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CQC report explained · a residential care home

What the CQC found at 58 Crantock Drive

Goodpublished 18 February 2020, 6 years ago

Rated Good: inspectors found the home performing well and meeting their expectations.

The five questions inspectors ask
Safe?
Good
Inspectors were assured that infection risks were being managed. This included testing, protective equipment, hygiene, visiting arrangements and outbreak management.
Effective?
Good
This area was not rated or assessed in this targeted inspection.
Caring?
Good
This area was not rated or assessed in this targeted inspection.
Responsive?
Good
This area was not rated or assessed in this targeted inspection.
Well-led?
Good
This area was not rated or assessed in this targeted inspection.
The latest report, explained

What inspectors found, March 2022

Inspected but not rated; inspectors found good infection control and flexible support during a COVID-19 outbreak.

This was a targeted inspection on 15 February 2022. Inspectors looked at infection prevention and control during a COVID-19 outbreak, and asked about staffing pressures. The visit was announced 24 hours in advance.

The home had checks for visitors, testing arrangements, protective equipment and hand hygiene measures. Inspectors found the home clean, with infection control tasks recorded and checked. Staff had recent infection control training and used protective equipment effectively.

The home supported visits in line with government guidance. Essential care givers could visit more often after following the same testing and protective equipment guidance as staff. Staff also adapted the environment to help people manage self-isolation.

The service was inspected but not rated. This means the report does not give a Good, Requires improvement or Inadequate rating from this inspection.

What inspectors praised
  • Infection control

    Visitors were checked, testing and protective equipment were in place, and the home had arrangements to prevent and manage outbreaks.

    “We were assured that the provider was preventing visitors from catching and spreading infections.” from the report
  • Clean environment

    The home was clean and infection control work was recorded, checked and regularly audited.

    “The service was clean, and tasks were recorded and checked.” from the report
  • Family visits

    Friends, family and essential care givers received updates and could visit under the relevant safety guidance.

    “Essential care givers were able to visit individuals more often to provide additional care and support.” from the report
  • Individual support

    Staff knew people well and adapted the environment during the outbreak to help people cope with self-isolation.

    “During an outbreak of covid 19 at the service, staff adapted the environment safely and creatively to meet people's individual needs and help them cope with self-isolation.” from the report
What inspectors were concerned about

Inspectors raised no specific concerns in this report.

Questions to ask them, based on this report
  1. 01What measures are in place now to manage staffing pressures linked to COVID-19?
  2. 02How would you support my relative's individual needs if they had to self-isolate?
  3. 03How would family visits work during an outbreak, including visits by essential care givers?
  4. 04How do you check that testing, protective equipment and infection control procedures are followed?
  5. 05How do you keep families informed if visiting arrangements or infection risks change?

This was a targeted inspection of infection prevention and control and COVID-19-related staffing pressures; the service was inspected but not rated overall. This explanation was written from the published report of 2 March 2022 by an AI system and checked against the report text: every quoted line appears in the report. It is a guide to the report, not a substitute for it. Read the full report on cqc.org.uk.

An earlier report, explained

What inspectors found, February 2020

58 Crantock Drive is rated Good; inspectors found kind, personalised care, with some medicines checks needing more consistent completion.

This was an unannounced inspection on 16 January 2020. One inspector spoke with two people, staff and managers, reviewed care and medicines records, and later spoke with four relatives.

The home was rated Good in all five areas: Safe, Effective, Caring, Responsive and Well-led. People appeared relaxed and comfortable, and relatives said they were happy with the care.

Inspectors found enough staff, safe medicines administration, person-centred care, meaningful activities and good links with health professionals. Some medicines checks were not always completed, but inspectors said the risk to people was low.

The overall rating stayed Good, as it was at the previous inspection. The Caring rating fell from Outstanding to Good.

What inspectors praised
  • Kind and respectful care

    Staff knew people well and treated them with kindness, dignity and respect. People appeared relaxed and comfortable with staff.

    “Staff were caring and kind towards people, and people appeared relaxed and comfortable in their presence.” from the report
  • Personalised support

    Care plans recorded people's preferences, communication needs and the help they wanted. Staff supported choice and independence.

    “People's care records were person-centred and gave information and guidance about what was important to them and how they wished to be supported.” from the report
  • Meaningful activities

    People took part in regular activities, trips and holidays, and were supported to maintain relationships with friends and family.

    “People and their relatives told us they frequently went out on trips and that events were regularly held at the service.” from the report
  • Good management oversight

    The management team used audits and action plans to check care, medicines, the environment and safety, and acted when shortfalls were found.

    “Quality assurance processes were in place to monitor and improve standards.” from the report
What inspectors were concerned about
  • Medicines checks

    needs fixing

    Some required medicines checks were not completed consistently. This included missing temperature records for a new medicine fridge, although inspectors assessed the risk as low.

    “Some checks required more consistent completion, although any risk to people was low.” from the report
  • Staff vacancies and busy shifts

    minor

    There were staff vacancies and agency workers were sometimes used. Inspectors also heard that some shifts could be busy, although staffing levels were considered safe.

    “Although there were some staff vacancies, an active programme of recruitment was in place.” from the report
  • One recruitment record

    minor

    One staff file did not show evidence that recent checks had been completed. Managers said they would discuss this within the organisation.

    “One staff file did not have evidence of checks being carried out recently.” from the report
Questions to ask them, based on this report
  1. 01What action has been taken to make sure all medicine fridge temperature checks are recorded every time?
  2. 02How many staff vacancies are there now, and how often are agency workers used?
  3. 03How do you make sure busy shifts still give people enough time and attention?
  4. 04What was done about the staff file that did not show recent recruitment checks?
  5. 05How will you maintain the activities, trips and support for relationships described in the report?

This was an unannounced, planned inspection covering all five CQC questions; the previous overall rating was Good, while the previous Caring rating was Outstanding. This explanation was written from the published report of 18 February 2020 by an AI system and checked against the report text: every quoted line appears in the report. It is a guide to the report, not a substitute for it. Read the full report on cqc.org.uk.

The story over the years

Every inspection of 58 Crantock Drive

3 rated inspections over 4 years: the service has held its Good rating throughout.

  1. March 2022Inspected but not ratedcurrent rating
    Safe: Inspected but not rated

    Read what inspectors found at 58 Crantock Drive →

  2. February 2020Goodstayed Good
    Safe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good

    Read what inspectors found at 58 Crantock Drive →

  3. July 2017Goodstayed Good
    Safe: GoodEffective: GoodCaring: OutstandingResponsive: GoodWell-led: Good

    Read this report on cqc.org.uk

  4. November 2015Good
    Safe: GoodEffective: GoodCaring: GoodResponsive: Requires improvementWell-led: Good

    Read this report on cqc.org.uk

  5. July 2013

    Report published without a new overall rating.

    Read this report on cqc.org.uk

  6. October 2012

    Report published without a new overall rating.

    Read this report on cqc.org.uk

  7. April 2012

    Report published without a new overall rating.

    Read this report on cqc.org.uk

  8. November 2010

    Registered with the Care Quality Commission on 11 November 2010.

Ratings and report dates from the Care Quality Commission, Open Government Licence v3.0. A home can also be visited without a new rating being published, so the timeline shows published inspections.

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