27 October 2022
During a routine inspection
About the service
Crossfields Lodge is a residential care home providing personal care. The service provides support to people with learning disabilities and autistic people. Although registered for up to two people, the provider had decided for the foreseeable future, to just accommodate the current person using the service.
People’s experience of using this service and what we found
Right Support:
Staff were supporting the person to take part in activities and pursue their interests in their local area. Staff were working with the person, and those who had a significant involvement in the person’s life to support them to have a meaningful life and to achieve their aspirations and goals.
The person was being supported to have maximum choice and control of their life 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.
Staff knew how the person preferred to take their medicines to achieve the best possible health outcome. Staff supported the person to access specialist health and social care support in the community.
Staff supported the person to make decisions following best practice in decision-making. Staff were continually learning and developing the person’s communication systems to ensure it was tailored to the person’s needs.
Right Care:
Potential risks to the person’s safety were not always identified and acted on, this had put the person at risk. Improvements were needed to monitor staff’s practice and ensure all staff felt confident in managing risks.
The person’s care, treatment and support plans reflected their range of needs and this promoted their wellbeing and enjoyment of life.
Right Culture:
The service's quality assurance, monitoring and oversight arrangements were not robust and required improvement
The person led an inclusive and empowered life because of the ethos, values, attitudes and behaviours of the management and staff. Where staff did not demonstrate the provider’s values, this had been addressed by the management.
The person and those important to them, were involved in planning their care. Staff kept the person’s care plan under review, updating as they got to know the person better, including what made them happy. The person’s quality of life was enhanced by the service’s culture of improvement and inclusivity.
Rating at the last inspection.
This service was registered with us on 4 May 2021 and this is the first inspection.
Why we inspected
This inspection was prompted by a review of the information we held about this service.
We looked at infection prevention and control measures under the Safe key question. We look at this in all care home inspections even if no concerns or risks have been identified. This is to provide assurance that the service can respond to COVID-19 and other infection outbreaks effectively.
Enforcement
We have identified a breach of regulation in relation to risk at this inspection.
Please see the action we have told the provider to take at the end of this report.
Follow up
We will request an action plan from the provider to understand what they will do to improve the standard of safety. We will work alongside the provider and local authority to monitor progress. We will continue to monitor information we receive about the service, which will help inform when we next inspect.