Cragside

Updated 17 March 2021

We carried out this inspection under Section 60 of the Health and Social Care Act 2008 as part of our regulatory functions. This inspection was planned to check whether the provider is meeting the legal requirements and regulations associated with the Health and Social Care Act 2008.

As part of CQC’s response to the coronavirus pandemic we are looking at the preparedness of care homes in relation to infection prevention and control. This was a targeted inspection looking at the infection control and prevention measures the provider has in place.

This inspection took place on 4 March 2021 and was announced.

Updated 17 March 2021

About the service: Cragside is a care home that provides accommodation and personal care for up to five adults. The home has five individual flats. At the time of inspection, three people were living at the home.

People’s experience of using this service:

• People were safe. Staff had completed training in safeguarding and were aware of their responsibilities in keeping people safe from harm. Risks to people’s safety and well-being were assessed and reviewed. The home was clean and free from odour.

• There were robust procedures in place to reduce the risk of employing staff who may be unsuitable to work with vulnerable adults. There were enough staff employed to meet peoples assessed needs.

• The management of people’s medicines was safe.

• Peoples care, and support needs were delivered in line with current good practice guidance. New staff received induction and there was a programme of on-going support for existing staff through training and supervision.

• People received individualised support to prepare and cook meals. People were encouraged to eat a healthy diet.

• People had access healthcare to a range of external health care professionals.

• 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 control, choice, and independence. People using the service receive planned and co-ordinated person-centred support that is appropriate and inclusive for them.

• People were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible; the policies and systems in the service supported this practice. People were able to participate in their hobbies and interests.

• Staff were caring and kind. People were treated with respect and staff were aware of people’s right to privacy. Staff enabled people to express their views and involved them in decisions about their care.

• Care records were person centred, reflecting people’s individuality, likes and dislikes. Daily records were completed but lacked detail. Some documents in peoples care records were not dated and we identified a nutritional risk assessment which had not been reviewed since October 2018. We have made a recommendation regarding end of life care planning for people.

• People felt listened to and staff were supported. There were effective systems in place to gather feedback from people, relatives and staff. Audits were completed on a regular basis to assess and monitor the quality of the service people received.

Rating at last inspection:

At the last inspection the service was rated requires improvement (published 19 April 2018).

Why we inspected:

This was a planned inspection based on the rating awarded at the last inspection.

Follow up:

We will continue to monitor the service to ensure that people receive safe, compassionate, high quality care. Further inspections will be planned for future dates.

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