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Crawshaw Hall Medical Centre and Nursing Home Good

Inspection Summary


Overall summary & rating

Good

Updated 20 July 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:

The registered manager had allowed staff to complete some safety documentation knowing that this was incorrect and the checks had not been made. This relates to the management and governance of the service and has led to a breach of the regulations that can be seen in the 'well-led' section of this report.

Safety concerns had been raised prior to the inspection around environmental concerns. These were not seen at the inspection. Two bedrooms that were not in use required some maintenance and some electrical tests had not been completed when record supported they had. These matters were resolved before this report was drafted. Other safety considerations had been completed appropriately and the service had ensured that aspects of the environment, such a fire safety, had received proper attention.

People were supported to be safe. Staff received safeguarding training and had a good understanding of the principals involved in acting when abuse was suspected.

People's needs were met through assessments and support planning. The service worked with healthcare and social professionals to achieve positive outcomes for people. Staff had good knowledge and skills and this ensured people's needs were well met.

Staff described being supported by the registered manager and provider. There were quality assurance systems and processes to monitor the service and drive improvements.

For more details, please see the full report which is on the CQC website at www.cqc.org.uk

Rating at last inspection and update:

At the last inspection, the service was rated 'Good' (published 28 April 2018).

Why we inspected:

The inspection was prompted, in part, due to concerns received about risks relating to safety of people's surroundings. It also incorporated some consideration into the circumstances of a specific incident. This involved a person sustaining a serious injury. The surroundings of this incident is subject to an investigation where another agency is leading enquiries. This inspection did not examine the detail of that incident.

The information CQC received about these safety concerns also indicated concerns about the management of the service. A decision was made for us to inspect and examine the risks.

We have found evidence that the provider needs to make some improvements. Please see the 'well-led' sections of this full report.

The provider has taken action to mitigate the risks involved with these concerns and we were satisfied that this has been effective.

You can see what action we have asked the provider to take at the end of this full report.

Follow up:

We will continue to review information we receive about the service including information from the independent investigation. We will also return to visit as part of our re-inspection programme. If any concerning information is received, we may inspect sooner.

Inspection areas

Safe

Good

Updated 20 July 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.