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Archived: Croftside Requires improvement


Inspection carried out on 1 September 2015

During a routine inspection

This unannounced inspection took place on 1 September 2015. We last inspected Croftside in December 2013. At that inspection we found the service was meeting all the six regulations that we assessed.

Croftside is a residential home located in the village of Milnthorpe and is close to all the local amenities and services. The home has three units, the one on the ground floor provides care and support for people living with dementia. The home provides accommodation on two floors for up to 34 people. The first floor is accessible by a passenger lift and all the bedrooms are for single occupancy. At the time of our visit there were 33 people living in the home.

The service had a registered manager in post. A registered manager is a person who has registered with the Care Quality Commission (CQC) 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 and associated Regulations about how the service is run.

We found at this inspection that there was a breach of Regulation 18 of the Health and Social Care Act 2008 (Regulated Activities) Regulations 2014. This was because there were not sufficient numbers of support staff at night time to meet the assessed needs of people living in the home and in emergency situations.

There was a breach of Regulation 13 of the Health and Social Care Act 2008(Regulated Activities) Regulations 2014. This was because the registered provider had not made sure that suspected or alleged abuse had been acted upon quickly and in line with local safeguarding arrangements to keep people safe.

There was a breach of Regulation 9 of the Health and Social Care Act 2008 (Regulated Activities) Regulations 2014. This was because the assessments of people’s care, treatment and support needs were not always in place, planned in detail and reviewed to support person centred care and did not always show how some risks were to be managed.

The Care Quality Commission (Registration) Regulations 2009 require that the registered provider notifies the Commission without delay of allegations of abuse and accidents or incidents that had involved injury to people who used this service. This is so that CQC can monitor services responses to help make sure appropriate action is taken and also to carry out our regulatory responsibilities. The sample of people’s records that we looked at showed examples of incidents and accidents that had occurred that should have been reported to CQC.Our systems showed that we had not received these notifications. The failure to notify us of matters of concern as outlined in the registration regulations is a breach of the provider's condition of registration and this matter is being dealt with outside of the inspection process.

You can see what action we told the provider to take at the back of the full version of the report.

We spoke with people who lived at Croftside and they made positive comments about their home and told us they felt it was a safe place to live. They told us that staff were “kind” and “helpful” and helped them to do things for themselves. People living there told us that care staff respected their privacy and treated them with respect. We saw that the staff on duty approached people in a friendly and respectful way and everyone we spoke with told us that they felt safe living at the home.

We spent time with people on all the units. We saw that the staff offered people assistance and took the time to speak with people and take up the opportunities they had to interact with them and offer reassurance if needed.

They service had safe systems for the recruitment of staff to make sure the staff taken on were suited to working there. On the day of the visit there were sufficient care staff available to support the people living there. We saw that care staff had received induction training and ongoing training and development and had supervision once employed.

Medicines were being safely administered and stored and we saw that accurate records were kept of medicines received and disposed of so they could be accounted for.

People knew how they could complain about the service they received and information on this was displayed in the home. People we spoke with were confident that action would be taken in response to any concerns they raised.

We have made a recommendation about obtaining information on best practice in relation to providing evidence of who holds PoA for individuals and ensuring the annual review of DNACPR forms and decisions.

Inspection carried out on 30 December 2013

During a routine inspection

People told us they were happy living in Croftside and that the staff were very helpful. They said, �It is very nice here and the staff are lovely� bunch you will find anywhere�. �I made my own decision to move in as I had a friend here at the time�.

We found that the home was clean, tidy and well maintained. Some refurbishment work was required but this did not impact on the health, safety or cleanliness of the home.

Staff were pleasant and polite and we saw that people who used the service were treated with respect and dignity.

We found that people�s care and support needs had been assessed and kept under regular review to help ensure people received the care they needed. We saw that people had access to health and social care professionals.

We found that each care plan contained a nutritional assessment and weight record. This information helped identify people who might be at risk of poor nutrition. Where concerns had been identified, staff had monitored their condition and sought help from medical professionals when necessary.

Medicines kept in the home were managed well and safely. All staff who administered medicines had been appropriately trained.

Risk assessments were in place and reviewed each month with the care plans.

Inspection carried out on 17 November 2012

During a routine inspection

People told us they were very happy living in Croftside and were glad they had moved in. They told us what it was like to live at this home and described how they were treated by staff and their involvement in making choices about their care.

During the course of the visit we spoke either individually or collectively with many of the people living at Croftside. People told us they were happy living at the home and that staff were always kind, polite and respectful.

People spoke positively about how they were able to make decisions about their care and the way they chose what they wanted to do. One person said, �I make my own choices and the staff respect that�. Staff spoke in a friendly way and there was a relaxed and homely atmosphere. Some of the people living in the home had previously lived in the surrounding area and told us they were glad not to have moved too far from their home.

Staff were observed to be not rushed and had time to spend with people in a relaxed and friendly way. Nobody spoken with expressed any dissatisfaction or concern about assessed needs not being met in a timely and caring way.