Background to this inspection
Updated
21 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
The inspection was carried out by one inspector.
Service and service type
Crann Mor Nursing Home 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. The registered manager was also the provider. This means that they 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 the inspection
The provider completed a Provider Information Return (PIR). This is a form that asks the provider to give some key information about the service, what the service does well and improvements they plan to make. The provider returned the PIR and we took this into account when we made judgements in this report. We reviewed other information that we held about the service such as notifications. These are events that happen in the service that the provider is legally required to tell us about. We used all of this information to plan our inspection.
During the inspection
We spoke with two people who lived at the service and five relatives. 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 also spoke with six members of staff, this included the provider, lead nurse, the activities coordinator and care staff. We spoke with one visiting professional. We reviewed a sample of people’s care and support records. We also looked at records relating to staff recruitment and the management of the service such as incident and accident records, training records, policies, audits and complaints.
After the inspection
We contacted three health and social care professionals who regularly visit the service and received feedback from all of them. We continued to seek clarification from the provider to validate evidence found.
Updated
21 January 2020
About the service
Crann Mor Nursing Home is a care home providing personal and nursing care for up to 24 people. At the time of the inspection 19 people were living at the home. The home is set out over two floors and is located in a residential area of Woking, Surrey.
People’s experience of using this service and what we found
There were a range of checks in place to ensure the environment and equipment in the home were safe. We identified improvements could be made to how the risks associated with water temperatures were taken and recorded. We observed some radiators were uncovered and the risks associated with people coming into contact with them had not been assessed. Whilst the lead nurse reassured us there was no immediate risk to people, they told us they would ensure a risk assessment was completed.
We had not been notified by the provider of all events in line with regulatory requirements. The systems in place to monitor the service had not identified all of the shortfalls in the service.
Areas of the home were worn and in need of redecoration. The provider had an ongoing plan to address this.
People felt safe at the home and with the staff who supported them. There were adequate numbers of staff to meet people’s needs and keep them safe.
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. Staff respected people’s choices and preferences.
People were cared for by staff who were kind and compassionate. Staff were happy in their jobs which helped to provide a warm and relaxed environment for people to live in. People had built good relationships with staff and during the inspection we heard laughter and good-humoured banter.
People’s healthcare needs were identified and met. Staff worked with a range of healthcare professionals to meet people’s needs.
People were supported by caring staff who worked towards promoting their dignity and independence.
People felt confident to raise any concerns. People, their relatives and staff commented positively about the management of the service.
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 (May 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.