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CQC report explained · a residential care home

What the CQC found at Crantock Lodge

Goodpublished 20 May 2022, 4 years ago

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

The five questions inspectors ask
Safe?
Good
Inspectors found effective safeguarding systems, well-managed risk assessments, enough staff and safe medicine management. They also found infection control and visiting arrangements were in place.
Effective?
Good
People's needs were assessed before admission. Staff had relevant training and supervision, people were supported with food and drink, and health professionals were contacted when needed.
Caring?
Good
People and relatives said staff were compassionate and respectful. Staff supported privacy, independence, daily choices and contact with family and friends.
Responsive?
Good
Care plans described people's needs, routines and preferences and were reviewed regularly. People were supported with communication, activities, relationships, complaints and end of life care.
Well-led?
Good
Inspectors found a positive culture, clear management arrangements and effective quality checks. The home worked with health and social care professionals and used feedback and incidents to identify improvements.
The latest report, explained

What inspectors found, May 2022

Crantock Lodge was rated Good; inspectors found safe, kind and personalised care, with only minor improvements noted.

This was the first inspection since the current provider registered the home. One inspector visited on 30 April 2022. They spoke with 10 people, a visiting relative and five staff, and reviewed care, medicine, recruitment and management records.

Inspectors found enough staff, safe medicine systems and suitable checks on risks, equipment and infection control. People and relatives spoke positively about the care. Staff knew people well and supported their choices, health needs, activities and relationships.

All five areas were rated Good: Safe, Effective, Caring, Responsive and Well-led. This means inspectors found people's outcomes were consistently good and that the home was consistently managed. The previous provider had also been rated Good in November 2019.

What inspectors praised
  • Staffing and response

    Inspectors found enough staff to meet people's needs and keep them safe. People said staff responded quickly, including at night.

    “There were enough staff to meet people's needs and ensure their safety.” from the report
  • Kind relationships

    People had caring and trusting relationships with staff. Inspectors saw a relaxed atmosphere and friendly, compassionate support.

    “There was a relaxed atmosphere at the service and staff provided friendly and compassionate support.” from the report
  • Personalised care

    People and relatives helped develop and review care plans. The plans included individual needs, routines, preferences and health guidance.

    “Care plans were person centred and had detailed information about people's backgrounds, history, social, physical and mental health needs.” from the report
  • Management oversight

    The management team used audits, reviews and feedback to monitor care and identify improvements. Staff said they felt supported.

    “The service had clear and effective governance systems in place.” from the report
What inspectors were concerned about
  • Evacuation equipment

    minor

    A grab bag was purchased after the inspection to make evacuation arrangements more robust. Ask what checks are now in place to make sure it is ready for use.

    “The registered manager purchased a 'grab bag' following the inspection to ensure that safety procedures were more robust in the case of an evacuation.” from the report
  • Medicine recording

    minor

    The manager reminded staff that medicine entries made when transcribing medicines needed two staff signatures. Ask how this is monitored now.

    “For example, the registered manager addressed with staff that when they transcribed medicines, they needed to ensure that these entries were counter signed by two staff.” from the report
Questions to ask them, based on this report
  1. 01How do you make sure there are enough familiar staff on duty when people are absent?
  2. 02How do you now check that medicine transcription entries are counter signed by two staff?
  3. 03Where is the evacuation grab bag kept, and how often is it checked?
  4. 04How will my relative's care plan be developed and reviewed with them and our family?
  5. 05What activities and family visiting arrangements are currently available?

This was the first comprehensive inspection since the current provider registered the home, and it covered all five key questions as well as infection prevention and control. This explanation was written from the published report of 20 May 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.

The story over the years

Every inspection of Crantock Lodge

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

  1. May 2022Goodcurrent ratingstayed Good
    Safe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good

    Read what inspectors found at Crantock Lodge →

  2. November 2018Goodstayed Good
    Safe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
  3. April 2017Goodstayed Good
    Well-led: Good
  4. May 2016Good
    Safe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Requires improvement
  5. December 2020

    Registered with the Care Quality Commission on 1 December 2020.

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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Most charge £980 to £1,200 a week. 8 can care for a couple. 12 years' experience on average.

“He had been a little anxious before she arrived, but has since stated that he would be very happy for her to care for him again”
Karen S., about Nicola H.
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