We carried out a review of the data available to us about Cranbrook House 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 Cranbrook House, you can give feedback on this service.
Cranbrook House is a domiciliary care agency and is based in the London Borough of Redbridge. The service provides personal care to people in their own homes. CQC only inspects where people receive personal care. This is help with tasks related to personal hygiene and eating. Where they do, we also consider any wider social care provided.
People’s experience of using this service and what we found
The provider had ensured risks to people were identified and were assessed so that people received safe care. Staff were aware of how to safeguard people from the risk of abuse. Systems were in place to ensure staff attended calls on time and to prevent and minimise the spread of infections when supporting people. Pre-employment checks had been carried out to ensure staff were suitable to work with people who could be at risk of abuse.
Staff had been trained to perform their roles effectively. People were supported to have maximum choice and control of their lives. 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 care from staff who were caring and had a good relationship with them. Staff respected people’s privacy and dignity. People were encouraged to be independent and to carry out tasks without support.
Care plans were person centred to ensure people received personalised support. Systems were in place to manage complaints and people’s communication needs were met.
Quality assurance systems were in place to identify shortfalls to ensure there was a culture of continuous 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 Requires Improvement (published 29 June 2019) and there was a breach of regulation, specifically Regulation 12 (Safe Care & Treatment). The service was under a different name, Fosse Healthcare – East London at our last inspection but the provider remained the same.
Why we inspected
This inspection was carried out to follow up on action we told the provider to take at the last inspection.
Follow up
We will continue to monitor information we receive about the service, which will help inform when we next inspect.
The service is based in the London Borough of Redbridge. The service provided personal care to adults and children living in their own homes. At the time of our inspection, the service provided personal care to two people.
People’s experience of using this service:
Risks to people were not always robustly managed. We found care plans did not contain suitable and sufficient risk assessments to effectively manage risks. This placed people at risk of not being supported in a safe way at all times. The provider’s audits had not identified the shortfalls we found during the inspection.
Pre-employment checks had been carried out to ensure staff were suitable to support people. Arrangements were in place to ensure staff attended visits. Safeguarding procedures were in place to ensure people were safe.
Staff had completed essential training to perform their roles effectively. Care plans were person centred and included people’s support needs. Care plans had been reviewed regularly to ensure they were accurate.
People received care from staff who were kind and compassionate. Staff treated people with dignity and respected their privacy. Staff had developed positive relationships with the people they supported. They understood people’s needs, preferences, and what was important to them. People were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible.
Rating at last inspection:
This was the first inspection of the service since they registered with the CQC on 15 June 2018.
Why we inspected:
This was a planned inspection based on when the service first registered with the CQC.
Enforcement:
We identified one breach of Regulations associated with the Health and Social Care Act 2008 (Regulated Activities) Regulations 2014 in relation to risk management.
For more details, please see the full report which is on the CQC website at www.cqc.org.uk. Please see the action we have told the provider, which can be found at the end of the full report.
Follow up:
We will speak with the provider prior to this report being published to discuss how they will make changes to ensure they improve their rating to at least good. We will work with the local authority to monitor progress. We will return to visit as per our re-inspection programme. If any concerning information is received, we may inspect sooner.