Background to this inspection
Updated
17 September 2021
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.
As part of this inspection we looked at the infection control and prevention measures in place. This was conducted so we can understand the preparedness of the service in preventing or managing an infection outbreak, and to identify good practice we can share with other services.
Inspection team
This inspection was completed by two inspectors and included a member of the CQC medicines team.
Service and service type
Crecy Care 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.
This inspection was unannounced.
What we did before the inspection
The provider was not asked to complete a provider information return prior to this inspection. This is information we require providers to send us to give some key information about the service, what the service does well and improvements they plan to make. We took this into account when we inspected the service and made the judgements in this report. We reviewed information we had received about the service and from the provider since our last inspection. We gathered feedback from social care professionals and a GP who worked regularly with the service.
During the inspection
We spoke with 12 people who used the service and observed the care and support people received. We also spoke with a visiting relative. We spoke with six staff members and the registered manager. We asked the registered manager to send a CQC poster to relatives and staff inviting them to feedback directly to us. We heard from one relative.
We reviewed a range of records. This included records related to the care and support of three people. We checked 12 people’s medicines records and looked at arrangements for administering, storing and managing medicines. We also reviewed records relating to the management of the service.
After the inspection visits
We received feedback from a team of specialist health care professionals who had worked closely with people who lived in the home. We continued to receive information until 9 August 2021.
Updated
17 September 2021
About the service
Crecy Care 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.
Crecy Care home was registered for 40 people. There were 35 people living in the home at the time of our inspection. People had a variety of care and support needs related to their physical and mental health.
People’s experience of using this service and what we found
People were supported by staff who knew them well and were committed to ensuring they had good lives. People received support that was relaxed and familiar and we observed care and respect between staff and people living in the home. Staff often went out of their way to make people's lives happier.
There were enough staff and they were deployed to meet people’s needs.
People were supported by staff who understood the risks they faced and how best to reduce these risks whilst encouraging independence. Staff were confident that any concerns they had about a person’s welfare would be acted on and they knew how to contact safeguarding agencies if this was appropriate.
People received their medicines as prescribed for them, and in a safe way.
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 lived in a home that was kept clean and infection prevention and control measures were in place to reduce the risks associated with Covid-19. Staff were fastidious about hand hygiene.
Staff felt supported and understood their roles. The systems in place to monitor the quality and safety of the service were robust and the registered manager was responsive to people’s requests made during our visits.
For more details, please see the full report which is on the CQC website at www.cqc.org.uk
Rating at last inspection and update
At the last rating for the service was good (published February 2018).
Why we inspected
We received concerns in relation to the culture of the home, how people were treated with dignity and respect, the management of risk and the management of medicines. As a result, we undertook a focused inspection to review the key questions of safe, caring and well-led only.
We reviewed the information we held about the service. No areas of concern were identified in the other key questions. We therefore did not inspect them. Ratings from previous comprehensive inspections for those key questions were used in calculating the overall rating at this inspection.
We found no evidence during this inspection that people were at risk of harm from these concerns. Please see the safe, caring and well-led sections of this full report.
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.