Background to this inspection
Updated
15 January 2020
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
Cross Heath Grove is a care home. People in care homes receive accommodation and nursing or personal care as single package under one contractual agreement. CQC regulates both the premises and the care provided, and both were looked at during this inspection.
Notice of inspection
This inspection was announced. We gave the service 48 hours’ notice of the inspection. This was because it is a small service and we needed to be sure that the provider or registered manager would be in the office to support the inspection.
What we did
Before the inspection, the provider sent us a provider information return. This is information we require providers to send us at least once annually to give some key information about the service, what the service does well and improvements they plan to make. This information helps support our inspections. We reviewed information we had received about the service, such as details about incidents the provider must notify CQC about, for example incidents of abuse.
We also reviewed all other information sent to us from stakeholders such as the local authority and members of the public. We used all of this information to plan our inspection.
During the inspection
We spoke with two people and two relatives to ask about their experience of the care provided. We looked at three people's care records and six medicine records. We spoke with the registered manager and two staff members. We looked at three staff files for recruitment, supervision and appraisal and training records. We also looked at quality monitoring records relating to the management of the service such as audits and quality assurance reports.
Updated
15 January 2020
About the service
Cross Heath Grove is a short break residential care service which aims to provide a holiday style atmosphere for up to five people who have a learning disability. Accommodation is in a purpose-built house with five bedrooms, each with en-suite facilities. Communal lounges, kitchen and dining areas are provided. In total the service provides care for 41 people. At the time of our inspection the care home was providing care for two people.
The service has been developed and designed in line with the principles and values that underpin Registering the Right Support and other best practice guidance. This ensures that people who use the service can live as full a life as possible and achieve the best possible outcomes. The principles reflect the need for people with learning disabilities and/or autism to live meaningful lives that include control, choice, and independence. People using the service receive planned and co-ordinated person-centred support that is appropriate and inclusive for them.
People’s experience of using the service
People said they felt safe and systems were in place to ensure they were protected from possible harm or abuse.
Medicines were managed safely and protocols for ‘as required’ medicines were in place. Staff had received competency assessments and medicine training to ensure safer medicines management.
Initial assessments were carried out and pre-admission reviews were held with people to ensure their care needs were known prior to people staying in respite.
Risk assessments had been completed and were regularly reviewed. There were procedures and systems in place to manage incidents and accidents effectively; lessons were learned to prevent future risks.
Staff had the skills and were experienced to meet the needs of people who used the service. Staff completed training and supervisions.
People said staff listened to them, were kind, caring and made them laugh. Staff treated people with respect and maintained their dignity. People and their relatives were involved in decisions about their care. People's right to privacy was maintained by staff.
Staff understood people’s preferences and people were offered choices about their care. Staff were provided with specific guidance for how to communicate with people effectively.
People were involved in meal choices and supported to maintain a balanced diet. Health needs were regularly monitored, and staff accessed advice from health care professionals when required.
The service applied the principles and values of Registering the Right Support and other best practice guidance. These ensure that people who use the service can live as full a life as possible and achieve the best possible outcomes that include control, choice and independence.
The outcomes for people using the service reflected the principles and values of Registering the Right Support by promoting choice and control, independence and inclusion. People's support focused on them having as many opportunities as possible for them to gain new skills and become more independent.
People told us they knew how to complain. There were policies and procedures in place to manage any complaints effectively. The service had not received any formal complaints since our last inspection.
The provider used internal audit systems to monitor the quality and safety of the care provided. People were asked for their views and staff engaged with other services within the provider’s organisation to improve their knowledge of good 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 the service was requires improvement (published 7 December 2018).
Why we inspected
This was a planned inspection based on the rating at the last inspection.
Follow up
We will continue to monitor intelligence we receive about the service until we return to visit as per our re-inspection programme. If any concerning information is received, we may inspect sooner.