated and the other key questions were not assessed. This explanation was written from the published report of 3 September 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, July 2018
Clover Cottage is rated Good; inspectors found safe, kind and personalised care, and the previous safety breach had been addressed.
The inspection took place on 4 July 2018. One inspector visited after 36 hours' notice. They spoke with people, relatives, staff, the cook and the manager. They also checked care records, medicines records, complaints, accidents, policies and quality checks.
The home provided care and accommodation for 14 older people, with 13 people living there during the inspection. Inspectors found enough staff, safe medicines practice, suitable training, good infection control and well-maintained records. People received varied food and drinks, and staff worked with health and social care professionals.
People and relatives described staff as kind and respectful. Care was tailored to people's needs, including support for people living with dementia and those approaching the end of life. All five areas were rated Good. At the previous inspection in December 2015, safety had required improvement and there had been a breach, but inspectors found this had been put right.
Safe staffing and medicines
Inspectors found enough staff to respond promptly, and medicines records for 10 people had no errors or omissions.
“We checked the medication administration record sheets (MARs) for 10 people using the service and found care staff completed these well, with no errors or omissions.” from the report
Kind and respectful care
People and relatives described staff as kind and respectful. Inspectors saw staff protect privacy, offer choices and provide care at a suitable pace.
“People using the service and their relatives told us staff were kind, caring and treated them with respect.” from the report
Individual support
The home assessed people's needs before they moved in and kept care plans under review. Staff knew people's routines, life histories and support needs.
“The registered manager assessed people's care needs before they moved in to the service and used their assessments to develop an individual care plan for each person.” from the report
End-of-life care
The home worked with health professionals and discussed end-of-life wishes with people and families. The report found support was comfortable, dignified and pain-free.
“The provider, registered manager and care staff supported people at the end of their life to have a comfortable, dignified and pain-free death.” from the report
Quality monitoring
The provider and manager carried out regular checks on health and safety, medicines, infection control, the environment and food arrangements.
“The provider and registered manager had procedures in place to monitor quality in the service and make improvements.” from the report
Inspectors raised no specific concerns in this report.
- 01How are the building works for three extra bedrooms and improved communal areas progressing, and how are you limiting disruption to residents?
- 02What staffing arrangements will be in place when the three additional rooms open?
- 03How will my relative and our family be involved in reviewing the care plan and recording their wishes?
- 04How are medicines checks and staff competency checks carried out now?
- 05How can we raise a complaint, and how will we be told about the investigation and outcome?
This was a planned inspection covering all five quality areas, with checks of care records for two people and medicines records for 10 people. This explanation was written from the published report of 21 July 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 Clover Cottage
2 rated inspections over 2 years: the service has held its Good rating throughout.
- September 2020Inspected but not ratedcurrent ratingSafe: Inspected but not rated
- July 2018Goodstayed GoodSafe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
- January 2016GoodSafe: Requires improvementEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
- September 2014
Report published without a new overall rating.
- August 2013
Report published without a new overall rating.
- December 2012
Report published without a new overall rating.
- April 2011
Registered with the Care Quality Commission on 12 April 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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