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East Sussex, Brighton & Hove Crossroads Care Good

Inspection Summary


Overall summary & rating

Good

Updated 28 March 2020

East Sussex, Brighton & Hove Crossroads Care provides respite support for people caring for others in their homes across East Sussex. They also provide ‘My Health Matters’. This is a service to support family carers to attend health care appointments.

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. The service supports a high number of people across East Sussex, but many of these visits do not include provision of personal care. On the day of the inspection, the service was supporting 14 adults and children with a range of health and social care needs, including emotional and physical disability and people living with dementia. Support was tailored according to people’s assessed needs, considering people’s individual preferences and lifestyles to help people to live and maintain independent lives and remain in their homes.

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

Care and support visits provided by Crossroads Care may be a one off visit or a regular planned visit. They may even be support to meet people’s needs in an emergency for example if a family carer was taken into hospital or became unwell. During visits care support workers provided the care to people they would normally receive from their relative or carer. This was to enable the family carer to have a period of respite or to attend health appointments.

We were unable to speak with people using the service due to their health or communication needs. We spoke to parents and relatives who cared for people at home to gain feedback on the service.

Care was provided in a person centred way. Robust systems of reviewing and monitoring care provision and staffing ensured that people received effective care that met their current and changing needs.

The registered manager was in day to day charge of the service. Supported by a dedicated team of administration and care support staff. A high level of care meant peoples independence and welfare was supported. Respite visits enabled people’s relatives/carers to have time to do things that were important to them, reassured that care was being provided that met the persons need. The service also provided ‘Your Health Matters’ visits, where they took over a person’s care for a short time to enable their relative/carer to attend a health appointment.

Relatives/carers spoke positively about the care and support provided by Crossroads Care. Everyone spoke highly of the management and staff providing care and felt people were treated with kindness and respect. This in turn ensured they felt safe and well supported. The service worked closely with people’s families and other healthcare professionals involved in people’s care provision.

Relatives/carers told us, “He is safe in their care. He has had the same support worker over a year now and when she hasn’t been able to come, there has been cover from [staff name], who is equally competent. He wears a special hearing aid and has communication difficulties, which they have to manage. And they do this well.”

Sufficient staff were available to ensure people's wellbeing and safety was protected. The registered manager and office staff were trained to provide care and were able to carry out visits in the event of a member of care support staff going off sick or in an emergency.

A robust recruitment and selection process was also in place. Staff completed a full induction which included mandatory training and support. Staff told us they received all the training they needed to meet peoples care needs. Staff felt supported and received regular spot checks, supervision and appraisals.

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; policies and systems in the service supported this practice. Relatives/carers felt

Inspection areas

Safe

Good

Updated 28 March 2020

The service was safe

Effective

Good

Updated 28 March 2020

The service was effective

Caring

Good

Updated 28 March 2020

The service was caring

Responsive

Good

Updated 28 March 2020

The service was responsive

Well-led

Good

Updated 28 March 2020

The service was well led