Archived: The Crescent

Updated 6 July 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 checked 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.

This inspection took place on 21 May 2018 and was announced, with calls to relatives taking place on 25 May 2018. The inspection team consisted of one inspector.

As part of the inspection, we reviewed the information we held about the service, including notifications. A notification is information about events that by law the registered persons should tell us about. We reviewed feedback from the commissioners of people's care to find out their views on the quality of the service. We used information the provider sent us in the Provider Information Return. This is information we require providers to send us at least once annually 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 one person and two relatives by telephone after the inspection site visit. We also spoke with the area manager and three staff.

We reviewed the care records of two people and three staff files, which included pre-employment checks and training records. We also looked at other records relating to the management of the service including complaint logs, accident reports, monthly audits, and medicine administration records.

Updated 6 July 2018

This inspection site visit took place on 21 May 2018 and was announced, with calls to relatives taking place on 25 May 2018. We gave the service 48 hours’ notice of the inspection visit because we needed to make sure someone was in.

At our last inspection on 8 September 2016 we found improvements were needed in how incidents which had occurred were recorded and reported and how action was taken to prevent further incidents. At this inspection we found the provider had made the required improvements.

This service provides care and support to people living in eight ‘supported living’ settings, so that they can live as independently as possible. People’s care and housing are provided under separate contractual agreements. CQC does not regulate premises used for supported living; this inspection looked at people’s personal care and support.

There was a registered manager in post. 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.

People were protected from abuse and risks were assessed and planned for to keep people safe. Premises and equipment were maintained to minimise the risk of infection. People were supported by sufficient safely recruited staff. Medicines were managed and administered safely. The registered manager had systems in place to learn when things went wrong.

People’s needs were assessed and effective care plans were in place. Staff received training to support people with effective and consistent care. People were able to choose what they had to eat and drink and were supported safely. People had support to maintain their health and wellbeing. 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.

People were supported by staff that were kind and caring and had good relationships with people. People had their communication needs assessed and care plans were in place which supported people to make choices and retain their independence. People were treated with dignity and respect.

People’s preferences were understood by staff, assessments and care plans considered diverse needs and how to meet them. Reviews of people’s care needs were undertaken and people were supported to follow their interests. People could make a complaint and there was a system in place to investigate these. People had their wishes for end of life care considered.

People and their relatives were involved in the service and were asked for feedback. We found systems in place to check on the quality of the service people received and the provider used information from these to make improvements. The registered manager had systems in place to monitor the delivery of people’s care.