CQC report explained · a nursing home
What the CQC found at Craigielea Nursing Home
Rated Good: inspectors found the home performing well and meeting their expectations.
- Safe?
- Good
- Inspectors found people were protected from avoidable harm. There were enough staff, risks were managed, medicines were administered safely, and infection control arrangements were suitable.
- Effective?
- Good
- This key question was not inspected during this focused visit. Its previous rating was used when calculating the overall rating.
- Caring?
- Good
- This key question was not inspected during this focused visit. Its previous rating was used when calculating the overall rating.
- Responsive?
- Good
- This key question was not inspected during this focused visit. Its previous rating was used when calculating the overall rating.
- Well-led?
- Good
- Inspectors found that the provider had acted on the previous inspection findings. Audits, staff support and communication with professionals had improved, although some incident reporting needed to be more open.
What inspectors found, February 2023
Craigielea Nursing Home is rated Good; inspectors found safe care and better management, but some records and incident investigations needed improvement.
This was an unannounced focused inspection on 11 January 2023. Inspectors reviewed information about the home, spoke with people, relatives, staff and professionals, observed care, and checked care, medicines and management records.
The home was rated Good for Safe and Well-led. Inspectors found enough staff, safe medicines practice, suitable infection control, clear corridors and systems for managing risks. People and relatives said people felt safe and well supported.
The home had improved since the previous inspection, which was rated Requires Improvement and published on 13 April 2022. The provider had completed an action plan and was no longer in breach of regulations. However, this inspection only assessed Safe and Well-led. The other key question ratings were carried forward from the previous inspection.
People felt safe
People and relatives told inspectors that people were safe and well supported. Staff responded promptly when people needed help.
“People felt safe and at home.” from the report
Safe staffing
Inspectors found enough care and auxiliary staff to meet people's needs safely and keep the environment suitable.
“There were sufficient care and auxiliary staff to meet people's needs safely, and to ensure the environment was clean and suitable for people.” from the report
Medicines
Medicines were administered safely. Records, audits and guidance for medicines given when needed were clear.
“Medicines administration was safe and there were examples of good practice.” from the report
Improvement since last inspection
The provider had completed an action plan and addressed the areas that had required improvement at the previous inspection.
“The provider had put in place an action plan since our last inspection and addressed all areas where improvement was required.” from the report
Communication
Most people, relatives and professionals were positive about the manager's communication and the home's response to feedback.
“The communication has definitely improved and we have a good system in place.” from the report
Records were sometimes added late
needs fixingSome care records were completed retrospectively because there were not always enough handsets available. The provider said it would improve the availability of handsets.
“Some records had been completed retrospectively because of the availability of handsets to update records.” from the report
Incident investigations needed clearer records
needs fixingInspectors said some investigations were not recorded clearly enough or openly enough for proper scrutiny.
“The recording of some investigations could have been clearer and more open to scrutiny.” from the report
Some responses were defensive
needs fixingThe provider investigated individual incidents promptly, but inspectors said the response to some incidents was not always open and transparent.
“Responses to incidents had at times been defensive rather than open.” from the report
- 01How many handsets are available now, and how do you make sure care records are updated at the time care is given?
- 02How do you record and review incidents so that investigations are clear, open and easy to scrutinise?
- 03What changes have been made since the previous inspection's action plan was completed?
- 04What are the current ratings and recent findings for Caring, Effective and Responsive, which were not inspected during this visit?
- 05How do you use incident reviews, falls reviews and safeguarding reviews to prevent problems happening again?
This was an unannounced focused inspection of Safe and Well-led; the other key question ratings were carried forward from the previous inspection. This explanation was written from the published report of 3 February 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, April 2022
Craigielea Nursing Home was rated Requires Improvement after inspectors found serious safety risks and problems with staff following safety processes.
Inspectors visited the home without notice on 16 and 18 March 2022. They looked at the safety of the building, infection control, medicines, staffing, records and how the home was managed. They spoke with people, relatives and staff and reviewed documents.
The main concerns were about environmental safety. Cleaning products and other potentially dangerous items were not always locked away. Fire escapes contained stored items, a gas meter could not be securely locked, and waste bins were left open. Staff also did not always follow infection control processes.
The home acted after the first visit, but some problems were still present on the second visit. Inspectors found that medicines, staffing, recruitment, safeguarding and pandemic arrangements were safe. They also found positive relationships between people, relatives, staff and managers.
The overall rating changed from Good to Requires Improvement. This focused inspection only rated Safe and Well-led. Ratings for the other areas were carried over from the previous inspection.
Safe medicines
Medicines were managed safely. Staff had regular training and checks of their skills, and a clinically trained member of staff was on site at all times.
“Medicines were managed safely. There was a clinically trained member of staff on site at all times to support with safe medicines management.” from the report
Staffing and recruitment
Inspectors found enough qualified staff and saw that required pre-employment checks had been completed.
“Staff were recruited safely and there were enough qualified staff to safely support people.” from the report
Positive relationships
People were described as happy and content. Relatives spoke positively about staff and the registered manager.
“The [staff] are lovely, a great bunch. I can't fault them. They're really warm and kind with her” from the report
Dangerous items and environmental risks
seriousPeople could access cleaning products, sharp items and other belongings that might cause serious injury. Fire escapes, a gas meter and waste storage also presented safety risks.
“People were at serious risk of harm as staff were not following the registered manager's or provider's processes to keep people safe.” from the report
Infection control
needs fixingStaff did not always store moving and handling equipment and personal care items safely. Inspectors said this increased the risk of cross infection.
“Staff were not always following the provider's processes to keep people safe by reducing the risk of cross infection.” from the report
Following safety procedures
needs fixingThe manager carried out daily environmental checks, but staff continued not to follow the correct processes. This affected the home's ability to manage risks consistently.
“We found that after completing these checks staff continued to not follow the correct processes.” from the report
Management oversight
needs fixingSome staff were not clear about their responsibilities for risk management and health and safety. The management team was taking action to improve this.
“Staff were not clear about their roles and their requirements regarding risk management and health and safety.” from the report
- 01Have all cupboards containing cleaning products, personal care items and sharp items now been kept locked at all times?
- 02What has been done to clear and secure the internal and external fire escapes?
- 03How has the broken gas meter door been repaired or secured, and how are waste bins now kept safe?
- 04What checks now confirm that staff follow infection control and other safety procedures every day?
- 05What action plan was sent to the CQC, and what improvements have been completed since the inspection?
This began as a targeted inspection about specific concerns and was widened to a focused inspection of Safe and Well-led; the other ratings were carried over from the previous inspection. This explanation was written from the published report of 14 April 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.
Every inspection of Craigielea Nursing Home
7 rated inspections over 8 years: the service has improved, from Inadequate to Good.
- February 2023Goodcurrent ratingup from Requires improvementSafe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
- April 2022Requires improvementSafe: Requires improvementWell-led: Requires improvement
- March 2021Inspected but not ratedSafe: Inspected but not rated
- June 2018Goodup from Requires improvementSafe: GoodWell-led: Good
- November 2017Requires improvementstayed Requires improvementSafe: Requires improvementEffective: Requires improvementCaring: Requires improvementResponsive: Requires improvementWell-led: Inadequate
- March 2017Requires improvementstayed Requires improvementSafe: Requires improvementEffective: GoodCaring: GoodResponsive: GoodWell-led: Requires improvement
- December 2015Requires improvementup from InadequateSafe: Requires improvementEffective: GoodCaring: GoodResponsive: Requires improvementWell-led: Requires improvement
- June 2015InadequateSafe: InadequateEffective: InadequateCaring: Requires improvementResponsive: Requires improvementWell-led: Inadequate
- October 2014
Report published without a new overall rating.
- May 2014
Report published without a new overall rating.
- February 2014
Registered with the Care Quality Commission on 12 February 2014.
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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