Cravenside Home for Older People

Updated 21 October 2020

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. We checked whether the provider was meeting the legal requirements and regulations associated with the Act. We looked at the overall quality of the service and provided a rating for the service under the Care Act 2014.

As part of this inspection, we looked at the infection control and prevention measures in place. This was conducted so we can understand the preparedness of the service in preventing or managing an infection outbreak, and to identify good practice we can share with other services.

Inspection team

The inspection was carried out by one inspector.

Service and service type

Cravenside Home for Older People is a ‘care home’. People in care homes receive accommodation and nursing or personal care as a single package under one contractual agreement. The Care Quality Commission (CQC) regulates both the premises and the care provided, and both were looked at during this inspection.

The service had a manager registered with the Care Quality Commission. 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

This inspection was announced. We gave 24 hours' notice of the inspection due to restrictions in place during the COVID pandemic.

During the inspection

We spoke with four people who lived in the home, three care staff, the activities care assistant, a service officer, a housekeeper and the registered manager.

We carried out a tour of the premises with the registered manager and reviewed a range of records. This included three people’s care records and two people’s medication records. We looked at two staff files in relation to recruitment and staff supervision. A variety of records relating to the management of the service were reviewed.

After the inspection

We spoke with three relatives over the telephone and continued to seek clarification from the provider to confirm evidence found. We looked at records sent to us before and after the inspection.

Updated 21 October 2020

About the service

Cravenside Home for Older People is a care home providing accommodation and personal care. It can accommodate 46 older people. The accommodation is provided over two floors. The home is divided into four areas known as, Rose Lane, Lily Lane, Poppy Lane and Daisy Lane. Some people using the service are living with dementia. At the time of the inspection 34 people were living at the home.

People’s experience of using this service and what we found People told us they felt comfortable and safe living in the home. The registered manager and staff understood their responsibilities to raise concerns and report incidents or allegations of abuse. Systems were in place to ensure lessons were learnt from any incidents and the management team understood their responsibility to be open and honest when something went wrong.

There were sufficient numbers of staff deployed to meet people's needs and ensure their safety. The provider operated an appropriate recruitment procedure. Following the inspection, the procedures were further strengthened to ensure all relevant information was obtained prior to staff working in the home. People received their medicines safely and on time. Risk assessments were carried out to enable people to retain their independence and receive care with minimum risk to themselves or others. The home was clean in all areas seen and staff followed safe infection control practices.

The management team and staff had addressed the shortfalls found at the last inspection. The provider had systems to check the quality of the service and to monitor staff practice. People's views were sought about the service and acted on. People were involved in decisions about their care and support. The registered manager and staff worked with external professionals to ensure people received prompt and coordinated care.

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

Rating at last inspection

The rating at the last inspection was requires improvement (published 4 June 2019). Two breaches of the regulations were identified in respect to the cleanliness of the home and the quality assurance procedures. The provider completed an action plan after the last inspection to show what they would do and by when to improve. At this inspection we found improvements had been made and the provider was no longer in breach of regulations.

Why we inspected

This inspection was carried out to follow up on the previous breaches of the regulations. We therefore undertook a focused inspection to review the key questions of safe and well-led only.

We reviewed the information we held about the service. No areas of concern were identified in the other key questions. We therefore did not inspect them. Ratings from previous comprehensive inspections for those key questions were used in calculating the overall rating at this inspection.

We looked at infection prevention and control measures under the Safe key question. We look at this in all care home inspections even if no concerns or risks have been identified. This is to provide assurance that the service can respond to coronavirus and other infection outbreaks effectively.

You can read the report from our last comprehensive inspection, by selecting the 'all reports' link for Cravenside Home for Older People on our website at www.cqc.org.uk.

Follow up

We will continue to monitor information we receive about the service until we return to visit as per our reinspection programme. If we receive any concerning information we may inspect sooner.