Crossways Nursing Home

Updated 18 December 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. 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 Care Act 2014.

Inspection team

This inspection was undertaken by one inspector.

Service and service type

Crossways Nursing Home 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 registered with the Care Quality Commission. 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.

Notice of inspection

This inspection was unannounced.

What we did before the inspection

We reviewed information we had received about the service since the last inspection. We used the information the provider sent us in the provider information return. This is information providers are required to send us with key information about their service, what they do well, and improvements they plan to make. This information helps support our inspections. We also reviewed the provider’s website and action plans they had submitted following previous inspections. We used all of this information to plan our inspection.

During the inspection

We spoke with three people who used the service and two relatives about their experience of the care provided. We spoke with six members of staff including the registered manager, nurse in charge, care workers, and the chef.

We reviewed the home’s facilities and made observations in shared living areas. We used the Short Observational Framework for Inspection (SOFI). SOFI is a way of observing care to help us understand the experience of people who could not talk with us.

We reviewed a range of records. These included three people’s care records and multiple medication records. We looked at one staff file in relation to recruitment and staff supervision. We reviewed a variety of records relating to the management of the service, including policies and procedures.

After the inspection

We continued to seek clarification from the provider to validate evidence found. We received feedback from two professionals involved with the service.

Updated 18 December 2019

About the service

Crossways Nursing Home is a nursing care home which was providing personal and nursing care for 14 people at the time of the inspection in one adapted building. The service can support up to 18 people living with dementia, physical disabilities and who may have other mental health needs or learning disabilities.

The home had ten single rooms and four shared rooms with shared bathroom facilities on both the ground and first floors. The home has a living room, dining room and kitchen available for people to use.

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

People received care and support in a safe way. Their risks were assessed and there were good measures in place to reduce risks to people’s health, safety and wellbeing. The home was clean and tidy, medicines were managed safely and incidents were reported and acted upon where things went wrong.

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 received support which was effective in helping them achieve positive outcomes and quality of life, such as preventing skin damage and maintaining good nutrition and hydration. The service ensured people had access to healthcare services and worked with other providers to ensure they received care which met their needs.

People appeared comfortable and were laughing and joking with staff. People’s relatives told us they felt confident in the care provided. One person’s relative told us, "The [staff], the patience they have with [loved one], it’s amazing." Another relative said, “They are wonderful, she is well looked after.”

Staff were caring and kind in their approach. Staff demonstrated patience and respected people’s privacy. Staff promoted people’s independence wherever possible. The service helped people plan for the future and provided high quality end of life care. Staff supported people with hobbies and activities which interested them and helped prevent social isolation.

The service was well-led and had improved and embedded robust quality assurance measures to identify any issues with quality or safety in the service. There was a positive culture of inclusion and a homely atmosphere which was welcoming to people’s families.

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

Rating at last inspection and update

The last rating for this service was requires improvement (published 8 November 2018) and there were multiple breaches of regulations. The provider completed an action plan after the last inspection to show what they would do and by when to improve.

A focussed inspection was undertaken (published 12 June 2019) to review whether the provider had taken action in response to a Warning Notice and found that these issues had been resolved.

At this inspection we found improvements had been made and sustained and the provider was no longer in breach of regulations.

Why we inspected

This was a planned inspection based on the previous rating.

Follow up

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