CQC report explained · a residential care home
What the CQC found at Crabwall Hall
Rated Good: inspectors found the home performing well and meeting their expectations.
- Safe?
- Good
- People were protected from avoidable harm. Risk assessments, safeguarding procedures, medicines, staffing, infection control and accident records were managed appropriately.
- Effective?
- Good
- This question was not rated in this inspection.
- Caring?
- Good
- This question was not rated in this inspection, although people and relatives spoke positively about staff's kindness and knowledge of individual preferences.
- Responsive?
- Good
- This question was not rated in this inspection. The report says care plans were person-centred and set out people's individual needs.
- Well-led?
- Good
- The home had regular audits, action plans when issues were found, meetings and surveys for people's views, and approachable management.
What inspectors found, August 2023
Rated Good; inspectors found safe care, enough staff and strong management.
This was an unannounced inspection on 2 and 8 June 2023. One inspector spoke with people, relatives and staff, and reviewed care records, medicines, recruitment files and management records.
The inspectors found that people were safe. Risks were reviewed, medicines were managed safely, staffing met people's needs, and the home was clean. People and relatives said they felt safe and that staff were kind and available.
The home was also judged well-led. Care plans were personal to each person, people and families were asked for their views, and regular audits were used to check the quality of care. Safe and well-led were both rated Good.
Enough staff
Staffing levels met people's needs during the day and night. Inspectors saw staff respond promptly and in a patient, helpful and friendly way.
“Rotas were available confirming that appropriate staffing levels were maintained to meet people's needs during the day and night.” from the report
Safe medicines
Medicines were stored securely and given by trained staff whose competence had been checked.
“Medication was stored securely and administered by staff who had been appropriately trained and had had their competency confirmed to do this safely.” from the report
Good safety checks
Risks, emergency evacuation plans, equipment and fire systems were checked and reviewed. Accidents and incidents were recorded and assessed for patterns.
“All risk assessments were up to date and were reviewed regularly.” from the report
People's views included
People, relatives and staff were consulted through meetings and surveys. The report says people felt listened to.
“Regular surveys are sent to all stakeholders enabling them to comment on the quality of care provided.” from the report
Inspectors raised no specific concerns in this report.
- 01What were the findings and ratings for Effective, Caring and Responsive at the last comprehensive inspection?
- 02How do you check that staffing levels continue to meet people's needs on every shift?
- 03How are medicines reviewed when a person's health or needs change?
- 04How do you involve relatives in care plan reviews and respond to concerns they raise?
- 05What recent improvements have come from the home's audits, resident meetings or surveys?
This inspection looked at Safe and Well-led only; the report does not give ratings for Effective, Caring or Responsive in this visit. This explanation was written from the published report of 9 August 2023 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.
What inspectors found, February 2021
Crabwall Hall was inspected but not rated; inspectors were assured that infection prevention and control arrangements were safe during the COVID-19 outbreak.
This was an announced, targeted inspection on 26 January 2021. It looked only at infection prevention and control arrangements because of the COVID-19 outbreak.
Inspectors were assured that the home was using protective equipment safely, arranging testing, managing admissions and outbreaks, and following shielding and social distancing rules. They also found updated policies, clear signs and protective equipment stations around the home.
People could not have in-person visitors at the time, but they could use telephone and video calls. An outdoor visiting room with screens and a hearing loop had been available before the current outbreak. The service was inspected but not rated, so this report does not give a full quality rating.
Clear infection control policies
The home had clear, regularly updated policies for managing risks linked to COVID-19.
“The provider had developed robust policies and procedures to manage any risks relating to the COVID-19 pandemic.” from the report
Protective equipment and testing
Staff had access to the protective equipment they needed, and regular testing was arranged for staff and residents.
“The registered manager had ensured systems were in place to implement regular testing of both staff and residents.” from the report
Positive views from residents
People receiving care spoke positively about the care and said they were happy living at the home.
“People receiving care spoke positively about the care they received and told us they were happy living at Crabwall Hall.” from the report
Inspectors raised no specific concerns in this report.
- 01What visiting arrangements are in place now, and how do you support residents who cannot have in-person visitors?
- 02How often are staff and residents tested for COVID-19?
- 03How do you make sure staff use the correct protective equipment when caring for someone who has tested positive?
- 04What happens if there is a new infection outbreak in the home?
This was a targeted inspection of infection prevention and control during the COVID-19 outbreak; it did not provide a full rating or assess all areas of the service. This explanation was written from the published report of 12 February 2021 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.
Every inspection of Crabwall Hall
3 rated inspections over 7 years: the service has held its Good rating throughout.
- August 2023Goodcurrent ratingSafe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
- February 2021Inspected but not ratedSafe: Inspected but not rated
- January 2019Goodstayed GoodSafe: GoodWell-led: Good
- March 2016GoodSafe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
- February 2014
Report published without a new overall rating.
- March 2013
Report published without a new overall rating.
- February 2012
Report published without a new overall rating.
- November 2010
Registered with the Care Quality Commission on 30 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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84 live-in carers within about an hour of Cheshire West and Chester
These are self-employed carers on PrimeCarers, the introductory agency that runs this directory. Each has a profile with their own rates and reviews from families, and you choose who to talk to.
Most charge £980 to £1,260 a week. 76 can care for a couple. 10 years' experience on average.
“She is an exemplary carer, she is knowledgable empathetic and very respectful in the home.”
“It was clear that she genuinely cared and her warm approach really helped put our minds at ease.”
Every carer has had an enhanced DBS check in the last 18 months, ID and right-to-work checks and an online interview. Their skills and training are for you to check with them. Carers set their own rates, and who is free changes week to week.