Cranfield Court is rated Good overall at its first CQC inspection, demonstrating strong person-centred care aligned with Right Support, Right Care, Right Culture principles across safe, effective, caring and responsive domains. The Well-Led rating of Requires Improvement reflects inconsistent quality assurance, unresolved action plan items—including a missing PRN protocol—and incomplete incident trend analysis.
Concerns (5)
moderate
Governance
: “action plan was conducted in August 2022 for the service which identified gaps and missing information, but these had not been resolved.”
moderateMedication management: “There was a missing PRN protocol in a persons medication folder and the medication audit did not identify this.”
moderateIncident learning: “action plan also identified that a trend review was needed for all accidents and incidents in July 2022 and in August 2022 but this had not been completed.”
minorEnd-of-life care: “There was limited information in the support plans we reviewed relating to people's end of life wishes.”
minorComplaints handling: “The service did not have a formal complaints audit. The area manager told us they would complete this on a monthly basis to analyse any trends or themes.”
Strengths
· Staff knew people well and understood how to protect them from abuse; people reported feeling safe.
· Personalised, person-centred care plans reflecting individual needs, preferences, communication styles and health conditions.
· Staff received relevant training including learning disability, autism, positive behaviour support and restrictive interventions.
· People were supported to maintain independence, pursue interests and access community activities.
· Staff proactively supported people to attend health checks and liaised effectively with GPs and community nurses.
Quality-Statement breakdown (21)
safe: Systems and processes to safeguard people from the risk of abuseGood
safe: Assessing risk, safety monitoring and management; Learning lessons when things go wrongGood
safe: Staffing and recruitmentGood
safe: Using medicines safelyGood
safe: Prevention and controlling infectionGood
effective: Assessing people's needs and choices; delivering care in line with standards, guidance and the lawGood
effective: Staff support: induction, training, skills and experienceGood
effective: Supporting people to eat and drink enough to maintain a balanced dietGood
effective: Staff working with other agencies; Supporting people to live healthier lives and access healthcareGood
effective: Ensuring consent to care and treatment in line with law and guidanceGood
caring: Ensuring people are well treated and supported; respecting equality and diversityGood
caring: Supporting people to express their views and be involved in making decisions about their careGood
caring: Respecting and promoting people's privacy, dignity and independenceGood
responsive: Planning personalised care; supporting relationships and activitiesGood
responsive: Meeting people's communication needsGood
responsive: Improving care quality in response to complaints or concernsGood
responsive: End of life care and supportGood
well-led: Managers and staff being clear about their roles, and understanding quality performance, risks and regulatory requirementsRequires improvement
well-led: Engaging and involving people using the service, the public and staffGood
well-led: Duty of candour; promoting a positive, open, inclusive cultureGood
well-led: Continuous learning and improving care; working in partnership with othersGood