Archived: Crossways Residential Home

Updated 21 November 2019

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

The inspection was carried out by one inspection manager, an inspector and an assistant inspector.

Service and service type

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

Notice of inspection

This inspection was unannounced.

What we did before inspection

We reviewed information we had received about the service since the last inspection. We sought feedback from the local authority and professionals who work with the service. We used the information the provider sent us in the provider information return. This is information providers are required to send us with key information about their service, what they do well, and improvements they plan to make. This information helps support our inspections. We used all of this information to plan our inspection.

During the inspection-

We spoke with nine people who used the service about their experience of the care provided. We spoke with nine members of staff including the nominated individual, the registered manager, deputy manager, cook and care staff. The nominated individual is responsible for supervising the management of the service on behalf of the provider. 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.

We reviewed a range of records. This included three people’s care records and multiple medication records. A variety of records relating to the management of the service, including policies and procedures were reviewed.

Updated 21 November 2019

About the service

Crossways Residential Home is a residential care home providing personal care to 18 people aged 65 and over in one adapted building. The service can support up to 24 people.

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

Staff had received training in safeguarding and knew how to keep people safe. Staff had been recruited safely and were well trained and supported to provide the best possible care for people. Medication was administered safely.

People were supported by staff who had the skills and knowledge to do so effectively and staff sought guidance from other health professionals in order to support people’s needs.

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.

Some people’s experience of the care they received was positive and they told us they were supported by kind and caring staff, however, other people’s experience was not so positive.

People's support needs were assessed regularly and planned to ensure they received the support they needed, however records were not always updated in a timely way . There were activities at the home for people to take part in if they wished. The provider had a complaints process which people were aware of to share any concerns.

The provider carried out regular audits of the service, however, further improvements were required in order to make them more robust. People we spoke with felt the management team were approachable, however, views from staff were mixed.

Rating at last inspection

The last rating for this service was good (published 22 June 2018).

Why we inspected

The inspection was prompted in part due to the amount of concerns/safeguarding’s received about the service including falls and management of behaviours that challenge. A decision was made for us to inspect and examine those risks.