Latest Inspection
This is the latest available inspection report for this service, carried out on 11th June 2010. CQC found this care home to be providing an Excellent service.
The inspector made no statutory requirements on the home as a result of this inspection
and there were no outstanding actions from the previous inspection report.
For extracts, read the latest CQC inspection for Cragston Court.
What the care home does well This is an excellent service that puts its clients at the centre of its work. It carries out comprehensive assessments of their physical and mental health needs, and draws up detailed professional plans to meet those needs. It includes the client in all the planning and execution of their care, and encourages them to take appropriate responsibility for their own interventions. Choice and independence are also encouraged, within a framework of careful assessment of risk. The home listens to the people it cares for, and provides appropriate `safeguarding` of their rights and safety. There are both internal and external quality assurance systems in place, and the outcomes of these are taken seriously. The home is well managed, and has an experienced, committed, well trained and very caring staff team. What the care home could do better: All handwritten entries in the Medication Administration Record should be dated, and signed by two staff members. Latin abbreviations should not be used. There is a need to update the home`s complaints policy. A central record should be kept of all safeguarding issues. Clients` complaints about other clients should be responded to in writing. Random inspection report
Care homes for adults (18-65 years)
Name: Address: Cragston Court Cragston Court Blakelaw Newcastle Upon Tyne Tyne & Wear NE5 3SR three star excellent service The quality rating for this care home is: The rating was made on: A quality rating is our assessment of how well a care home, agency or scheme is meeting the needs of the people who use it. We give a quality rating following a full review of the service. We call this review a ‘key’ inspection. This is a report of a random inspection of this care home. A random inspection is a short, focussed review of the service. Details of how to get other inspection reports for this care home, including the last key inspection report, can be found on the last page of this report. Lead inspector: Alan Baxter Date: 1 1 0 6 2 0 1 0 Information about the care home
Name of care home: Address: Cragston Court Cragston Court Blakelaw Newcastle Upon Tyne Tyne & Wear NE5 3SR 01912864443 Telephone number: Fax number: Email address: Provider web address: manager.cragstoncourt@careuk.com Name of registered provider(s): Care UK Mental Health Partnership Limited (Arc Healthcare Limited) Name of registered manager (if applicable) Mrs Nazmah Cadersaib Type of registration: Number of places registered: Conditions of registration: Category(ies) : Number of places (if applicable): Under 65 mental disorder, excluding learning disability or dementia Conditions of registration: The maximum number of service users who can be accommodated is: 20 The registered person may provide the following category of service only: Care home with nursing - Code N To service users of the following gender: Either Whose primary care needs on admission to the home are within the following category: Mental disorder, excluding learning disability or dementia - Code MD, maximum number of places: 20 Date of last inspection 20 Over 65 0 care home 20 Care Homes for Adults (18-65 years) Page 2 of 9 Brief description of the care home Cragston Court is a 20 bed care home with nursing providing care for adults with enduring mental health problems. Care in the home is provided by Registered Mental Nurses supported by care staff. The home is owned by Care UK a large national care provider to a variety of vulnerable adult client groups. The home is situated in Blakelaw a suburb of the city of Newcastle upon Tyne close to local shops and good public transport links. The building is single storey and has 20 bedrooms all of which have en suite facilities. There are also three separate lounge areas, one of which is designated smoking, and a separate dining room. The philosophy of care in the home is to support the residents in their activities of daily living and to provide for their mental health needs. Information about the home is available in the form of the service user guide and statement of purpose for the home. The fees range from £578 £696 per week. Care Homes for Adults (18-65 years) Page 3 of 9 What we found:
This was a Random, unannounced inspection of this service. The agency had last been inspected on 27th June 2007, and had been rated 3 star Excellent at that inspection. Since then, we have carried out two Annual Service Reviews of the agency, on 7th July 2008 and 27th June 2009. These reviews produced no evidence that the agency had slipped below its Excellent rating; nor were there any areas of concern uncovered. The focus of this inspection was on those key areas felt most important to people receiving a care service from this agency, particularly health and personal care, complaints and protection, and the management of the agency. During this inspection we spoke with the manager, a number of staff, and some clients. We looked at care records and other essential documentation to make a judgement about the quality of the care being offered. We looked at other information the agency is obliged to keep. We informed the manager of what we found. This is what we found on this inspection: Personal care and support is given as preferred by the person using the service. Care plans include both the clients and the carers perspectives, and stress the clients interventions as being as important as those of the carer. Carers interventions were professional and detailed, and clearly specify the different responsibilities of RMNs, keyworkers, support workers, ancillary workers etc. Care plans demonstrate sensitivity and respect for the clients, and demonstrate that personal choices are encouraged. There are monthly evaluations of the care plans, and these are signed by both the keyworker and the client. Clients physical and mental health needs are fully assessed and met, with evidence of appropriate referrals to health professionals and documented outcomes. Information on relevant health conditions such as diabetes is held on the persons file. Regular health checks are offered and the outcomes recorded, with detailed records kept of all appointments and consultations. Psychiatric care is provided by Registered Mental Nurses, working to detailed care plans and subject to regular review, overseen by Consultant Psychiatrists. Clients are encouraged to be co-managers of their own health care needs. Consistency in meeting health care needs is aided by having a keyworker system and a stable staff group. Clients wishes are considered and included in the assessment of their needs regarding the administration of medications. There was evidence of support being given to allow clients to take increasing levels of responsibility for their own medications (with supervision, where necessary). Only qualified nurses administer medicines to clients. The Medication Administration Record (MAR) was fully completed, with no unexplained gaps (other than for the need for two staff signatures for each handwritten entry in the MAR). There is a weekly internal audit of the medications held/administered, and a
Care Homes for Adults (18-65 years) Page 4 of 9 monthly external audit. Good systems are in place for ordering, checking, administration and return of medications. One formal complaint was lodged by a client in the past year. This was regarding a perceived lack of actions by a member of staff. It was not sustained. A clients complaints/feedback book had several entries from clients about other clients. No responses from the manager or staff were recorded. There is a need to update the homes complaints procedure to reflect the role of the Care Quality Commission regarding complaints, and its contact details. The home has a Safeguarding policy that is in line with the Department of Health guidance No Secrets. All staff have had training in how to recognize and manage allegations or suspicions of abuse of clients. Qualified staff have had more advanced training. The registered manager is an accredited Safeguarding trainer. One safeguarding issue has arisen in the past year. This was reported immediately to the persons social worker, who asked the manager to conduct an internal investigation. This was fully recorded in the persons file. However, the home is advised to keep a central record of all safeguarding issues/referrals, as otherwise essential information may not be easily accessible when kept only on individual clients files. There was evidence of the home supporting the rights of individual clients by, for example, supporting attendance at a Mental Health Tribunal, and contacting the Office of Public Guardianship regarding potential financial abuse. The homes registered manager, Naz Cadersaib, is highly qualified, very experienced, and well motivated. She is committed to providing the highest standard of care for the people who live in the home. She carries out monthly audits of assessments and care plans, as does her deputy. There is also a monthly external audit of the home by peer managers within the company. These quality systems seem to be robust and to lead to actual improvements in the service. Examples included improvements to care documentation and planning; improvements in the physical environment; improvements to food and diet, and to more exercises for clients. Staff views are also consulted, in team meetings and in personal supervision, and there was evidence that these also lead to improvements in the service. The views of the people living in the home are canvassed in regular service user meetings. These are chaired and minuted by clients themselves. Clients are also involved in parts of the staff recruitment process, including interviewing. The staff training matrix showed that all staff are up to date with the training they are required to have by legislation. The homes accident book and fire log book are kept up to date. The required checks and tests of fire safety equipment and systems are recorded as taking place at the necessary intervals. Care Homes for Adults (18-65 years) Page 5 of 9 What the care home does well: What they could do better: If you want to know what action the person responsible for this care home is taking following this report, you can contact them using the details set out on page 2. Care Homes for Adults (18-65 years) Page 6 of 9 Are there any outstanding requirements from the last inspection? Yes £ No R Outstanding statutory requirements
These are requirements that were set at the previous inspection, but have still not been met. They say what the registered person had to do to meet the Care Standards Act 2000, Regulations 2001 and the National Minimum Standards.
No. Standard Regulation Requirement Timescale for action Care Homes for Adults (18-65 years) Page 7 of 9 Requirements and recommendations from this inspection:
Immediate requirements: These are immediate requirements that were set on the day we visited this care home. The registered person had to meet these within 48 hours.
No. Standard Regulation Requirement Timescale for action Statutory requirements These requirements set out what the registered person must do to meet the Care Standards Act 2000, Regulations 2001 and the National Minimum Standards. The registered person(s) must do this within the timescales we have set.
No. Standard Regulation Requirement Timescale for action Recommendations These recommendations are taken from the best practice described in the National Minimum Standards and the registered person(s) should consider them as a way of improving their service.
No Refer to Standard Good Practice Recommendations 1 20 All handwritten entries in the Medication Administration Record should be dated, and signed by two staff members. Latin abbreviations should not be used. Clients complaints about other clients should be responded to in writing. The homes complaints procedure should be updated to reflect the role of the Care Quality Commission regarding complaints, and to include the Commissions current contact details. A central record should be kept of all safeguarding issues. 2 3 22 22 4 23 Care Homes for Adults (18-65 years) Page 8 of 9 Reader Information
Document Purpose: Author: Audience: Further copies from: Inspection Report Care Quality Commission General Public 0870 240 7535 (telephone order line) Our duty to regulate social care services is set out in the Care Standards Act 2000. Copies of the National Minimum Standards –Care Homes for Adults (18-65 years) can be found at www.dh.gov.uk or got from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering from the Stationery Office is also available: www.tso.co.uk/bookshop Helpline: Telephone: 03000 616161 Email: enquiries@cqc.org.uk Web: www.cqc.org.uk We want people to be able to access this information. If you would like a summary in a different format or language please contact our helpline or go to our website. © Care Quality Commission 2010 This publication may be reproduced in whole or in part in any format or medium for noncommercial purposes, provided that it is reproduced accurately and not used in a derogatory manner or in a misleading context. The source should be acknowledged, by showing the publication title and © Care Quality Commission 2010. Care Homes for Adults (18-65 years) Page 9 of 9 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. The policy of www.bestcarehome.co.uk is to use all legal avenues to pursue such offenders, including recovery of costs. You have been warned!
