About the service Crossways Nursing Home is a residential care home providing personal and nursing care for up to 40 people including older people, people living with dementia and people receiving rehabilitation care before returning home after being discharged from hospital. At the time of the inspection the service was supporting 39 people.
People’s experience of using this service and what we found
People were safe. They received safe care and treatment and staff had been trained to safeguard people from abuse. There were enough staff to support people and the provider carried out recruitment checks on staff to make sure they were suitable and safe to work with people. The home was clean, tidy and hygienic. Staff followed current practice to prevent and control infections.
People’s care was effective. Staff received training and supervision to help them meet people's needs. People were supported to take their prescribed medicines and staff made sure people received healthcare when they needed it. Staff encouraged people to eat and drink enough to maintain a balanced diet. The provider investigated accidents, incidents and complaints and involved people and their families and informed them of the outcome. The provider took action to make improvements when a person’s care had not met the standards expected. The service operated in accordance with the principles of the Mental Capacity Act 2005 (MCA). 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 had good outcomes regarding their wellbeing.
Staff were caring. They respected people’s privacy and dignity and treated people with kindness. They knew people and their preferences well and supported them in accordance with their likes and dislikes and interests. People and their families were involved in planning their care and the provider actively sought their views on the service and their suggestions for improving people’s experiences. People’s confidential information was stored securely and used in line with data protection laws.
People received a service responsive to their individual needs. People had care plans which contained information about their life history, their social, cultural and spiritual preferences and their interests and the activities they enjoyed. People’s care plans were regularly reviewed to ensure they were up to date and reflected people's current needs. People’s communication needs had been assessed and there was personalised information for staff about how to communicate with them in a person-centred way. People were supported to engage in a range of activities and maintain relationships important to them. People could have visits from relatives and friends when they wanted and also stayed in touch with their families using video calls. People had end of life care plans in place that reflected their wishes for their end of life care and arrangements.
People received a well-led service. The provider encouraged and supported an inclusive culture focussed on people having a good quality of life. Staff were supported to learn and develop and improve practice and the provider also supported their wellbeing. The provider had a set of values and a statement of purpose that informed people, their families and staff of the standards of care expected. The provider acted on people's feedback when improvements were needed and openly shared information with people when a person’s care had not met the standards expected. The registered manager understood the service’s legal obligations. The provider regularly carried out a range of quality assurance audits. There were regular resident and family meetings and the provider used an independent company to carry out user satisfaction surveys. The service participated in innovative pilot schemes, trials of new systems and research projects to continuously learn and improve people's care. Staff worked proactively with other organisations, healthcare professionals and community groups to deliver care and support that met people's individual needs.
For more details, please see the full report which is on the CQC website at www.cqc.org.uk
This service was registered with us under a new provider on 4 February 2019 and this is the first inspection.
The last rating for the service under the previous provider was Good, published on 14 February 2018.
Why we inspected
This was a planned inspection based on the length of time since the service was registered with the CQC under a new provider.
We also 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.