We carried out a review of the data available to us about Croft Manor Residential Home on 6 July 2023. We have not found evidence that we need to carry out an inspection or reassess our rating at this stage.
This could change at any time if we receive new information. We will continue to monitor data about this service.
If you have concerns about Croft Manor Residential Home, you can give feedback on this service.
Croft Manor Residential Home is a care home providing personal care for up to 28 older people, some of whom live with dementia. The home is situated in the centre of Fareham. At the time of the inspection the home was providing care and support to 22 people.
People’s experience of using this service and what we found
We identified some shortfalls in the service including the environment, risk assessment and a lack of detail in end of life care plans. Although the manager told us of their plans to make improvements, records did not always detail how and when these improvements would be made. We have made a recommendation about this.
Improvements had been made to infection control processes and the home was clean, however further improvements were still required to ensure the spread of infection was minimised.
People felt safe at Croft Manor. Safeguarding policies and procedures were in place and staff were confident in the actions to take if abuse were suspected. There were enough staff deployed to meet the needs of people. Staff knew how to promote people's safety and mitigate risks to people's health and welfare. Medicines were administered safely by staff.
Efforts had begun to make the home dementia friendly but further work was needed. The manager had plans in place to make improvements in this area.
Staff worked well with professionals to ensure people’s health needs were met. Staff were supported in their roles and had received training, so they were able to support people effectively. Staff enjoyed their work and told us they felt valued.
People were supported by kind and caring staff who treated them with dignity and respect.
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 received personalised care that met their needs and preferences.
People and their relatives knew how to raise concerns. They had confidence in the manager and told us they were approachable. People, relatives, professionals and staff told us they would recommend the home to others.
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 requires improvement (published 21 February 2019)
Why we inspected
This was a planned inspection based on the previous rating.
Follow up
There is no required follow up to this inspection, however we will continue to monitor the service through information we receive.
Croft Manor Residential Home is a care home. People in care homes receive accommodation and nursing or personal care as single package under one contractual agreement. CQC regulates both the premises and the care provided, and both were looked at during this inspection. Croft Manor is registered to provide accommodation and personal care for up to 28. At the time of the inspection there were 20 people living at the service, most of whom were living with dementia.
What life is like for people using this service:
We identified significant concerns with infection control procedures in the laundry; these posed risks to people and staff.
People’s medicines were generally managed safely; however, the arrangements for managing boxed medicines were not robust.
The quality assurance processes were not robust. They had not identified and addressed the concerns we found during the inspection. Please see the ‘action we have told the provider to take’ section at the end of the report.
Overall, people were happy living at Croft Manor. They told us their needs were met in a personalised way by staff who were competent, kind and caring.
People’s rights and freedoms were upheld. People were empowered to make all their own choices and decisions. They were involved in the development of their personalised care plans that were reviewed regularly.
People felt listened to and knew how to raise concerns. They, and healthcare professionals told us they would recommend the home to others.
The service met the characteristics of Good in three areas and Requires improvement in two areas. For more details, please see the full report which is on the CQC website at: www.cqc.org.uk
Rating at last inspection:
This was the first inspection of the service since it registered with CQC in January 2018. We had not previously rated the service.
Why we inspected:
This was a planned inspection based on our methodology for inspecting newly registered services.