We carried out a review of the data available to us about Keele Crescent Care Home 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 Keele Crescent Care Home, you can give feedback on this service.
Keele Crescent Care Home is a care home that provides personal care for up to six people, some of whom are living with dementia. At the time of the inspection there were six people at the home. The home is located on the outskirts of Macclesfield town centre and has two floors with communal areas on the ground floor. The premises is a residential house having been converted to be fit for purpose, there is a recently built wooden summer house located in the garden.
This inspection took place on 11 January 2022 and was announced. We gave the service one days’ notice of the inspection. We found people were protected from the risk of acquiring infections and the service was clean. Personal protective equipment was readily available to staff and all staff were following the latest guidance.
We found the following examples of good practice:
• The provider supported people and their relatives to understand the isolation processes and how the service could help to alleviate them feeling lonely, such as calls with friends and loved ones and dedicated support time from their assigned staff member.
• The provider had installed a summer house in the garden to provide additional well ventilated space for residents and visitors to spend time. Measures the provider had put in place to reduce the risk of the spread of infection had proved effective as no residents or staff had contracted COVID-19 since the beginning of the pandemic.
Keele Crescent Care Home is a care home that provides personal care for up to six people, some of whom are living with dementia. At the time of the inspection there were five people at the home. The home was established over two floors with communal areas on the ground floor.
People’s experience of using this service and what we found
At our last inspection the registered provider was in breach of regulation in relation to medication. The provider and registered manager had worked to implement new systems to improve the management of medications. Improvements were seen at this inspection and a plan was in place to continuously improve the service.
People and their relatives told us they felt safe and happy with the service. Relatives told us, “ I think it’s great, [person] is lucky to be here.” Staff were recruited safely and developed good relationships with the people living at the service.
Relatives had no concerns or complaints, but felt any issues raised would be dealt with effectively. The service kept people, relatives and staff well informed and involved, through regular reviews and meetings.
People’s needs and preferences were known by staff and this had led to people receiving person-centred care. Care plans included information about people’s routines, likes and dislikes. Relatives told us “Staff know [person] well.”
Staff worked effectively in partnership with people, relatives and other professionals to achieve positive outcomes. 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.
Auditing systems and processes were robust, action plans were completed and assigned to the relevant people. Staff spoke positively about the culture of the home, and supportive natures of the managers.
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 (Report published on 28 February 2019) and there was a breach of regulation. The provider completed an action plan after the last inspection to show what they would do and by when to improve. At this inspection we found improvements had been made and the provider was no longer in breach of regulation.
Why we inspected
This was a planned inspection based on the previous rating.
People’s experience of using this service: Medicines were not always administered when they were required. We saw that some medicines were out of stock and were not available when required and that this had happened on a number of occasions. This meant that people were placed at risk from potential harm that was avoidable. The registered manager was taking steps to ensure that this did not happen in future.
We found staff were knowledgeable about the support needs of people in their care. We observed staff providing support to people throughout our inspection visit. We saw that staff were very thoughtful in their approach to people.
People we spoke with gave positive feedback about the home and the staff who worked in it. They told us that the staff supported people well. We saw that warm, positive relationships with people were apparent and one person described the staff as "Like friends – they care about me”
The registered manager understood the requirements of the Mental Capacity Act 2005 (MCA) and the Deprivation of Liberty Safeguards (DoLS). This meant they were working within the law to support people who may lack capacity to make their own decisions.
The food served at the home was of a very high standard. Everyone we spoke with told us that they enjoyed the food and we saw that it was plentiful and good quality.
Care plans were clearly recorded. They detailed how people wished and needed to be cared for. They were regularly reviewed and updated as required. We saw that relatives were involved in supporting staff to understand how people wished to be cared for. There were many activities provided at the home and people told us that they enjoyed them.
The registered manager and the provider used a variety of methods to assess and monitor the quality of the service. These included regular audits of the service and staff meetings to seek the views of staff about the service. They also regularly spoke with the people who lived in the home.
More information is in the detailed findings below.
We identified one breach of the Health and Social Care Act (Regulated Activities) Regulations 2014 around safe care and treatment. Details of action we have asked the provider to take can be found at the end of this report.
Rating at last inspection: This was the first inspection of the service.
Why we inspected: This was the first inspection of this service.
Follow up: We will continue to monitor intelligence we receive about the service until we return to visit as per our re-inspection programme.