Background to this inspection
Updated
26 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. 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 Care Act 2014.
Inspection team
This inspection was carried out by one inspector.
Service and service type
Cross Street is a care home. People in care homes receive accommodation and nursing or personal care as a single package under one contractual agreement. CQC regulates both the premises and the care provided, and both were looked at during this inspection.
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
This inspection was unannounced.
What we did before the inspection
Before the inspection, the provider completed a Provider Information Return (PIR). This is a form that asks the provider to give some key information about the service, what the service does well and improvements they plan to make. We also checked notifications made to us by the provider, safeguarding alerts raised regarding people living at the home and information we held on our database about the service and provider.
During the inspection-
We spoke with three people, three relatives, three care workers, and the registered manager. We looked at the personal care and support plans for two people and two staff files. We contacted one health care professional to get their views.
We 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.
After the inspection –
We requested additional evidence to be sent to us after our inspection. This included training matrix, audits and activities. We received the information which was used as part of our inspection.
Updated
26 July 2019
About the service
Cross Street is a care home providing care and support for up to four people with learning disabilities. The home is managed by Certitude Support for Living Limited and is situated in the Hampton area within the London Borough of Richmond Upon Thames. There were no vacancies.
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 this service and what we found
The home provided a safe place for people to live and work in and people enjoyed living at Cross Street. They had risks to them assessed, which enabled them to live safely whilst taking acceptable risks and enjoying their lives. Accidents and incidents and safeguarding concerns were reported, investigated and recorded. There were adequate numbers of appropriately recruited staff. Medicine was safely administered.
People did not experience discrimination. Staff spoke clearly to people, were well-trained, supervised, and appraised. People were encouraged to discuss their health needs and had access to community-based health care professionals. Staff protected people from nutrition and hydration risks and encouraged them to choose healthy and balanced diets that also met their likes, dislikes and preferences. The premises were adapted to people’s needs. Transition between services was based on people’s needs and best interests.
The home had a warm, friendly and welcoming atmosphere and people enjoyed the way that staff gave care and support to them. Staff were caring and compassionate. There were positive interactions between people, staff and each-other throughout our visit. Staff observed people’s privacy, dignity and confidentiality. People were encouraged and supported to be independent and had access to advocates.
People received person centred care with their needs assessed and reviewed. They had choices, followed their interests and hobbies and did not suffer from social isolation. People were given information to make decisions and end of life wishes were identified. Complaints were recorded and investigated.
The home had an open, positive culture and transparent management and leadership. There was a clear organisational vision and values. Areas of responsibility and accountability were identified, and service quality frequently reviewed. Audits were carried out and records kept up to date. Good community links and working partnerships were established. Registration requirements were met.
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.
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.
For more details, please see the full report which is on the CQC website at www.cqc.org.uk
Rating at the last inspection
The last rating for this service was good (published 13 December 2016).
Why we inspected
This was a planned inspection based on the previous rating.
Follow up
We will continue to monitor information we receive about the service until we return to visit as per our re-inspection programme. If we receive any concerning information we may inspect sooner.