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Inspection Summary


Overall summary & rating

Good

Updated 21 August 2018

Crowhurst Care Home is a care home. People in care homes receive accommodation and nursing or personal care as a single package under one contractual agreement. CQC regulates both the premises and the care provided, and both were looked at during this inspection.

The care service has been developed and designed in line with the values that underpin the Registering the Right Support and other best practice guidance. These values include choice, promotion of independence and inclusion. People with learning disabilities and autism using the service can live as ordinary a life as any citizen.

Crowhurst Care Home provides accommodation and personal care for up to nine people who have learning disabilities and some associated physical and/or sensory disabilities. There were five people using the service at the time of inspection. The building was situated over two floors, with people's bedrooms located on both. Some people had their own bathrooms attached to their bedrooms and there were communal facilities for those that did not. There was a kitchen, dining-room, large lounge and day room for people to relax in. People also had access to a large garden area at the back of the property and another at the front, with benches, a fountain and a variety of colourful flowers.

At our last inspection in February 2017, the service was rated 'Requires Improvement' with two breaches to the Health and Social Care Act 2008 (Regulated Activities) Regulations 2014. During this inspection, we found significant improvements had been made and the provider is now meeting the regulations.

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.

People were safe. Staff had a good understanding of how to recognise potential signs of abuse and knowledge of risks specific to people. There were risk assessments for people and for the building, with relevant safety checks completed by the registered manager each month. Staff were recruited safely and there were suitable numbers so people’s needs were consistently met. People received their medicines safely from staff that were trained to do so. Incidents were investigated within relevant timescales and appropriate actions taken to ensure they did not happen again.

People were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible. The policies and systems in the service supported this practise.

Staff had the skills and knowledge to support people and meet all their needs. They spoke highly of their induction and the support given in getting to know people, their routines and preferences. Further support was provided in supervisions, appraisals and team meetings.

People's nutritional needs were met and they were encouraged to be as independent as possible with preparing food. Any risks associated with eating were highlighted in people’s care plans and appropriate support given during mealtimes. Records showed that the provider sought guidance from health professionals where additional support needs were identified. Professionals we spoke with felt that staff had a good understanding of people’s needs and were responsive to any feedback given.

People, their relatives and professionals all felt that people were supported by a kind and caring staff team. People's dignity, independence and privacy was promoted and encouraged. Staff knew people, their preferences and support needs well.

Care plans were tailored to individual's and highlighted areas where additional support was required. Staff were knowledgeable of people’s communication support needs and used a variety of tools to support them with this. People and their

Inspection areas

Safe

Good

Updated 21 August 2018

The service was safe.

There were robust risk assessments to keep people safe.

Staff were recruited safely and there were suitable numbers of staff to meet people�s needs.

People received their medicines safely from trained and competent staff.

Staff demonstrated good understanding of safeguarding processes and knew the procedure to follow for suspected abuse.

Effective

Good

Updated 21 August 2018

The service was effective.

Staff felt that the service provided a good induction and training programme which gave them the right skills and knowledge to support people.

People were supported to have good nutrition and were involved in choosing what they wanted to eat and drink.

People were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible.

People health and wellbeing was maintained with frequent input from a variety of health and social care professionals.

Caring

Good

Updated 21 August 2018

The service was caring.

People and their relatives were confident that staff knew them and their support needs. They spoke highly of the caring nature of staff.

Staff were kind and considerate in their interactions with people.

People had their privacy and dignity respected.

Responsive

Good

Updated 21 August 2018

The service was responsive.

Staff were very knowledgeable of people's specific communication needs.

People were encouraged to take part in activities of their own choosing. Activities were varied and promoted independence and social stimulation.

Staff, people and their relatives were knowledgeable about the complaints process and felt comfortable raising any issues.

Well-led

Good

Updated 21 August 2018

The service was well-led.

There had been significant improvements to the quality and quantity of audit systems since the last inspection.

People, staff and relatives spoke very positively about the management team and felt well supported.

Feedback was sought from people, staff and professionals to improve service provision.