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East Sussex, Brighton & Hove Crossroads Care Good


Review carried out on 9 September 2021

During a monthly review of our data

We carried out a review of the data available to us about East Sussex, Brighton & Hove Crossroads Care on 9 September 2021. 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 East Sussex, Brighton & Hove Crossroads Care, you can give feedback on this service.

Inspection carried out on 10 March 2020

During a routine inspection

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 carried out on 25 July 2017

During a routine inspection

The inspection took place on the 25 July 2017 and was announced. The provider was given 48 hours’ notice because the location provides a support care service. We wanted to be sure that someone would be in to speak with us.

East Sussex, Brighton & Hove Crossroads Care is a charity providing home and respite care services for carers in East Sussex, Brighton & Hove. This included children and adults with various conditions including older people living with dementia, people with a learning disability or autism and people with a physical disability. The focus of the service is to, ‘Provide support to carers in their own home, and give carers ‘time’ to be themselves.’ At the time of our inspection around 160 people were receiving a care service.

The service had a registered manager. 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.

Staff spoke of a difficult last year with a number of changes in office staff. This had resulted in some slippage in systems in place such as reviews. However, new staff had been recruited and the registered manager demonstrated this had been addressed with a robust plan in place for staff to follow and the registered manager monitoring the completion of this.

People told us they felt safe, and the care they received was good. One person told us, “They do all I require. Absolutely safe.” Another person told us,” Have always felt safe. They are friendly and professional.” There were good systems and processes in place to keep people safe. Assessments of risk had been undertaken and there were clear instructions for staff on what action to take in order to mitigate them. Staff knew how to recognise the potential signs of abuse and what action to take to keep people safe. One member of staff told us,“ You have to use you practical skills. We went on an all-day course. If I thought someone was being physically or mentally abused I would report it. There’s also things in the home that could cause an accident, we have to make sure their home is safe.” Another member of staff told us, “Yes, we have our own clients. They fit the right person to the right client and this is also done with holiday and sickness cover. Crossroads are good at matching people to their clients.”

The provider had arrangements in place for the safe administration of medicines. People were supported to receive their medicine when they needed it. Care staff had received medicines training. One member of staff told us, “I’ve had medication training. I occasionally give meds. The carer will leave the tablets in a blister pack, we record it in the meds sheet in the daily record.”

Staff considered people’s capacity using the Mental Capacity Act 2005 (MCA) as guidance. People’s capacity to make decisions had been assessed. Staff observed the key principles in their day to day work checking with people that they were happy for them to undertake care tasks before they proceeded. One member of staff told us,“ A person is assumed to have mental capacity unless deemed otherwise by a health professional. Everyone should be given the opportunity to express themselves. Mental capacity can fluctuate from one day to the next.” Another member of staff told us, “People have consent form in their care plan. Other than that it would depend on the context of what you are asking but yes we ask for consent.” A third member of staff said,“ We know what’s right and wrong for them and we make the appropriate decisions. We explain what we’re doing and make the appropriate decisions. We make it light hearted.”

People told us they were involved in the planning and review of their care. People’s needs were assessed and regularly reviewed and they received support based upon t