Clifton View Care Home

On this page

• Overview
• Assessing needs
• Delivering evidence-based care and treatment
• How staff, teams and services work together
• Supporting people to live healthier lives
• Monitoring and improving outcomes
• Consent to care and treatment

We assessed 2 quality statements in the effective key question and found some areas of concern, which we raised with the deputy manager and nominated individual to address. The scores for these areas have been combined with scores based on the rating from the last inspection, which was good. Though the assessment of these areas indicated areas of concern since the last inspection, our rating for the key question remains good. Peoples care plans were kept up to date with any assessments completed in a timely manner. However, we found a lack of consistency in some of the daily records for people, which left people at risk of potential harm. Peoples needs and rights were supported. Peoples care and treatment was effective due to their health, care, well-being, and communication needs being assessed with them. Staff were aware of people’s preferences and respected these in a person-centred way. People were aware of their rights around care and treatment. Staff had a good knowledge of the mental capacity act, including capacity and consent. Staff were aware of how to support someone living with fluctuating capacity.

This service scored 75 (out of 100) for this area. Find out what we look at when we assess this area and How we calculate these scores.

People and their relatives told us that they were involved with planning their care. One relative told us, “My family members needs are covered in their plan, and it can be changed as their needs do.” People and their relatives were confident that their needs were understood by the staff team. One person told us how kind and caring the staff were and how well they were looking after them in relation to their skin and diabetes management needs. Relatives who also care for people, told us that staff also understood their needs and how best to support them. One relative told us, “The manager and the care co-ordinator came out and we had a family meeting. They worked really hard to provide a smooth transition from home to Clifton View. The care plan covers everything my family member needs.” Another relative told us, “We originally did a care plan and it’s been changed as required and is sorted to my family member’s needs.”

Staff told us that they had time to review care planning documents, so they could keep up to date with people’s changing needs Staff we spoke with showed a good knowledge and understanding of how to support people’s needs, and what action to take if the person’s needs appeared to have changed.

A range of national assessment tools were used, to understand people’s needs and how best to support them. For example, the malnutrition universal screening tool (MUST) was used for the management of weight loss and nutritional intake. Staff had access to documents on how to support people. Where people’s needs changed, these care planning documents were updated so staff understood people’s changes in needs. For example, where a person’s mobility had reduced, staff had made a referral to an external health team for occupational therapy input for equipment to support their needs. People’s communication needs were recorded and understood by staff. This allowed staff to communicate with people, to have a clear understanding of the persons needs.

We did not look at Delivering evidence-based care and treatment during this assessment. The score for this quality statement is based on the previous rating for Effective.

We did not look at How staff, teams and services work together during this assessment. The score for this quality statement is based on the previous rating for Effective.

People and their relatives gave positive feedback about the support provided for their family members. One relative told us, “It’s the best care my family member has ever received. The staff go above and beyond.” Another relative told us, “The reason my family member moved into the home was due to the amount of falls they were having. In the home they use a walker and always have a carer by their side when walking.”

Staff members we spoke with told us about the positive relationships they had with external health and social care teams. One member of staff said, “I talk a lot to district nurses when they visit people, they’re very helpful. Any information related to people I share with the team. I do this on handover just to remind them and always say to the team, don’t be scared to just ask if you need to know anything.” Staff were competent with responding to falls experienced by people. Records showed staff members had acted appropriately following falls incidents at the service.

Referrals were made to external teams to help mitigate risks effectively. For example, people who had experienced falls and injuries had been referred to professionals for specialist input to help mitigate this risk. Where referrals had been made, these had been followed up in a timely manner by the service. This ensured people safe and effective support. Staff kept records on how they had supported people and at what time. However, we found a lack of consistency in these daily records for repositioning, oral care, and personal care for multiple people. This left people at potential risk of harm and exposed to a lack of dignity. This also impacted on staff being unable to accurately and promptly review any changes required to a person’s needs. For example, where a persons’ skin management needs may require review by an external health care team. We found multiple bedrooms with dry, unused toothbrushes and uncapped toothpaste, which indicated that people had not been assisted with their oral care needs, as their preferences indicated. This left people at risk of harm from not having their oral healthcare needs met as planned. We raised our concerns with the deputy manager, who implemented a change to the auditing processes in place for people’s personal care records. We were assured by their response.

We did not look at Monitoring and improving outcomes during this assessment. The score for this quality statement is based on the previous rating for Effective.

We did not look at Consent to care and treatment during this assessment. The score for this quality statement is based on the previous rating for Effective.