CQC report explained · a nursing home
What the CQC found at Craven Nursing Home Limited
Rated Good: inspectors found the home performing well and meeting their expectations.
What inspectors found, January 2021
Inspected but not rated; inspectors found strong infection control arrangements, but were only somewhat assured about PPE use and managing outbreaks.
Inspectors visited the home on 2 December 2020. This was an announced, targeted inspection focused on infection prevention and control during the coronavirus pandemic.
They found that the three units were kept separate, staff movement was limited, and the home had clear guidance on handwashing and protective equipment. The home was clean, with extra cleaning of frequently touched surfaces.
Inspectors were assured about safe admissions, testing, social distancing, visiting arrangements and the infection control policy. They were only somewhat assured that PPE was being used safely and effectively, and that outbreaks could be prevented or managed well.
The service was inspected but not rated. Inspectors recommended more person-centred risk assessments, updated Covid-specific care plans, and extra checks on PPE.
Separate units
The home separated its three units and limited movement between them to help reduce the spread of infection.
“Each unit was separated to prevent cross infection. There was no movement of residents between units and staff movement was kept to a minimum.” from the report
Clean environment
Inspectors found the home very clean, with extra cleaning of surfaces that people touched frequently.
“The environment was very clean. Additional cleaning was taking place including of frequently touched surfaces.” from the report
Visiting arrangements
The home had a detailed process for safe visits, including booking, health screening, social distancing and protective equipment. Video calls and an outside visiting pod were also being used or planned.
“A detailed risk assessment was in place for ensuring safe visits, this included a booking system, to allow for social distancing, visitor agreement form, health screening and use of PPE.” from the report
Family updates
The home regularly updated families about visiting restrictions and how it was managing them.
“The home sent regular updates to family members to update them on current visiting restrictions in the home with assurances about how they were managing.” from the report
PPE checks and use
needs fixingInspectors were only somewhat assured that PPE was being used effectively and safely. They recommended extra checks on its availability, storage and correct use.
“We recommended that the home carry out additional checks to ensure PPE was available, stored appropriately and worn correctly by staff.” from the report
Outbreak management
needs fixingInspectors were only somewhat assured that infection outbreaks could be prevented or managed effectively. This is important to ask about because the inspection was focused on infection control.
“We were somewhat assured that the provider was making sure infection outbreaks can be effectively prevented or managed.” from the report
Risk assessments and care plans
needs fixingInspectors recommended that risk assessments should be more person-centred and that Covid-specific care plans should be updated and made more robust.
“We recommended Covid specific care plans were reviewed for people using the service to ensure they are up to date and robust.” from the report
- 01What extra checks are now used to make sure PPE is available, stored correctly and worn properly?
- 02How have you updated residents' Covid-specific care plans since this inspection?
- 03How have risk assessments been made more person-centred?
- 04What is your current plan for preventing and managing an infection outbreak?
- 05How would families be kept informed if visiting restrictions were introduced?
This was a targeted inspection of infection prevention and control, and the service was inspected but not rated. This explanation was written from the published report of 12 January 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.
What inspectors found, December 2019
Rated Good; inspectors found safe, kind and personalised care across all five areas.
This was an unannounced planned inspection on 12 November 2019. Inspectors spoke with people living at the home, relatives, staff and health professionals. They also observed care and checked care records, medicines, staffing, training and management records.
People and relatives said they felt safe and well cared for. Inspectors found enough staff, safe medicines practice, suitable risk assessments, clean premises and staff who were kind and respectful. People received personalised care, suitable food and support from health professionals.
The home was rated Good overall and Good in Safe, Effective, Caring, Responsive and Well-led. This was the same overall rating as the previous inspection, published in May 2017.
People felt safe
People and relatives told inspectors that people were safe and well looked after. Staff knew how to report and investigate safeguarding concerns.
“People told us they felt safe living at the service, and that staff were kind and caring.” from the report
Kind and respectful care
Staff were observed asking permission before entering rooms or providing help. People were supported with dignity, independence and everyday choices.
“Staff were observed knocking on people's doors and seeking permission before entering and offering assistance.” from the report
Personalised support
Care plans included people's individual choices and preferences. Staff knew people well, including how to understand communication through facial expressions and body language.
“People received person centred care and support as detailed in care plans, these reflected people's individual choices and preferences.” from the report
Good support at the end of life
Staff had end of life training and supported people with compassion and dignity. People's wishes were recorded and staff worked with health professionals.
“Staff supported people at the end of their life with compassion and dignity.” from the report
Open management
People and relatives could raise concerns with managers, who investigated complaints and used feedback and audits to improve care.
“The provider operated an open-door policy, people and relatives could speak openly if they had any concerns and had confidence these would be listened to and acted upon.” from the report
Inspectors raised no specific concerns in this report.
- 01How many permanent staff vacancies are there now, and how often are agency staff used?
- 02How would you support my relative if they have difficulty communicating verbally or are living with dementia?
- 03How are people's end of life wishes recorded, reviewed and shared with relatives and health professionals?
- 04What activities would be available for my relative, and how would you support their family, friendships or religious beliefs?
- 05How do you use complaints, incidents and audit findings to make improvements?
This was an unannounced comprehensive inspection covering the home, the care provided and all five CQC questions; all five ratings remained Good from the previous inspection. This explanation was written from the published report of 20 December 2019 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 Craven Nursing Home Limited
3 rated inspections over 5 years: the service has held its Good rating throughout.
- January 2021Inspected but not ratedcurrent ratingSafe: Inspected but not rated
- December 2019Goodstayed GoodSafe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
- May 2017Goodstayed GoodSafe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
- February 2015GoodSafe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
- July 2013
Report published without a new overall rating.
- February 2013
Report published without a new overall rating.
- October 2012
Report published without a new overall rating.
- January 2012
Report published without a new overall rating.
- December 2010
Registered with the Care Quality Commission on 30 December 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.
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28 live-in carers within about an hour of North Yorkshire
These are self-employed carers on PrimeCarers, the introductory agency that runs this directory. Each has a profile with their own rates and reviews from families, and you choose who to talk to.
Most charge £1,010 to £1,290 a week. 27 can care for a couple. 12 years' experience on average.
“Carla has been a god send with the implementation of bringing mum back home from respite care.”
“She was always 'just present enough': attentive, available, kind and engaging, but without ever over-stepping any boundary”
Every carer has had an enhanced DBS check in the last 18 months, ID and right-to-work checks and an online interview. Their skills and training are for you to check with them. Carers set their own rates, and who is free changes week to week.