Croft Manor Residential Home

Updated 22 May 2020

The inspection

We carried out this inspection under Section 60 of the Health and Social Care Act 2008 (the Act) as part of our regulatory functions. We checked whether the provider was meeting the legal requirements and regulations associated with the Act. We looked at the overall quality of the service and provided a rating for the service under the Care Act 2014.

Inspection team

Two inspectors conducted the inspection.

Service and service type

Croft Manor Residential Home is a ‘care home’. People in care homes receive accommodation and nursing or personal care as a single package under one contractual agreement. CQC regulates both the premises and the care provided, and both were looked at during this inspection.

The service did not have a manager registered with the Care Quality Commission. A manager had been appointed in November 2019 and was in the process of registering with the CQC. A registered manager, along with the provider are legally responsible for how the service is run and for the quality and safety of the care provided.

Notice of inspection

This inspection was unannounced.

What we did before the inspection

We reviewed information we had received about the service since the last inspection. The provider completed the Provider Information Return. This is information providers are required to send us with key information about the service, what it does well and improvements they plan to make. Due to a technical error, this information was not reviewed prior to the inspection. We took this into account when we inspected the service and made the judgements in this report.

During the inspection

We spoke with two people who used the service and four relatives about their experience of the care provided. We were not always able to communicate with people, so we spent time observing the interactions between people and staff, in public areas of the home, in order to help us understand people's experiences. We spoke with seven members of staff including the providers representative, manager, senior care workers, care workers and a cook.

We reviewed a range of records. This included four people’s care records and multiple medication records. We looked at four staff files in relation to recruitment. A variety of records relating to the management of the service, including quality assurance documents were reviewed.

After the inspection

We spoke with two relatives about their experience of the care provided. We continued to seek clarification from the provider to validate evidence found.

Updated 22 May 2020

About the service

Croft Manor Residential Home is a care home providing personal care for up to 28 older people, some of whom live with dementia. The home is situated in the centre of Fareham. At the time of the inspection the home was providing care and support to 22 people.

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

We identified some shortfalls in the service including the environment, risk assessment and a lack of detail in end of life care plans. Although the manager told us of their plans to make improvements, records did not always detail how and when these improvements would be made. We have made a recommendation about this.

Improvements had been made to infection control processes and the home was clean, however further improvements were still required to ensure the spread of infection was minimised.

People felt safe at Croft Manor. Safeguarding policies and procedures were in place and staff were confident in the actions to take if abuse were suspected. There were enough staff deployed to meet the needs of people. Staff knew how to promote people's safety and mitigate risks to people's health and welfare. Medicines were administered safely by staff.

Efforts had begun to make the home dementia friendly but further work was needed. The manager had plans in place to make improvements in this area.

Staff worked well with professionals to ensure people’s health needs were met. Staff were supported in their roles and had received training, so they were able to support people effectively. Staff enjoyed their work and told us they felt valued.

People were supported by kind and caring staff who treated them with dignity and respect.

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. People received personalised care that met their needs and preferences.

People and their relatives knew how to raise concerns. They had confidence in the manager and told us they were approachable. People, relatives, professionals and staff told us they would recommend the home to others.

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 21 February 2019)

Why we inspected

This was a planned inspection based on the previous rating.

Follow up

There is no required follow up to this inspection, however we will continue to monitor the service through information we receive.