Cranleigh

Updated 3 May 2019

The inspection:

We carried out this inspection under Section 60 of the Health and Social Care Act 2008 (the Act) as part of our regulatory functions. This inspection was planned to check whether the provider was meeting the legal requirements and regulations associated with the Act, to look at the overall quality of the service, and to provide a rating for the service under the Care Act 2014.

Inspection team:

This inspection was carried out by one adult social care inspector.

Service and service type:

Cranleigh is a ‘care home’. People in care homes receive accommodation and nursing or personal care as a single package under one contractual agreement. CQC regulates both the premises and the care provided, and both were looked at during this inspection. Cranleigh can accommodate up to eight people, eight people were living in the service at the time of our inspection.

The service had a manager registered with the Care Quality Commission. The registered manager was also the provider. This means that they and the provider are legally responsible for how the service is run and for the quality and safety of the care provided.

Notice of inspection:

We gave the service 48 hours’ notice of the inspection visit because it is small and the manager and the people living in the service are often out. We needed to be sure that they would be in.

What we did:

Before the inspection we reviewed the information that we held about the service and registered provider. This included any notifications and safeguarding information that the service had told us about. Statutory notifications are information that the service is legally required to tell us about and include significant events such as accidents, injuries and safeguarding notifications. We also assessed the information included on the provider information return.

During the inspection we looked at two people’s care files, three staff recruitment files and a range of documents relating to the day to day running of the service. We also spoke with two people who lived in the service, the registered manager and two members of staff.

Updated 3 May 2019

About the service: Cranleigh is a care home service. It is registered to provide personal and nursing care for up to eight younger adults who are living with a learning disability. At the time of our inspection eight people were living in the service.

The service has been developed and designed in line with the principles and values that underpin Registering the Right Support and other best practice guidance. This ensures that people who use the service can live as full a life as possible and achieve the best possible outcomes. The principles reflect the need for people with learning disabilities and/or autism to live meaningful lives that include choice, control, and independence. People using the service received planned and co-ordinated person-centred support that is appropriate and inclusive for them.

People’s experience of using this service:

People’s capacity to make decisions had not been assessed. However, people were being cared for in line with the Mental Capacity Act 2005.

People were positive about the care they received. People’s care was individualised and they were supported to maintain their independence.

People were involved in making decisions about their care and treatment.

People felt safe and were cared for by staff who understood how to safeguard people from the risk of abuse.

Individual risks to people and environmental risks had been identified and planned for.

People’s medicines were managed safely by staff who had received the appropriate training.

Staff were safely recruited and received support and training relevant to their role.

The service had good links with the local community and people were supported to maintain their interests and hobbies.

There were systems in place to monitor and assess the quality of service being delivered.

People were encouraged to provide feedback about the service and attended regular meetings about the running of the service.

Rating at last inspection: Good (report published 6 October 2016)

Why we inspected: This was a scheduled inspection based on the previous rating.

Follow up: We will continue to monitor intelligence we receive about the service until we return to inspect as per our re-inspection programme. If any concerning information is received we may inspect sooner.

For more details, please see the full report which is on the CQC website at www.cqc.org.uk