Background to this inspection
Updated
12 February 2020
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 Care Act 2014.
Inspection team
The inspection was carried out by one inspector
Service and service type
35 Cranbrook Road is a ‘care home’. People in care homes receive accommodation and nursing or personal care as single package under one contractual agreement. CQC regulates both the premises and the care provided, and both were looked at during this inspection.
The service had a manager registered with the Care Quality Commission. 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.
Notice of inspection
This inspection was unannounced.
What we did before inspection
We reviewed information we had received about the service since the last inspection.
We sought feedback from the local authority and professionals who work with the service. We used the information the provider sent us in the provider information return. This is information providers are required to send us with key information about their service, what they do well, and improvements they plan to make. This information helps support our inspections. We used all this information to plan our inspection.
During the inspection
We met four people who lived at the home to talk to them about their experience of the care provided.
We spoke with four members of staff including a senior manager, a team leader and two support staff.
We reviewed a range of records. This included one person’s care records and three medicine records.
We looked at two staff files in relation to recruitment and staff supervision. A variety of records relating to the management of the service including policies and procedures were reviewed.
After the inspection
We continued to seek clarification from the provider to validate evidence found.
Updated
12 February 2020
About the service: 35 Cranbrook Road Care Home is registered to provide personal care and accommodation for up to five people. The service supports people with complex mental health needs. We met four people who were living at the home on the day of our visit.
People’s experience of using this service and what we found
The staff who supported people were not always being properly supervised and supported in their work. This meant there was a risk staff could be providing care that was not safe or suitable for people. We asked a senior manager about this. They recognised there was work needed to ensure all supervisions were completed.
Some care plans and risk assessments had not been updated and reviewed to make sure they were accurate and up to date.There were audit systems in place however the registered manager’s audits had not identified the shortfalls we found. These audits were meant to be completed to improve the care and service.
People felt they were well supported and their full range of needs had been assessed.
Care plans and risk assessments were in place to support staff so people's individual needs could be met and risks minimised.
People’s medicines were managed safely by staff who were trained and competent to do this. To support staff there were medicines policies and procedures. This information was up to date and easily available for staff. There was also good practice guidance.
If there was a major emergency there were procedures and contingency plans in place. Staff had plenty of personal protective equipment (PPE) such as gloves and aprons. An infection control policy and procedure were in place and staff had completed training in this area
People told us positive things about life at the home. One comment was “It’s nice.” Safe recruitment procedures were in place and staff were supported to fulfil their role with training and learning updates.
The staff and management team worked with other health and social care professionals. For example, when needed community psychiatric nurses supported people at the home.
People knew about their care plans. No one we asked said they wanted to be included in regularly reviewing and updating them with the staff. However, records showed some people had been involved in this process.
People were supported by a staff team who had built up positive relationships with people and their relatives. They understood how to meet each person’s needs and knew their wishes and preferences. There was rare use of agency staff and this was to ensure people received continuity of care.
People's privacy and dignity was respected and staff were kind and caring.
People's dietary needs were identified and met. People spoke positively about the meals.
People were supported to have maximum choice and control of their lives and staff supported support them in the least restrictive way possible and in their best interests; the policies and systems in the service supported this practice.
People took part in range of activities and spoke positively about these. People were encouraged to maintain contact with relatives and friends.
There was a complaints procedure in place .People knew how to make their views known if they were unhappy in anyway.
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, (report published March 2017)
Why we inspected: This was a planned inspection based on the previous rating.
Follow up - We will request an action plan from the provider to understand what they will do to improve the standards of quality and safety. We will work alongside the provider and local authority to monitor progress. We will return to visit as per our re-inspection programme. If we receive any concerning information we may inspect sooner.
You can read the report from our last comprehensive inspection, by selecting the ‘all reports’ link for 35 Cranbrook Road on our website at www.cqc.org.uk.