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CQC report explained · a residential care home

What the CQC found at Cranmer Scheme

Goodpublished 6 October 2018, 8 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 infection risks were being managed, including visitors, social distancing, admissions, protective equipment, testing, cleaning and outbreak procedures.
Effective?
Good
This area was not assessed in this targeted inspection.
Caring?
Good
This area was not assessed in this targeted inspection.
Responsive?
Good
This area was not assessed in this targeted inspection.
Well-led?
Good
This area was not assessed in this targeted inspection.
The latest report, explained

What inspectors found, March 2021

Inspected but not rated; inspectors found strong infection controls and safe visiting arrangements.

This was an announced, targeted inspection on 17 and 18 February 2021. It looked at infection prevention and control during the coronavirus pandemic.

Inspectors were assured that the home was managing visitors, social distancing, admissions, protective equipment and testing safely. They found clear risk assessments, knowledgeable staff and up-to-date infection control policies.

The home had created a sheltered testing area and a visiting room with a screen. People were supported to keep in touch with relatives through visits, technology and other activities. The home was clean, and enhanced cleaning records were available.

The service was inspected but not rated. This means the report does not give an overall quality rating or a rated judgement for the wider areas of care.

What inspectors praised
  • Safe visiting

    The home had made practical changes so relatives could visit more safely, including an outside testing area and a screened visiting room.

    “The home had made adaptions to help facilitate safe visiting.” from the report
  • Contact with relatives

    People could keep in touch through drive-through visits, face-to-face visits and technology. The home also provided activities during restrictions.

    “People were supported to keep in touch with their relatives through a variety of methods including drive through visits, face to face visits and through the use of technology.” from the report
  • Risk planning

    Inspectors found detailed risk assessments and staff and managers who understood the relevant procedures and guidance.

    “Clear and detailed risk assessments were in place supporting the service to follow government guidance to help ensure the safety of people who lived in the service.” from the report
  • Clean environment

    The home was clean and hygienic. Enhanced cleaning was in place and supported by records.

    “We found the home to be clean and hygienic and enhanced cleaning was in place which was clearly evidenced through records.” 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 visitors tested and supported to follow infection control arrangements now?
  2. 02Are face-to-face visits still available, and what alternatives are offered if visiting is restricted?
  3. 03How often are infection prevention and control risk assessments reviewed?
  4. 04How is enhanced cleaning recorded and checked?
  5. 05How are relatives involved in care reviews and kept informed if restrictions change?

This was a targeted inspection of infection prevention and control during the coronavirus pandemic; the service was inspected but not rated and the wider areas of care were not assessed. This explanation was written from the published report of 4 March 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, October 2018

Cranmer Scheme was rated Good; inspectors found kind, person-centred care, with some medicine recording issues addressed during the inspection.

This was a comprehensive inspection on 3 and 6 August 2018. The first day was unannounced and the second was announced. Inspectors spoke with people living in the home, staff and managers, and checked care plans, medicine records, staff files and other records.

The home was rated Good overall and Good in all five areas: Safe, Effective, Caring, Responsive and Well-led. People told inspectors they felt safe and that staff were kind, helpful and well trained.

Inspectors found enough staff, regular risk reviews, person-centred care plans and support for people's choices, independence, health and communication needs. Medicines were managed safely, but some recording issues were found and addressed with the registered manager.

The rating means the home met the CQC's requirements at this inspection. The report also describes improvements since the previous inspection, including waking night staff, a locked medicines trolley and a system for gathering people's views.

What inspectors praised
  • Risk management

    Risks were reviewed when people's needs changed. Inspectors found that actions taken after a fall had helped prevent further falls.

    “Risk assessments were carried out, regularly reviewed and updated when people's needs changed.” from the report
  • Kind and respectful care

    Staff treated people as individuals and respected their choices, privacy and dignity. People were encouraged to make decisions and build their independence.

    “Staff were caring and kind. People were treated as individuals and staff ensured people made their own decisions when possible about their care and how they wished to live.” from the report
  • Personalised support

    Care plans included people's preferences, communication methods, goals and instructions for their individual needs.

    “Care plans were person centred and detailed with instructions for staff to follow.” from the report
  • Listening and improvement

    Resident and relative meetings, audits and feedback were used to identify and complete improvements in the home.

    “Audits were carried out to monitor the quality of care being provided and meetings took place with people and their relatives to gather feedback on the service being provided.” from the report
What inspectors were concerned about
  • Medicine records

    needs fixing

    Inspectors found some recording issues in medicine records. These were discussed with and addressed by the registered manager, but families should ask what checks are now in place.

    “Medicines were managed safely however we did find some recording issues which we addressed with the registered manager.” from the report
Questions to ask them, based on this report
  1. 01What medicine recording issues were found, and what changes were made to prevent them happening again?
  2. 02How will you record and review my relative's communication method, preferences and personal goals?
  3. 03How are staffing levels adjusted if residents' needs change, including support needed overnight?
  4. 04How are residents and relatives involved in care reviews and decisions about activities or the home?
  5. 05How would you support my relative with health appointments, nutrition and any specific health conditions?

This was a comprehensive inspection covering all five CQC questions, with the first day unannounced and the second day announced. This explanation was written from the published report of 6 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 Scheme

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

  1. March 2021Inspected but not ratedcurrent rating
    Safe: Inspected but not rated

    Read what inspectors found at Cranmer Scheme →

  2. October 2018Goodstayed Good
    Safe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good

    Read what inspectors found at Cranmer Scheme →

  3. February 2016Good
    Safe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good

    Read this report on cqc.org.uk

  4. October 2014

    Report published without a new overall rating.

    Read this report on cqc.org.uk

  5. March 2014

    Report published without a new overall rating.

    Read this report on cqc.org.uk

  6. March 2013

    Report published without a new overall rating.

    Read this report on cqc.org.uk

  7. February 2012

    Report published without a new overall rating.

    Read this report on cqc.org.uk

  8. January 2011

    Registered with the Care Quality Commission on 12 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.

Next steps

Weigh the report against the rest

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Most charge £980 to £1,250 a week. 89 can care for a couple. 11 years' experience on average.

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