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Crawshaw Hall Medical Centre and Nursing Home Good

Inspection Summary


Overall summary & rating

Good

Updated 18 December 2019

About the service

Crawshaw Hall Medical Centre and Nursing Home is a residential care home that was providing personal and nursing care to 48 people at the time of the inspection. The service can support up to 50 people. The home is situated in the village of Crawshawbooth close to the town of Rawtenstall, Lancashire.

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

A person we spoke with who had got up early in the morning indicated they were safe and well. They were being assisted by a staff member at the time.

We observed parts of the home that had been highlighted as areas of concern including bedrooms and communal areas.

As a result of the observations in the early morning, any concerns around people being purposefully locked in their rooms were unfounded. People were free to close and lock their doors as they wished.

Staff said the registered manager and representatives of the provider were supportive and their conduct in the home was professional.

Staff and the registered manager said they did not restrain people or act in any way that was unprofessional or inappropriate.

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 23 July 2019)

Why we inspected

This was a targeted inspection based on information shared with CQC by the local authority. The information suggested some safety concerns particularly around practices in the early morning which could mean that people were at risk of harm. A decision was made for us to inspect and examine the risks. CQC are conducting trials of targeted inspections to measure their effectiveness in services where we are concerned about safety or other specific areas of practice.

We undertook this targeted inspection to check out concerns raised with us about people's safety. This report only covers our findings in relation to the safe care and treatment in the service. The overall rating for the service has not changed following this targeted inspection and remains good. This is because we have not assessed all areas of the key questions.

Follow up

We will continue to monitor information we receive about the service until we return to visit as per our re-inspection programme. If we receive any concerning information we may inspect sooner.

Inspection areas

Safe

Good

Updated 18 December 2019

The service was safe.

Details are in our safe findings below.

Effective

Good

Updated 28 April 2018

The service was effective.

Assessments of people’s care and support needs were carried out before people moved into the home.

Staff completed an induction when they started work and received training relevant to the needs of people using the service.

The manager demonstrated a clear understanding of the Mental Capacity Act 2005 and the Deprivation of Liberty Safeguards and acted according to this legislation.

People’s care files included assessments relating to their dietary support needs.

People had access to health care professionals when they needed them.

Caring

Good

Updated 28 April 2018

The service was caring.

Staff treated people in a caring, respectful and dignified manner and staff had received training on equality and diversity.

People and their relatives, where appropriate, had been involved in planning for their care needs.

People were provided with appropriate information about the service.

Information and private documents were securely locked away and could only be accessed by authorised staff.

Responsive

Good

Updated 28 April 2018

The service was responsive.

People had care plans and risk assessments that provided guidance for staff on how to support them with their needs.

People’s care plans included sections on their diverse needs.

People were provided with a range of activities but improvements were required and we have made a recommendation around this.

People and their relatives knew about the home’s complaints’ procedure and said they were confident their complaints would be fully investigated and action taken if necessary.

People received appropriate end of life care and support when required.

Well-led

Requires improvement

Updated 20 July 2019

The service was not always well-led.

Details are in our well-led findings below.