Croft Care Home

Updated 11 January 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

This inspection was carried out by one inspector.

Service and service type

The Croft 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 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. The provider was not asked to complete a 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 of this information to plan our inspection.

During the inspection

We spoke with four people who used the service and two relatives about their experience of the care provided. We spoke with seven members of staff including the registered manager, the deputy, senior care workers, care workers and the operational manager. We used 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 reviewed a range of records. This included seven people’s care records and multiple medication 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. We looked at training data, quality assurance and care plans.

Updated 11 January 2020

About the service

The Croft is a care home which can accommodate 30 people in one adapted building providing personal care and accommodation to people aged 65 and over. At the time of the inspection there were 25 people using the service.

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

People were supported by staff who understood how to keep them safe from the risk of abuse. Risks to people were assessed and planned for and there were systems in place to reduce the risk of cross infection. Medicines were stored and administered safely. People were supported by staff that had been recruited safely and there were enough staff to meet people’s needs. When things went wrong systems were in place to ensure there was learning from incidents and actions taken.

People were assessed and plans were put in place to meet their needs. Staff had been trained and had the skills to support people effectively. People received consistent support from staff and their health and dietary needs were managed effectively. People lived in an adapted environment which took account of their individual needs.

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.

People were supported to maintain their independence and could make choices and decisions about their care. Staff treated people with kindness, respect and dignity and people’s privacy was promoted.

People were supported in line with their individual preferences. Staff ensured they communicated with people effectively and supported people to engage in activities of their choice. People had their future wishes considered for end of life care. People understood how to make a complaint.

There were systems in place which promoted person centred care. Staff had opportunities for support from the management team and people were asked for their views. There were governance systems in place which checked on the quality of the service people received. Partnerships were in place with other health professionals and the service adopted a learning culture.

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 11 July 2017).

Why we inspected

This was a planned inspection based on the previous rating.

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.