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Cross Street Residential Care Home Good

The provider of this service changed - see old profile

Inspection Summary


Overall summary & rating

Good

Updated 26 July 2019

About the service

Cross Street is a care home providing care and support for up to four people with learning disabilities. The home is managed by Certitude Support for Living Limited and is situated in the Hampton area within the London Borough of Richmond Upon Thames. There were no vacancies.

The service has been developed and designed in line with the principles and values that underpin Registering the Right Support and other best practice guidance. This ensures that people who use the service can live as full a life as possible and achieve the best possible outcomes. The principles reflect the need for people with learning disabilities and/or autism to live meaningful lives that include control, choice, and independence. People using the service receive planned and co-ordinated person-centred support that is appropriate and inclusive for them.

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

The home provided a safe place for people to live and work in and people enjoyed living at Cross Street. They had risks to them assessed, which enabled them to live safely whilst taking acceptable risks and enjoying their lives. Accidents and incidents and safeguarding concerns were reported, investigated and recorded. There were adequate numbers of appropriately recruited staff. Medicine was safely administered.

People did not experience discrimination. Staff spoke clearly to people, were well-trained, supervised, and appraised. People were encouraged to discuss their health needs and had access to community-based health care professionals. Staff protected people from nutrition and hydration risks and encouraged them to choose healthy and balanced diets that also met their likes, dislikes and preferences. The premises were adapted to people’s needs. Transition between services was based on people’s needs and best interests.

The home had a warm, friendly and welcoming atmosphere and people enjoyed the way that staff gave care and support to them. Staff were caring and compassionate. There were positive interactions between people, staff and each-other throughout our visit. Staff observed people’s privacy, dignity and confidentiality. People were encouraged and supported to be independent and had access to advocates.

People received person centred care with their needs assessed and reviewed. They had choices, followed their interests and hobbies and did not suffer from social isolation. People were given information to make decisions and end of life wishes were identified. Complaints were recorded and investigated.

The home had an open, positive culture and transparent management and leadership. There was a clear organisational vision and values. Areas of responsibility and accountability were identified, and service quality frequently reviewed. Audits were carried out and records kept up to date. Good community links and working partnerships were established. Registration requirements were met.

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 service applied the principles and values of Registering the Right Support and other best practice guidance. These ensure that people who use the service can live as full a life as possible and achieve the best possible outcomes that include control, choice and independence. The outcomes for people using the service reflected the principles and values of Registering the Right Support by promoting choice and control, independence and inclusion. People's support focused on them having as many opportunities as possible for them to gain new skills and become more independent.

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

Rating at the last inspection

The last rating for this service was good (published 13 December 2016).

Why we inspected

This was a pla

Inspection areas

Safe

Good

Updated 26 July 2019

The service was safe.

Details are in our safe findings below.

Effective

Good

Updated 26 July 2019

The service was effective.

Details are in our effective findings below.

Caring

Good

Updated 26 July 2019

The service was caring.

Details are in our caring findings below.

Responsive

Good

Updated 26 July 2019

The service was responsive.

Details are in our responsive findings below.

Well-led

Good

Updated 26 July 2019

The service was well-led.

Details are in our well-Led findings below.