Background to this inspection
Updated
31 May 2022
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.
As part of this inspection we looked at the infection control and prevention measures in place. This was conducted so we can understand the preparedness of the service in preventing or managing an infection outbreak, and to identify good practice we can share with other services.
Inspection team
The inspection was carried out by one inspector.
Service and service type
Cross Park House is a ‘care home’. People in care homes receive accommodation and personal care as a single package under one contractual agreement dependent on their registration with us. Cross Park House 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 service is required to have a registered manager. A registered manager is a person who has registered with the Care Quality Commission to manage the service. 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.
At the time of our inspection there was a registered manager in post.
Notice of inspection
This inspection was unannounced.
What we did before the inspection
We reviewed information we received about the service since the last inspection. We used information gathered as part of monitoring activity that took place on 16 March 2022 to help plan the inspection and inform our judgements. The provider was not asked to complete a Provider Information Return (PIR) prior to this inspection. A PIR is information providers send us to give some key information about the service, what the service does well and improvements they plan to make. We looked to see statutory notifications had been sent by the provider. A statutory notification contains information about events which the provider is required to send to us by law. We used all this information to plan our inspection
During the inspection
We spoke with six people who used the service and three relatives. We spoke with eight members of staff including the registered manager, deputy manager and the activities lead.
We reviewed a range of records. This included six care records and medicine administration records. We looked at three staff files in relation to recruitment and staff supervision. A variety of records relating to the management of the service, including policies and procedures were reviewed. We also used the Short Observational Framework for Inspection (SOFI). SOFI is a way of observing care to help us understand the experience of people who could not talk with us.
Updated
31 May 2022
About the service
Cross Park House is a residential care home which provides accommodation and personal care for up to 23 people. At the time of our inspection there were 17 people using the service.
People’s experience of using this service and what we found
During this inspection we carried out a separate thematic probe, which asked questions of the provider, people and their relatives, about the quality of oral health care support and access to dentists, for people living in the care home. This was to follow up on the findings and recommendations from our national report on oral healthcare in care homes that was published in 2019 called ‘Smiling Matters’. We will publish a follow up report to the 2019 'Smiling Matters' report, with up to date findings and recommendations about oral health, in due course.
People were protected from the risk of abuse as staff were aware of their safeguarding responsibilities and how to report any concerns. There were adequate numbers of staff with the appropriate skills and experience to meet people’s needs. Staff were recruited safely and received an induction and training to ensure they could meet people’s requirements.
People’s medicines were managed safely and given as prescribed. Staff followed infection control guidance and had access to Personal Protective Equipment (PPE).
People were supported by staff that were caring and treated them with dignity and respect.
People’s needs and choices were assessed, and their care was reviewed regularly. Care records identified people’s individual risks and how these should be managed to reduce the risk of harm.
Staff understood their roles and responsibilities and felt confident in their role. Staff liaised with other health and social care providers to ensure people’s health and care needs were met.
People were supported to have maximum choice and control of their lives and supported them in the least restrictive way possible and in their best interests; the policies and systems in the service supported this practice.
People were supported to maintain relationships with their families and had access to a range of activities both within the service and community.
The provider carried out regular audits of the service to oversee the quality of the care provided. This included competency checks of staff to assess whether staff were working in line with best practice.
For more details, please see the full report which is on the CQC website at www.cqc.org.uk
Rating at last inspection and update
The last rating for this service was good (published 30 November 2018).
Why we inspected
We undertook this inspection as part of a random selection of services rated Good and Outstanding.
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.
Follow up
We will continue to monitor information we receive about the service, which will help inform when we next inspect.