Crossways Residential Care Home

Updated 29 April 2022

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.

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

The inspection was carried out by one inspector.

Service and service type

Crossways Residential Care Home 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. Crossways is a care home without nursing care. 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 inspection

We reviewed information we had received about the service since the last inspection. We sought feedback from the local authority and professionals who work with the service. We used the information the provider sent us in the provider information return (PIR). This is information providers are required to send us annually with key information about their service, what they do well, and improvements they plan to make. We used all this information to plan our inspection.

During the inspection

We spoke with six people and three relatives of people using the service about their experience of the care provided. We spoke with eight members of staff including the registered manager, area manager, domestic and care staff. We reviewed a range of records. This included five people's care records and multiple medication records. We looked at three staff files in relation to recruitment. A variety of records relating to the management of the service, including policies and procedures were reviewed.

Updated 29 April 2022

About the service

Crossways is a residential care home providing accommodation and personal care to up to 39 people. The service provides support to older people and people living with dementia. At the time of our inspection there were 33 people using the service.

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

People were very complimentary about the support they received at Crossways. They told us they felt safe and were well treated by the staff.

Overall, risks to people's safety were assessed and plans were in place to manage identified risks. However, we found some examples where all aspects of risk had not been considered as part of people’s risk assessments. This had already been identified for improvement by the provider.

People received their medicines as prescribed from staff who had been trained and their competency checked to administer medicines. We found some aspects of record keeping in relation to medicines could be improved.

There were enough suitably training and supervised staff to support people’s needs and to respond to them in a timely way. There had been some staffing challenges during the COVID -19 pandemic, however the registered manager had recruited several new staff, who were due to start soon. Staff were safely recruited. Systems were in place to ensure learning occurred when things went wrong.

People were complimentary about the food on offer and were offered enough to eat and drink. Staff understood people’s nutritional needs and people’s weights were monitored. Staff worked closely with other professionals to promote people’s health and well-being.

Areas of the home had been redecorated with further decoration planned. People were supported to take part in meaningful activities. Appropriate infection prevention and control measures were in place.

Staff sought people's consent before delivering support and respected people's decisions. People were treated with dignity and respect and staff maintained their privacy.

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.

Staff supported people in a person-centred way, taking account of their individual needs and preferences. People knew how to complain if they needed to and told us they would be listened to.

The home was well-led. People and staff were positive about the way the home was managed. The provider had effective systems in place to monitor to safety and quality of the service. People views were sought to help improve the service.

Rating at last inspection

This service was registered with us on 11 February 2020 and this is the first inspection.

The last rating for the service under the previous provider was good(published on 25 September 2018).

Why we inspected

This inspection was prompted by a review of the information we held about this service.

We looked at infection prevention and control measures under the Safe key question. We look at this in all care home inspections even if no concerns or risks have been identified. This is to provide assurance that the service can respond to COVID-19 and other infection outbreaks effectively.

You can read the report from our last comprehensive inspection, by selecting the ‘all reports’ link for Crossway Residential Care Home on our website at www.cqc.org.uk.

Follow up

We will continue to monitor information we receive about the service, which will help inform when we next inspect.