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Crofton Court Requires improvement

The provider of this service changed - see old profile

Inspection Summary


Overall summary & rating

Requires improvement

Updated 6 February 2021

About the service

Crofton Court is a residential care home providing accommodation and personal care to up to 50 older people some of whom are living with a dementia related condition. At the time of our inspection 39 people were living at the home. Accommodation is available across two floors.

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

The service was not always well led. There had been numerous changes within the management structure at the home which had impacted upon the quality of the service. Effective systems were not in place to monitor quality and audits had not always been completed regularly.

People were not always protected from the risk of harm. Staff did not always follow government guidance in relation to safe infection prevention and control procedures. People did not always receive their medicine as prescribed and a high number of medicine errors had been reported. There were not always enough staff deployed to meet people’s needs and there was a dependency on the use of agency staff within the home. During the inspection the provider authorised the use of additional agency staff to support the home until more staff could be recruited. Systems were in place to safeguard people from the risk of abuse. Staff spoken with understood their responsibilities in how to protect people.

Risk assessments did not always contain enough information to guide staff in how to provide support and had not always been reviewed at the frequency identified by the provider. Systems were not in place to monitor people who were assessed as being at risk of dehydration. A member of the management team had started to review accidents and incidents to share any lessons learnt with the whole staff team.

An effective system to ensure staff were supported and appropriately trained was not in place. There were gaps in the training deemed as mandatory by the provider. Feedback from staff detailed they did not always feel supported or valued by the provider, which impacted upon the morale of the home.

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.

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

Rating at last inspection and update

The last rating for this service was requires improvement (published 16 March 2020) and there was one breach of regulation. The provider completed an action plan after the last inspection to show what they would do and by when to improve. The service remains rated requires improvement. This service has been rated requires improvement for the last two consecutive inspections.

Why we inspected

We undertook this focused inspection to follow up on specific concerns we had received about the service. The inspection was prompted, in part, due to concerns received about medicine errors, management of the home, staffing, a lack of activities for people and the infection prevention and control practices of staff. A decision was made for us to inspect and examine those risks.

Enforcement

We are mindful of the impact of the COVID-19 pandemic on our regulatory function. This meant we took account of the exceptional circumstances arising as a result of the COVID-19 pandemic when considering what enforcement action was necessary and proportionate to keep people safe as a result of this inspection. We will continue to discharge our regulatory enforcement functions required to keep people safe and to hold providers to account where it is necessary for us to do so.

We have identified three breaches in relation to safe care and treatment, staffing and good governance at this inspection.

Please see the action we have told the provider to take at the end of this report.

Full information about CQC’s regulatory response to the more serious concerns found during inspections is add

Inspection areas

Safe

Requires improvement

Updated 6 February 2021

The service was not always safe.

Details are in our safe findings below.

Effective

Requires improvement

Updated 6 February 2021

The service was not always effective.

Details are in our effective findings below.

Caring

Good

Updated 6 February 2021

Responsive

Good

Updated 6 February 2021

Well-led

Requires improvement

Updated 6 February 2021

The service was not always well-led.

Details are in our well-led findings below.