- Care home
Creedy House
Report from 15 August 2024 assessment
Contents
Ratings
Our view of the service
We carried out this responsive assessment between 17 October 2024 and 01 November 2024. We looked at how Creedy House assessed and planned for people's care needs, and how they trained and supervised staff to support people according to their needs and preferences. Creedy House is a residential care home providing accommodation for persons who require personal and nursing care for up to 44 people. The service provides support to older people, some of whom lived with dementia and people with a physical disability. There were 2 people with learning disabilities also living at the service. An assessment has been undertaken of a service that is used by autistic people or people with a learning disability but is not registered as a specialist service. We have assessed the service against ‘Right support, right care, right culture’ guidance to make judgements about whether the provider guaranteed people with a learning disability and autistic people respect, equality, dignity, choices, independence and good access to local communities that most people take for granted. At the time of our assessment there were 39 people living at the service. We spoke with 4 people, 6 relatives, 1 visitor and 14 staff during the assessment. We observed care and support in communal areas and we used the Short Observational Framework for Inspection (SOFI). SOFI is a way of observing care to help us understand the experience of people who could not talk with us. We reviewed 7 people’s care plans, 4 staff recruitment records as well as general records for the service. These included staff training records, meeting records, policies and procedures and audits. During this assessment we identified 4 breaches of The Health and Social Care Act 2008 (Regulated Activities) Regulations 2014 in relation to care and treatment, risk management, staffing and good governance. We have asked the provider for an action plan in response to the concerns found at this assessment.
People's experience of this service
People's feedback about the service they received was positive. While the people we spoke with expressed they were happy with their care, our assessment found elements of the care did not meet the expected standards. People told us they felt safe. Comments included, “I feel secure”; “I like the people the staff. They are nice” and “I am very comfortable, as I know the people.” A relative told us, “Most of them [staff] have a very good understanding of dementia and cognitive problems. They have very little agency here, occasionally if someone is on holiday. Vast majority are their own staff. I know them, they know us, it's very good.” Another relative said, “I like the way they try to operate it like home from home. Normal and natural.” Relatives told us they were kept informed about changes in health or incidents and accidents. Staff supported people in a well-equipped environment, some improvements were needed to cleaning practice. People were not always treated with dignity and respect. Safeguarding concerns were reported to the appropriate authorities. Risks to people were not always identified and risk assessments lacked enough detailed information for staff to know how to keep people safe. Care plans were detailed and people's preferences and choices were documented. Care plans did not include information about people’s health needs. Staff had not received all the training they needed to support people safely. There were enough staff deployed to provide support for people. Staff knew people well. The quality monitoring and audit processes were not always robust as these had not identified issues and concerns identified by inspectors. Since the assessment visit the management team have been reviewing these processes to improve the service and to ensure the management team had a better oversight of the service. Staff gave us mixed views about how well supported they were and about the culture within the service.