Archived: Crossroads Care Ribble Valley

Updated 4 July 2018

We carried out this inspection under Section 60 of the Health and Social Care Act 2008 as part of our regulatory functions. This inspection checked whether the provider is meeting the legal requirements and regulations associated with the Health and Social Care Act 2008, to look at the overall quality of the service, and to provide a rating for the service under the Care Act 2014.

This inspection took place on 25 and 26 April 2018. We contacted the service two days before the visit to let them know we were inspecting. We did this because they provide a domiciliary care service and we needed to be sure that someone would be available for the inspection. The inspection team consisted of one adult social care inspectors.

Before the inspection, we reviewed the information we held about the service, including notifications and previous inspection reports. A notification is information about important events which the service is required to send us by law. We contacted the local authority contract monitoring team and the local authority safeguarding team. We used information the provider sent us in the 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. We used all this information to decide which areas to focus on during the inspection

We used a number of different methods to help us understand the experiences of people who used the service. We had previously sent questionnaires to people who used the service, relatives, staff and community professionals. We received 12 completed questionnaires from people who used the service, nine from staff, five from relatives and five from community professionals. We evaluated the responses and took them into account when considering the evidence for the report. During the inspection visit, we talked by telephone with three people who used the service and two relatives. We talked with three care/support workers, the registered manager, a senior care practitioner, finance manager and the rota coordinator. We also met the nominated individual.

We looked at a sample of records, including four care plans and other related care documentation, two staff recruitment records, complaints records, the employee hand book, meeting records, policies and procedures, quality assurance records and audits.

Updated 4 July 2018

This inspection took place on 25 and 26 April 2018.

This service provides personal care to adults and children living in their own homes. This included a service to provide practical support to enable carers to have a break from their caring responsibilities.

Not everyone using Crossroads Care Ribble Valley receives the regulated activity; CQC only inspects the service being received by people provided with personal care; which means help with tasks related to personal hygiene and eating. Where they do receive personal care we also take into account any wider social care provided.

Crossroads Care Ribble Valley provides a service to older adults, older adults living with a dementia, younger adults with mental ill health, children and younger adults with a learning disability.

The agency's office is located on the outskirts of Clitheroe. At the time of the inspection the service was providing care and support to 79 people.

At our last inspection on 26 and 27 August 2015 the overall rating of the service was ‘Good.’ At this inspection, we found the evidence continued to support the rating of good and there was no evidence or information from our inspection and ongoing monitoring that demonstrated serious risks or concerns. This inspection report is written in a shorter format because our overall rating of the service has not changed since our last inspection.

We found there were management and leadership arrangements in place to support the effective day to day running of the service. There were systems in place to consult with people who used the service and staff, to assess and monitor the quality of their experiences and make improvements.

Arrangements were in place to ensure staff were properly checked before working at the service.

Systems were in place to ensure staff received ongoing training/learning and supervision. There were sufficient numbers of staff at the service. Staff were aware of the signs and indicators of abuse and they knew what to do if they had any concerns. Staff had received training on safeguarding and protection matters.

Risks to people’s individual well-being were being assessed and processes were in place to support people safely with their medicines. Some matters needed to improve; but we found the registered manager had started introducing further safeguards. Systems were in place to support people in maintaining a safe and clean home environment.

Arrangements were in place to gather information on people’s backgrounds, their needs, abilities, preferences and routines before they used the service. Each person had care records, describing their individual needs, preferences and routines. We found some records lacked detail and included generalised comments one care plan was not fit for purpose. However it was clear that improvements were being made. People’s needs and choices were kept under review and changes were responded to.

People’s individual dietary needs, likes and dislikes were known. Arrangements were in place to support people with meals and drinks as appropriate.

People were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible. Policies and processes at the service supported this practice. Processes were in place to support people with any concerns or complaints.

People were supported were supported with their healthcare needs. Changes in people’s health and well-being were monitored and responded to. Where people received end of life care this was planned and provided sensitively.

People made positive comments about the staff team including their friendly approach, listening skills and respectful manners. Staff expressed a practical awareness of responding to people as individuals and promoting their rights, privacy and choices. Where appropriate, people were supported to engage in meaningful activities the community.

Further information is in the detailed findings below.