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Inspection report

Date of Inspection: 15 May 2014
Date of Publication: 11 June 2014
Inspection Report published 11 June 2014 PDF

People should get safe and appropriate care that meets their needs and supports their rights (outcome 4)

Meeting this standard

We checked that people who use this service

  • Experience effective, safe and appropriate care, treatment and support that meets their needs and protects their rights.

How this check was done

We looked at the personal care or treatment records of people who use the service, carried out a visit on 15 May 2014, observed how people were being cared for and checked how people were cared for at each stage of their treatment and care. We talked with people who use the service, talked with carers and / or family members and talked with staff.

We used the Short Observational Framework for Inspection (SOFI). SOFI is a specific way of observing care to help us understand the experience of people who could not talk with us.

Our judgement

Care and support was planned and delivered in a way that was intended to ensure people's safety and welfare.

Reasons for our judgement

We saw care records contained an assessment of need which included information about people’s physical, psychological and environmental needs. They contained evidence of updates regarding the needs of the person. The care records included risk assessments that related to specific and identified risks to people's safety. They contained actions to be taken by staff to minimise the identified risks. This meant the staff had information to provide care safely, and in the most appropriate manner.

We saw the care records included information about people’s general health, and included weight monitoring, assessment for pressure care and identified health concerns. We saw that people were seen by a range of health care professionals as they needed to be. These included a chiropodist, district nurses and the optician. One person told us, “They always call the doctor when I’m ill. They don’t let you stay poorly.” One member of staff told us, “We always let people know if we’re worried and need some more support. We’re very proud of what we do here and how well we provide care. We work as a team here.” This meant that people's health care were promoted and met.

The care records included information about people’s previous lifestyle including social and any spiritual needs. One member of staff told us, “We try and get as much information from people and their relatives and write it down. It helps us to talk about things and lets us know what’s important to people.” Including this information creates a comprehensive portrait of the person and supports the provision of person centred care. This meant that this information was used to provide people with appropriate care that met their needs in the way they wanted.

During the morning people listened to music from the 1940’s. We heard people sing along with the music they knew and staff spoke with people to encourage them to join in with the singing. We saw other people who were unable to sing, tap their feet or hands to the music and smiled. The staff present walked around the room speaking with people and including them with the activity. We later spoke with people about the singing activity and they told us they had enjoyed listening to the music. One person told us, “I think we all like these songs. Gets us thinking and makes me smile.” The staff told us activities were arranged daily according to people’s wishes. We saw there was a range of reminiscence material available which staff told us was used to prompt discussions about specific eras and people to like to look at. External entertainers were provided throughout the year and the people we spoke with told us they were happy with the range of activities provided.

We saw people had an opportunity to visit the hairdresser and have their hair cut or styled. One person we spoke with told us, “She always does such a good job. I look forward to it.” This meant people were supported to maintain their hair and how they wanted to look.

The mobile library service delivered new books to the service each month and a poster displayed the date when the library service would be visiting. One person told us, “I like to read. It’s nice to get different things. I like to read the newspaper too and see what’s happening.” This meant people had access to different reading materials to enjoy.