Craghall Residential Home

Updated 12 August 2021

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. This was a focused inspection to check whether people were receiving safe care and treatment.

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 was carried out by an inspector 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

Craghall Residential Home is a ‘care home’. People in care homes receive accommodation and nursing or personal care as a 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 announced. Having consideration of the coronavirus pandemic, we gave the manager a short period of notice of our arrival. This was to ensure safe systems were in place to protect everyone.

Inspection activity started remotely off site on 6 July 2021 and a site visit to the service took place on 13 July 2021.

What we did before the inspection

We reviewed information we had received about the service since the last inspection, including the notifications we had received from the provider. Notifications are changes, events or incidents the provider is legally obliged to send us within required timescales. 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.

During the inspection

We spoke with seven people who used the service about their experience of the care provided. We spoke with 11 members of staff including the registered manager, home manager, two team leaders, four support workers, two housekeeping staff and a kitchen technician. We made observations around the service.

We reviewed a range of records. This included four people’s care records and two medicines records. We looked at four staff files in relation to recruitment and staff supervision. A variety of records relating to the management of the service, including training information and policies and procedures were reviewed.

After the inspection

We continued to seek clarification from the provider to validate evidence found.

Updated 12 August 2021

Craghall Residential Home is a care home providing personal care for up to 38 older people, including people who may live with dementia. At the time of the inspection 35 people were using the service.

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

Records provided guidance to ensure people received safe, person-centred care and support from all staff members. Systems were in place for people to receive their medicines in a safe way. People received a varied diet.

There was evidence of collaborative working and communication with other professionals to help meet people's needs.

There were enough appropriately skilled and trained staff to meet people’s assessed needs. Robust vetting procedures were in place when recruiting new staff.

People were complimentary about the care provided by staff. They trusted the staff who supported them. They said staff were kind, caring and supportive. One person commented, “I very much trust the staff, if I ask I know they’d do it.”

Staff had received safeguarding training and were clear on how and when to raise their concerns. Where appropriate, actions were taken to keep people safe.

We were assured that the provider was monitoring the use of PPE for effectiveness and people’s safely.

There was a welcoming and cheerful atmosphere at the service. One person told us, "I can’t think of any improvements, it’s a good atmosphere, the staff are so good too."

Staff spoke very positively about working at the home and the people they cared for. Staff said the management team was very approachable and they were supported in their role.

A quality assurance system was in place to assess the standards of care in the service.

People and staff said communication was effective. There were opportunities for people, relatives and staff to give their views about the service.

People were involved in decision making and were supported to have maximum choice and control of their lives. Staff supported them in the least restrictive way possible and in their best interests; the policies and systems in the service supported this practice.

For more details, please see the full report which is on the CQC website at www.cqc.org.uk

Rating for last inspection

The last rating for this service was good (published 9 January 2019).

Why we inspected

We received concerns in relation to staffing and people’s care. As a result, we undertook a focused inspection to review the key questions of safe, effective and well-led only.

We reviewed the information we held about the service. No areas of concern were identified in the other key questions. We therefore did not inspect them. Ratings from previous comprehensive inspections for those key questions were used in calculating the overall rating at this inspection. The overall rating for the service has remained the same. This is based on the findings at this inspection.

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.

We found no evidence during this inspection that people were at risk of harm from these concerns as the provider had taken effective action to mitigate the risks. Please see the safe, effective and well-led sections of this full report.

You can read the report from our last comprehensive inspection, by selecting the ‘all reports’ link for Craghall Residential Home on our website at www.cqc.org.uk.

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.