The Croft

Social Care Org · East

Overall Rating
Inadequate Last inspected 5 July 2017
Domain Ratings
Safe
Inadequate
Effective
Requires Improvement
Caring
Requires Improvement
Responsive
Requires Improvement
Well-led
Inadequate

View Full CQC Report

7 must-do actions
12 should-do actions

Must-Do Actions (7)

Legal requirements based on regulation breaches identified during inspection.

Must Do
Safe
Regulation 12 (Safe care and treatment)
Regulation 12 (Safe care and treatment)
The shortfalls in the management of risks were a breach of regulation 12 of the Health and Social Care Act 2008 (Regulated Activities) 2014. Risks to people using the service were not being identified and managed. Improvements were needed to the maintenance of the premises to protect people from harm, …
Must Do
Safe
Regulation 12 (Safe care and treatment)
Regulation 12 (Safe care and treatment)
The shortfalls in infection control were a breach of regulation 12 (2) (h) of the Health and Social Care Act 2008 (Regulated Activities) 2014. Infection control risks had not been identified or managed to ensure people using the service and staff were protected from acquiring health related infections. In the …
Must Do
Safe
Regulation 19 (Fit and proper persons employed)
Regulation 19 (Fit and proper persons employed)
The shortfalls in fit and proper persons employed were a breach of regulation 19 (2) of the Health and Social Care Act 2008 (Regulated Activities) 2014. Six staff files examined identified safe recruitment processes were not sufficiently robust. References about staff's previous employment had not been requested despite having the …
Must Do
Safe
Regulation 12 (Safe care and treatment)
Regulation 12 (Safe care and treatment)
The shortfalls in medicines management were a breach of regulation 12 (2) (g) of the Health and Social Care Act 2008 (Regulated Activities) 2014. Further improvements were needed to ensure systems for obtaining, storing, administering and disposing of medicines were safe. Where medicines had started part way through a cycle, …
Must Do
Effective
Regulation 18 (Staffing)
Regulation 18 (Staffing)
The shortfalls in staffing were a breach of regulation 18 (2) (a) of the Health and Social Care Act 2008 (Regulated Activities) 2014. Staffing numbers had not been assessed to ensure there were sufficient staff available to meet people's needs and to keep the premises clean. Our observations of lunchtime …
Must Do
Responsive
Regulation 9 (Person-centred care)
Regulation 9 (Person-centred care)
The shortfalls in person centered care were a breach of regulation 9 of the Health and Social Care Act 2008 (Regulated Activities) 2014. People's care plans and risk assessments need to be reviewed to ensure these reflect their current needs to protect them from harm, or the risk of harm …
Must Do
Well-led
Regulation 17 (Good governance)
Regulation 17 (Good governance)
The shortfalls in good governance were a breach of regulation 17 (1) (2) (a) (b) of the Health and Social Care Act 2008 (Regulated Activities) 2014. There was a lack of leadership and governance in the service. Both registered persons were failing to manage the service in line with current …

Should-Do Actions (12)

Recommended improvements to enhance service quality.

Should Do
Responsive
The environment needed updating to create a more homely environment.
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
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
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
Responsive
People did not have access to their own personal allowances, petty cash or transport to enable them to access the community.
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
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
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
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
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
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
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 (4 December 2015)

Rating: Good Type: Comprehensive inspection Actions: None
Location Details
CQC ID: 1-111137949
Local Authority: Essex
Region: East
Inspection Report
Type: Comprehensive inspection
Date: 5 July 2017
Rating: Inadequate
Actions: 7 must-do , 12 should-do
AI-extracted 17 Feb 2026