Crosshill House Residential Care Home

Updated 19 April 2018

We carried out this inspection under Section 60 of the Health and Social Care Act 2008 as part of our regulatory functions. This inspection was planned to check whether the provider is meeting the legal requirements and regulations associated with the Health and Social Care Act 2008, to look at the overall quality of the service, and to provide a rating for the service under the Care Act 2014.

Inspection site visit activity started on 6 February 2018 and ended on 13 February 2018. It was unannounced on the first day. We visited the location on both dates to see the registered manager and staff; and to review care records and policies and procedures. We gave the service notice of the second day of the inspection because the location provides a domiciliary care service. We needed to be sure that the care co-ordinator would be in. This inspection was undertaken by one inspector on both days.

Before the inspection the provider completed Provider Information Returns (PIR), which contained information about the services and how the provider planned to develop them. We reviewed the PIR along with other information we held, including statutory notifications which the provider had submitted. Statutory notifications are pieces of information about important events which took place at the service, for example, safeguarding incidents, which the provider is required to send to us by law. We also contacted the local authority and Healthwatch to gain their views about the service prior to our visit.

During our visit we undertook a tour of the building. We used observation to see how people were cared for in the communal areas of the service. We observed lunch being served and watched a member of staff giving out some medicine at lunch time. We met with the care co-ordinator for the domiciliary care service and contacted three people who were receiving a service by phone.

We looked at a variety of records; this included six people’s care records, risk assessments and medicine administration records (MARs). We looked at records relating to the management of the service, policies and procedures, maintenance, quality assurance documentation and complaints information. We looked at the staff rotas, six staff’s training and supervision records and appraisals. We inspected information about the staff’s recruitment.

We spoke with the provider, registered manger, care–coordinator, cook and six care staff. We spent time talking with four people who were living at the service, and with three people receiving a service in their own homes (by phone) to gain their views.

Some people living at the service were living with dementia and could not tell us about their experiences. We used a number of different methods to help us understand the experiences of people which included the Short Observational Framework for Inspection (SOFI). SOFI is a way of observing care to help us understand the experiences of people who could not talk with us. This confirmed that people were supported appropriately by staff and provided us with evidence that staff understood people’s individual needs and preferences.

Updated 19 April 2018

The inspection took place on 6 and 13 February 2018. It was unannounced on the first day and announced on the second day.

There was a registered manager at the service. A registered manager is a person who has registered with the Care Quality Commission to manage the service. Like registered providers, they are 'registered persons'. Registered persons have legal responsibility for meeting the requirements in the Health and Social Care Act 2008 and associated Regulations about how the service is run.

Crosshill House Residential Care Home is a 'care home'. People in care homes receive accommodation and nursing or personal care as a single package under one contractual agreement. The Care Quality Commission (CQC) regulates both the premises and the care provided, and both were looked at during this inspection.

Crosshill House Residential Care Home may accommodate up to 26 people, some of whom may be living with dementia. At the time of our inspection 25 people were living there. This service also operates a domiciliary care agency. It provides personal care to people living in their own houses and flats in the community. It provides a service to older adults.

Not everyone using Crosshill House Residential Care Home receives regulated activity; The care Quality Commission (CQC) only inspects the service being received by people provided with 'personal care'; help with tasks related to personal hygiene and eating. Where they do we also take into account any wider social care provided.

At our last inspection we rated the service as good. We found some shortfalls regarding making the environment and daily menus more accessible for people living with dementia. At this inspection we found those issues had been addressed.

At this inspection we found the evidence continued to support the rating of good and there was no evidence or information from our inspection and ongoing monitoring that demonstrated serious risks or concerns. This inspection report is written in a shorter format because our overall rating of the service has not changed since our last inspection.

People we spoke with confirmed they felt safe being supported by the staff. People were safeguarded from harm and abuse. There were sufficient knowledgeable and skilled staff provided to meet people’s needs. Risks to people’s wellbeing were monitored and advice was sought from relevant health care professionals to help to maintain people’s wellbeing. Medicine management was monitored effectively and safe recruitment practices were in place.

People’s needs were assessed before they were offered a service. People were involved in planning their care and support. People’s care records were person-centred and informed the staff about their current needs and any changes to people’s health were acted upon.

Staff undertook a programme of induction and training to help develop and maintain their skills. They were provided with regular supervision and a yearly appraisal. Staff we spoke with told us this helped them feel valued and supported.

Staff treated people with care, compassion, dignity and respect. Staff listened to and acted on what people said. People’s preferences for their care and support were known by staff. People’s diversity was promoted and they were encouraged to live the life they chose.

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.

There were systems in place to deal with complaints that were received. People we spoke with had no complaints to make about the service they received.

The management team undertook audits and checks to help monitor or improve the service. People views were asked for and were acted upon. Regular staff meetings were held. The management team worked well with the local authority and commissioners of the service and looked at how they could improve the service on a continuous basis.

Further information is in the detailed findings below.