Updated 12 July 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. This inspection was planned to check whether the provider was meeting the legal requirements and regulations associated with the Act, to look at the overall quality of the service, and to provide a rating for the service under the Care Act 2014.
Inspection team
This inspection was carried out by one inspector.
Service and service type
Crossroads Care Greater Manchester is a domiciliary care agency. It provides personal care to people living in their own homes. Not everyone using Crossroads Care Greater Manchester received a regulated activity; the Care Quality Commission (CQC) only inspects the service being received by people provided with 'personal care', for example, tasks related to personal hygiene and eating. Where they do, we also consider any wider social care provided. At the time of our inspection, 27 people were receiving personal care.
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
We gave the service 48 hours’ notice of the inspection visit because we needed to be sure that staff would be in the office to support the inspection. We visited the office location on 21 and 30 May to meet with the registered manager and management team; and to review records connected with the management of the service. On 22 May 2019 we visited four households where support workers were supporting people and their relatives.
What we did
We reviewed information we had received about the service since the last inspection. This included details about incidents the provider must notify us about, such as abuse; and we sought feedback from the local authority. We assessed the information we require providers to send us at least once annually, which is called a provider information return (PIR), to give some key information about the service, what the service does well and improvements they plan to make. We used all this information to plan our inspection.
During the inspection we spoke with two people who used the service, a relative and three parents of children with complex needs. We also spoke with the registered manager, the registered manager of a nearby service of the provider's, the trainer for the organisation, two co-ordinators and three support workers.
We looked at the care plans and risk assessments for four people and children we visited, three staff recruitment files, the training matrix for all staff and a range of records relating to the management of the service.