• Care Home
  • Care home

Cloisters Care Home

Overall: Requires improvement read more about inspection ratings

70 Bath Road, Hounslow, Middlesex, TW3 3EQ (020) 8538 0410

Provided and run by:
Advinia Health Care Limited

Report from 19 January 2024 assessment

Ratings

  • Overall

    Requires improvement

  • Safe

    Requires improvement

  • Effective

    Good

  • Caring

    Good

  • Responsive

    Requires improvement

  • Well-led

    Requires improvement

Our view of the service

Cloisters Care Home is a nursing home for up to 58 older people. The service provides care and support to people with dementia, nursing needs and people being cared for at the end of their lives. People in care homes receive accommodation and nursing or personal care as a single package under one contractual agreement. Cloisters Care Home is a care home with nursing care. CQC regulates both the premises and the care provided, and both were looked at during this inspection. This provider is required to have a registered manager to oversee the delivery of regulated activities at this location. A registered manager is a person who has registered with the Care Quality Commission to manage the service. Registered managers and providers are legally responsible for how the service is run, for the quality and safety of the care provided and compliance with regulations. At the time of our inspection there was not a registered manager in post. A new manager had been recruited and they started work at the service in February 2024. We visited the service on 6 and 13 February 2024. The visits were unannounced. At the time of this assessment 41 people were living at the service. As part of the assessment, we spoke with two external professionals who regularly visited the service, 12 of the people who lived there, 6 relatives and staff on duty and over the phone. -We spoke with the manager, visiting senior managers including the organisation's operational director. We observed how people were being cared for. Our observations included the Short Observational Framework for Inspection (SOFI). SOFI is a way of observing care to help us understand the experience of people who could not talk with us. We looked at a range of records and systems used by the provider to manage the service. Following the site visit, we requested an action plan from the provider so they could tell us how they were addressing immediate risks about medicines management.

People's experience of this service

People were not always safely cared for. The risks to their safety and wellbeing had not always been fully assessed and planned for. Medicines were not always managed in a safe way. The provider did not deploy enough suitably skilled staff to meet people's needs in a safe and personalised way. People did not always receive person centred care, because this had not always been well planned or assessed. The systems to monitor and improve quality of care provided had not always been effectively implemented. The new management of the home and senior managers involved in governance and oversight, had started to address some of the issues. They were in the process of carrying out a range of audits and creating plans to improve the service. Plans for improvement had not yet been embedded. People and their relatives were happy with the staff. They told us staff were kind, caring and compassionate. We also observed positive staff interactions and care.