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Care Services

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Clifton View Care Home, Clifton, Nottingham.

Clifton View Care Home in Clifton, Nottingham is a Nursing home specialising in the provision of services relating to accommodation for persons who require nursing or personal care, caring for adults over 65 yrs, dementia, personal care and treatment of disease, disorder or injury. The last inspection date here was 22nd March 2019

Clifton View Care Home is managed by Clifton View Ltd.

Contact Details:

Ratings:

For a guide to the ratings, click here.

Safe: Good
Effective: Good
Caring: Good
Responsive: Good
Well-Led: Good
Overall: Good

Further Details:

Important Dates:

    Last Inspection 2019-03-22
    Last Published 2019-03-22

Local Authority:

    Nottingham

Link to this page:

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Inspection Reports:

Click the title bar on any of the report introductions below to read the full entry. If there is a PDF icon, click it to download the full report.

13th February 2019 - During a routine inspection pdf icon

About the service: Clifton View Care Home is a purpose-built care home providing accommodation for up to 76 people requiring nursing or personal care. At the time of our inspection, 74 people were living at the service. The accommodation was established over three floors. On the ground floor there was a reception area, bedrooms, a dining area, a large communal lounge, which was also used for delivering activities plus a kitchen and hairdressers salon. The first floor housed a short stay assessment and rehabilitation unit including bedrooms, communal lounge / dining area and office space. The second floor mirrored the layout of the first but was used by people living at the service permanently. Access between the floors was via two central lifts or numerous staircases which were secured to prevent risk of injury from falls.

People’s experience of using this service:

People felt safe and staff ensured that risks to their health and safety were reduced. We found that sufficient staff were deployed to safely meet people’s needs. Staff had received training to ensure they had the knowledge to protect people from the risk of avoidable harm or abuse, whilst providing care.

People were protected from the risk of an acquired health infection, as the service employed dedicated cleaning staff to ensure the environment was clean and had appropriate policies and procedures to monitor and reduce the risk.

Systems were in place to support people to take their medicines safely. Staff received relevant training and felt well supported. People were asked for their consent to their care and appropriate steps were taken to support people who lacked capacity to make decisions.

People were supported to eat and drink enough to maintain good health.

There were positive and caring relationships between people using the service and the staff who cared for them. Staff promoted people's right to make their own decisions about their care where possible and respected the choices they made. People were supported to have maximum choice and control of their lives and staff support them in the least restrictive way possible; the policies and systems in the service supported this practice.

People were treated with dignity and respect by staff who understood the importance of this.

People received person-centred and responsive care from staff who had a clear understanding of their current support needs. Care plans were in place, which provided information about the care people required.

People knew how to make a complaint and there was a clear complaints procedure in place.

When people were at the end of their life the service had effective measures in place to support them and ensure their wishes and needs were met.

An open and transparent culture enabled people and staff to speak up if they wished to. The management team provided strong leadership and a clear direction to staff.

There were robust quality monitoring procedures in place. The management structure of the service was clear.

People's safety had been considered and risks had been reduced by the introduction of equipment or guidance. Staff had received training in relation to safeguarding and knew how to protect people from harm.

Information was provided in a range of formats to support understanding. People were able to access spiritual support to meet their religious beliefs.

There was a registered manager at the home and the rating from their previous inspection was displayed at the home and on their website. When required notifications were usually completed to inform us of events and incidents, this helped us the monitor the action the provider had taken.

Rating at last inspection: Requires Improvement (Published July 2016)

Why we inspected: This was a planned inspection based on the rating at the last inspection. At this inspection we found the service had improved to Good.

Follow up: We will continue to monitor intelligence we receive about the service until we return to

7th July 2017 - During a routine inspection pdf icon

The service was previously inspected on 4 August 2016 and received an overall rating of Good. We returned to inspect this service because we had received information of concern about the care and treatment provided at the home.

We carried out an unannounced inspection of the service on 7 and 11 July 2017. Clifton View Care home provides accommodation for persons who require personal care or nursing, for up to a maximum of 76 people. On the day of our inspection 71 people were using the service. Care was provided on residential and nursing floors as well as a rehabilitation unit, with the aim of supporting people to return to their own homes.

There was a registered manager in place. A registered manager is a person who has registered with the Care Quality Commission to manage the service. Like registered providers, they are ‘registered persons’. Registered persons have legal responsibility for meeting the requirements in the Health and Social Care Act 2008 and associated Regulations about how the service is run.

People’s medicines were not always managed safely. Medicines were not always securely monitored to ensure people could not gain access to medicines which could cause them harm. There were gaps in people’s medicine administration records and also examples where medicines had not been given with no record of the reason why.

People, relatives and staff raised concerns about the number of staff working at the home. During busy periods people’s needs were not always responded to in a timely manner. Equipment was not always stored safely.

We have made a recommendation about the numbers of staff working at the service and the safe storage of equipment.

Safe recruitment procedures were in place to ensure only appropriate staff worked with vulnerable people. Staff could identify the potential signs of abuse people could face. Risks to people’s safety were assessed and reviewed.

The principles of the Mental Capacity Act (2005) had not always been followed when decisions were made about people’s care. The process for ensuring decisions were made on behalf of people by relatives who were legally entitled to do so was not always followed. However, staff were observed offering people choices. Some care records contradicted the information provided by external professionals in relation to the decision of whether a person wished to be resuscitated or not.

People were supported by staff who completed an induction prior to commencing their role. The majority of staff training was up to date; however, a small number of refresher training was required. Staff received supervision of their role, although the frequency, in which staff received this, was inconsistent. Staff felt supported by the registered manager.

People were supported to maintain good health in relation to their food and drink. People’s day to day health needs were met by staff.

People and relatives spoke positively about the staff and felt they were kind and caring and supported them or their family member in a respectful and dignified way. Staff understood people’s needs and listened to and acted upon their views.

People felt able to contribute to decisions about their care, although people’s care records did not always reflect this. People were provided with information about how they could access independent advocates.

People’s privacy was maintained and respected. People’s friends and relatives were able to visit whenever they wanted to.

An activities coordinator was in place; however the hours provided was not sufficient to enable them to support people effectively with their hobbies or interests.

Before people came to live at the home assessments had been carried out to determine whether their needs could be met. This led to detailed care plans being put in place. However, some care plans needed to be implemented more quickly and be more person centred. People felt their preferences were not always taken into account when staff supported t

4th August 2016 - During a routine inspection pdf icon

Clifton View Care Home is registered to provide accommodation, personal and nursing care for up to 76 people. At the time of this inspection there were 53 older people living in the home.

.Accommodation is located over three floors. The first floor provides intermediate care (where people require assessment and support to return to their own home following hospital admission) which is managed Monday to Friday by City Care Services which is part of the NHS.

We carried out this unannounced inspection of the home on 2 August 2016.

At the time of our inspection there was a registered manager in place. A registered manager is a person who has registered with the Care Quality Commission (CQC) to manage the service. Like registered providers, they are 'registered persons.' Registered persons have legal responsibility for meeting the requirements in the Health and Social Care Act 2008 and associated regulations about how the service is run.

People told us that they felt safe living in the home and they were cared for by staff in a respectful and dignified manner. Their rights to privacy and to be able to express their views and opinions were respected and supported by staff.

The Care Quality Commission is required by law to monitor how registered persons apply the Deprivation of Liberty Safeguards under the Mental Capacity Act 2005 and to report on what we find. These safeguards protect people when they are not able to make decisions for themselves and it is necessary to deprive them of their liberty in order to keep them safe. The registered manager had submitted five applications for a DoLS to the supervisory body (local authority) and they were awaiting the outcome.

Staff received regular training, in order for them to provide care to people in a way which ensured that their needs were met. Staff knew how to manage any identified risks to people and they provided the care needed as described in each person's care record. People were supported to access a range of health and social care professionals and their health needs when people required both routine and more specialist help. Clear arrangements were in place for ordering, storing, administering and disposing of people's unused medicines and people received their medicines as prescribed.

People were provided with a varied choice of meals. When necessary, people were given any extra assistance they needed to eat or be provided with fortified snacks and drinks to make sure that they had enough to eat and drink to keep them healthy.

There was a warm and welcoming atmosphere in the home and staff worked closely with people and their families to ensure each person was supported to maintain their individual interests and to have a meaningful and enjoyable life. In addition staff provided a varied programme of communal activities for those who wished to participate in them.

The registered manager ran the home in an open and inclusive way and encouraged people, their relatives and staff to speak out if they had any concerns. The provider and registered manager listened and took action to resolve any issues or concerns identified. Formal systems were also in place for handling and resolving formal complaints.

The provider and registered manager worked together as a team in order to regularly assess and monitor the quality of all the services provided. This approach ensured that any shortfalls in quality would be quickly identified and actions take to improve and develop the services people received.

We found one breach of the Health and Social Care Act 2008 (Regulated Activities) Regulations 2014. You can see what action we told the provider to take at the back of the full version of the report.

 

 

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