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CQC report explained · a residential care home

What the CQC found at 3 Cracknell Close

Goodpublished 28 February 2018, 8 years ago

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

The five questions inspectors ask
Safe?
Good
Inspectors found enough staff, clear safeguarding arrangements, suitable risk assessments and safe medicines systems. The premises and equipment were maintained and clean.
Effective?
Good
Staff were trained and supervised, and worked with health professionals to meet people's needs. People had choice about food and were supported with healthy eating and healthcare.
Caring?
Good
Staff had warm, respectful relationships with people and knew their preferences well. Care plans supported privacy, dignity, choice and independence.
Responsive?
Good
Care plans were detailed and reviewed when people's needs changed. People had activities and community opportunities that matched their interests, and family contact was supported.
Well-led?
Good
The manager was visible and approachable, and staff worked as a team. Audits, meetings and feedback systems were used to monitor and improve the service.
The latest report, explained

What inspectors found, February 2018

Nationwide Community Care Limited - 3 Cracknell Close was rated Good; inspectors found safe, kind and personalised care, with some areas still to develop.

The inspection was unannounced and took place on 30 January 2018. One inspector spoke with people using the service, staff, the manager and a relative. They also observed care and checked care plans, medicines, staffing, safety and quality records.

The home supported up to three people with a learning disability, and three people were living there at the time. Inspectors found safe medicines systems, enough staff, suitable risk assessments, well-maintained premises and staff who understood people's needs. People had choice, support to stay independent, access to activities and contact with family.

All five areas were rated Good: safe, effective, caring, responsive and well-led. The home was rated Good at the previous inspection in January 2016, so the overall rating remained unchanged.

What inspectors praised
  • Kind and familiar staff

    Staff had good relationships with people and understood their likes, dislikes and support needs. Inspectors saw warm and light-hearted interactions.

    “Some staff had worked with individuals for many years and spoke about them with genuine affection and empathy.” from the report
  • Personalised support

    Care plans recorded people's choices and preferences in accessible formats. Staff supported people to make choices, build skills and remain independent.

    “This meant staff had the guidance to ensure people received individualised care.” from the report
  • Safe medicines and risk management

    Medicines were securely stored, checked against records and supported by clear instructions. Risk assessments explained how staff should reduce risks and keep people safe.

    “Medication was securely stored and temperatures were recorded to ensure that medication was being stored within the recommended levels.” from the report
  • Good community life

    People were supported to take part in college, employment, hobbies, meals out and other activities. Their cultural needs and important relationships were also supported.

    “People had good access to their local community and a range of interesting activities.” from the report
What inspectors were concerned about
  • Further staff qualifications

    minor

    The manager said some staff were completing additional qualifications, but identified this as an area the home could develop further.

    “The registered manager told us that a number of staff were competing additional qualifications such as QCF (qualification and credit framework) but they had identified that this was an area which they could develop further.” from the report
  • End-of-life wishes

    minor

    No one needed end-of-life support during the inspection. Staff understood the importance of this, but the home planned to develop this area further.

    “While no one was receiving end of life support, staff were aware of the issues and importance of helping people make their wishes known.” from the report
Questions to ask them, based on this report
  1. 01What progress has been made with the additional staff qualifications identified as an area for development?
  2. 02How will you record and review each person's wishes about end-of-life care?
  3. 03How often are medicines audited, and what happens if an issue is found?
  4. 04How are people's care plans reviewed when their health or support needs change?
  5. 05How will you support the activities, college, employment and community interests that matter to the person?

This was an unannounced inspection covering all five CQC questions, including the accommodation and personal care provided to three people. This explanation was written from the published report of 28 February 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 3 Cracknell Close

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

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

    Read what inspectors found at 3 Cracknell Close →

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

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

  3. January 2014

    Report published without a new overall rating.

    Read this report on cqc.org.uk

  4. January 2013

    Report published without a new overall rating.

    Read this report on cqc.org.uk

  5. March 2011

    Registered with the Care Quality Commission on 15 March 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

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