Archived: Cranwell Court

Updated 31 October 2018

We carried out this inspection under Section 60 of the Health and Social Care Act 2008 as part of our regulatory functions. This inspection was planned to check whether the registered provider was meeting the legal requirements and regulations associated with the Health and Social Care Act 2008, to look at the overall quality of the service, and to provide a rating for the service under the Care Act 2014.

This comprehensive inspection took place on 8 and 9 October 2018. On the first day of the inspection, the team consisted of an inspector, an expert by experience and a specialist professional advisor who specialised in the care of people living with dementia. The second day of the inspection was completed by one inspector.

We used the information the provider sent us in the Provider Information Return (PIR). This is information we require providers to send us at least once annually to give some key information about the service, what the service does well and improvements they plan to make.

Prior to the inspection we reviewed information we held about the service and requested feedback from other stakeholders. These included the local Healthwatch, the local authority safeguarding team and local authority commissioning and contracts department. Healthwatch is an independent consumer champion that gathers and represents the views of the public about health and social care services in England.

We used the Short Observational Framework Tool for Inspection (SOFI). SOFI is a way of observing care to help us understand the experience of people who used the service. We observed staff interacting with people and the level of support provided to people throughout the day, including meal times.

During the inspection we spoke with twelve people who used the service, nine of their relatives and four visiting professionals. We also spoke with the registered manager and 10 staff; this included, team leaders, senior care workers, care workers, the cook, activities coordinator and the laundry assistant.

We looked at six people’s care files and reviewed medication administration records. The recruitment records, supervision, appraisal and training documents for three members of staff were also looked at. We reviewed documents and records that related to the management of the service. This included audits, maintenance records, risk assessments and policies and procedures.

Updated 31 October 2018

This comprehensive inspection took place on the 8 and 9 October 2018 and was unannounced.

Cranwell Court 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.

Cranwell Court is registered with the Care Quality Commission to provide personal care for up to 56 older people who may be living with dementia in one adapted building. The main area of the service is the Residential Unit and accommodates older people who may be living with dementia. There is a separate wing, known as the Enhanced Dementia Unit, which provides support to older people living with more complex needs around their dementia. The placements in this unit are all contracted by the Clinical Commissioning Group (CCG)and supported by NAViGO, a Community Interest Company and a not for profit social enterprise that emerged from the NHS, to run all local mental health and associated services in North East Lincolnshire. People there are jointly supported by the service and NAViGO along with input from professionals from the CCG. There were 54 people using the service at the time of this inspection.

At our last inspection in April 2016 we rated the service good. At this inspection we found the evidence continued to support the rating of good and there was no evidence or information from our inspection and on-going monitoring that demonstrated serious risks or concerns. This inspection report is written in a shorter format because our overall rating of the service has not changed since our last inspection.

People continued to feel safe using the service and staff ensured that risks to their health and safety were reduced. Suitable numbers of staff were recruited and deployed to meet people’s needs. Safeguarding policies and procedures were in place and staff were aware of the procedures to follow in the event of concerns. People were supported to take their medicines safely. Good standards of hygiene were maintained.

There was a positive and inclusive atmosphere within the home. Staff were compassionate, kind and caring and had developed good relationships with people. Staff knew people well and promoted their dignity and respected their privacy. Care plans were person-centred and detailed. People who used the service were provided with the care, support and equipment they needed to maintain their independence. They participated in a wide range of meaningful activities within the service and in the community.

People were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible; policies and procedures in the service supported this practice.

People’s nutritional needs were assessed and they enjoyed good food. Staff worked closely with healthcare professionals to make sure the care and support met people’s needs and they received medical attention when necessary.

Staff received a range of training and we received positive feedback about the effective care and support they provided. The registered manager used supervisions and an annual appraisal to support staff’s continued professional development.

The provider and registered manager consistently monitored the quality of the service and made changes to improve and develop the service, considering people’s needs and views. People, relatives, visiting professionals and staff all gave us positive feedback about the management team. Effective systems were in place to manage complaints and concerns.