The Crescent

Updated 20 June 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. This inspection was planned to check whether the provider was meeting the legal requirements and regulations associated with the Act, to look at the overall quality of the service, and to provide a rating for the service under the Care Act 2014.

Inspection team:

The inspection was carried out by one adult social care inspector.

Service and service type:

The Crescent is a care home. People in care homes receive accommodation and nursing or

personal care. 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. The registered manager was not present on the day of our inspection visit.

Notice of inspection:

The inspection site visit was unannounced. It started and ended on 15 May 2019.

What we did:

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 reviewed information we held about the service such as previous inspection reports and statutory notifications. A statutory notification is information about important events, which the provider is required to send us by law.

We asked the local authority and Healthwatch for any information they had which would assist our inspection. We used this information as part of our planning. Local authorities together with other agencies may have responsibility for funding people who used the service and monitoring its quality. Healthwatch is an independent consumer champion, which promotes the views and experiences of people who use health and social care services. No concerns were raised by the professionals we contacted.

At the inspection visit we spoke with two care staff, the deputy manager, the infection, prevention and control lead, the head of care and support and the quality assurance coordinator. The people who used the service were unable to tell us about their experiences of using the service. After our inspection visit we carried out four telephone interviews with the relatives of people who use the service.

We looked at two care plans and risk assessments. We looked at records relating to the management of medicines, staff training, complaints and quality assurance monitoring.

Updated 20 June 2019

About the service: The Crescent is a residential care home registered to accommodate up to five people. At the time of this inspection the service was providing personal care to five people who have a learning disability.

People’s experience of using this service:

People could be assured that staff would know how to safeguard them from the risk of potential abuse. Staff had access to risk assessments to support their understanding about how to mitigate the risk of harm to people. People were cared for by sufficient numbers of staff who had been recruited safely. People were supported by skilled staff to take their prescribed medicines. Systems were in place to monitor hygiene standards and to protect people from the risk of avoidable infections. Lessons were learned when things went wrong, and action was taken reduce a reoccurrence.

The assessment of people’s care and support needs ensured they received a service specific to their needs. People were cared for by skilled staff who were supported in their role by the registered manager. People had a choice of meals and were supported by staff to eat and drink sufficient amounts. The provider worked with other agencies to ensure people received a seamless service. People were supported by staff to access relevant healthcare services when needed. The environment was suitable to meet people’s needs and comfort. People were supported by staff to make decisions.

People were cared for by staff who were kind and compassionate. People were encouraged to be involved in decisions about their care. People’s right to privacy and dignity was respected by staff. People were supported to pursue their social interests. Staff were able to recognise when people were unhappy, and action was taken to resolve this. At the time of the inspection no one was receiving end of life care.

The provider had a stable management team. Systems were in place to monitor the quality of the service provided to people. People and their relatives were encouraged to be involved in the running of the home. The provider worked in conjunction with other agencies to ensure people’s needs were met.

Rating at last inspection: The service was rated Good the last inspection in September 2016.

Why we inspected: This was a scheduled inspection based on the previous rating.

Follow up: We will continue to monitor intelligence we receive about the service until we return to visit as per our re-inspection programme. If any concerning information is received, we may inspect sooner. More information is in Detailed Findings below.

For more details, please see the full report which is on the CQC website at www.cqc.org.uk