Craigielea Nursing Home

People felt safe and well supported by staff. Relatives raised no safety concerns and felt staff did a good job in reducing the risks people faced. External professionals shared similar feedback.

There were sufficient staff on duty, and planned in the rota, to ensure people received safe levels of care and the environment was clean and safe.

People's care plans were up to date. Staff updated records electronically via handsets. At times information was added retrospectively due to the number of handsets available. The registered manager and provider assured us they would improve the contemporaneous nature of records.

Systems and processes for identifying patterns and trends were in place. Regular reviews of falls, safeguarding incidents and other incidents were analysed to try and reduce the risk of them repeating.

Medicines administration was safe. Records were clear and there were examples of good practice, for instance the recording of 'when required' medicines and topical medicines (creams). Regular auditing was in place and identified individual errors and areas for improvement, which were acted on. Where there was scope for improved working with the pharmacy, the provider pursued this.

People were kept safe from the risk of abuse. Relevant policies were up to date and information on how to report any concerns was readily available. When incidents occurred the provider acted promptly. The recording of some investigations could have been clearer and more open to scrutiny. The provider responded positively to this feedback and assured us they would review how investigations were documented and reported on.

Staff were recruited safely. Staff felt well supported and able to speak up if they had concerns.

The registered manager had made some positive changes and had more planned. The atmosphere during inspection was upbeat, with a school visit taking place and people relieved that staff were no longer required to wear masks at all times.

There were a range of champions in place for specific areas of practice, such as infection prevention and control, and end of life care.

The registered manager had surveyed people, relatives and visiting professionals regarding the standards of care.

External professionals felt communication from the registered manager was effective.

People were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible and in their best interests; the policies and systems in the service supported this practice.

The registered manager demonstrated a good understanding of the service and people who used it.