Archived: Craigarran Nursing Home

Updated 19 June 2015

We carried out this inspection under Section 60 of the Health and Social Care Act 2008 as part of our regulatory functions. This inspection was planned to check whether the provider is meeting the legal requirements and regulations associated with the Health and Social Care Act 2008, to look at the overall quality of the service, and to provide a rating for the service under the Care Act 2014.

This inspection took place on 13 and 17 March 2015 and was unannounced. This meant the staff and provider did not know we would be visiting. One Adult Social Care inspector, a specialist advisor in nursing and an expert by experience took part in this inspection. An expert by experience is a person who has personal experience of using or caring for someone who uses this type of care service.

Before we visited the home we checked the information we held about this location and the service provider, for example, inspection history, safeguarding notifications and complaints. We also contacted professionals involved in caring for people who used the service, including commissioners, safeguarding staff and district nurses.

For this inspection, the provider was not asked to complete a Provider Information Return (PIR). This is a form that asks the provider to give some key information about the service, what the service does well and improvements they plan to make.

During our inspection we spoke with five people who used the service, seven family members and a visiting healthcare professional. We also spoke with the provider, the registered manager, the administrator, one nurse, two care workers and one domestic staff member.

We looked at the personal care or treatment records of five people who used the service and observed how people were being cared for. We also looked at the personnel files for three members of staff.

Updated 19 June 2015

This inspection took place on 13 and 17 March 2015 and was unannounced. This meant the staff and provider did not know we would be visiting.

Craigarran Nursing Home provides care and accommodation for up to 44 people, including people with a dementia type illness and nursing care needs. On the day of our inspection there were 31 people using the service.

The home had a registered manager in place. A registered manager is a person who has registered with the Care Quality Commission (CQC) to manage the service. Like registered providers, they are ‘registered persons’. Registered persons have legal responsibility for meeting the requirements in the Health and Social Care Act 2008 and associated Regulations about how the service is run.

Craigarran Nursing Home was last inspected by CQC on 9 August 2013 and was compliant.

There were sufficient numbers of staff on duty in order to meet the needs of people using the service. The provider had an effective recruitment and selection procedure in place and carried out relevant checks when they employed staff.

Thorough investigations had been carried out in response to safeguarding incidents or allegations.

The registered manager conducted monthly audits to check that medicines were being administered safely and appropriately.

Staff training was up to date and staff received regular supervisions and appraisals, which meant that staff were properly supported to provide care to people who used the service.

The home was clean, spacious and suitable for the people who used the service.

CQC monitors the operation of the Deprivation of Liberty Safeguards (DoLS) which applies to care homes. The Deprivation of Liberty Safeguards (DoLS) are part of the Mental Capacity Act 2005. They aim to make sure that people in care homes, hospitals and supported living are looked after in a way that does not inappropriately restrict their freedom. The provider was not meeting the requirements of the Mental Capacity Act (MCA) or the Deprivation of Liberty Safeguards (DoLS) and there was no evidence in the care records of consent being obtained. This was a breach of the Health and Social Care Act 2008 (Regulated Activities) Regulations 2010.

People who used the service, and family members, were complimentary about the standard of care at Craigarran Nursing Home.

Staff treated people with dignity and respect and helped to maintain people’s independence by encouraging them to care for themselves where possible.

We saw that the home had a full programme of activities in place for people who used the service.

Care records showed that people’s needs were assessed before they moved into Craigarran Nursing Home and care plans were written in a person centred way however care records were not always accurate or up to date. This was a breach of the Health and Social Care Act 2008 (Regulated Activities) Regulations 2010.

The provider had a complaints policy and procedure in place and complaints were fully investigated.

The provider had a robust quality assurance system in place and gathered information about the quality of their service from a variety of sources.

You can see what action we told the provider to take at the back of the full version of the report.