We carried out a review of the data available to us about HF Trust - Clifton View 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 HF Trust - Clifton View, you can give feedback on this service.
HF Trust Clifton View is a care home providing accommodation and personal care to up to nine people. At the time of the inspection, eight people were living at the service.
The service has been developed and designed in line with the principles and values that underpin Registering the Right Support and other best practice guidance. This ensures that people who use the service can live as full a life as possible and achieve the best possible outcomes. The principles reflect the need for people with learning disabilities and/or autism to live meaningful lives that include control, choice, and independence. People using the service receive planned and co-ordinated person-centred support that is appropriate and inclusive for them.
People’s experience of using this service and what we found
People were safe and protected from avoidable harm. Staff understood their responsibility to reduce the risk of harm whilst also supporting people to be as independent as possible.
The outcomes for people using the service reflected the principles and values of Registering the Right Support by promoting choice and control, independence and inclusion.
People were supported to take their medicines as prescribed and were protected from the risk of infection. They had access to health and social care professionals as required.
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.
People were supported by staff who were passionate about their work and committed to providing good quality care. The manager ensured staff were supported well and received the training and encouragement to do their job well.
We have made recommendations about inclusive care planning and reviews and improving communication with those who are important to people, such as their family.
For more details, please see the full report which is on the CQC website at www.cqc.org.uk
Rating at last inspection
The last rating for this service was requires improvement (published 19 March 2019).
Why we inspected
The inspection was prompted in part due to concerns received about safe care and treatment, including the management of medicines. A decision was made for us to inspect and examine those risks.
We found no evidence during this inspection that people were at risk of harm from these concerns. Please see the safe, effective and well-led sections 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.
People’s experience of using this service: People were not always fully protected from harm as changes to people’s support needs were not always thoroughly assessed and shared with staff supporting them.
People were not always supported in line with current best practice and legislation. People were not always supported to communicate in their preferred communication methods and peoples changing needs were not always assessed and used to inform best practice. People’s mental capacity was not assessed in line with current best practice and legislation.
Audits of the service needed to be properly implemented to identify improvements that could be made. Work was ongoing to improve the current culture of the service.
People and their relatives were not asked for feedback about the service and were not always informed of changes to the service promptly.
People told us and we saw people being treated with kindness, respect and compassion. Staff supported people according to their likes and dislikes. People were supported to make choices and be independent in their daily lives.
People’s care was personalised to their specific needs and preferences. People took part in a variety of activities that had been identified as things that they enjoyed.
Processes and systems in place protected people from harm and abuse in areas such as medicines and supporting people with finances.
Staff recruitment procedures were thorough and included all necessary criminal record checks. There were enough staff on shift to meet people’s needs.
Staff members were not receiving frequent supervision and support to continuously learn and update their knowledge. Plans were in place to improve this.
People were supported to access health care and other professionals in a timely manner when they needed support.
The management team were passionate about improving the service and were putting plans in place to support people and the staff team to action improvements.
The staff team were positive about the current changes that the management team were putting in place. The management team were working with other services managed by the provider to put improvements in place.
Rating at last inspection: Good (report published 21 April 2016.)
Why we inspected: This was a planned inspection based on the rating at the last inspection. During this inspection we found evidence that means the rating of the service has changed to requires improvement. More information is in the full report.
Follow up: We will continue to monitor intelligence we receive about the service until we return to visit as per our re-inspection programme. If any concerning information is received, we may inspect sooner.
Clifton View provides accommodation and support to up to nine people with a learning disability. The home shares an office and a communal area with a supported living service at the same address. At the time of the inspection there were nine people living at the home.
The service has a registered manager. 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’s needs had been assessed, and care plans took account of their individual needs, preferences, and choices. There were risk assessments in place that gave guidance to staff on how risks to people could be minimised. There were systems in place to safeguard people from risk of possible harm.
Medicines were administered safely and people were supported to access other healthcare professionals to maintain their health and well-being. They were supported effectively and encouraged to be as independent as possible. They were assisted to maintain their interests and hobbies and to develop new skills. They were aware of the provider’s complaints system and information about this and other aspects of the service was available in an easy read format. Staff were always available if people wished to raise concerns informally. People were encouraged to contribute to the development of the service and to develop links with the local community.
The provider had effective recruitment processes in place and there was sufficient numbers of staff to support people safely. Staff had received regular supervision and had been effectively trained to meet people’s individual needs. They understood and complied with the requirements of the Mental Capacity Act 2005 (MCA). They were caring and promoted people’s privacy and dignity. Staff were encouraged to contribute to the development of the service, aware of their roles and responsibilities and understood the provider’s visions and values.
The provider had effective quality monitoring processes in place and these had been used effectively to drive continuous improvements. People had no concerns about how care was provided or how the service was managed. There was good communication between the manager and staff, and this meant that they were able to deal quickly with any issues that arose.
People were given information in a format they could understand. The provider worked closely with the relatives of people whose complex needs meant they were unable to express their views, to ensure that they received appropriate care.
We saw people's needs were assessed and appropriate support plans and risk assessments were in place. We found people's support plans were reviewed regularly and when people's needs changed.
The provider had effective medicines management systems in place.
The provider had systems in place to review the quality of the service and where possible, they sought the views of people who received care or their relatives.
The relatives of the people who used the service told us that they were happy with the quality of care their relatives received. One person said, "We feel that our relative is in a caring, safe and learning environment."