Background to this inspection
Updated
2 December 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.
Inspection team
The inspection team consisted of 1 inspector.
Worth Crescent 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. Worth Crescent 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 provider is required to have a registered manager to oversee the delivery of regulated activities at this location. A registered manager is a person who has registered with the Care Quality Commission to manage the service. Registered managers and providers are legally responsible for how the service is run, for the quality and safety of the care provided and compliance with regulations.
At the time of our inspection there was a registered manager in post.
Notice of inspection
The first day of the inspection was unannounced. The provider knew we were returning on the second site visit.
What we did before the inspection
The provider was not asked to complete a Provider Information Return (PIR) prior to this inspection. A PIR is information providers send us to give some key information about the service, what the service does well and improvements they plan to make.
During the inspection
We spoke with 1 person who used the service about their experience of the care and support provided. We spent time in the communal areas of the home to understand how people interacted with staff. We spoke with 4 relatives on the telephone. We spoke with 7 staff, which included the registered manager, the team leader, support workers and the providers services manager. We reviewed aspects of 3 people's care and medicine records and documents in relation to the governance of the service.
Updated
2 December 2023
Worth Crescent is a residential care home providing personal care to up to 10 people with a learning disability and autistic people. Worth Crescent provides people with short-term care in 1 house. People have their own bedrooms and access to communal bathrooms and shower rooms, lounge areas, dining area and a secure garden and decked area. People also have access to the communal kitchen. Worth Crescent was supporting 66 people to access their service. At the time of the inspection there were 9 people staying at Worth Crescent.
People’s experience of the service and what we found:
We expect health and social care providers to guarantee autistic people and people with a learning disability the choices, dignity, independence and good access to local communities that most people take for granted. Right support, right care, right culture is the statutory guidance which supports CQC to make assessments and judgements about services providing support to people with a learning disability and/or autistic people. We considered this guidance as there were people using the service who have a learning disability and or who are autistic.
Right Support
People were supported to make their own day to day decisions and choices. 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.
Right Care
People's care plans and risk assessments reflected their current needs to consistently promote their wellbeing. Staff who supported people understood people's needs as they knew them well. Staff understood people's individual ways of communicating.
Right Culture
The provider had systems in place to monitor the service provision. Regular checks and listening to people, relatives and staff helped the provider deliver better outcomes for people.
For more details, please see the full report which is on the CQC website at www.cqc.org.uk
Rating at last inspection
The last rating for this service was Good (published 07 September 2018.)
Why we inspected
We inspected this service due to the length of time since the previous inspection.