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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 17 March 2020

About the service

Crofton Court is a residential care home providing accommodation for persons who require nursing or personal care. The service can support up to 50 people. At the time of the inspection 45 people were using the service, some of whom were living with a dementia.

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

Policies and procedures had not been effectively implemented to ensure the proper and safe management of medicines. We found no evidence people had come to any harm, however there was an increased risk that people may be harmed due to the identified concerns.

Due to ongoing recruitment people were supported and cared for by agency staff and staff from other Akari homes as well as permanent staff. This had impacted on people’s care and support as staff did not always know people. Assurances were offered during the inspection that longer-term secondments had been offered to staff to ensure consistency. We have made a recommendation about staffing and recruitment.

We have made a recommendation about nutrition and hydration to ensure people’s needs are met in line with guidance from external professionals. People told us the food was lovely and they were offered plenty of choice.

Overall, 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. Risk assessments were in place to assess the need for restrictions, however specific capacity assessments and best interest decisions were not always completed. We have made a recommendation about capacity and consent.

Care records varied in quality, completeness and detail. This had been identified by the provider and steps were being taken to improve the accuracy and quality of record keeping. We have made a recommendation about this.

Overall, people told us they felt safe living at the home and the permanent staff who knew them well were kind, caring and treated them with dignity and respect. People were not happy about the high use of agency staff and staff who did not know them well.

Staff had confidence in the support and leadership offered by the team leader and the regional manager however morale was low due to the number of changes in management and leadership in recent months.

The regional manager and head of quality were responsive to our feedback, acknowledged our findings and where they could took immediate action to address concerns. A detailed home improvement plan was already in place which identified actions that needed to be taken, and by when to ensure continuous learning and improvement.

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. (Report published 25 May 2018).

Why we inspected

The inspection was prompted in part due to concerns received about staffing, medicines, falls and lack of leadership. A decision was made for us to inspect and examine those risks.

We found evidence that the provider needs to make improvement. Please see the safe and well led sections of this full report.

Enforcement

We identified a breach in relation to the safe management of medicines.

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

Follow up

We will request an action plan from the provider to understand what they will do to improve the standards of quality and safety. We will work alongside the provider and local authority to monitor progress. We will return to visit as per our re-inspection programme. If we receive any concerning information we may inspect sooner.

Inspection areas

Safe

Requires improvement

Updated 17 March 2020

The service was not always safe.

Details are in our safe findings below.

Effective

Requires improvement

Updated 17 March 2020

The service was not always effective.

Details are in our effective findings below.

Caring

Good

Updated 17 March 2020

The service was caring.

Details are in our caring findings below.

Responsive

Good

Updated 17 March 2020

The service was responsive.

Details are in our responsive findings below.

Well-led

Requires improvement

Updated 17 March 2020

The service was not always well-led.

Details are in our well-led findings below.