Crescent House

Updated 16 March 2023

The inspection We carried out this inspection under Section 60 of the Health and Social Care Act 2008 (the Act) as part of our regulatory functions. We checked whether the provider was meeting the legal requirements and regulations associated with the Act. We looked at the overall quality of the service and provided a rating for the service under the Health and Social Care Act 2008.

Inspection team

The inspection was carried out by 1 inspector and an Expert by Experience. An expert by experience is a person who has personal experience of using or caring for someone who uses this type of care service.

Service and service type

This service is a domiciliary care agency. It provides personal care to people living in their own houses and flats.

Registered Manager

This service is required to have a registered manager. A registered manager is a person who has registered with the Care Quality Commission to manage the service. This means that they and the provider are legally responsible for how the service is run and for the quality and safety of the care provided.

At the time of our inspection there was a registered manager in post. They were unavailable on the day of our inspection.

Notice of inspection

We gave the service 24 hours' notice of the inspection. This was because we needed to be sure that the provider or registered manager would be in the office to support the inspection. Inspection activity started on 8 March 2023 and finished on 9 March 2023. We visited the location's office on 8 March 2023.

What we did before the inspection

We reviewed information we had received about the service since our last inspection, including notifications the provider had sent to us. We also gathered feedback from the local authority.

The provider was not asked to complete a provider information return prior to this inspection. This is information we require providers to send us to give some key information about the service, what the service does well and improvements they plan to make.

We took this into account when we inspected the service and made the judgements in this report. We used all of this information to plan our inspection.

During the inspection

We spoke with 12 people and 5 relatives. We also spoke with the nominated individual and 5 members of care staff. We looked at the care records for 9 people. We checked the care people received matched the information in their records. We looked at records relating to the management of the service, including audits carried out within service.

The nominated individual is responsible for supervising the management of the service on behalf of the provider.

Updated 16 March 2023

About the service

Crescent house providers personal care to people, inducing older people living in their own homes. There were 85 people using the service at the time of our inspection.

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

Individual risks to people were considered and reviewed. Staff were aware of safeguarding procedures and these were followed when needed. People received their medicines when needed. There were enough suitably recruited staff available for people. Infection control procedures were implemented.

There was evidence lessons were learnt when things went wrong in the home. Systems in place identified where improvements were needed and action was taken to ensure these were made. Staff felt supported and listed too and had the opportunity to attend meetings. We were notified by the provider when needed in line with our requirements.

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 good (published 30 April 2020).

Why we inspected

The inspection was prompted in part due to concerns received about how medicines were managed, and the calls people received. and A decision was made for us to inspect and examine those risks. We found no evidence during this inspection that people were at risk of harm from this concern.

Follow up

We will continue to monitor information we receive about the service, which will help inform when we next inspect.