Crawford Care Home

Updated 27 January 2022

We carried out this inspection under Section 60 of the Health and Social Care Act 2008 as part of our regulatory functions. This inspection was planned to check whether the provider is meeting the legal requirements and regulations associated with the Health and Social Care Act 2008.

As part of CQC’s response to care homes with outbreaks of COVID-19, we are conducting reviews to ensure that the Infection Prevention and Control (IPC) practice is safe and that services are compliant with IPC measures. This was a targeted inspection looking at the IPC practices the provider has in place. We also asked the provider about any staffing pressures the service was experiencing and whether this was having an impact on the service.

This inspection took place on 17 January 2022 and was unannounced.

Updated 27 January 2022

Crawford Care Home is a residential care home for up to 11 people living with a learning disability and/or other mental health and physical needs. At the time of our inspection, the home was fully occupied. Crawford Care Home is situated close to the seafront at Bognor Regis and public transport. The home forms part of a Victorian terrace and accommodation is provided over three floors. The ground floor communal areas comprise a kitchen, dining room, sitting room and quiet lounge. All rooms are of single occupancy.

At the last inspection, the service was rated Good. At this inspection, we found the service remained Good.

A creative and innovative approach had been developed to ensure that people received care that was centred on them. People were actively encouraged to be involved in all aspects of their care. Systems had been implemented to ensure people understood information relating to their care and that enabled them to be actively involved in reviewing their care plans with staff. Care plans were drawn up in an accessible format in line with the Accessible Information Standard. Where people displayed behaviour that might be perceived as challenging, staff supported them by deflecting their attention and diffusing the situation. A system of positive rewards had been put in place whereby people could gain gift certificates resulting in a choice of a particular additional activity that they would like to engage in. Activities were organised in line with people’s preferences. People could choose which staff they would like to support them as they had access to staff profiles which provided information about staff, their interests and hobbies. People were actively involved in developing the service and helped interview new members of staff. People were encouraged to engage with communal activities and information to assist people with this was being drawn up by staff.

People felt safe living at the home. Staff had been trained to recognise the signs of potential abuse and knew what action to take if they had any concerns. Risks to people were identified, assessed and managed appropriately. Care plans provided detailed guidance for staff on how to mitigate risks. Staffing levels were sufficient to meet people’s needs. New staff were recruited to ensure they were safe to work in the care industry. Medicines were managed safely. The provider had an accessible complaints policy in place. No complaints had been received or recorded recently.

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 practice. Staff had completed training on the Mental Capacity Act (2005) and understood the requirements of this legislation and under the Deprivation of Liberty Safeguards. Staff completed training in a range of areas to enable them to support people safely. Regular supervision meetings took place, together with staff meetings. People were encouraged to maintain a healthy lifestyle with support from healthcare professionals. Their nutritional needs were met appropriately.

People were looked after by kind and caring staff who knew them well. Positive, caring relationships had been developed. As much as they were able, people were involved in decisions relating to their care. People were treated with dignity and respect and their spiritual needs were recognised and catered for.

People were asked for their feedback and suggestions about the service through residents’ meetings. Feedback was also obtained through formal surveys and a separate questionnaire was completed by family and friends. All responses rated the service as either excellent or good. Staff were involved in the service and some were responsible for taking the lead in certain areas such as safeguarding and infection control. Staff felt supported by management. A range of audits had been put in place to measure and monitor the quality of the service overall.

Further information is in the detailed findings below.