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CQC report explained · a residential care home

What the CQC found at Cloverdale

Goodpublished 6 January 2025, 21 months ago

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

The latest report, explained

What inspectors found, October 2019

Cloverdale was rated Outstanding overall; inspectors found exceptionally caring, well-led support and no concerns.

Inspectors visited without notice on 9 and 10 September 2019. They spoke with all four people, relatives and staff, observed care, and checked care plans, medicines, staffing and management records.

The home was rated Good for Safe, Effective and Responsive care. Inspectors found suitable staffing, safe medicines processes, trained staff, good health support and care that was adapted to people's choices and changing needs.

Caring and Well-led were rated Outstanding. People were treated with kindness, dignity and respect. The manager and staff had helped improve people's independence, activities, health, relationships and quality of life.

The overall Outstanding rating means the service was judged exceptional overall. It had improved from Good at the previous inspection on 6 July 2017, with Caring and Well-led moving up to Outstanding.

What inspectors praised
  • Kind and respectful care

    People were treated as individuals and supported with compassion, dignity and respect. Staff understood people's communication needs and personal histories.

    “People were consistently treated with dignity and respect and without discrimination.” from the report
  • Improved independence

    Staff supported people to develop daily living skills and make their own choices. The Active Support programme helped people do more for themselves.

    “The programme had enabled people to become more independent.” from the report
  • Safe medicines

    Medicines were reviewed and reduced or stopped where they were no longer needed. Records showed medicines were administered and recorded safely.

    “Staff then recorded each administration, there were no gaps in people's medicine records.” from the report
  • Strong leadership

    The manager had created a relaxed, person-centred home where staff felt motivated and proud. The service used feedback and reflection to improve outcomes.

    “The registered manager had created a highly person centred culture focussed on delivering high quality care and support, which had achieved positive outcomes for people.” 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 medicines reviewed for each person, and how do you decide whether a medicine can be reduced or stopped?
  2. 02How will you support my relative to communicate their choices and take part in decisions about their care?
  3. 03What daily living skills and independence goals would you work on with my relative?
  4. 04How are activities chosen and changed when a person's interests or abilities change?
  5. 05What improvements have been made since the September 2019 inspection?

This was an unannounced inspection that looked at the home, care provided and all five CQC questions, using observations, discussions and records. This explanation was written from the published report of 26 October 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.

An earlier report, explained

What inspectors found, July 2017

Rated Good; inspectors found safe, kind and personalised care, with clearer records needed for some best-interest decisions.

This was a comprehensive, announced inspection on 19 and 20 June 2017. The inspector reviewed information before the visit, spoke with people, relatives and staff, observed care, and checked care, recruitment and management records.

The home was rated Good in all five areas: Safe, Effective, Caring, Responsive and Well-led. Inspectors found suitable staffing, safe medicines arrangements, trained staff, positive relationships and support that reflected people's needs, choices and interests.

The home remained Good, which was the same rating as at the previous inspection on 19 January 2015. A new manager had started shortly before this inspection, and staff and relatives said the change between managers had gone smoothly.

What inspectors praised
  • Safe medicines support

    Medicines records were complete, staff had training and competency checks, and people were supported to take medicines themselves where possible.

    “People were supported by staff to self-medicate where possible.” from the report
  • Respectful relationships

    Inspectors saw people relaxed and enjoying time with staff. Staff respected people's choices, privacy and dignity.

    “We observed people were happy and relaxed in the company of staff whom they enjoyed being with.” from the report
  • Personalised activities

    Each person had an activity schedule based on their interests. Activities included community outings, baking, horse riding and other activities.

    “Each person had their own pictorial activity schedule comprised of home and community activities that interested them.” from the report
  • Listening to people's views

    The home sought views through meetings, keyworker discussions and surveys, and inspectors found examples of feedback leading to action.

    “People's views were sought and acted upon to improve their experience of the care provided.” from the report
What inspectors were concerned about
  • Best-interest records

    needs fixing

    Records explaining how some decisions about restrictions and best interests had been reached were not as clear as they should have been. The new manager was told and took immediate action.

    “Records to demonstrate the detail of how they arrived at making this decision on the person's behalf could have been clearer.” from the report
Questions to ask them, based on this report
  1. 01What action was taken to make the records of best-interest decisions clearer?
  2. 02How are restrictions on each person's freedom reviewed now?
  3. 03How did the change to the new manager affect staffing and day-to-day consistency?
  4. 04How are people's activity schedules reviewed when an activity no longer meets their needs?
  5. 05How are people's views from house meetings and care reviews recorded and acted on?

This was a comprehensive inspection covering all five questions, and the ratings in all five areas remained Good. This explanation was written from the published report of 6 July 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.

The story over the years

Every inspection of Cloverdale

3 rated inspections over 5 years: the service has improved, from Good to Outstanding.

  1. October 2019Outstandingcurrent ratingup from Good
    Safe: GoodEffective: GoodCaring: OutstandingResponsive: GoodWell-led: Outstanding

    Read what inspectors found at Cloverdale →

  2. July 2017Goodstayed Good
    Safe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good

    Read what inspectors found at Cloverdale →

  3. March 2015Good
    Safe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good

    Read this report on cqc.org.uk

  4. July 2014

    Registered with the Care Quality Commission on 7 July 2014.

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

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