Crimson Hill Support Limited

Updated 19 May 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.

As part of this inspection we looked at the infection control and prevention measures in place. This was conducted so we can understand the preparedness of the service in preventing or managing an infection outbreak, and to identify good practice we can share with other services.

Inspection team

One inspector carried out the inspection.

Service and service type

Crimson Hill Support Limited is a ‘care home’. People in care homes receive accommodation and nursing and/or personal care as a single package under one contractual agreement dependent on their registration with us. Crimson Hill Support Limited is a care home without nursing care. CQC regulates both the premises and the care provided, and both were looked at during this inspection.

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.

Notice of inspection

We gave the service 48 hours’ notice of the inspection. This was because it is a small service and we wanted to be sure the person would be at home so we could meet them and observe staff supporting and communicating with them. We also wanted to make sure the manager and staff would be available to support the inspection and had time to speak with us.

Inspection activity started on 6 April 2023 and ended on 21 April 2023. We visited the home on 14 April 2023.

What we did before inspection

We used the information the provider sent us in the provider information return (PIR). This is information providers are required to send us annually with key information about their service, what they do well, and improvements they plan to make. We reviewed all the information we had received about the service.

During the inspection

We met the person using the service. They did not talk with us about their service directly, but we saw they talked openly and confidently with staff they knew well and trusted. We spent time observing staff supporting, interacting and communicating with them. We spoke with 2 members of care staff and with the registered manager.

We reviewed the person’s care plan, risk assessments, daily care records, medicine records and medicine storage facilities. We also reviewed health and safety records, concerns, compliments and results of the latest staff survey.

After the inspection

We continued to seek clarification from the provider to validate evidence found. The registered manager sent us the last quality audit carried out by the provider. We also spoke with 1 relative to gain their views of the care and support provided to their family member.

Updated 19 May 2023

Crimson Hill Support Limited (known as ‘The Bungalow’) is a care home providing personal care to 1 autistic person. They received care and support 24 hours a day.

We expect health and social care providers to guarantee people with a learning disability and autistic people respect, equality, dignity, choices and independence and good access to local communities that most people take for granted. ‘Right support, right care, right culture’ is the guidance CQC follows to make assessments and judgements about services supporting people with a learning disability and autistic people and providers must have regard to it.

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

The service was able to demonstrate how they were meeting the underpinning principles of right support, right care, right culture.

Right Support

The person being supported had choice and control over their life. Staff supported them in the least restrictive way possible and in their best interests; the policies and systems in the service supported this practice.

The person received personalised care and support built around their needs and wishes. They had a staff team who they knew and trusted, although staff changes did affect them.

Staff were trained to support the person, who was relaxed with the staff who supported them. Staff supported the person with their medicines in a safe way.

Right Care

The person's care and support plan described the care being delivered by staff and the person’s chosen lifestyle. The staff team had a good understanding of the person's needs and were flexible to enable them to meet changing needs and wishes.

The person enjoyed regular planned activities and interests outside of the home.

The person received kind and compassionate care. Staff protected and respected the person's privacy and dignity. Staff were understanding and responded well to the person’s needs.

The person was kept safe from avoidable harm because the service had a clear policy to support staff to recognise and report abuse or poor care. Staff spoken with did not have any concerns about possible abuse or poor practice. Relatives had no concerns about the person's safety.

Staff recognised signs when the person experienced emotional distress and knew how to support them.

The person who had individual ways of communicating, using speech, body language and pictures. They interacted confidently with staff and others involved in their care and support because staff had the necessary skills to understand them.

Staff felt well supported. There was ongoing training and supervision for staff to make sure practice always followed best practice guidelines.

Right culture

A relative told us they had confidence in the management of the home but felt they could be more proactive at times. They were very closely involved with the service and usually had daily contact with staff, but felt sometimes they were not listened to.

The person was supported by a small management team. The provider and registered manager consistently assessed, monitored and improved the quality of the service where possible.

The service had been designed around this person’s needs and had supported them to develop.

The person was supported by staff who understood best practice in relation to the wide range of strengths, impairments or sensitivities the person with a learning disability and/or autistic the person may have. This meant the person received compassionate care from their staff team.

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

Rating at last inspection and update

The last rating for this service was good (published 29 December 2017).

Why we inspected

This inspection was prompted by a review of the information we held about this service.

This was a focussed inspection looking at safe and well led only.

For those key questions not inspected, we used the ratings awarded at the last inspection to calculate the overall rating.

You can read the report from our last comprehensive inspection, by selecting the ‘all reports’ link for Crimson Hill Support Limited on our website at www.cqc.org.uk.

The overall rating for the service has remained good following this inspection.

Follow up

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