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Inspection Summary


Overall summary & rating

Good

Updated 6 October 2018

Cranmer Scheme is a 'care home'. People in care homes receive accommodation and personal care under a contractual agreement. CQC regulates both the premises and the care provided and both were looked at during this inspection.

Cranmer Scheme is registered to provide accommodation and personal care for up to 16 people who have learning disabilities.

The care service has been developed and designed in line with the values that underpin the Registering the Right Support and other best practice guidance. These values include choice, promotion of independence and inclusion. People with learning disabilities and autism using the service can live as ordinary a life as any citizen.

This inspection took place on 3 and 6 August 2018. The inspection was unannounced on the first day. This meant the staff and provider did not know we would be visiting. The second day was announced.

There was a registered manager in post at the time of our inspection. A registered manager is a person who has registered with the Care Quality Commission to manage the service. Like registered providers, they are 'registered persons'. Registered persons have legal responsibility for meeting the requirements in the Health and Social Care Act 2008 and associated Regulations about how the service is run.

People living in the home told us they felt safe and staff had a clear understand of the procedures relating to safeguarding and whistleblowing. Medicines were managed safely however we did find some recording issues which we addressed with the registered manager. People told us they received their medicine as prescribed.

Risk assessments were carried out and reviewed regularly or when needs changed to ensure risks were minimised. Accidents and incidents were managed effectively with trends and themes monitored to prevent re occurrences. The registered manager carried out an annual review of incidents with lessons learnt to prevent this from happening again.

There was enough staff to meet people’s needs and recruitment procedures were robust. Staff told us they were supported by the management team and had regular supervisions with annual appraisals to consider development opportunities. New staff completed an induction programme and staff completed training in line with the provider’s policy.

Staff were caring and kind. People were treated as individuals and staff ensured people made their own decisions when possible about their care and how they wished to live.

Care plans were person centred and detailed with instructions for staff to follow. People’s preferences, likes and dislikes were recorded which helped staff get to know people and to care for them in a way they wished to be.

People were encouraged by staff to remain as independent as possible and people set themselves goals to achieve so they could fulfil their wishes.

Staff supported people with their specific nutritional needs and where a person was at risk of choking, there was clear instruction for staff to follow to prevent an incident. People living in the home had annual health checks and regular appointments with health professionals to maintain their wellbeing.

Staff told us the management team were supportive and described them as “fantastic”. People living in the home felt confident any concerns raised would be addressed by the registered manager.

Audits were carried out to monitor the quality of care being provided and meetings took place with people and their relatives to gather feedback on the service being provided. This meant the provider had an insight into the improvements required within the home.

Further information is in the detailed findings below.

Inspection areas

Safe

Good

Updated 6 October 2018

This service remains Good

Effective

Good

Updated 6 October 2018

This service remains Good

Caring

Good

Updated 6 October 2018

This service remains Good

Responsive

Good

Updated 6 October 2018

This service remains Good

Well-led

Good

Updated 6 October 2018

This service remains Good