Crossways

Updated 31 May 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. This inspection was planned to check whether the provider was meeting the legal requirements and regulations associated with the Act, to look at the overall quality of the service, and to provide a rating for the service under the Care Act 2014.

Inspection team: The inspection team consisted of one inspector.

Service and service type: Crossways 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.

The service had a manager who was in the process of registering with the Care Quality Commission and who had been in post since January 2019. Registration 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. The manager was based in a nearby office and visited the service on a weekly basis or as needed. The service was run on a day to day basis by a team leader.

Notice of inspection: This comprehensive inspection was unannounced.

What we did: Before the inspection we reviewed the information we held about the service and the service provider. The registered provider completed a Provider Information Return (PIR). This is information that we request that asks the provider to give some key information about the service, what the service does well and any further developments they plan to make. We looked at the notifications we had received for this service. Notifications are information about important events the service is required to send us by law.

During the inspection, we met three people who lived at the service however due to their complex communication styles we were unable to obtain detailed feedback verbally from everyone. We observed how people were being cared for and supported. We had contact with four relatives who gave us their feedback. We also met and spoke with three support staff, a team leader and the manager.

Updated 31 May 2019

About the service: Crossways is registered to provide accommodation and personal care for up to eight people. There were six people with a learning disability and/or autism living at the service at the time of this inspection.

The staff team were working within the principles and values that underpin Registering the Right Support and other best practice guidance. This ensured that people could live as full a life as possible and achieve the best possible outcomes. The principles reflect the need for people with learning disabilities and/or autism to live meaningful lives that include control, choice, and independence.

People’s experience of using this service:

People were supported by staff to keep safe. Areas of risk had been identified and assessments told staff what these were and how the risks could be managed.

People were supported by staff who had a good understanding of how to recognise and report potential harm or abuse and were confident in local safeguarding procedures.

People received their medicines as prescribed. Systems were in place for the safe management and supply of medicines.

People were supported by staff that knew them well and who were kind and caring.

People were supported to access the community and take part in activities and social events according to their preferences.

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 told us they enjoyed working at the service and felt respected and valued. The provider’s quality assurance processes were effective in identifying any improvements needed.

Rating at last inspection: The service was rated ‘Good’ at our last inspection on 30 August 2016. The report following that inspection was published on 25 October 2016.

Why we inspected: This was a planned inspection based on the rating at the last inspection.

Follow up: We will continue to monitor intelligence we receive about the service until we return to visit as per our re-inspection programme. If any concerning information is received we may inspect sooner.

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