Crescent House

Updated 28 December 2019

The inspection

We carried out this inspection under Section 60 of the Health and Social Care Act 2008 (the Act) as part of our regulatory functions. We checked whether the provider was meeting the legal requirements and regulations associated with the Act. We looked at the overall quality of the service and provided a rating for the service under the Care Act 2014.

Inspection team

The inspection was undertaken by one inspector.

Service and service type

Crescent House 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.

The service had a manager registered with the Care Quality Commission. This means that they and the provider are legally responsible for how the service is run and for the quality and safety of the care provided.

Notice of inspection

This inspection was unannounced.

What we did before the inspection

Before the inspection, we reviewed the information we held about the service. This included information from other agencies and statutory notifications sent to us by the registered manager about events that had occurred at the service. A notification is information about important events which the provider is required to tell us about by law. We used the information the provider sent us in the provider information return. This is information providers are required to send us with key information about their service, what they do well, and improvements they plan to make. This information helps support our inspections. We used all of this information to plan our inspection.

During the inspection

We spoke with three people who used the service to obtain their feedback. We also spoke with the registered manager and two care workers. We reviewed a range of records. This included four care records and medication records. We looked at two staff files in relation to recruitment and supervision. A variety of records relating to the management of the service, including policies and procedures, were reviewed.

Updated 28 December 2019

About the service

Crescent House is a residential care home providing personal care to 15 older people with a range of care needed, including people living with dementia. The service can support up to 17 people.

People’s experience of using this service and what we found

People told us they felt safe living at the home. They were protected from the risk of abuse and harm by staff who had been appropriately trained and knew what action to take if they had any concerns. Risks to people had been identified and assessed with guidance for staff, which was followed. People felt there were enough staff on duty to meet their needs. New staff were recruited safely. People received their medicines as prescribed. The home was clean and smelled fresh.

Before people came to live at the home, the registered manager completed an assessment of their needs. Care was planned with people and their relatives. Staff completed a range of training relevant to people’s care and health needs. They received regular supervision from the registered manager.

People said they enjoyed the meals at the home and had a range of menu choices. People had access to a range of healthcare professionals and services.

People felt that staff were kind, caring and attentive to their needs. People’s diverse needs were identified and catered for and care was delivered in a personalised way that met people’s preferences. People were treated with dignity and respect.

Care plans were drawn-up with people and their relatives and provided detailed information about people’s personal histories, as well as their care and support needs, which staff followed. People could choose to participate in a range of activities, according to their interests. People’s communication needs had been identified, so that staff communicated with them in a way that suited them. If it was their wish, and their needs could be met, people could live out their lives at the home.

People and their relatives were complimentary about the home. Staff were positive in their feedback and enjoyed working at the home.

A range of audits had been implemented to measure and monitor the quality of the service and to drive improvement. Staff felt supported by the registered manager and the register manager had regular contact with the board of trustees. The service worked in partnership with others.

For more details, please see the full report which is on the CQC website at www.cqc.org.uk

Rating at last inspection

The last rating for this service was good (published 17 January 2017).

Why we inspected

This was a planned inspection based on the previous rating.

Follow-up

We will continue to monitor information we receive about the service until we return to visit as per our re-inspection programme. If we receive any concerning information, we may inspect sooner.