This inspection took place on 8 and 9 January 2018 and was unannounced. Clovelly House Residential Care Limited is a 'care home' and provides accommodation for up to 48 older people living with dementia. People in care homes receive accommodation and personal care. CQC regulates both the premises and the care provided, and both were looked at during this inspection. There were 47 people living at the service on the day of our inspection.

At our last inspection we rated the service good. At this inspection we found the evidence continued to support the rating of good and there was no evidence or information from our inspection and on-going monitoring that demonstrated serious risks or concerns. This inspection report is written in a shorter format because our overall rating of the service has not changed since our last inspection.

The service had a registered manager who was also the registered provider. 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 told us they were well treated at the home and risks to their safety had been identified and ways to mitigate these risks had been recorded in people's care plans.

Staff were aware that the people they supported were vulnerable and they understood their responsibilities to keep people safe from potential abuse.

There were systems in place to ensure medicines were handled and stored securely and administered to people safely and appropriately.

The home maintained adequate staffing levels to support people.

We saw friendly, caring and supportive interactions between staff and people and staff knew the needs and preferences of the people using the service. Care plans were person centred and reviewed regularly.

People told us they enjoyed the food provided and that they were offered choices of what they wanted to eat.

People had regular access to healthcare professionals such as doctors, dentists, chiropodists and opticians.

We saw evidence of a comprehensive staff induction and on-going training programme. Staff had regular supervisions and annual appraisals. Staff were safely recruited with necessary pre-employment checks carried out.

People were supported to engage in regular activities.

Quality assurance processes were in place to monitor the quality of care delivered.

People were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible; the policies and systems in the service supported this practice.

Further information is in the detailed findings below.

This inspection took place on 14 December 2015 and was unannounced. This was a comprehensive inspection of the service at which we also checked that breaches of legal requirements identified at the last inspection on 12 February and 4 March 2015 had been addressed. We found significant improvements at the service since the previous inspection showing that these requirements were now met.

Clovelly House Residential Home LTD is registered to provide accommodation and personal care for up to 48 people. Many of the people at the home are living with dementia. The home has 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 using the service, and relatives were positive about the service. We found improvements in medicines management within the home to ensure that these were administered safely, and also improved safeguarding procedures. People’s dignity was being protected, and they had more access to activities and stimulation, and more choices about food. There were improved systems for recording people’s consent or best interest decisions made on their behalf if they were unable to do so themselves. Quality assurance procedures were also improved, with regular audits, and feedback sought from all stakeholders, and action plans in place to bring about improvements.

People’s health and nutritional needs were met, and staff demonstrated their skills in supporting people with their individual social and emotional needs. People were treated with kindness and respect. This included supporting people who challenged the service patiently and proactively. Staff told us that the team worked well together, and there were enough of them present to meet people’s needs.

The home was clean and well maintained, and staff received supervision and training in their role at the home. There had been further training provided in key areas since the previous inspection. An appropriate complaints procedure was in place, and people told us that they felt able to speak up about their concerns, so these could be addressed.

A new electronic care planning system was being used at the home, which had contributed to some shortfalls in monitoring records for people using the service. The registered manager was aware of this issue and working to ensure that these issues were addressed.

The provider told us they maintained a person’s independence by encouraging mobility wherever possible and also by initially asking people if they wanted to do things for themselves (e.g. getting dressed, brushing hair etc.)

Care and treatment was planned and delivered in a way that was intended to ensure people's safety and welfare. A relative told us, ”staff are attentive. For example, they actively encourage a person to eat.”

We spoke with four staff members. They were able to explain possible types of abuse such as physical, financial and sexual abuse. They were also able to explain how they would report a safeguarding concern.

Staff received appropriate professional development. We spoke with two care workers (one of whom had recently started working at the home). They told us that they felt supported by senior management and that supervision meetings had recently taken place.

We looked at provider records and saw that monthly resident meetings took place; offering people a chance to voice concerns or suggest improvements. The minutes of the last meeting indicated that people were generally happy with care and support provided.

We spoke with three people who use the service and three relatives. They indicated that people had been treated with respect and dignity. Their views can be summarised by the following comment, “I am satisfied. The service is very good, staff are excellent and I feel they understand me.”

People and their relatives informed us that the care needs of people had been attended to and they had access to medical services. We saw that people appeared well cared for and were dressed appropriately. Staff were constantly supervising people and engaging them in conversation. Assessments, including risk assessments had been carried out. Care plans had been prepared and these were reviewed regularly. The home had a varied programme of social and therapeutic activities and this included outings and entertainment within the home such as music sessions and arts and crafts. The manager informed us that one of the people who use the service had received a certificate from the local Member of Parliament for designing a Christmas card.

The premises were clean and there were suitable arrangements in place to prevent infections. Staff were knowledgeable regarding procedures for infection control.

People spoke well of staff. The home had a recruitment procedure. The necessary staff recruitment checks had been carried out and staff we spoke with were knowledgeable regarding their roles and responsibilities.

This inspection took place on 12 February and 4 March 2015 and was unannounced which meant that nobody at the home knew about the visit in advance.

Clovelly House Residential Home LTD is registered to provide accommodation and personal care for up to 48 people. Many of the people at the home are living with dementia. The home has 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 using the service, and relatives were positive about the service. However we found that some risks to people’s safety were not identified and managed effectively. Medicines were not always administered safely, and we found some examples of people’s dignity not being protected . There were also shortfalls in the provision of activities and stimulation for people in the home, care planning and care provision, systems in place to obtain people’s consent, and the quality assurance procedures for the home.

The home was clean and well maintained, and staff received supervision and training in their role at the home. An appropriate complaints procedure was in place, however people did not always feel able to speak about their concerns, so these could be addressed.

People’s health and nutritional needs were met, however during the inspection visit there were not always sufficient staff available to meet people’s individual social and emotional needs.

At this inspection there were five breaches of regulations relating to care and welfare, medicines, consent, respect and involvement, and quality assurance. We have also made one recommendation relating to staffing deployment in the home. You can see what action we told the provider to take at the back of the full version of the report.