Crimson Manor

Updated 21 July 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

This inspection was carried out by two inspectors. On 6 May 2022, an Expert by Experience made phone calls to people’s relatives and representatives. An Expert by Experience is a person who has personal experience of using or caring for someone who uses this type of care service.

Service and service type

Crimson Manor 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. Crimson Manor is a care home without nursing care. CQC regulates both the premises and the care provided, and both were looked at during this inspection.

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 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 also contacted Healthwatch for their feedback. Healthwatch is an independent consumer champion that gathers and represents the views of the public about health and social care services in England. We used all of this information to plan our inspection.

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 six people who lived in the home and five relatives. We also spoke with three care workers, the cook, the activities coordinator and the handy person.

We reviewed a range of records. This included two people’s care records, as well as medication records. We looked at the recruitment of two staff members as well as a variety of records relating to the management of the service.

After the inspection

We continued to seek clarification from the provider to validate evidence found. We looked at further quality assurance records.

Updated 21 July 2022

About the service

Crimson Manor is a residential care home providing regulated activity to up to 20 people. The service provides support to older people, some of whom were living with dementia. At the time of our inspection there were 16 people using the service.

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

The management of people's weights required improvement as these were not consistently recorded. Most of the audits we looked at were effective, although some needed further detail. Feedback had been gathered by the provider from people and relatives. Findings were acted on and the provider looked at ways they could improve the survey in the future. People, relatives and staff were complimentary about the running of the home.

Risks to people were assessed, monitored and reviewed. We observed a moving and handling incident on the day of inspection and found the provider took appropriate action. People’s care plans sufficiently reflected their needs.

People received their medication as prescribed. Staff were trained and assessed as competent in administering medicines.

People felt safe living in this care home and their relatives agreed. Staff received safeguarding training and knew how to recognise and report abuse.

There were sufficient numbers of staff who had been safely recruited to the home.

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.

Learning opportunities were identified and acted on. Infection control was discussed at a staff meeting and signage related to COVID-19 was on display in the home. Staff wore their PPE correctly.

People had an enjoyable mealtime experience. They received freshly cooked food and were complimentary about the meals. Special dietary needs were being met.

People received access to healthcare when they needed it. The provider had developed working relationships with healthcare partners.

Suitable adaptations had been made to the home to support people living with dementia. The provider adopted innovative models of care for people living with dementia.

Staff communicated well with people living in the home and showed empathy towards them. Staff were able to describe how they protected people’s privacy and dignity. A programme of activities people responded well to was taking place and plans were in place to have external entertainers return to the home.

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 requires improvement (published 11 October 2019) and there were breaches of regulation. The provider completed an action plan after the last inspection to show what they would do and by when to improve. At this inspection we found improvements had been made and the provider was no longer in breach of regulations.

Why we inspected

This inspection was carried out to follow up on action we told the provider to take at the last inspection.

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.