CQC report explained · a residential care home
What the CQC found at Cloyda Care Home
Rated Good: inspectors found the home performing well and meeting their expectations.
- Safe?
- Good
- Inspectors found that people were protected from abuse and avoidable harm. Risks, staffing, recruitment, medicines and infection control were managed safely.
- Effective?
- Good
- This key question was not inspected during this visit. Its previous rating was used to calculate the overall rating.
- Caring?
- Good
- This key question was not inspected during this visit. Its previous rating was used to calculate the overall rating.
- Responsive?
- Good
- This key question was not inspected during this visit. Its previous rating was used to calculate the overall rating.
- Well-led?
- Good
- Inspectors found an open, person-centred culture and regular quality checks. They also found that feedback systems and improvement plans were not formal or clearly recorded enough.
What inspectors found, January 2023
Cloyda Care Home is rated Good; inspectors found safe care and strong leadership, but formal feedback and improvement records were not always clear.
This was an unannounced inspection on 08 December 2022. One inspector spoke with people, staff and managers, reviewed relatives’ feedback and checked care, recruitment and management records. The inspector also observed activities, lunch and how staff responded to people.
The home was rated Good overall, with Good ratings for Safe and Well-led. Inspectors found people were protected from abuse and avoidable harm. There were enough staff, recruitment checks were completed, medicines were administered safely and infection control arrangements were effective.
The home had an open and welcoming culture. People, relatives and staff said managers were approachable and listened to them. However, meetings, surveys and improvement plans were often informal or infrequent, and records did not always show clearly what action had been taken.
Effective, Caring and Responsive were not inspected during this visit. Their previous ratings were used when calculating the overall rating. The previous overall rating was Good, published on 7 November 2018.
People felt safe
People and relatives said the home was safe. Staff knew how to recognise and report possible abuse.
“People were protected from the risk of abuse and harm.” from the report
Enough staff
Inspectors found there were enough staff to meet people’s needs. Staff were visible and responded quickly to requests for help.
“There were enough staff to meet people's needs.” from the report
Safe medicines
Medicines were stored securely, records were accurate and staff had training and competency checks.
“People received their medicines safely.” from the report
Approachable management
People, relatives and staff described the management as approachable. Inspectors observed an open and welcoming culture.
“The home's culture was person-centred, open and inclusive.” from the report
Quality checks
The home carried out checks on medicines, infection control, the kitchen, health and safety and fire safety.
“There were processes in place to monitor the quality of service which included a series of checks and audits, both internal and external.” from the report
Feedback was not formal enough
needs fixingMeetings were infrequent, surveys had not recently been sent out and records did not always show whether agreed actions had been completed.
“We recommend the provider introduces more formal ways to engage with key stakeholders and record any improvement plans for the service.” from the report
Improvement plan was not documented
minorThe provider described a plan to develop the service, including moving to digital care planning, but inspectors found that the plan was not written down.
“The operations manager told us there was service development plan in place which included the transition to a digital care planning system. However, this was not documented.” from the report
- 01How are residents’ and relatives’ feedback and complaints recorded now?
- 02How do you record actions from residents’ and staff meetings, and how do you check that they are completed?
- 03Can you show us the current service development plan and explain the progress of the digital care planning system?
- 04How do you check that medicines remain safely administered and records stay accurate?
- 05What are the current staffing levels, and how quickly do staff respond when someone uses the call bell?
This was a focused inspection of Safe and Well-led; Effective, Caring and Responsive were not inspected and their previous ratings were carried forward. This explanation was written from the published report of 19 January 2023 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 2021
Inspected but not rated; inspectors found good infection control during a COVID-19 outbreak, with some audit records needing improvement.
This was an announced, targeted inspection on 12 January 2021. It looked only at infection prevention and control during a coronavirus outbreak.
Inspectors found enough protective equipment, suitable testing, regular cleaning and arrangements to reduce infection risks. People were staying in their rooms at the time because of the outbreak, and visitors were not being allowed inside.
The home had created a screened visiting area for safe contact with families. Inspectors were assured about the main infection control measures, but asked the home to improve how it documented its checks.
The service was inspected but not rated. This report does not give a standard overall quality rating.
Protective equipment
There were sufficient supplies of protective equipment, and staff were seen using it appropriately. Staff had also received relevant training.
“Sufficient stocks of Personal Protective Equipment (PPE) were available including masks, gloves, aprons, hand sanitiser and visors.” from the report
Testing arrangements
People living in the home and staff were included in regular coronavirus testing. Rapid tests were used for staff at the start of their shifts.
“People living in the home were routinely tested for COVID-19 every four weeks or as required with staff being tested once weekly.” from the report
Family contact
Although visitors were not allowed inside, the home had created a screened room so people could see family and friends more safely.
“A ground floor room had been allocated with a Perspex screened pod installed which allowed people living in the care home and their visitors to enter and leave separately whilst seeing each other safely.” from the report
Cleaning and disinfection
Regular cleaning was taking place, and the home had bought fogging equipment to support disinfection.
“Regular cleaning was undertaken to minimise the risk of infection and fogging equipment purchased for disinfection.” from the report
Audit records
minorThe home monitored its infection control measures, but inspectors said the records did not fully document all the checks taking place.
“We discussed making improvements to the audit processes in place to fully document the checks taking place.” from the report
- 01What changes have you made to fully document infection prevention and control audit checks?
- 02How often are residents and staff currently tested for COVID-19, and what happens after a positive result?
- 03How are visitors currently able to maintain safe contact with residents?
- 04How do you manage infection risks in the home's older layout where social distancing is more difficult?
- 05What protective equipment and infection control training do staff currently receive?
This was a targeted inspection of infection prevention and control during a COVID-19 outbreak; it did not assess the other four CQC questions and did not give an overall quality rating. This explanation was written from the published report of 19 February 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.
Every inspection of Cloyda Care Home
4 rated inspections over 7 years: the service has held its Good rating throughout.
- January 2023Goodcurrent ratingSafe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
- February 2021Inspected but not ratedSafe: Inspected but not rated
- November 2018Goodstayed GoodSafe: GoodWell-led: Good
- April 2016Goodstayed GoodWell-led: Requires improvement
- December 2015GoodSafe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Requires improvement
- January 2014
Report published without a new overall rating.
- May 2013
Report published without a new overall rating.
- September 2012
Report published without a new overall rating.
- December 2011
Report published without a new overall rating.
- July 2011
Report published without a new overall rating.
- December 2010
Registered with the Care Quality Commission on 22 December 2010.
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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