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Inspection Summary


Overall summary & rating

Good

Updated 10 January 2020

About the service:

The Crown is a residential care home which can accommodate up to seven people. The service has been designed to accommodate people living with a learning disability or autistic spectrum disorder primarily from the Jewish community. However, non-Jewish people can also access the service. The accommodation is arranged over three floors and includes seven individual living spaces - each with their own ensuite and kitchenette facilities. Three of the living spaces have been designed for people with physical disabilities. Accessibility is further promoted through the inclusion of a lift and accessible outside space, including parking. At the time of this inspection there were three people living at the service.

Overall, 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 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:

There was limited evidence the provider checked to make sure people received good quality, safe care and support. We found areas that continued to require improvement. However, a new registered manager had already identified most of these and was making changes to improve the service and people’s experience of living at the service.

People were safe. Staff understood how to protect them from abuse and risks to people were managed, to ensure their safety and protect them from harm. Staff ensured people received their medicines when they needed them and ensured the premises were kept clean and hygienic.

There were enough staff to meet people’s needs. Staff treated people with kindness, respecting their privacy and dignity too.

People were supported to stay healthy. Staff ensured people had a choice of food and had enough to eat and drink. They also helped people to access healthcare services when they needed to.

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

Since the last inspection opportunities had improved for people to participate in a variety of meaningful activities, both in and out of the service.

The new registered manager promoted a positive culture that was person centred and open. People were given the opportunity to make suggestions and provide feedback about the service provided to them.

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 Requires Improvement (published 7 December 2018).

You can read the report from our last comprehensive inspection, by selecting the ‘all reports’ link for The Crown on our website at www.cqc.org.uk.

At this inspection we found improvements had been made.

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 10 January 2020

The service was safe.

Details are in our safe findings below.

Effective

Good

Updated 10 January 2020

The service was effective.

Details are in our effective findings below.

Caring

Good

Updated 10 January 2020

The service was caring.

Details are in our caring findings below.

Responsive

Good

Updated 10 January 2020

The service was responsive.

Details are in our responsive findings below.

Well-led

Requires improvement

Updated 10 January 2020

The service was not always well-led.

Details are in our well-led findings below.