Source · CQC inspection
The Croft
Type Social Care Org
Region East
Last inspected 5 Jul 2017
Overall rating: Inadequate View full CQC report
Domain ratings
Safe
Inadequate
Effective
Requires Improvement
Caring
Requires Improvement
Responsive
Requires Improvement
Well-led
Inadequate
Earlier inspection findings
Must-do actions (7)
Must-do action 1 of 7
Must do
Safe
Regulation 12 (Safe care and treatment)
Must-do action 2 of 7
Must do
Safe
Regulation 12 (Safe care and treatment)
Must-do action 3 of 7
Must do
Safe
Regulation 19 (Fit and proper persons employed)
Must-do action 4 of 7
Must do
Safe
Regulation 12 (Safe care and treatment)
Must-do action 5 of 7
Must do
Effective
Regulation 18 (Staffing)
Must-do action 6 of 7
Must do
Responsive
Regulation 9 (Person-centred care)
Must-do action 7 of 7
Must do
Well-led
Regulation 17 (Good governance)
Should-do actions (12)
Should-do action 1 of 12
Should do
Responsive
The environment needed updating to create a more homely environment.
Should-do action 2 of 12
Should do
Caring
People's daily notes were not always written in a positive way. This showed a lack of respect and understanding by staff of how the person was presenting, and if there were underlying issues causing this change in their behaviour.
Should-do action 3 of 12
Should do
Caring
The service had no contacts with advocacy services to support people who may need help to make decisions about their lives, and defend and promote their rights.
Should-do action 4 of 12
Should do
Caring
The registered provider agreed they would arrange a best interest meeting with both people, their families, including advocacy involvement to discuss if either person would like a bedroom of their own.
Should-do action 5 of 12
Should do
Responsive
People did not have access to their own personal allowances, petty cash or transport to enable them to access the community.
Should-do action 6 of 12
Should do
Responsive
The registered provider was unaware that the two people who were immobile and used wheelchairs to move, should be receiving a higher level funding which would include Motability Allowance and would enable them to have access to their own vehicles.
Should-do action 7 of 12
Should do
Effective
Hospital passports designed to provide hospital staff with important information about people and their health when admitted to hospital had not been fully completed. Therefore these did not provide accurate information if the person was admitted to hospital in an emergency.
Should-do action 8 of 12
Should do
Well-led
Neither the registered provider or registered manager had a good understanding of current guidance and legislation in managing health and social care services.
Should-do action 9 of 12
Should do
Well-led
The registered provider was unaware following a change to becoming a limited company instead of a partnership they needed to change their registration with CQC, and was technically running an unregistered service. They have since made an application to ensure they are correctly registered.
Should-do action 10 of 12
Should do
Well-led
Policies and procedures were out of date and did not provide guidance to staff in line with current legislation and best practice guidance.
Should-do action 11 of 12
Should do
Well-led
Staff files contained little evidence of discussion between the registered manager and staff about what they were doing well or what support they needed for their personal development. We found supervision records contained very basic information, which was mostly cut and pasted from the previous month.
Should-do action 12 of 12
Should do
Well-led
The staff told us they did attend staff meetings where they were able to discuss issues about the service and discuss where improvements were needed; however there was no record of these meetings taking place. The registered manager confirmed the last meeting was about four months ago, but they had not minuted this.
Previous inspection
| Rating | Good |
| Type | Comprehensive inspection |
| Actions | None |