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CQC report explained · a residential care home

What the CQC found at Cranlea

Goodpublished 13 February 2021, 5 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 the home was preventing and managing infection risks. They found suitable PPE, testing arrangements, social distancing, hygiene practices and an up-to-date infection prevention and control policy.
Effective?
Good
Does the care work? Training, consent, food and drink, working with GPs and nurses.
Caring?
Good
Are people treated with kindness and dignity?
Responsive?
Good
Is care built around the person? Care plans, activities, complaints.
Well-led?
Good
Is the home run well? The manager, the culture, how problems get found and fixed.
The latest report, explained

What inspectors found, February 2021

Rated Good overall; a targeted inspection found strong infection prevention and control arrangements, but Safe was inspected without a rating.

Inspectors visited the home on 29 January 2021. The visit was announced and focused on infection prevention and control during the coronavirus pandemic.

The home had enough suitable personal protective equipment, stored it hygienically, and had separate areas for staff to put it on, remove it and dispose of it. Staff did not work across different care homes and followed social distancing and PPE guidance.

Inspectors were assured about visitor safety, admissions, testing, PPE use, hygiene, outbreak management and the infection control policy. The service was rated Good overall, but this inspection did not give a rating for Safe.

What inspectors praised
  • PPE and hygiene

    The home had enough suitable PPE and stored it safely. Staff had separate areas for putting on, removing and disposing of PPE.

    “The home had sufficient supplies of appropriate PPE which was stored hygienically and kept safe.” from the report
  • Staff infection control training

    All staff, including catering and housekeeping staff, had training in infection prevention and control, including PPE and hand hygiene.

    “All staff, including catering and housekeeping staff had undertaken training in infection prevention and control.” from the report
  • Managing COVID-19 risks

    Staff understood how to support people who had tested positive or had symptoms. Staff did not work across care homes and followed social distancing and PPE guidance.

    “Staff demonstrated a good knowledge of how to safely support people that had tested positive or were showing symptoms of COVID-19.” from the report
  • Monitoring safety

    Senior staff described systems for checking that the home was providing safe care.

    “The senior staff explained the quality systems they had in place to check the service was providing safe care.” 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. 01How are PPE supplies stored and monitored now?
  2. 02How do you prevent staff from working across different care homes?
  3. 03What training have all staff completed in infection prevention and control since this inspection?
  4. 04How do you manage admissions and testing when someone may have COVID-19?
  5. 05How would you prevent or manage an infection outbreak in the home?

This was a targeted inspection of infection prevention and control during the coronavirus pandemic; Safe was inspected but not rated and the report does not assess all areas of care. This explanation was written from the published report of 13 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.

An earlier report, explained

What inspectors found, March 2020

Cranlea was rated Good in all areas; inspectors found safe, kind and personalised care, with mixed views about activities.

This was an unannounced inspection on 10 February 2020. Inspectors reviewed care, medicines and recruitment records, checked the building, observed communal areas, and spoke with people, relatives and staff.

The home supported 37 people with personal or nursing care. Inspectors found people were safe, treated with dignity and respect, and supported by staff who understood their needs. Medicines, risk assessments, staffing and recruitment were managed safely.

Care plans were detailed and person-centred. People were supported with meals, healthcare, communication, activities and choices. The home had a quality monitoring system, and the manager used feedback, audits and learning from incidents to make improvements.

All five areas were rated Good. This means the inspectors found consistently good outcomes and care at the time of the inspection. The overall rating was unchanged from the previous inspection, published on 1 July 2017.

What inspectors praised
  • Kind and respectful staff

    People and relatives were very positive about staff. Inspectors saw staff providing reassurance and emotional support, while respecting privacy and dignity.

    “People and relatives we spoke with were very happy with the support they received from staff.” from the report
  • Personalised care

    Care plans reflected people's likes, dislikes and support needs. Staff could follow the guidance and involved people and relatives in reviews.

    “Care plans were detailed and helped staff to deliver person-centred care.” from the report
  • Safe medicines and risk management

    Medicines were ordered, stored, administered and disposed of appropriately. Risks such as falls and choking were assessed, with guidance for staff to follow.

    “Medicines were safely managed. Staff had regular checks to make sure they were competent to administer medicines to people.” from the report
  • Good oversight

    The manager used feedback, audits and learning from incidents to monitor and improve the care provided. Staff, people and relatives were encouraged to speak openly.

    “There was a robust quality and assurance system in place to monitor the quality of care provided.” from the report
What inspectors were concerned about
  • Mixed views about activities

    minor

    Activities were available and staff worked to reduce social isolation, but not everyone felt there was enough to do. The home should make sure activities meet different people's interests and preferences.

    “I would like more activities to join in with. It gets a bit boring in here,” from the report
Questions to ask them, based on this report
  1. 01How do you find out what activities each person enjoys, and how do you respond when someone feels there is not enough to do?
  2. 02What work remains on the second floor to make it more dementia-friendly?
  3. 03How often are care plans and risk assessments reviewed with the person and their relatives?
  4. 04How will you keep families involved in reviews of medicines and healthcare needs?
  5. 05What feedback have people and relatives recently given, and what changes have you made as a result?

This was an unannounced planned inspection covering all five CQC questions, including the premises and care provided; all five ratings were Good and unchanged from the previous inspection. This explanation was written from the published report of 4 March 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 Cranlea

4 rated inspections over 6 years: the service has held its Good rating throughout.

  1. February 2021Goodcurrent ratingstayed Good
    Safe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good

    Read what inspectors found at Cranlea →

  2. March 2020Goodstayed Good

    Read what inspectors found at Cranlea →

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

    Read this report on cqc.org.uk

  4. December 2014Good
    Safe: GoodEffective: GoodCaring: GoodResponsive: OutstandingWell-led: Good

    Read this report on cqc.org.uk

  5. September 2013

    Report published without a new overall rating.

    Read this report on cqc.org.uk

  6. June 2013

    Report published without a new overall rating.

    Read this report on cqc.org.uk

  7. February 2013

    Report published without a new overall rating.

    Read this report on cqc.org.uk

  8. January 2013

    Report published without a new overall rating.

    Read this report on cqc.org.uk

  9. October 2012

    Report published without a new overall rating.

    Read this report on cqc.org.uk

  10. November 2010

    Registered with the Care Quality Commission on 25 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.

Next steps

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