This inspection took place on 18 September 2017 and was unannounced. This meant the staff and the provider did not know we would be visiting.

Craigarran Care Home is a ‘care home’. People in care homes receive accommodation and nursing or personal care as a single package under one contractual agreement. CQC regulates both the premises and the care provided, and both were looked at during this inspection.

Craigarran Care Home accommodates up to 44 older people, some of whom were living with dementia, others had nursing care or mental health needs. On the day of our inspection there were 41 people using the service.

Craigarran Care Home was last inspected by CQC on 7 September 2017 and was rated Requires Improvement overall and in two areas; responsive and well-led. We informed the provider they were in breach of Regulation 17: good governance. Care records were not always up to date, regularly reviewed or reflective of people’s needs.

Whilst completing this inspection we reviewed the actions the provider had taken to address the above breach of The Health and Social Care Act 2008 (Regulated Activities) Regulations 2014. We found that the provider had ensured improvements were made in this area and this had led the home to meeting the above regulation.

The home had a registered manager in place. A registered manager is a person who has registered with CQC to manage the service. Like registered providers, they are ‘registered persons’. Registered persons have legal responsibility for meeting the requirements in the Health and Social Care Act 2008 and associated Regulations about how the service is run.

The provider had an effective recruitment and selection procedure in place and carried out relevant checks when they employed staff. There were sufficient numbers of staff on duty to meet the needs of people who used the service.

The provider had effective procedures in place for managing the maintenance of the premises and appropriate health and safety checks were carried out. The home was clean, spacious and suitable for the people who used the service.

Accidents and incidents were appropriately recorded and risk assessments were in place. The registered manager understood their responsibilities about safeguarding and staff had been trained in safeguarding vulnerable adults.

Appropriate arrangements were in place for the safe management and administration of medicines.

Staff were supported to provide care to people who used the service through a range of mandatory training, supervision and appraisal. Staff said they felt supported by the registered manager.

People who used the service and their relatives were complimentary about the standard of care at Craigarran Care Home. Staff treated people with dignity and respect and helped to maintain people’s independence by encouraging them to care for themselves where possible.

People were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible.

Care records showed people’s needs were assessed before they started using the service and care plans were written in a person-centred way and were reviewed regularly. Person-centred is about ensuring the person is at the centre of any care or support and their individual wishes, needs and choices are taken into account.

People were protected from the risk of poor nutrition and staff were aware of people’s nutritional needs.

People had access to healthcare services and received ongoing healthcare support. Care plans were in place that recorded people’s plans and wishes for their end of life care.

Activities were arranged for people who used the service based on their likes and interests and to help meet their social needs.

The provider had an effective complaints procedure in place and people who used the service and their relatives were aware of how to make a complaint.

The provider had an effective quality assurance process in place. Peop

This inspection took place on 7 September 2017 and was unannounced. This meant the staff and the provider did not know we would be visiting. This was the first inspection for this service.

Craigarran Care Home is a care home with nursing registered with CQC to provide care for up to 44 people. On the day of our inspection there were 41 people using the service. Facilities included en-suite bedrooms, several lounges, a dining room, communal bathrooms, shower rooms and toilets, a hairdressing room, a communal garden and a large, spacious reception area.

The home had a registered manager in place. A registered manager is a person who has registered with CQC to manage the service. Like registered providers, they are ‘registered persons’. Registered persons have legal responsibility for meeting the requirements in the Health and Social Care Act 2008 and associated Regulations about how the service is run.

People who used the service and their relatives were complimentary about the standard of care at Craigarran Care Home. We saw staff supporting and helping to maintain people’s independence. People were encouraged to care for themselves where possible. Staff treated people with dignity and respect.

The provider had an effective recruitment and selection procedure in place and carried out relevant checks when they employed staff. There were sufficient numbers of staff on duty in order to meet the needs of people using the service.

Training records were up to date and staff received supervisions and appraisals, which meant that staff were properly supported to provide care to people who used the service.

The layout of the building provided adequate space for people with walking aids or wheelchairs to mobilise safely around the home. Bathrooms and toilets were appropriately signed and walls were decorated to provide people with visual stimulation. Corridors were clear from obstructions, well-lit and handrails were painted a bright colour, different to the walls, which helped to aid people’s orientation around the home.

The provider was working within the principles of the Mental Capacity Act 2005.

People were protected against the risks associated with the unsafe use and management of medicines.

People had access to food and drink throughout the day and we saw staff supporting people at meal times when required.

People who used the service had access to a range of activities in the home and in the local community.

Staff used a range of assessment tools and recorded how care was to be delivered. However we found care records were not always up to date, regularly reviewed or reflective of people’s needs.

People had access to healthcare services and received ongoing healthcare support.

The provider had a complaints policy and procedure in place and complaints were fully investigated.

The provider had audits in place to measure the quality of the service however the audits were not used effectively and had failed to identify the deficits we found in the service.

During our inspection we found a breach of the Health and Social Care Act 2008 (Regulated Activities) Regulations 2014. You can see what action we told the provider to take at the back of the full version of the report.