The Crown Rest Home

Updated 2 July 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 was carried out by one inspector over two days.

Service and service type: The service is registered for up to eighteen people for the regulated activity of accommodation and personal care. It is not registered for nursing.

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.

The inspection site visit activity started on 25 March 2019 and ended on 26 March 2019.

What we did:

Before the inspection we reviewed any information held about this service including the provider information return. This provides 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 notifications which are important events the service is required to tell us about.

On the day of inspection, we spoke with eight people using the service, one relative, two friends of a person using the service, the registered manager/ owner, the deputy manager, three care staff, the cook and domestic staff. We carried out observations across two days and looked at records relating to the business and the recruitment and management of staff. We looked at two care plans and medicine records. Following the inspection, we received further information including feedback from health care professionals and GP practice. Following the inspection, we received emails from relatives in support of their family members care.

Updated 2 July 2019

About the service: The Crown rest home provides residential care for up to 18 older people who do not requiring nursing care.

People’s experience of using this service: The service was small and personable offering a family setting in generously sized accommodation. The location was rural, set in peaceful surrounding with far reaching views. People could go out independently but those needing assistance were supported by staff or relatives. People could enjoy the grounds and partake in village life.

People could relax or stay as active as they wished with their choices and preferences known and respected by staff. The service was focussed on the needs of people using the service and helping to ensure peoples choices were promoted and people received positive experiences of care.

The service was owned and managed by the same person who was very dedicated, had over thirty years’ experience and was a registered nurse. They employed a clinical lead, also a registered nurse and a deputy manager who had previously managed a care home. They had a strong staff team who were well trained and competent. Staff were very loyal and had many years’ service. Many held professional qualifications and many years of experience to bring to the team. Staff were observed working in a highly professional way and the team ethic was strong. This meant that people were supported by staff who were kind, considerate and regularly went the extra mile to support people in line with their needs. The support provided was seamless with high standards maintained throughout the staff team daily which meant people expectations were always met.

The service engaged with family and other professionals to help ensure care was provided as holistically as possible. Staff supported people to access the services they needed to facilitate their independence and health and there was a strong emphasis on customer care. The service kept up to date with developments within the care sector to ensure that staff were sufficiently knowledgeable and able to competently carry out their tasks to ensure people’s well -being.

The service was exceptionally clean and designed for the comfort, safety and enjoyment of people using the service.

People were provided with personalised care. Generous staffing levels helped ensure people’s needs could be met in a timely way and staff cover remained constant without the need for agency staff. Additional staff were employed specifically to organise and facilitate social activities to enhance peoples well- being and stop people becoming isolated. People were encouraged to retain their existing skills and levels of independent and mobility and activities help to stimulate people’s minds. We observed people being engaged throughout the day choosing to go in the garden, sit quietly, listen to music, sit reading or watching the television. Staff were observed treating people with respect and courtesy and creating a relaxed, inclusive environment for people and their visitors.

Rating at last inspection: Good: Date last report published:28/06/2016

Why we inspected: This was a scheduled inspection based on our previous rating. For more details, please see the full report which is on the CQC website at www.cqc.org.uk