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Craignair Care Home Requires improvement

The provider of this service changed - see old profile

Reports


Inspection carried out on 13 November 2019

During a routine inspection

About the service

Craignair Care Home is a residential care home providing personal care to 21 older people, living with dementia at the time of the inspection. The service is provided from a large adapted domestic-style property, with several communal areas and provides people with their own private bedrooms. There are two shared bedrooms. The service can support up to 21 people.

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

The service had experienced a period of instability with the management of the service. A new registered manager and deputy manager had been appointed and had been in post for around three months at the time of our inspection. They were working to make improvements to all aspects of the service. Feedback from people’s relatives confirmed this and confirmed they had already seen improvements. The registered manager recognised the importance of the improvements required and was committed to seeing them through.

We have made a recommendation about ensuring the effective operation of systems to assess, monitor and improve the quality of the service provided. The registered manager engaged with people, their relatives and staff through face to face meetings. The management team understood their responsibilities and had made improvements to the organisation of the service.

People’s medicines were not always managed safely and properly. The registered manager was addressing inconsistencies in risk management. The provider had systems to protect people from abuse and recruited staff safely. The registered manager used accidents and incidents as opportunities to learn and make improvements to the service.

We have made a recommendation about the service’s application of the principles of the Mental Capacity Act 2005. 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. We have made a recommendation about ensuring care planning is fully reflective of people’s needs and circumstances. We have made a recommendation about providing a dementia friendly environment for people who use the service.

We have made a recommendation around care planning and ensuring important information about people and their care needs is recorded to guide staff. The service put people at the centre of the care they received. Staff used assessments to identify people’s needs and preferences and worked with people and their relatives to ensure people were happy with the care they received. If people were not happy, they were confident they could speak with staff to make improvements. The service made sure people were supported to communicate and planned activities to enhance people’s wellbeing.

People were cared for by staff who were well supported. The registered manager had a plan to address gaps in staff training. 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 provision also reflected their preferences.

People were treated well, with kindness and compassion by staff who respected their privacy and dignity and promoted inclusion. The service supported people to be as independent as they were able. We received positive feedback about the caring approach of staff.

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 05 December 2017). Since this rating was awarded the registered provider of the service has changed. We have used the previous rating to inform our planning and decisions about the rating at this inspection.

Why we inspected

This was a planned inspection based on the previous rating.

Follow up

We will request an action plan for the provider to understand what they will do to