Crownwise Limited - St Andrews

Updated 7 March 2024

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 Health and Social Care Act 2008.

Inspection team

The inspection was carried out by 1 inspector.

Service and service type

Crownwise Limited - St Andrews is a ‘care home’. People in care homes receive accommodation and nursing and/or personal care as a single package under one contractual agreement dependent on their registration with us. Crownwise Limited - St Andrews is a care home without nursing care. CQC regulates both the premises and the care provided, and both were looked at during this inspection.

Registered Manager

This provider is required to have a registered manager to oversee the delivery of regulated activities at this location. A registered manager is a person who has registered with the Care Quality Commission to manage the service. Registered managers and providers are legally responsible for how the service is run, for the quality and safety of the care provided and compliance with regulations.

At the time of our inspection there was not a registered manager in post. A deputy manager was in post and had submitted an application to register. We are currently assessing this application.

Notice of inspection

This inspection was unannounced.

What we did before inspection

We reviewed information we had received about the service since the last inspection. We sought feedback from the local authority and professionals who work with the service. We used the information the provider sent us in the provider information return (PIR). This is information providers are required to send us annually with key information about their service, what they do well, and improvements they plan to make. We used all this information to plan our inspection.

During the inspection

We spoke with 2 people, 2 care assistants, deputy manager and the Nominated individual (NI). The NI is responsible for supervising the management of the service on behalf of the provider.

We reviewed 4 people’s care records and 4 staff files. We checked people’s medicines and medicines records. We carried out observations of staff interactions with people as well as of the environment of the care home. We checked quality assurance records, and documentation related to the management of the service.

Updated 7 March 2024

About the service

Crownwise Limited - St Andrews is a residential care home providing the regulated activity of accommodation and personal to up to 8 people with a mental health condition. Crownwise Limited - St Andrews accommodates people in one adapted building. At the time of our inspection there were 8 people using the service.

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

People and their relatives were happy with the care provided. Comments included, “I like it here. I am happy” and “I have friends here. The [staff] are friendly and always helpful.” People were protected from the risk of avoidable harm. Comments included, “I feel safe here” and “We have a good security system. [Staff] treat us so well. I don’t have any concerns.”

Staff knew their responsibility to protect people from harm. They knew how to identify and report abuse, and when to whistle blow concerns. Risk assessments were undertaken and guidance put in place. This enabled staff to provide care to people in a safe manner. Enough staff were deployed to deliver care. The provider followed safe recruitment processes to ensure only suitable staff were employed to support people. New staff underwent induction before they started providing care. Medicines were managed and administered safely. Staff followed infection control and prevention guidance and minimised the risk of cross contamination.

Staff were supported to undertake their roles. They received regular training and supervision which enabled them to do their work effectively. People received support to maintain good health and their well-being.

A consistent and regular team of staff delivered care to people. This enabled them to develop positive and meaningful caring relationships. People’s care delivery respected and upheld their dignity and privacy. People were asked for their consent before staff provided care to them. Staff supported people to maintain their independence and to make choices about their day to day living.

People’s needs were assessed and met. Care plans were reviewed and updated to reflect changes to each person’s needs and support they required. People received the support they required to access health services when required. People and their relatives felt confident and knew how to make a complaint if they were unhappy with any aspect of their care.

People, their relatives and staff were happy with the way the service was managed. They described the provider as open, transparent and approachable. The provider listened to people and valued and considered their views. Audits were undertaken for quality assurance on the care provided. Improvements were made when needed. The provider encouraged and ensured staff learnt lessons when things went wrong. Plans were put in place to minimise the risk of incidents from happening again. The provider worked in partnership with health and social care professionals and other agencies to ensure people received care appropriate to their needs.

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.

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 (14/03/2018).

Why we inspected

This inspection was prompted by a review of the information we held about this service.

Follow up

We will continue to monitor information we receive about the service, which will help inform when we next inspect.