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CQC report explained · a residential care home

What the CQC found at Creykes Lodge

Goodpublished 13 March 2020, 6 years ago

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

The five questions inspectors ask
Safe?
Good
Inspectors found enough safely recruited staff, well-assessed risks, safe medicines systems and good arrangements for emergencies and infection control.
Effective?
Good
Care was based on assessed needs and choices. Staff were trained and supported, and people were helped with diet, health appointments, oral health and lawful best-interest decisions.
Caring?
Good
The home had a relaxed, homely atmosphere. Staff respected privacy, dignity, faith traditions and independence, and relatives said they were involved in care decisions.
Responsive?
Good
Care plans were personalised and staff knew people well. People were supported with communication, relationships, meaningful activities, community access and end-of-life planning.
Well-led?
Good
Inspectors found committed managers and staff, effective quality checks, learning from incidents and clear plans from the recently appointed manager.
The latest report, explained

What inspectors found, March 2020

St Anne's Community Services - Creykes Lodge was rated Good; inspectors found safe, kind and person-centred care across all five areas.

The inspection took place on 19 February 2020 and was a planned inspection because the previous rating was Good. One inspector visited, spoke with staff and relatives, observed people in communal areas, and reviewed care, medicines, recruitment and quality records.

The home supported six people with learning disabilities and/or autism. Inspectors found enough safely recruited staff, well-managed risks and medicines, good staff training, and effective support for people's health, diet and communication needs.

People were treated with kindness and dignity. They had personalised care plans, could choose how to spend their time, and were supported to take part in activities at home and in the community. The home was also found to have effective management and quality checks.

The overall rating was Good. Safe, Effective, Caring, Responsive and Well-led were all rated Good. This was unchanged from the previous inspection, published on 14 July 2017.

What inspectors praised
  • Safe staffing and risk management

    The home had enough staff and completed recruitment checks before staff started. Risks, fire safety and medicines were managed carefully.

    “There were enough, safely recruited staff and risks were well assessed and managed.” from the report
  • Person-centred communication

    Care plans explained how people communicated their needs and consent, including sounds, gestures and phrases. Staff were expected to adapt their approach.

    “People had complex communication needs which were well documented in care plans.” from the report
  • Choice and activities

    People could choose where to spend their time and were supported with activities, trips and holidays linked to their interests.

    “People were supported to take part in a range of meaningful activities at the home and in the community.” from the report
  • Kind and respectful care

    Inspectors found a homely atmosphere and saw staff protect people's dignity and promote independence. Relatives said staff advocated well for people.

    “The service was caring and provided a homely atmosphere.” from the report
  • Good medicines practice

    Medicines were stored safely, records matched stocks, and staff checks helped ensure they were confident and skilled to give medicines.

    “Medicines were managed well. Storage remained safe, and there were good processes in place to ensure people received their medicines when they needed them.” from the report
What inspectors were concerned about
  • People relied heavily on staff to interpret their wishes

    minor

    Some people could not express their wishes verbally and had not been able to take much interest in their care plans. The home had adapted some information, but staff still had to anticipate people's needs.

    “People depended on staff to understand and anticipate their needs.” from the report
Questions to ask them, based on this report
  1. 01How will you help my relative understand and take part in their care planning?
  2. 02How do staff recognise when my relative is unhappy or wants something changed?
  3. 03What activities, trips and community access would be available for my relative?
  4. 04How would you involve our family, advocates and social workers in important decisions?
  5. 05How do you review medicines and reduce them when this is in the person's best interests?

This was a planned inspection covering all five CQC questions, including the care provided and the premises; people could not give inspectors direct verbal feedback because of the complexity of their needs. This explanation was written from the published report of 13 March 2020 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, July 2017

Rated Good; inspectors found safe, kind and personalised care, and the home remained Good since the previous inspection.

This was an unannounced inspection on 7 June 2017. Inspectors observed care, spoke with one person, two relatives and four staff, and checked care plans, medicine records, staff recruitment files, training records and quality checks.

The inspectors found that people appeared safe, relaxed and comfortable. Staff understood people's needs, medicines were managed properly, care plans were detailed and activities were based on people's choices. People were supported with healthcare, food, privacy, dignity and community activities.

The home met all the required standards checked. It was rated Good in all five areas: Safe, Effective, Caring, Responsive and Well-led. This was the same overall rating as the previous inspection in December 2014.

What inspectors praised
  • Safe care and medicines

    Staff understood individual risks and followed suitable medicine procedures. Recruitment checks were also completed before staff started work.

    “We found that risk was suitably managed.” from the report
  • Kind and respectful staff

    Inspectors saw staff speaking calmly, respecting privacy and supporting people in a relaxed and caring way.

    “Staff engaged with people in a caring and relaxed way.” from the report
  • Personalised support

    Care plans included people's likes, wishes and support needs. Activities were arranged around what each person enjoyed.

    “We saw that a person centred approach was taken to ensure people's beliefs, likes and wishes were included within the care plan.” from the report
  • Good management

    The manager was present and had oversight of the home. Audits covered areas such as care records, medicines and the environment.

    “The management team had procedures in place to monitor the quality of the service provided.” 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 will you learn and record my relative's individual ways of communicating, especially if they cannot speak with staff?
  2. 02How do you check that risk assessments and behavioural support plans still reflect my relative's current needs?
  3. 03What activities and community opportunities would be available for my relative, based on their interests?
  4. 04How would you involve our family in best-interest decisions and changes to care?
  5. 05How do you check that medicines are given as prescribed and that staff remain competent to administer them?

This was an unannounced inspection of the overall service and all five CQC question areas, with the ratings remaining Good from December 2014. This explanation was written from the published report of 14 July 2017 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 Creykes Lodge

3 rated inspections over 5 years: the service has held its Good rating throughout.

  1. March 2020Goodcurrent ratingstayed Good
    Safe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good

    Read what inspectors found at Creykes Lodge →

  2. July 2017Goodstayed Good
    Safe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good

    Read what inspectors found at Creykes Lodge →

  3. January 2015Good
    Safe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good

    Read this report on cqc.org.uk

  4. January 2014

    Report published without a new overall rating.

    Read this report on cqc.org.uk

  5. June 2012

    Report published without a new overall rating.

    Read this report on cqc.org.uk

  6. 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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Care at home

16 live-in carers within about an hour of East Riding of 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 £1,030 to £1,420 a week. 14 can care for a couple. 7 years' experience on average.

“She was always 'just present enough': attentive, available, kind and engaging, but without ever over-stepping any boundary”
Beatrice N., about Rosemary H.
“What truly stands out is how mindful and attentive she is to all of my medical needs, always going above and beyond to ensure I’m comfortable and well cared for.”
Lucy K., about Emma H.
See live-in carers near East Riding of YorkshireProfiles, rates and reviews are free to look at.

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.