Crownwise Limited - Streatham Common South

Updated 10 November 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 Care Act 2014.

Inspection team

This inspection was carried out by 2 inspectors.

Service and service type

Crownwise Limited - Streatham Common South 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.

Registered Manager

This provider is required to have a registered manager to oversee the delivery of regulated activities at this location. A registered manager is a person who has registered with the Care Quality Commission to manage the service. Registered managers and providers are legally responsible for how the service is run, for the quality and safety of the care provided and compliance with regulations.

At the time of our inspection there was not a registered manager in post. An application has been made to the CQC and the applicant is awaiting the outcome.

Notice of inspection

Inspection activity started on 18 September 2023 and ended on 16 October 2023. The inspection visit on 20 September 2023 was unannounced.

What we did before the inspection

We reviewed all the information we had received about the service. We used all this information to plan our inspection. The provider was not asked to complete a Provider Information Return (PIR) prior to this inspection. A PIR is information providers 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.

During the inspection

We spoke in person with the proposed manager, various other managers and the proprietor. We also spoke with 4 people using the service, 3 relatives, 2 staff and 6 healthcare professionals to gain their experience and views about the care provided. We reviewed a range of records. They included 2 staff files containing recruitment, training and supervision information, and 3 peoples’ files containing care and medicine records, risk assessments, care plans and reviews. We checked a variety of records relating to the management of the service, including audits, quality assurance, policies and procedures. After the inspection we continued to seek clarification from the provider to validate evidence found and requested additional evidence. This included staff rotas and training information, and provider quality assurance audits.

We used the Short Observational Framework for Inspection (SOFI). SOFI is a way of observing care to help us understand the experience of people who could not talk with us.

Updated 10 November 2023

About the service

Crownwise Limited - Streatham Common South is a care home that provides care and support for up to 7 people. At the time of our inspection there were 6 people using the service including older people, and those with a physical disability or mental health challenges. The care home accommodates people in one building.

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

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.

People, and staff thought that Crownwise Limited - Streatham Common South was a safe place for them to live and work. Risks to people were regularly assessed, reviewed and this meant people could take acceptable risks, enjoy their lives and live safely. Accidents, incidents, and safeguarding concerns were reported, investigated and recorded. There were enough suitably recruited staff to meet people’s needs. Staff safely administered medicines and prompted people to take them. If required staff used Personal Protection Equipment (PPE) effectively, safely, and the infection prevention and control policy was up to date.

People and their relatives, and healthcare professionals told us effective care was given, people were not subject to discrimination and their equality and diversity needs were met. Staff were well trained, and supervised. People and their relatives thought the care staff provided was good and met people’s needs. Staff encouraged people to discuss their health needs, any changes to them, and concerns were passed on to the management and appropriate health care professionals. This included any possible change to services if people’s needs changed. People were protected by staff from nutrition and hydration risks and they were encouraged to choose healthy food options, and balanced diets whilst meeting their likes, dislikes and preferences.

People received care and support from staff in a friendly way and attention was paid to small details that made all the difference. People felt respected and staff acknowledged their privacy, dignity, and confidentiality. They were encouraged and supported to be independent and do things for themselves. This improved their quality of life by promoting their self-worth. Staff cared about people, and were compassionate, and passionate about the service they provided.

The provider was responsive to people’s support needs which were assessed, reviewed, and care plans were in place that included any communication needs. People were provided by staff with person-centred care, and they had choices, and were encouraged to follow their routines, interests and maintain contact with relatives, and friends. They were also supported to interact with others living at the home so that social isolation was minimal. People and their relatives were given appropriate, easy to understand information about the home to make their own decisions regarding whether they wished to live there. Complaints were recorded and investigated.

The home had management and leadership that was visible with an open, positive, and honest culture. The provider’s vision and values were clearly set out, understood by staff and they followed them. Areas of responsibility and accountability were identified for management, and staff and a good service was maintained and regularly reviewed. There were thorough audits, and records were kept up to date. Wherever possible community links and working partnerships were established and maintained to further minimise social isolation. The provider met Care Quality Commission (CQC) registration requirements. Healthcare professionals told us the service was well managed and met people’s needs in a professional, open and friendly way.

For more details, please see the full report which is on the CQC website at www.cqc.org.uk

Rating at the last inspection

The last rating for this service was Good (published 16 February 2018).

Why we inspected

We undertook this inspection to check whether the service was continuing to provide a good, rated service to people.

The overall rating for the service has remained Good. This is based on the findings at this inspection.

You can read the report from our last comprehensive inspection, by selecting the 'all reports' link for Crownwise Limited - Streatham Common South on our website at www.cqc.org.uk.

We looked at infection prevention and control measures under the Safe key question. We look at this in all care home inspections even if no concerns or risks have been identified. This is to provide assurance that the service can respond to COVID-19 and other infection outbreaks effectively.

Follow up

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