Croft Avenue Care Home

On this page

• Overview
• Shared direction and culture
• Capable, compassionate and inclusive leaders
• Freedom to speak up
• Workforce equality, diversity and inclusion
• Governance, management and sustainability
• Partnerships and communities
• Learning, improvement and innovation

Well-led – this means we looked for evidence that service leadership, management and governance assured high-quality, person-centred care; supported learning and innovation; and promoted an open, fair culture.

This is the first assessment for this service. This key question has been rated good. This meant the service was consistently managed and well-led. Leaders and the culture they created promoted high-quality, person-centred care.
 

This service scored 75 (out of 100) for this area. Find out what we look at when we assess this area and How we calculate these scores.

The provider had a shared vision, strategy and culture. This was based on transparency, equity, equality and human rights, diversity and inclusion, engagement, and understanding challenges and the needs of people and their communities.
Staff and people felt there was a positive culture at the service. Communication channels between people, staff and management were open and effective. One staff member said, “[It is a] really good environment to both work in and live in and I feel all people’s needs are met.”
 

The provider had inclusive leaders at all levels who understood the context in which they delivered care, treatment and support and embodied the culture and values of their workforce and organisation. Leaders had the skills, knowledge, experience and credibility to lead effectively. They did so with integrity, openness and honesty.
The provider had a good oversight of the service. Weekly meetings were carried out and the registered manager was supported with the running of the service by various other managers in the business. Staff said that the management team were effective and supportive. One staff member said, “[The management team] are patient and approachable.”
 

The provider fostered a positive culture where people felt they could speak up and their voice would be heard.
All staff we spoke to said it was very easy to speak up when needed. The management team took action when things were raised with them. The provider had implemented an electronic whistleblowing scheme, with QR codes for staff to scan to share anonymous information if needed.
 

The provider valued diversity in their workforce. They worked towards an inclusive and fair culture by improving equality and equity for people who worked for them.
We asked staff whether they had ever experienced discrimination and no one raised concerns with us.
 

The provider had clear responsibilities, roles, systems of accountability and good governance. They used these to manage and deliver good quality, sustainable care, treatment and support. They acted on the best information about risk, performance and outcomes, and shared this securely with others when appropriate.
Regular reviews of records, accidents, incidents and feedback from people and staff was used by the management team to ensure the service was providing good quality care. The registered manager shared lessons learnt with staff and with other services belonging to the provider. The electronic care planning system was effective, providing the management team with up-to-date information about people’s care, governance and staff.
 

The provider understood their duty to collaborate and work in partnership, so services worked seamlessly for people. They shared information and learning with partners and collaborated for improvement.

The provider focused on continuous learning, innovation and improvement across the organisation and local system. They encouraged creative ways of delivering equality of experience, outcome and quality of life for people. They actively contributed to safe, effective practice and research.
The registered manager worked towards a monthly action plan to make improvements to the service and to support the day-to-day activities. Plans were in place to make changes to expand the service and make improvements to the existing building.