CQC report explained · a residential care home
What the CQC found at Craghall Residential Home
Rated Good: inspectors found the home performing well and meeting their expectations.
- Safe?
- Good
- People were protected from abuse and avoidable harm. Inspectors found enough staff, safe recruitment, safer medicines systems and effective infection control.
- Effective?
- Good
- People's health, dietary and care needs were assessed and reviewed. Staff worked with health professionals and received training, supervision and support.
- Caring?
- Good
- This question was not inspected during this focused visit. The report says the previous rating was used in calculating the overall rating.
- Responsive?
- Outstanding
- This question was not inspected during this focused visit. The report says the previous rating was used in calculating the overall rating.
- Well-led?
- Good
- The home had regular checks, audits and systems for learning and improvement. People and staff were involved in decisions and gave positive feedback about communication and management.
What inspectors found, August 2021
Rated Good; inspectors found safe, effective and well-led care, with earlier concerns addressed.
This was a focused inspection. The inspection work started remotely on 06 July 2021, followed by a visit to the home on 13 July 2021. Inspectors spoke with seven people, 11 staff and other professionals. They also observed the home and checked care, medicines, recruitment and management records.
The inspection followed concerns about staffing and people's care. Inspectors found enough trained staff, safe recruitment, suitable care guidance and safe medicines systems. They also found that extra checks and monitoring had reduced risks linked to falls and pressure area care.
The home was rated Good overall. Safe, Effective and Well-led were each rated Good. Caring and Responsive were not inspected during this visit, so their previous ratings were used when calculating the overall rating.
Enough trained staff
Inspectors found enough staff with suitable skills and training to meet people's assessed needs. Recruitment checks were also in place.
“There were enough appropriately skilled and trained staff to meet people's assessed needs.” from the report
Safer care after concerns
The home had strengthened its monitoring after falls and pressure area care incidents. Inspectors found more robust analysis of accidents and incidents.
“This had improved with additional measures put in place to reduce such incidents, including additional checks and monitoring.” from the report
Good health support
Care plans gave staff detailed guidance about people's health needs. Staff communicated effectively with visiting health professionals.
“There was effective communication between staff and visiting professionals and staff followed guidance provided to ensure people's needs were met.” from the report
Safe infection control
The home was clean and tidy. Staff had suitable protective equipment, training and hand sanitiser available.
“An effective infection control system was in place to keep people safe and reduce the spread of infection.” from the report
People involved
People were involved in decisions about their care and daily lives. The home held regular group and individual meetings.
“People were involved in decisions about their care. They were encouraged to be involved in the running of the service.” from the report
Inspectors raised no specific concerns in this report.
- 01How are you currently monitoring and reducing the risk of falls and pressure area problems?
- 02How do you make sure there are enough trained staff on each shift to meet residents' changing needs?
- 03How do you check that medicines are ordered, stored, given and recorded safely?
- 04How do you make sure specialist equipment, such as profiling beds, is provided when a resident needs it?
- 05How will you keep families informed about changes in a resident's health or care needs?
This was a focused inspection of Safe, Effective and Well-led only; Caring and Responsive were not inspected and their previous ratings were carried over. This explanation was written from the published report of 12 August 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.
What inspectors found, February 2021
Craghall Residential Home was inspected but not rated; inspectors were assured about infection control, staffing and visiting arrangements.
This was an announced, targeted inspection on 20 January 2021. It focused on infection prevention and control during a COVID-19 outbreak, as well as staffing.
Inspectors were assured that the home was managing visitors, PPE, testing, shielding, social distancing, cleaning and infection outbreaks safely. They also found enough staff cover without using agency staff.
The home had introduced extra cleaning and activities to reduce the effects of lockdown isolation. It had also installed an outdoor visiting pod so relatives could see people living there.
The service was inspected but not rated. This report is therefore not a full quality rating of the home, and it does not assess all five areas of care.
Infection control
Visitors were checked before entry, and PPE and handwashing facilities were available.
“All visitors had to undergo a temperature check and answer a range of relevant questions before entry. There was ample PPE and handwashing facilities available.” from the report
Staffing cover
The home covered shifts and used additional staff hours during the outbreak without needing agency staff.
“The acting manager had covered shifts and staff had worked additional hours during the outbreak to ensure people's needs could be met without the need for agency staff.” from the report
Cleaning
Inspectors found that extra cleaning arrangements were in place.
“Rigorous additional cleaning regimes were in place.” from the report
Keeping relatives connected
The home installed an outdoor visiting pod to support regular visits during lockdown.
“The provider had installed an outdoor visiting pod so relatives could see their loved ones regularly.” from the report
Reducing isolation
The acting manager and staff had changed systems and activities to reduce the effects of lockdown isolation and inactivity.
“The acting manager had worked with staff to improve systems and processes to reduce the risks faced by prolonged periods of isolation and inactivity, brought about by the lockdown.” from the report
Inspectors raised no specific concerns in this report.
- 01What infection prevention and control arrangements are in place now, including PPE, testing, cleaning and managing outbreaks?
- 02How many staff are usually on each shift, and when was agency staff last needed?
- 03Is the outdoor visiting pod still available, and what visiting arrangements are currently offered?
- 04How do you now reduce isolation and inactivity for people living in the home?
- 05When was the home last inspected for the other areas of care that were not covered in this targeted inspection?
This was an announced, targeted inspection of infection prevention and control and staffing during a COVID-19 outbreak; it did not provide ratings for the other areas of care. This explanation was written from the published report of 20 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 Craghall Residential Home
3 rated inspections over 5 years: the service has held its Good rating throughout.
- August 2021Goodcurrent ratingSafe: GoodEffective: GoodCaring: GoodResponsive: OutstandingWell-led: Good
- February 2021Inspected but not ratedSafe: Inspected but not rated
- January 2019Goodstayed GoodSafe: GoodEffective: GoodWell-led: Good
- September 2016GoodSafe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
- July 2014
Report published without a new overall rating.
- May 2014
Report published without a new overall rating.
- July 2013
Report published without a new overall rating.
- December 2012
Report published without a new overall rating.
- February 2012
Report published without a new overall rating.
- January 2011
Registered with the Care Quality Commission on 28 January 2011.
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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36 live-in carers within about an hour of Newcastle upon Tyne
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