We carried out a review of the data available to us about Craignair Care Home on 6 July 2023. We have not found evidence that we need to carry out an inspection or reassess our rating at this stage.
This could change at any time if we receive new information. We will continue to monitor data about this service.
If you have concerns about Craignair Care Home, you can give feedback on this service.
Craignair Care Home is a residential care home providing personal care to up to 21 people. The service provides support to older people, including those living with dementia. At the time of our inspection there were 21 people using the service. The service was based in a converted Victorian house. Accommodation was based over 3 floors and people had access to an enclosed rear garden.
People’s experience of using this service and what we found
At the last inspection we found the safety and quality of people’s care was compromised. Since the last inspection, the service had undergone a change of registered manager. They had implemented an action plan to address the breaches of regulation and recommendations made at the last inspection and had made improvements to all aspects of the service.
People living at Craignair Care Home benefited from a service that was safe, effective, caring, responsive and well led.
People received their medications as prescribed and in a safe way. Medicines were administered by staff who were trained and had their competency assessed.
Regular health and safety checks were carried out to ensure the home was safe for people to live in. Risks to people were identified, managed and mitigated by staff to lessen the risk of harm to people.
Staff recruitment processes ensured staff were safe to work with people. Staff received the necessary training and support to help deliver care to people which was tailored to their 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 told us they felt at home at Craignair and appeared calm and at ease in their surroundings. The home had undergone refurbishment to help improve the environment for people living with dementia. People and their relatives told us they were cared for by staff who were caring, kind and respectful.
The registered manager helped instil a positive culture which was committed to delivering high-quality and person-centred care to people. Staff understood, shared and practiced these values.
The service had worked in collaboration and partnership with other relevant organisations to make improvements to the service and to help achieve better and more positive outcomes for people.
For more details, please see the full report which is on the CQC website at www.cqc.org.uk
Rating at last inspection and update
The last rating for this service was requires improvement (report published 14 January 2020), and the service was in breach of regulations.
At this inspection we found improvements had been made and the provider was no longer in breach of regulations.
Why we inspected
We carried out an unannounced comprehensive inspection of this service on 13 November 2019. A breach of legal requirement was found in relation to safe care and treatment. The provider completed an action plan after the last inspection to show what they would do and by when to improve.
We undertook this inspection to check they had followed their action plan and to confirm they now met legal requirements.
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.
The overall rating for the service has changed from requires improvement to good based on the findings of this inspection.
You can read the report from our last comprehensive inspection, by selecting the ‘all reports’ link for Craignair Care Home on our website at www.cqc.org.uk.
Follow up
We will continue to monitor information we receive about the service, which will help inform when we next inspect.
Craignair Care Home is a residential care home providing personal care to 21 older people, living with dementia at the time of the inspection. The service is provided from a large adapted domestic-style property, with several communal areas and provides people with their own private bedrooms. There are two shared bedrooms. The service can support up to 21 people.
People’s experience of using this service and what we found
The service had experienced a period of instability with the management of the service. A new registered manager and deputy manager had been appointed and had been in post for around three months at the time of our inspection. They were working to make improvements to all aspects of the service. Feedback from people’s relatives confirmed this and confirmed they had already seen improvements. The registered manager recognised the importance of the improvements required and was committed to seeing them through.
We have made a recommendation about ensuring the effective operation of systems to assess, monitor and improve the quality of the service provided. The registered manager engaged with people, their relatives and staff through face to face meetings. The management team understood their responsibilities and had made improvements to the organisation of the service.
People’s medicines were not always managed safely and properly. The registered manager was addressing inconsistencies in risk management. The provider had systems to protect people from abuse and recruited staff safely. The registered manager used accidents and incidents as opportunities to learn and make improvements to the service.
We have made a recommendation about the service’s application of the principles of the Mental Capacity Act 2005. 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. We have made a recommendation about ensuring care planning is fully reflective of people’s needs and circumstances. We have made a recommendation about providing a dementia friendly environment for people who use the service.
We have made a recommendation around care planning and ensuring important information about people and their care needs is recorded to guide staff. The service put people at the centre of the care they received. Staff used assessments to identify people’s needs and preferences and worked with people and their relatives to ensure people were happy with the care they received. If people were not happy, they were confident they could speak with staff to make improvements. The service made sure people were supported to communicate and planned activities to enhance people’s wellbeing.
People were cared for by staff who were well supported. The registered manager had a plan to address gaps in staff training. Staff supported people with their healthcare needs and worked well with external healthcare professionals. The service met people’s nutritional needs and worked with them to make sure food provision also reflected their preferences.
People were treated well, with kindness and compassion by staff who respected their privacy and dignity and promoted inclusion. The service supported people to be as independent as they were able. We received positive feedback about the caring approach of staff.
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 05 December 2017). Since this rating was awarded the registered provider of the service has changed. We have used the previous rating to inform our planning and decisions about the rating at this inspection.
Why we inspected
This was a planned inspection based on the previous rating.
Follow up
We will request an action plan for 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.