26 August & 3 September 2015
During a routine inspection
This inspection took place over two days. On 26 August 2015 we carried out an unannounced inspection and it was announced on 3 September 2015. It was conducted by one inspector on the first day and two inspectors on the second day. Our last scheduled inspection was in September 2013, when the service met the required standards.
Cranvale care home is a purpose-built care home providing accommodation and personal care for up to 36 elderly people some of whom live with dementia.
The provider of the service is an organisation (Sanctuary Care Ltd). A registered manager is in place who is responsible for the day-to-day management of the service. 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 and associated Regulations about how the service is run.
People were safe at the service and were cared for by staff who were knowledgeable about safeguarding people. They knew how to report concerns. However, we had concerns that medicines at the home were not managed safely.
The care plans we looked at included risk assessments which identified risks associated with people’s care and guided staff about how to minimise these in order to keep people safe.
There were sufficient qualified and experienced staff to meet people’s needs. Staff received support and training they needed to provide an effective service that met people’s needs. The staffing levels were flexible to support with planned activities and appointments.
The recruitment process was robust to make sure that the right staff were recruited to keep people safe. Staff personnel records showed that appropriate checks were carried out before they began working at the home.
Staff understood the systems in place to protect people who could not make decisions and followed the legal requirements outlined in the Mental Capacity Act 2005 and the Deprivation of Liberty Safeguards (DoLS).
People were supported to have a nutritionally balanced diet and adequate fluids throughout the day to promote their health and wellbeing and they were offered a choice at mealtimes.
People were supported to see healthcare professionals in order to ensure their general health and well being were adequately maintained.
People were looked after by staff who were caring, compassionate and promoted their privacy and dignity.
People’s care plans were based upon their individual needs and wishes. Care plans contained detailed information about people’s health needs, preferences and personal history.
There were effective systems in place for responding to complaints. People and their relatives were made aware of the complaints processes.
Quality assurance systems were in place and were used to obtain feedback, monitor service performance and manage risks.