You are here

Inspection Summary


Overall summary & rating

Good

Updated 20 November 2019

About the service

Crescent House is a residential care home for up to 33 older people and people living with dementia. At the time of inspection there were 33 people living at the home.

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

There was a registered manager who had been the manager of the service since it registered with CQC in December 2010.

Staff received training in safeguarding vulnerable adults. They demonstrated they understood their responsibilities to protect people from the risks of harm and abuse.

People’s risks were assessed at regular intervals or as their needs changed. Electronic care plans were readily available to staff who used these to provide care to meet people’s current care needs.

People were involved in planning their care; their care plans clearly showed how people preferred to receive their care. Staff supported people to maintain their dignity and their independence was promoted.

People received care from a consistent group of staff who knew people well. Staff were recruited using safe recruitment practices.

People were protected from the risks of infection by staff who followed the provider’s policies. The management team carried out spot checks on staff and there were extra washing facilities in areas where people petted the animals.

People received their medicines as prescribed. Staff received training in the safe management of medicines and their competencies had been checked.

Staff received an induction which provided staff with a good foundation of knowledge and understanding of the organisation and their roles. Staff received regular updates to their training and supervision to support them in their roles.

People received meals that met their dietary needs and helped maintain their health and well-being.

Staff supported people to attend health appointments and referred people promptly to their GP or other medical services when they showed signs of illness.

People lived in a well maintained, nicely decorated home. People could access communal areas easily. Additional social areas had been developed including a covered patio area where people accessed ponies and an activities room that had facilities designed for people living with dementia.

People were involved in creating activities where they wanted to. People who received all their care in their bedrooms received one to one time with activities staff. The provider ensured people with a disability or sensory loss had access and understood information they were given.

People were supported to express themselves, their views were acknowledged and acted upon. There was a complaints system in place and people were confident that any complaints would be responded to appropriately.

People were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible and in their best interests; the policies and systems in the service supported this practice.

The registered manager and the management team promoted person centred care in all aspects of the service.

The management team were pro-active in using information from audits, complaints, incidents and safeguarding alerts to improve the service. The managers worked with staff to identify ‘near misses’ to understand how things went wrong and involved them in finding solutions.

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

Rating at last inspection

The last rating for this service was Good (published 22 April 2017).

Why we inspected

This was a planned inspection based on the previous rating.

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.

Inspection areas

Safe

Good

Updated 20 November 2019

The service was safe.

Details are in our safe findings below.

Effective

Good

Updated 20 November 2019

The service was effective.

Details are in our effective findings below.

Caring

Good

Updated 20 November 2019

The service was caring.

Details are in our caring findings below.

Responsive

Good

Updated 20 November 2019

The service was responsive.

Details are in our responsive findings below.

Well-led

Good

Updated 20 November 2019

The service was well-led.

Details are in our well-led findings below.