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CQC report explained · a residential care home

What the CQC found at Cranmer Court

Goodpublished 30 October 2018, 7 years ago

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

The five questions inspectors ask
Safe?
Good
People were protected from abuse and risks were assessed. Staffing was adjusted to people's needs, but inspectors found five missed lunchtime medicines for one person when away from the home.
Effective?
Good
Staff had relevant training and support. People were supported with decisions, food, health appointments and health action plans.
Caring?
Good
Staff treated people with kindness, respect and dignity. People were supported to make choices and keep relationships with family and friends.
Responsive?
Good
Care was planned with people and adapted to their needs. People took part in activities such as cooking and horse riding, and worked towards personal goals.
Well-led?
Good
The home had a registered manager, supportive leadership and regular quality checks. However, the audit process had not identified the missed medicines.
The latest report, explained

What inspectors found, October 2018

Cranmer Court was rated Good overall; inspectors found kind, personalised care, with one medicines mistake needing improvement.

This was an unannounced comprehensive inspection on 4 and 12 September 2018. The inspector spoke with people living in the home, staff, managers and relatives. They also reviewed care records, medicines, training, safety checks and quality audits.

The home was rated Good in all five areas: Safe, Effective, Caring, Responsive and Well-led. People were supported to make choices, take part in activities, keep relationships and access education, work and the local community.

Inspectors found enough trained staff, clean accommodation and good support with health, food and communication. Staff were described as kind and respectful, and people appeared happy and relaxed.

There was one medicines problem. One person's lunchtime medicines were missed five times over five weeks when they were away from the home. The provider changed its medicines policy and was given recommendations to keep the new practice in place and improve its medicines audits.

What inspectors praised
  • Personalised support

    Care was planned with people and reflected their choices, communication needs and personal goals.

    “People's care and support was planned in partnership with them.” from the report
  • Kind and respectful staff

    Inspectors found a warm atmosphere and positive relationships. Staff respected people's dignity, privacy and decisions.

    “There was a warm, caring atmosphere in the home. People clearly had good relationships with staff and they appeared relaxed in their company.” from the report
  • Activities and independence

    People were supported to take part in activities they enjoyed and to access education, work and the local community.

    “People were supported to live as full a life as possible.” from the report
  • Good health support

    People had health action plans and were supported to obtain treatment and specialist help when needed.

    “People were supported to stay healthy and to obtain treatment when needed.” from the report
  • Clean and safe home

    The home was clean and hygienic. Risks, accidents and incidents were recorded and reviewed.

    “We found the home to be clean and hygienic with no malodours.” from the report
What inspectors were concerned about
  • Missed medicines

    needs fixing

    One person's lunchtime medicines were missed five times over five weeks when they were away from the home. Inspectors recommended that the new arrangements for taking medicines away from the home should be maintained.

    “One person's medication Administration Record (MAR) showed over a five-week period, they missed their lunch time medicines on five separate occasions when away from the service.” from the report
  • Medicines audits

    needs fixing

    The provider's audit process did not identify the missed medicines. Inspectors recommended reviewing the medicines audit tool.

    “However, one concern raised during inspection about medicine's administration had not been identified by the provider's audit process.” from the report
Questions to ask them, based on this report
  1. 01How are medicines checked and recorded when a person leaves the home for the day?
  2. 02What changes were made after the five missed lunchtime medicines, and how do you know those changes are working?
  3. 03How often is the medicines audit completed, and what happens if it finds a problem?
  4. 04How will you involve my relative in choosing activities, setting goals and planning their care?
  5. 05How will you support my relative's communication needs and choices about food, health care and daily life?

This was an unannounced comprehensive inspection covering all five questions, and all five ratings remained Good from the previous inspection. This explanation was written from the published report of 30 October 2018 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 Cranmer Court

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

  1. October 2018Goodcurrent ratingstayed Good
    Safe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good

    Read what inspectors found at Cranmer Court →

  2. March 2016Good
    Safe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good

    We are reading this report · the original is on cqc.org.uk

  3. May 2015

    Registered with the Care Quality Commission on 27 May 2015.

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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