CQC report explained · a residential care home
What the CQC found at Cragmere
Rated Good: inspectors found the home performing well and meeting their expectations.
- Safe?
- Good
- People felt safe and comfortable. Inspectors found personalised risk assessments, enough staff, safe medicine management, and a clean, well-maintained environment.
- Effective?
- Good
- People could choose and prepare meals with support, had their healthcare needs monitored, and were supported by trained staff. Staff understood the Mental Capacity Act and Deprivation of Liberty Safeguards.
- Caring?
- Good
- Staff were friendly and respectful. People were supported with privacy, dignity, personal choices, family contact and their individual preferences.
- Responsive?
- Good
- Care plans were personalised and regularly reviewed. People took part in work, social and leisure activities, and knew how to complain.
- Well-led?
- Requires improvement
- The home had no registered manager for over a year, creating unstable leadership and difficulty maintaining continuity. Quality checks were in place and problems found through audits were acted on promptly.
What inspectors found, November 2017
Rated Good overall; inspectors found safe, kind and personalised care, but the home needed more stable leadership.
Inspectors visited on 29 September 2017. The visit was announced because this is a small home and people were often out during the day. They met all four people living there, observed care, spoke with staff and managers, and checked care, medicine, staffing, training and management records.
The home was rated Good for Safe, Effective, Caring and Responsive. Inspectors found enough staff, safe medicine systems, suitable care plans, good support with meals and healthcare, and a wide range of activities. People said they were happy and liked the staff.
Well-led was rated Requires Improvement. There had been no registered manager for over a year, after three managers left before completing registration. Inspectors said this had made leadership and staff continuity difficult, although audits were carried out and issues found were acted on promptly.
Safe medicines
Inspectors found that medicines were stored securely, given as prescribed and disposed of correctly. Staff had training, audits and competency checks.
“Medicines had been ordered appropriately, checked on receipt into the home, given as prescribed and stored and disposed of correctly.” from the report
Kind and respectful staff
People said they liked the staff. Inspectors saw friendly, respectful interactions and staff who understood people's privacy, dignity and rights.
“We saw staff treated people in a friendly respectful way and had a good understanding of protecting and respecting people's human rights.” from the report
Personalised support
Care plans described people's needs, wishes and preferred routines. People and, where appropriate, their relatives were involved in planning and reviewing care.
“Care plans we looked at were reflective of people's needs and wishes.” from the report
Meaningful activities
People took part in work, social and leisure activities chosen around their interests. The earlier concerns about activities and the garden had improved.
“We saw staff supported people to get involved in a variety of work, social and leisure activities.” from the report
No registered manager
needs fixingThere had been no registered manager for over a year. Three managers had left before completing registration, which made leadership and staff continuity difficult.
“Despite the providers efforts there had not been a registered manager in post for over a year.” from the report
- 01Is there now a registered manager, and if not, what is the plan and timescale for registration?
- 02How has the home reduced the effect of the previous high staff turnover and use of agency staff?
- 03How are care plans and risk assessments reviewed when people's needs or wishes change?
- 04What work, social and leisure activities are currently available to residents?
- 05How are concerns and complaints recorded, followed up and shared with residents and their relatives?
This was an announced inspection covering all five CQC questions; the previous Responsive rating had improved from Requires Improvement to Good, while Well-led was Requires Improvement because there was no registered manager. This explanation was written from the published report of 9 November 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.
Every inspection of Cragmere
2 rated inspections over 2 years: the service has held its Good rating throughout.
- November 2017Goodcurrent ratingstayed GoodSafe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Requires improvement
- September 2015GoodSafe: GoodEffective: GoodCaring: GoodResponsive: Requires improvementWell-led: Good
- September 2014
Report published without a new overall rating.
- May 2013
Report published without a new overall rating.
- August 2012
Report published without a new overall rating.
- December 2011
Report published without a new overall rating.
- December 2010
Registered with the Care Quality Commission on 15 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.