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The Homestead (Crowthorne) Limited Good

Inspection Summary


Overall summary & rating

Good

Updated 19 July 2018

The Homestead (Crowthorne) Limited is a care home without nursing which is registered to provide a service for up to 23 older people many of whom have some form of dementia. There were 17 people living in the service on the day of the visit. All accommodation is provided within a three story building situated within private housing and close to local amenities.

This unannounced inspection took place on 21 June 2018. At this inspection we found the service was Good overall.

Why the service is rated Good overall:

There is a registered manager running the service. A registered manager is a person who has registered with the Care Quality Commission to manage the service. Like registered providers, they are ‘registered persons’. Registered persons have legal responsibility for meeting the requirements in the Health and Social Care Act 2008 and associated Regulations about how the service is run.

People’s safety was contributed to by staff who had been trained in safeguarding vulnerable adults and health and safety policies and procedures. Staff understood how to protect people and who to alert if they had any concerns. General operational risks and risks to individuals were identified and appropriate action was taken to eradicate or reduce them.

There were enough staff on duty at all times to meet people’s diverse and individual needs safely. The service now had a stable staff team. The provider had robust recruitment procedures. People were given their medicines safely, at the right times and in the right amounts by trained and competent staff.

The service remained mostly effective. Staff were well-trained and able to meet people’s health and well-being needs. They were able to respond effectively to people’s current and changing needs. The service sought advice from and worked with health and other professionals to ensure they met people’s needs. However, the design of the service was not dementia friendly and we could not be confident that people had choice with how they were assisted with their personal care needs.

In all other respects people were encouraged to have maximum choice and control of their lives and staff supported them in the least restrictive way possible; the policies and systems in the service supported this practise.

The service continued to be caring and responsive. The attentive and knowledgeable staff team provided care with kindness and respect. Individualised care planning ensured people’s equality and diversity was respected. People were provided with a range of activities, according to their needs, abilities, health and preferences. Care plans were reviewed by management regularly. Care plans contained up to date information and records demonstrated that risk assessments were usually reviewed within stated timescales.

The registered manager was well regarded and respected. The quality of care the service provided continued to be reviewed and improved, as necessary.

Inspection areas

Safe

Good

Updated 19 July 2018

The service continued to provide good care.

Effective

Requires improvement

Updated 19 July 2018

The service continued to provide good care. However, there were limitations with the building layout which could negatively impact on people's choices particularly in relation to how their personal care was provided.

Caring

Good

Updated 19 July 2018

The service continued to provide good care.

Responsive

Good

Updated 19 July 2018

The service continued to provide good care.

Well-led

Good

Updated 19 July 2018

The service continued to provide good care.