Archived: Cleveland House

Updated 22 June 2019

The inspection:

We carried out this inspection under Section 60 of the Health and Social Care Act 2008 (the Act) as part of our regulatory functions. This inspection was planned to check whether the provider was meeting the legal requirements and regulations associated with the Act, to look at the overall quality of the service, and to provide a rating for the service under the Care Act 2014.

Inspection team:

The inspection team consisted of one inspector.

Service and service type:

Cleveland House is a 'care home'. People in care homes receive accommodation and nursing or personal care as single package under one contractual agreement. CQC regulates both the premises and the care provided, and both were looked at during this inspection. Cleveland House accommodates up to 25 people in one adapted building.

The home had a manager registered with the Care Quality Commission. This means that they and the provider are legally responsible for how the service is run and for the quality and safety of the care provided.

Notice of inspection:

The inspection was announced.

What we did:

We reviewed information we had received about the home. This included details about incidents the provider must notify us about, such as allegations of abuse. Providers are required to send us key information about their service, what they do well, and improvements they plan to make. This information helps support our inspections.

During inspection we looked at the following:

• The environment

• We met the people living at the home

• We spoke to three members of staff, the registered manager.

• Care records

• Medicines records

• Records of accidents and incidents, specifically the incident reports around concerns and action taken.

• Audits and quality assurance reports

• Three staff recruitment files

• Staff training records

• Rotas

• Health and safety information

Following this inspection, the registered manager provided us with additional information we requested around updating care plans.

Updated 22 June 2019

About the service:

Cleveland House is a care home that was registered for up to 25 people. Cleveland House provides care and support to adults living with learning disabilities, limited verbal communication abilities and behaviour that challenges.

People's experience of using this service:

The service applied the principles and values of Registering the Right Support and other best practice guidance. These ensured people who live at the home could live as full a life as possible and achieve the best possible outcomes that include control, choice, inclusion and independence.

People told us they received a good service and felt safe. Accidents and incidents were recorded, and risk assessments were in place. The registered manager understood their responsibilities about safeguarding and staff had been appropriately trained. Arrangements were in place for the safe administration of medicines.

People received planned and co-ordinated person-centred care which was appropriate and inclusive for them.

There were enough staff on duty to meet the needs of people. The provider had an effective recruitment and selection procedure and carried out relevant vetting checks when they employed staff. Staff were suitably trained and received regular supervisions and appraisals.

People were supported with good nutrition and could access appropriate healthcare services. People's wellbeing was monitored and promoted.

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. People were involved in planning and reviewing their care and support.

People's needs were assessed before they started using the service. Staff treated people with dignity and respect and helped to maintain people's independence by encouraging them to care for themselves where possible.

The registered manager and staff team supported the values of promoting choice and control and independence and inclusion. People were supported to achieve their own goals and be safe.

Systems were in place to monitor the quality and safety of the service. The registered manager and staff were keen to drive improvement that would impact positively on people's lives.

Rating at last inspection:

Since the last inspection the service has undergone a change of provider. This is the first inspection of the service with the new provider.

Why we inspected:

This was a responsive inspection. We had received a number of notifications from the provider which identified an increase in incidents taking place within the service. We undertook a responsive inspection to check whether people were receiving consistently safe care.

Follow up:

We will continue to monitor intelligence we receive about the service.

For more details, please read the full report which is on the CQC website at www.cqc.org.uk.