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Crawshaw Hall Medical Centre and Nursing Home Good

We are carrying out a review of quality at Crawshaw Hall Medical Centre and Nursing Home. We will publish a report when our review is complete. Find out more about our inspection reports.
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Inspection report

Date of Inspection: 28 May 2014
Date of Publication: 24 June 2014
Inspection Report published 24 June 2014 PDF

People should get safe and appropriate care that meets their needs and supports their rights (outcome 4)

Meeting this standard

We checked that people who use this service

  • Experience effective, safe and appropriate care, treatment and support that meets their needs and protects their rights.

How this check was done

We looked at the personal care or treatment records of people who use the service, carried out a visit on 28 May 2014, observed how people were being cared for and talked with people who use the service. We talked with carers and / or family members and talked with staff.

We used the Short Observational Framework for Inspection (SOFI). SOFI is a specific way of observing care to help us understand the experience of people who could not talk with us.

Our judgement

People who used the service received safe, effective and appropriate support to meet their needs and protected their rights.

Reasons for our judgement

There were two units within the Crawshaw hall medical centre and nursing home. We looked around the home and in several bedrooms. We saw people had decorated their bedrooms with their own personal items and mementoes. Both the medical centre and nursing home had a relaxed and friendly atmosphere and we observed staff interacting well with people.

We asked about activities taking place in the nursing unit of the home. The manager told us there were regular activities taking place. We were shown an activities folder in one of the units which detailed activities taking place. Examples seen were, listening to music, books, guitar playing and looking at photographs. There were details on each person’s likes and dislikes noted and specific needs in relation to activities listed. We observed music being played at our inspection.

We spoke with five people living in the home about the care they received in the home. We were told, “I feel safe and cared for. They (staff) take us out and they do things. I feel involved in decisions about my care”, “I am very happy here. If I ring my buzzer the staff come”, “I am happy with my care the staff are fine” and, “I am well cared for and happy”.

We spoke with a relative who told us they were very happy with the care their family member received in the home. We were told, “I am very happy with the care my (named person) is cared for , “The staff are very good I visit regularly” and, “I think it is fine here. At the weekend they had a garden party outside. My (named person) is supervised at all times and the home actions things straight away if there is any change”.

We asked staff to tell us about the care files. We were told, “I involve people in their care plan. I go through everything with them. We have a handover every day” and, “The care files are reviewed every month with people”.

We looked at four care files for people living in the home. We looked at two from each unit in the home. We noted in one of the units the files followed a clearer chronological order and had details such a referral letters to health professionals and reviews in relevant sections. There was evidence of care planning and risk assessments in place for example, bed rails, feeding plans, pressure sore prevention and moving and handling in two of the care files we looked at, these had been reviewed recently. However in one of the files we saw there was no care plan in relation to their deprivation of liberties safeguards for staff to follow. This is important to ensure people living in the home were cared for by staff who had access to up to care plans relevant to their needs

We saw evidence of reviews from health professionals such as, chiropody, GP and nurse practitioner documented in peoples files and there were daily diary entries seen which detailed observations, care and activity taking place.

We spoke with people living in the home about their involvement in planning their care. People told us they were involved in decisions about their care. Relatives we spoke with told us, “Care is discussed and agreed with me” and, “(named person’s) care is discussed with me”.

There were in house policies and procedures in place on care needs assessment, care plans and records for staff to follow.