Clifton House

On this page

• Overview
• Learning culture
• Safe systems, pathways and transitions
• Safeguarding
• Involving people to manage risks
• Safe environments
• Safe and effective staffing
• Infection prevention and control
• Medicines optimisation

Safe – this means we looked for evidence that people were protected from abuse and avoidable harm. At our last assessment we rated this key question good. At this assessment the rating has remained good. This meant people were safe and protected from avoidable harm.

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.

We did not look at Learning culture during this assessment. The score for this quality statement is based on the previous rating for Safe.

We did not look at Safe systems, pathways and transitions during this assessment. The score for this quality statement is based on the previous rating for Safe.

The service worked with people and healthcare partners to understand what being safe meant to them and the best way to achieve that. They concentrated on improving people’s lives while protecting their right to live in safety, free from bullying, harassment, abuse, discrimination, avoidable harm and neglect. The service shared concerns quickly and appropriately. People told us they were safe and happy living at the service. A person said, “They always take steps to make sure all the residents are safe.” Staff had received training in safeguarding adults, they told us how they would raise concerns and were confident the registered manager would act on the information immediately. Staff told us people were safe, a member of staff said, “I think there are challenges for people. We check in with them, we ask them how they feel, we don’t let anyone go to bed with a worry.” Safeguarding procedures were in place to ensure people were protected from avoidable harm. Staff had received safeguarding training; this had included regular updates. Posters displayed within the service reminded people of contact details for reporting concerns. Records showed safeguarding referrals had been made as necessary and this included notifying CQC of certain events as required by law.

The service worked with people to understand and manage risks by thinking holistically. They provided care to meet people’s needs that was safe, supportive and enabled people to do the things that mattered to them. People told us they felt safe in their environment and had their own space. Risks to people’s wellbeing and safety had been identified, assessed and measures put in place to reduce them. Records explained how staff should work to ensure safety for people, these were detailed within the providers electronic care planning system. Staff told us the information about people was accessible to them. A member of staff said, “I am happy with the standard of information about people, we are constantly learning new things.” Updates were made as things changed and information was reviewed on a regular basis. Environmental and general risk assessments were in place which considered people’s individual needs within the communal environment and outside the service. Safety had been considered and each person had a plan in place for how to leave the building safely in an emergency evacuation.

We did not look at Safe environments during this assessment. The score for this quality statement is based on the previous rating for Safe.

The service made sure there were enough qualified, skilled and experienced staff, who received effective support, supervision and development. They worked together well to provide safe care that met people’s individual needs. People told us staff were there when they needed them. We observed many kind and supportive interactions between people and staff during our inspection. People and their relatives told us they believed there was enough staff on duty. They told us they thought staff were skilled and had received sufficient training to support them with their needs. Staff received training and support to ensure they could carry out their role effectively. Staff told us they felt supported by the registered manager. Staff received supervisions and told us they could access support at any time. Supervisions were a two-way conversation, exploring any concerns, or areas for development. Staff were recruited safely, and recruitment records reflected this. Procedures were in place to ensure the required checks were carried out on staff before they commenced their employment. This included enhanced Disclosure and Barring Service (DBS) checks for adults. DBS checks provide information including details about convictions and cautions held on the police national computer. The information helps employers make safer recruitment decisions. People were supported to have a lead role in interviews for new staff, they told us they had enjoyed this process. Staff learning and development was in place to ensure staff were properly equipped for their role. A comprehensive induction programme had been developed, following feedback and observations, it had been extended to ensure staff felt confident and competent to undertake their responsibilities. The registered manager said, “We increased the induction and improved supervisions. We need to have good quality supervision by exploring themes and checking knowledge.” Staff had received training in all aspects of care and support.

We did not look at Infection prevention and control during this assessment. The score for this quality statement is based on the previous rating for Safe.

We did not look at Medicines optimisation during this assessment. The score for this quality statement is based on the previous rating for Safe.