We carried out a review of the data available to us about Crossover Care Ltd on 6 July 2023. We have not found evidence that we need to carry out an inspection or reassess our rating at this stage.
This could change at any time if we receive new information. We will continue to monitor data about this service.
If you have concerns about Crossover Care Ltd, you can give feedback on this service.
Crossover Care Limited is a domiciliary care service providing care to people living in their own homes so they can live as independently as possible. The service provides support with personal care to people living with dementia, people with a learning disability, autistic people, people with mental health support needs, older people, people living with a physical disability and sensory impairment.
At the time of our inspection there were 37 people using the service who all received support with personal care. CQC only inspects where people receive personal care. This is help with tasks related to personal hygiene and eating. Where they do we also consider any wider social care provided.
People’s experience of using this service and what we found
We expect health and social care providers to guarantee people with a learning disability and autistic people respect, equality, dignity, choices and independence and good access to local communities that most people take for granted. ‘Right support, right care, right culture’ is the guidance CQC follows to make assessments and judgements about services supporting people with a learning disability and autistic people and providers must have regard to it.
At the time of the inspection, the location did not care for or support anyone with a learning disability or an autistic person. However, we assessed the care provision under Right Support, Right Care, Right Culture, as it is registered as a specialist service for this population group.
Right Support:
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 provider worked effectively with people, their family and external professionals to ensure they received appropriate and timely care.
Trained staff provided people with consistent care that met their individual needs. People were supported with medicines to help them to maintain their health.
Right Care:
Care plans were person centred and this was also reflected in the support staff provided.
People’s holistic care needs were considered so that people received care that achieved positive outcomes.
Right Culture:
The management team were passionate about their roles and ensuring people received the best possible care. These values were embedded within the staff team who felt proud to do their job.
The management team worked in partnership with key organisations, including the local authority, safeguarding teams and integrated care boards. This supported positive outcomes for people.
Regular team meetings gave staff the opportunity to share experiences and learning so the service could improve.
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 12 October 2017).
Why we inspected
We received concerns in relation to staffing. As a result, we undertook a focused inspection to review the key questions of safe and well-led only.
We found no evidence during this inspection that people were at risk of harm from this concern. Please see the safe section of this full report.
For those key questions not inspected, we used the ratings awarded at the last inspection to calculate the overall rating.
The overall rating for the service has remained good based on the findings of this inspection.
You can read the report from our last comprehensive inspection, by selecting the ‘all reports’ link for Crossover Care Ltd on our website at www.cqc.org.uk.
Follow up
We will continue to monitor information we receive about the service, which will help inform when we next inspect.
On the day of our inspection there was a registered manager in place. 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.
The person and their relative told us they felt safe when staff when were in their home. Staff arrived on time and stayed for the agreed length of time for each call. Risks to people’s safety were assessed and reviewed. Safeguarding training had been completed by staff and the registered manager had the processes in place to ensure the appropriate authorities were notified of any concerns. Safe recruitment processes were in place.
People were supported by staff who were well trained.
The principles of the Mental Capacity Act (2005) were in place to support the person with decisions about their care; however the person was currently able to make their own decisions. Staff communicated effectively with the person. The person’s day to day health needs were met by staff.
Staff were kind and caring and listened to and acted upon the person’s views, ensuring they were always treated with dignity and respect. The person and their relative were involved with decisions about care and had helped to set up the care plan. The person was encouraged by staff to do as much for themselves as they were able to. Information about how to access support from an independent advocate was not currently in place, although the person told us they were happy with their relative acting on their behalf.
The person received support from a consistent team of staff and their personal preferences were always respected. The person’s care records were person centred and focused on what was important to them. Guidance in one area of care was limited; this was addressed immediately after the inspection.
The service was led by a passionate and caring registered manager, who was keen to expand the service whilst continuing to provide high quality care and support. The views of the person who used the service and their relative were welcomed and acted on. The registered manager understood what was required of them as part of their registration with the CQC.