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Inspection Summary


Overall summary & rating

Good

Updated 13 November 2018

This inspection took place on 16 August 2018 and was unannounced.

Crossways Community 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.

Crossways Community is registered to provide support with personal care and accommodation for up to 17 people who either have or are recovering from a mental health problem. 15 people were using the service at the time of the inspection.

At our last inspection we rated the service as Good. At our last inspection we found the service was Outstanding in the responsive domain, at this inspection we found this domain to be Good. The service had continued to implement the good practice, however, there was no evidence of any additional good practice being used. At this inspection, we found the evidence continued to support the rating of Good and there was no evidence or information from our inspection and ongoing monitoring that demonstrated serious risks or concerns. This inspection report is written in a shorter format because our overall rating of the service has not changed since our last inspection.

At this inspection we found the service remained Good.

There was a registered manager in post. 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.

There continued to be enough staff who had the skills and knowledge they needed to support people living in the service. Staff were appropriately supervised. Safe recruitment practices were followed to help ensure potential staff were of good character.

Staff received regular support which included individual supervisions and team meetings. Staff felt supported in their roles. Staff completed an induction when they started work at the service and had access to a range of on-going training. Staff were positive about the training they received.

People continued to be protected from abuse. Risks were appropriately assessed and mitigated to ensure people were safe. Staff understood how to identify and report concerns. Medicines were managed safely, and people received their medicines when they needed them.

People were happy with their care and support. Staff had built up good relationships with people. The service provided good quality care and support to people enabling them to live dignified lives.

People were supported 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 practice.

People had choices of food at each meal time. People were supported and encouraged to have a varied and healthy diet which met their needs.

The provider and registered manager had good oversight of the service. Effective systems were in place to enable the provider to assess, monitor and improve the quality and safety of the service. Incidents were recorded, investigated and acted upon.

The service was clean and the environment was welcoming. The Kitchen had been adapted to support the food champion.

Services are required to prominently display their CQC performance rating. The provider had displayed the rating in the entrance hall. The rating can be found on their website.

Further information is in the detailed findings below.

Inspection areas

Safe

Good

Updated 13 November 2018

The service remains Good

Effective

Good

Updated 13 November 2018

The service remains Good

Caring

Good

Updated 13 November 2018

The service remains Good

Responsive

Good

Updated 13 November 2018

The service was Responsive. At the previous inspection the service achieved outstanding. At this inspection we found the service to be Good.

Staff were knowledgeable about people’s individual needs and preferences. People's care plans were comprehensive and personalised.

People were offered a variety of daily activities and each person who used the service had their own individual activities timetable.

People told us they knew how to make a complaint if they were not happy with the service but had not needed to. The provider dealt with complaints in accordance with their policy.

Well-led

Good

Updated 13 November 2018

The service remains Good