Background to this inspection
Updated
11 June 2022
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 Health and Social Care Act 2008.
Inspection team
The inspection was carried out by one 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
Cranwell Court is a ‘care home’. People in care homes receive accommodation and nursing and/or personal care as a single package under one contractual agreement dependent on their registration with us. Cranwell Court is a care home without nursing care. CQC regulates both the premises and the care provided, and both were looked at during this inspection.
Registered Manager
This service is required to have a registered manager. A registered manager is a person who has registered with the Care Quality Commission to manage the service. 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.
At the time of our inspection there was a registered manager in post.
Notice of inspection
This inspection was unannounced.
What we did before the 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 (PIR) prior to this inspection. A PIR is information providers send us to give some key information about the service, what the service does well and improvements they plan to make. We used all this information to plan our inspection.
During the inspection
We reviewed a range of records. This included four people's care records and risk assessments. We looked at three staff files in relation to recruitment, staff supervision and training. A variety of records relating to the
management of the service, including policies and procedures were reviewed. We spoke with the registered manager, two senior care workers, nine care staff, a cook, kitchen assistant and a volunteer in the service. We also spoke to four health care professionals and four social care professionals.
Updated
11 June 2022
About the service
Cranwell Court is a residential care home providing personal care for up to 58 older people, people with dementia and younger adults in one adapted building over two floors. At the time of our inspection there were 55 people living at the service.
People’s experience of using this service and what we found
People told us they felt safe and well cared for, staff knew their individual needs well. People and their relatives said they could always go to a staff member or the registered manager if they had any concerns. They spoke positively of staff and management and their overall experience of the care provided.
People received support from staff who were recruited safely and received regular supervision to monitor their performance. Staff attended an induction programme and received ongoing training to support them
to carry out their roles effectively. The provider used a dependency tool to ensure there were enough staff to support people’s needs.
Medicines were managed safely and administered by trained staff.
The premises were clean and tidy, people's rooms were personalised, and communal areas were homely.
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 received a caring and effective service. People's needs were assessed and there were care plans in place, with information for staff about people's needs and preferences.
People told us staff were friendly and respectful and their privacy and dignity was respected and we observed positive interactions with staff. Staff were also responsive to people's individual needs they encouraged them to be as independent as possible and put them at ease when providing support with personal care.
Staff supported people to access healthcare professionals when required and had positive working relationships with external agencies ensuring that people's needs were met in a timely manner.
Any complaints people raised were investigated and responded to. There was an effective quality monitoring system, which ensured checks and audits were carried out, people's views were obtained and listened to and shortfalls were addressed. Accidents and incidents were analysed so that lessons could be learned. The provider had oversight of the service and completed regular checks.
The service benefitted from an experienced registered manager and deputy managers, who promoted a positive, person-centred culture. Staff felt supported and enjoyed their work. They spoke warmly about the people they cared for.
For more details, please see the full report which is on the Care Quality Commission website at www.cqc.org.uk
Rating at last inspection
This service was registered with us on 15 November 2019 and this is the first inspection.
The last rating for the service under the previous provider was Good, published on 30 October 2018.
Why we inspected
This inspection was prompted by a review of the information we held about this service. 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.
Follow up
We will continue to monitor information we receive about the service, which will help inform when we next inspect.