We carried out a review of the data available to us about Clifton Care Services Limited on 6 July 2023. We have not found evidence that we need to carry out an inspection or reassess our rating at this stage.
This could change at any time if we receive new information. We will continue to monitor data about this service.
If you have concerns about Clifton Care Services Limited, you can give feedback on this service.
Clifton Care Services is a domiciliary care agency providing personal care to people living in their own homes or flats. The domiciliary care agency is registered to provide a service to people over and under the age of 65 years old, some of whom are living with dementia. Not everyone who used the service received personal care. CQC only inspects where people receive personal care. This is help with tasks related to personal hygiene and eating. Where they do, we also consider any wider social care provided. At the time of the inspection, four people were using the service.
People’s experience of using this service and what we found
Improvements had been made since our last inspection in October 2019. People's experience of care was consistently monitored by staff to ensure they received a good service. People were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible and in their best interests; the policies and systems in the service supported this practice. However, further work was required to strengthen the provider's quality assurance framework. The provider's quality assurance checks did not consistently identify shortfalls or recognise how improvements could be made. We have made a recommendation for improvement
Staff received training and regular support to be effective in their roles. Staff supported people to access the healthcare services they needed to maintain good health. People and their relatives praised the care delivered. They commented that they liked the way staff provided care and support which met their needs. Staff treated people with dignity and respect.
People were enabled to retain their independence by being encouraged and supported to do the things for themselves, that they still could. This promoted their self-worth and improved their quality of life.
Staff understood their responsibility to identify and report potential abuse to keep people safe. Risk assessment and management enabled staff to minimise the risk of harm to people. People's medicines were managed safely. Staff practiced safe infection control and prevention procedures to reduce the spread of infection. Relatives spoke highly of how management and staff had provided support during the height of the pandemic. Safe recruitment practices and robust induction ensured new staff were suitable to provide care.
People's needs were assessed and regularly reviewed to ensure staff delivered appropriate care to them. People and their relatives felt confident to raise concerns about their care and knew the process about how to make a complaint.
For more details, please see the full report which is on the CQC website at www.cqc.org.uk
Rating at last inspection and update
The last rating for this service was Requires Improvement (published 20 November 2019) and there were breaches of regulation. The provider completed an action plan after the last inspection to show what they would do and by when to improve. At this inspection we found improvements had been made and the provider was no longer in breach of regulations.
Why we inspected
This inspection was prompted by a review of the information we held about this service.
Follow up
We will continue to monitor information we receive about the service, which will help inform when we next inspect.
This was an ‘inspection using remote technology’. This means we did not visit the office location and instead used technology such as electronic file sharing to gather information, and video and phone calls to engage with people using the service as part of this performance review and assessment.
Clifton Care Services Limited is a domiciliary care agency and is based in the London Borough of Croydon. The service provides personal care to adults in their own homes. Not everyone who used the service received personal care. CQC only inspects where people receive personal care. This is help with tasks related to personal hygiene and eating. Where they do, we also consider any wider social care provided.
People’s experience of using this service
People were not supported to have maximum choice and control of their lives and staff did not support them in the least restrictive way possible and in their best interests; the policies and systems in the service did not support this practice.
Quality assurance systems were not in place to ensure shortfalls were identified and prompt action was taken to ensure people received high quality care at all times.
Care plans contained some risk assessments to effectively manage risks and keep people safe. However, risk assessments had not been completed regarding people’s health conditions. We have made a recommendation in this area.
The registered manager was the only staff member that supported people. People were safe when supported by the registered manager. Systems were in place for infection control and to learn lessons following incidents.
Assessments had been carried out prior to people receiving a service to determine if they could be supported effectively. The registered manager had received training to carry out their role in most areas. Some training had expired. Plans were in place to attend training that had expired.
People received care from staff who were kind and compassionate. The registered manager treated people with dignity and respected their privacy. The registered manager had developed positive relationships with the people they supported. They understood people’s needs, preferences, and what was important to them.
Care plans were person centred and included people’s support needs. Systems were in place to obtain feedback from people and relatives.
For more details, please see the full report which is on the CQC website at www.cqc.org.uk
Rating at last inspection
This service was registered with us on 28 August 2018 and this was the first inspection.
Why we inspected
This was a planned inspection based on when the service started to provide the regulated activity of personal care. The service started to provide the regulated activity of personal care in June 2019.
Enforcement
We have identified breaches in relation to need for consent and good governance. You can see what action we have asked the provider to take at the end of this full report.
Follow up
We will continue to monitor information we receive about the service until we return to visit as per our re-inspection programme. If we receive any concerning information we may inspect sooner.