• Care Home
  • Care home

Archived: Creswick House

Overall: Requires improvement read more about inspection ratings

77-79 Norwich Road, Fakenham, Norfolk, NR21 8HH (01328) 851537

Provided and run by:
Jeesal Residential Care Services Limited

Latest inspection summary

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Background to this inspection

Updated 5 October 2021

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.

As part of this inspection we looked at the infection control and prevention measures in place. This was conducted so we can understand the preparedness of the service in preventing or managing an infection outbreak, and to identify good practice we can share with other services.

Inspection team

Consisted of one inspector.

Service and service type

Creswick House 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

The provider was not asked to complete a provider information return prior to this inspection. This is information we require providers to send us to give some key information about the service, what the service does well and improvements they plan to make. We took this into account when we inspected the service and made the judgements in this report.

During the inspection

We spoke with and interacted with five people who used the service and observed care being provided in communal areas. We spoke with four members of staff including the registered manager, deputy manager, and care staff.

We reviewed a range of records, including six people’s care records and four medication records, as well as observing some of the medicine round. We looked at six staff files in relation to recruitment and staff supervision. A variety of records relating to the management of the service, including policies and procedures were reviewed.

After the inspection

We continued to seek clarification from the provider to validate evidence found. We sourced feedback from a healthcare professional who was in regular contact with the service and supported a person living at the service.

Overall inspection

Requires improvement

Updated 5 October 2021

About the service

Creswick House is a care home providing personal care and support for up to 14 people with a learning disability, autistic people including mental and/or physical healthcare support needs. At the time of the inspection, there were nine people living at the service. The service was split into two units, with the first floor accommodating three people, and the ground floor unit the remaining six. The ground floor unit offered care and support to people requiring care on one level, to aid mobility and physical healthcare needs. Those people living on the first floor were more independent. Each unit had its own main entrance, and designated staff teams on each shift.

People’s experience of using this service and what we found

People were not always supported by sufficient numbers of suitably trained staff. There were concerns identified in relation to the management of people’s medicines. Staff were not consistently implementing safeguarding training and procedures into their practice. This did not demonstrate that incidents effecting people’s safety and well-being were being addressed appropriately and shared as required with CQC and the local authority safeguarding team.

Risks posed to people, for example in relation to the condition of the environment, which needed to be cleaned and repaired, and the prevention of the spread of infection were not well managed. Improvements to the condition of the care environment were required. Such shortfalls were not being identified through audits and checks in place, to ensure people received consistently safe standards of care and support.

We expect health and social care providers to guarantee autistic people and people with a learning disability the choices, dignity, independence and good access to local communities that most people take for granted. Right Support, right care, right culture is the statutory guidance which supports CQC to make assessments and judgements about services providing support to people with a learning disability and/or autistic people.

Based on our review of Safe and Well-led, the service was able not able to fully demonstrate how they were meeting the underpinning principles of Right support, right care, right culture.

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

Rating at last inspection (and update): The last rating for this service was Good (published 23 April 2019).

Why we inspected

The inspection was prompted in part due to concerns received about the standards of care and support being provided to people living at the service. A decision was made for us to inspect and examine those risks. We undertook a focused inspection to review the key questions of Safe and Well-led only.

We reviewed the information we held about the service. No areas of concern were identified in the other key questions. We therefore did not inspect them. Ratings from previous comprehensive inspections for those key questions were used in calculating the overall rating at this inspection.

The overall rating for the service has deteriorated to Inadequate.

We have found evidence that the provider needs to make improvement. Please see the safe and well-led sections of this full report. You can read the report from our last comprehensive inspection, by selecting the ‘all reports’ link for Creswick House on our website at www.cqc.org.uk.

Enforcement

We are mindful of the impact of the COVID-19 pandemic on our regulatory function. This meant we took account of the exceptional circumstances arising as a result of the COVID-19 pandemic when considering what enforcement action was necessary and proportionate to keep people safe as a result of this inspection. We will continue to discharge our regulatory enforcement functions required to keep people safe and to hold providers to account where it is necessary for us to do so.

We have identified breaches in relation to safe care and treatment, safeguarding people from risk of harm and abuse, staffing and good governance at this inspection.

Full information about CQC’s regulatory response to the more serious concerns found during inspections is added to reports after any representations and appeals have been concluded.

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.

Following the inspection, the provider made a decision to close the service. The local authority and provider supported people to find alternative residential care homes and the service was de-registered from CQC on 15 November 2021.