Crelake House Residential Care Home

Updated 24 September 2022

The inspection

We carried out this inspection under Section 60 of the Health and Social Care Act 2008 (the Act) as part of our regulatory functions. We checked whether the provider was meeting the legal requirements and regulations associated with the Act. We looked at the overall quality of the service and provided a rating for the service under the Health and Social Care Act 2008.

As part of this inspection we looked at the infection control and prevention measures in place. This was conducted so we can understand the preparedness of the service in preventing or managing an infection outbreak, and to identify good practice we can share with other services.

Inspection team

The inspection team was made up of two inspectors and an Expert by Experience. An Expert by Experience is a person who has personal experience of using or caring for someone who uses this type of care service.

Service and service type

Crelake House is a ‘care home’. People in care homes receive accommodation and nursing and/or personal care as a single package under one contractual agreement dependent on their registration with us. Crelake House is a care home without nursing care. CQC regulates both the premises and the care provided, and both were looked at during this inspection.

Registered Manager

This service is required to have a registered manager. A registered manager is a person who has registered with the Care Quality Commission to manage the service. This means that they and the provider are legally responsible for how the service is run and for the quality and safety of the care provided.

At the time of our inspection there was a registered manager in post.

Notice of inspection

This inspection was unannounced.

What we did before the inspection

We reviewed information we had received about the service since the last inspection. We used the information the provider sent us in the provider information return (PIR). This is information providers are required to send us annually with key information about their service, what they do well, and improvements they plan to make. We used all this information to plan our inspection.

During the inspection

We spoke with the registered manager. We also spoke with five people, five relatives’ and four members of staff. We reviewed a range of records. This included four people’s care records and medication records, staff recruitment files and a range of audit and governance records.

Updated 24 September 2022

About the service

Crelake House Residential Care Home (thereafter referred to as Crelake House) is a residential care home that provides personal care for older people. Crelake House is registered to accommodate 27 people, at the time of the inspection 21 people lived at the service.

People’s experience of using this service and what we found

People were protected from the risk of abuse and avoidable harm as staff were aware of their safeguarding responsibilities and knew how to report any concerns.

There were sufficient numbers of staff available to meet people’s needs. Staff had the knowledge and experience to care and support people living at the service. Care records were reflective of people’s individual needs and risks and how these should be managed to reduce the risk of harm. People’s medicines were given as prescribed. Staff followed infection control guidance and had access to Personal Protective Equipment (PPE).

Staff were recruited safely and received an induction and training to ensure they could meet people’s health and care requirements.

Staff understood their roles and responsibilities. Staff liaised with health and social care professionals to ensure people’s health and care needs were met.

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.

Systems were in place to assess and monitor the quality and safety of the care provided. Health and safety checks of the environment and equipment were in place.

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 good. (Published 21 February 2019).

Why we inspected

The inspection was prompted in part by a notification of an incident following which a person using the service sustained a serious injury. This incident is subject to initial inquiries to determine whether to commence a criminal investigation. As a result, this inspection did not examine the circumstances of the incident. However, the information shared with CQC about the incident indicated potential concerns about the management of risk of medicines. This inspection examined those risks.

We undertook a focused inspection to review the key questions of safe and well-led only.

For those key questions not inspected, we used the ratings awarded at the last inspection to calculate the overall rating.

We looked at infection prevention and control measures under the Safe key question. We look at this in all care home inspections even if no concerns or risks have been identified. This is to provide assurance that the service can respond to COVID-19 and other infection outbreaks effectively.

Follow up

We will continue to monitor information we receive about the service, which will help inform when we next inspect.