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CQC report explained · a residential care home, run by Delrose House

Cloud House

50A Roycraft Avenue, Barking, IG11 0NU

Goodpublished 14 December 2023, 2 years ago

Rated Good: inspectors found the service performing well and meeting their expectations.

The five questions inspectors ask
Safe?
Good
People told inspectors they felt safe. The home had enough staff, individual risk assessments, safe medicines systems and procedures for safeguarding and infection control.
Effective?
Good
This area was not inspected during this visit. The previous rating was used when calculating the overall rating.
Caring?
Good
This area was not inspected during this visit. The previous rating was used when calculating the overall rating.
Responsive?
Good
This area was not inspected during this visit. The previous rating was used when calculating the overall rating.
Well-led?
Good
Inspectors found positive and open leadership, regular contact with people and relatives, clear staff roles and audits intended to improve care.
The latest report, explained

What inspectors found, December 2023

Rated Good; inspectors found safe, personalised care and positive leadership, but this was a focused inspection.

Inspectors visited on 28 November 2023. Two inspectors spoke with people, relatives, staff and managers. They reviewed care records, risk assessments, medicines records, staff files, rotas, audits and other management records.

The safe and well-led parts of the home were rated Good. Inspectors found enough staff, safe medicines arrangements, suitable recruitment checks and systems to protect people from abuse and manage risks.

People received personalised support and were able to make day-to-day choices. Inspectors also found an open management culture, regular communication and systems for checking and improving the service.

What inspectors praised
  • People felt safe

    People told inspectors they felt safe with staff. The home had safeguarding procedures and staff knew how to respond to concerns.

    People were safeguarded from abuse and avoidable harm.from the report
  • Safe medicines

    Staff were trained to support people with medicines. Inspectors found that medicines had been given as prescribed and records were completed.

    We looked at the MARs for all the people who used the service and noted medicines had been administered as prescribed.from the report
  • Consistent staffing

    There were enough staff to meet people's needs. The home did not use agency staff, which supported consistency and continuity.

    The provider did not use agency staff. This helped with consistency and continuity of care as staff were aware of the needs of people they were caring for.from the report
  • Open management

    People, relatives and staff described managers as approachable and supportive. The home used meetings, surveys and audits to gather views and identify improvements.

    The registered manager operated an 'open door' policy and were in regular contact with people, relatives and staff to ensure the service ran smoothly.from the report
What inspectors were concerned about
  • Bathroom maintenance

    minor

    Inspectors found a rusting shower curtain rail and uneven bathroom tiles. Managers said the bathroom was planned for refurbishment and the rail would be replaced in the meantime.

    We noted the shower curtain rail in the upstairs flat bathroom was rusting however the rest of the bathroom was clean. Some tiles needed to be refitted as they were very uneven in places.from the report
Questions to ask them, based on this report
  1. 01Has the rusting shower curtain rail been replaced and have the uneven tiles been refitted?
  2. 02How are my relative's individual risks assessed and reviewed when their needs change?
  3. 03How will you make sure medicines are given safely and recorded accurately for my relative?
  4. 04How does the home involve relatives in reviewing care and sharing changes in needs?
  5. 05How does the home work with GPs, psychologists and community learning disability services when health concerns arise?

This was a focused inspection of Safe and Well-led only; the Effective, Caring and Responsive ratings were carried over from the previous inspection published on 15 August 2018. This explanation was written from the published report of 14 December 2023 by an AI system and checked against the report text: every quoted line appears in the report. It is a guide to the report, not a substitute for it. Read the full report on cqc.org.uk.

The story over the years

Every inspection of Cloud House

4 rated inspections over 8 years: the service has improved, from Requires improvement to Good.

  1. December 2023Goodcurrent ratingstayed Good
    Safe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good

    Read what inspectors found at Cloud House

  2. August 2018Goodup from Requires improvement
    Safe: GoodWell-led: Good

    We are reading this report · the original is on cqc.org.uk

  3. March 2017Requires improvementstayed Requires improvement
    Safe: Requires improvementEffective: Requires improvementCaring: GoodResponsive: GoodWell-led: Requires improvement

    Read this report on cqc.org.uk

  4. June 2016Requires improvement
    Safe: Requires improvementEffective: Requires improvementCaring: GoodResponsive: Requires improvementWell-led: Requires improvement

    Read this report on cqc.org.uk

  5. August 2014

    Report published without a new overall rating.

    Read this report on cqc.org.uk

  6. August 2013

    Report published without a new overall rating.

    Read this report on cqc.org.uk

  7. March 2013

    Report published without a new overall rating.

    Read this report on cqc.org.uk

  8. November 2011

    Registered with the Care Quality Commission on 3 November 2011.

Ratings and report dates from the Care Quality Commission. A service can also be visited without a new rating being published, so the timeline shows published inspections, not every contact the CQC has had with the service.

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Same provider

Other services run by Delrose House Limited

1 other service on the CQC register. A pattern across a group tells you more than one report.

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