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Croftfield Residential Care Home Good

Reports


Inspection carried out on 28 November 2019

During a routine inspection

About the service

Croftfield Residential Home is a residential care home that provides personal care and accommodation for up to 22 older people, some of whom may be living with dementia. At the time of the inspection 21 people were living at the home. The home is a converted Victorian building set in its own gardens and situated in a rural area in north Cumbria. Croftfield Residential Home will be referred to as Croftfield within this report.

People’s experience of using this service and what we found

The service put people at the centre of the care they received. People received a responsive service that was very person-centred. Staff included people to develop detailed care plans. People’s changing needs were identified and responded to very quickly. People and their relatives told us they had made good progress and their well-being had benefited significantly since arriving at the home. The service provided a consistently high standard of compassionate end of life care and took into consideration the needs of relatives and friends. This was confirmed by healthcare professionals.

The provider and staff were creative in finding ways to involve people in the local community and to maintain and develop new interests to improve their quality of life. An excellent range of activities and opportunities were available to people inside and outside the home.

People received safe care. The provider had systems to protect people from the risk of abuse. Staff assessed and managed risks to people to help keep them safe. There were enough staff to support people. The provider carried out checks on new staff to ensure they were suitable to work in the home. Staff managed people’s medicines safely and kept the home clean and hygienic.

Staff supported people with their healthcare needs and worked well with external healthcare professionals. The service met people’s nutritional needs and worked with them to make sure food and drinks also reflected their preferences. People were cared for by staff who were well supported and had the right skills, knowledge and training to meet their needs very effectively. People were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible and in their best interests; the policies and systems in the service supported this practice.

People were treated with kindness and compassion by staff who respected their privacy and dignity and promoted inclusion. We were told on numerous occasions by people and relatives, “Croftfield feels like a proper home not an institution.” The service supported people to be independent. We received very positive feedback about the caring approach of staff.

The service was being well-led by an established manager, who was also the owner/provider, and people felt she was very approachable and caring. People felt the care they received was of a high standard and liked living at the home. Everyone we spoke with said they would highly recommend the home. The culture was open and inclusive. If people were not happy, they were confident they could speak with staff to make improvements. The manager understood their responsibilities and monitored the quality of the service using a range of systems.

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

Rating at last inspection

The last rating for this service was good (published 20 June 2017).

Why we inspected

This was a planned inspection based on the previous rating.

Follow up

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

Inspection carried out on 26 April 2017

During a routine inspection

This inspection took place on the 26th April 2017 and was unannounced. We last inspected the service in July 2015 and rated it as ‘Good’.

Croftfield Residential Home (Croftfield) provides care to older people, some of whom may be living with dementia. The home is a converted Victorian building set in its own gardens and situated in a rural area in north Cumbria. There are 22 bedrooms in the home and there are three separate lounge areas and a conservatory. the service is registered to support 21 people, at the time of our inspection there were 21 people living in the home.

The service had a registered manager. 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.

The service managed medicines appropriately. They were correctly stored, monitored and administered in accordance with the prescription. People were supported to maintain their health and to access health services if needed. People who required support with eating and drinking received it and had their nutrition and hydration support needs regularly assessed.

There were sufficient staff to meet people’s needs. They were trained to an appropriate standard and received regular supervision and appraisal. As part of their recruitment process the service carried out background checks on new staff including those with the disclosure and barring service (DBS).

Where people were not able to make important decisions about their lives the principles of the Mental Capacity Act 2005 were followed to protect their rights. Staff were aware of how to identify and report abuse. There were also policies in place that outlined what to do if staff had concerns about the practice of a colleague.

Care plans were subject to regular reviews to ensure they met people’s changing needs. They were easy to read and based on assessment and reflected the needs of people. Risk assessments were carried out and plans were put in place to reduce risks to people’s safety and welfare.

Staff had developed good relationships with people and communicated in a kind and friendly manner. They were aware of how to treat people with dignity and respect.

The service had a complaints procedure that showed people how to make a complaint and how long it would take to deal with. People were aware of how to raise a complaint and who to speak to about any concerns they had. There were no outstanding complaints in the service.

The home was well led by a registered manager who had a vision for the future of Croftfield. A quality assurance system was in place that was utilised to improve the service.