Archived: The Crescent (Yorkshire) Limited

Updated 16 November 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 was planned to check 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.

The inspection was announced. We gave the service 48 hours’ notice of the start of the inspection. This was because we needed to make arrangements with the provider to speak to people who used the service prior to visiting the office location. The inspection took place between 7 and 26 September 2018. On 13 September 2018 we visited the provider’s office to review care records and policies and procedures. On 25 August we undertook a visit to the home of a person who received care and support. Between 7 September and 26 August 2018 we made phone calls to people who used the service and staff.

The inspection team consisted of one adult social care inspector.

Before the inspection we reviewed information available to us about this service. 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 also reviewed safeguarding alerts, ‘share your experience’ forms and notifications that had been sent to us. A notification is information about important events which the provider is required to send us by law. We also contacted the local authority commissioning and safeguarding teams to gain their feedback about the service.

During the inspection we spoke with three people who used the service and six relatives. We spoke with seven care workers, the training manager, registered manager and the nominated individual. We reviewed three people’s care records and other records relating to the management of the service such as training records, rotas and audits.

Updated 16 November 2018

The Crescent (Yorkshire) is a domiciliary care agency. It provides personal care to people living in their own houses and flats in the community. It provides a service to range of people, including older and younger adults and children. At the time of the inspection the service was providing personal care to 11 people. The service also provides social inclusion support to other people who use the service. This aspect of the service does not require registration with the Care Quality Commission and is not included within the scope of this inspection.

At our last inspection in 2016 we rated the service as 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. We found the service had further developed the responsiveness of the service and rated this domain as Outstanding. This inspection report is written in a shorter format because our overall rating of the service has not changed since our last inspection.

Medicines were managed safely and people received them as prescribed. Staff were familiar with the people they were supporting and the risks associated with their care. There were enough staff to ensure a reliable and timely service.

People received care from staff with a good level of training. Staff were knowledgeable about the people and topics we asked them about. Comprehensive staff training was in place which was continually being developed to meet people’s changing needs and changes in legislation.

The service was compliant with the legal requirements of the MCA and Deprivation of Liberty Safeguards (DoLS). People were supported to have maximum choice and control of their lives and staff support them in the least restrictive way possible; the policies and systems in the service support this practice.

People said staff were kind and caring and treated them well. People were always introduced to care workers prior to care delivery and received care from a small team. People were informed of who would be visiting them the week before. People were listened to and the service helped develop people’s independence.

People said the service provided excellent care which met their individual needs. People achieved excellent care and support outcomes using the service. Care was very person centred and there were plenty of social opportunities and activities promoted by the service. Strong links were in place with the local community.

People praised the management team and said they were supporting and approachable. We saw they were dedicated with providing people with high quality and person centred care. The service was committed to continuous improvement and was putting in place a number of innovative and exciting plans to further develop the service. We made a recommendation advising the provider to measure the effect these plans had on the care and support outcomes of people who used the service. This would provide direct evidence of whether these had truly benefited people who used the service.