Archived: HF Trust - Cromwell Crescent

Updated 2 February 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 was planned to check 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 17th and 20th November 2017 and was unannounced. The inspection was carried out by one inspector.

Before the inspection we checked the information we held about the service including statutory notifications. A notification is information about important events which the provider is required to send us by law. Before the inspection, the provider completed a Provider Information Return (PIR) which we reviewed. This is a form that asks the provider to give some key information about the service, what the service does well and improvements they plan to make.

During this inspection we met with the three people living in the home, two of which we spoke with and four members of staff including the registered manager of the service. We also spoke with two people’s relatives.

We spent time observing the care that people living in the service received to help us understand the experiences of people living in the home. We reviewed the care records of three people. We also reviewed records relating to the management and quality assurance of the service.

Updated 2 February 2018

This inspection took place on 17th and 20th November 2017 and was unannounced. HF Trust - Cromwell Crescent provides accommodation for up to three people with learning disabilities, physical disabilities or sensory impairments. At the time of our inspection there were three people using the service. The home is based in a residential area of Market Harborough and is set over one level.

HF Trust - Cromwell Crescent 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.

We inspected HF Trust - Cromwell Crescent in November 2016 and rated the service as Requires Improvement. That was because action had not always been taken in response to accidents and incidents and records of the care people had received were not always sufficiently detailed. During this inspection we found that the provider had implemented improvements in these areas and we rated the service as Good.

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 could be assured that they would be supported by sufficient numbers of staff that knew them well. Risks to people had been assessed and plans of care developed to support staff in minimising the known risks to people in order to maintain their safety. People could be assured they would receive their prescribed medicines safely. Accidents and incidents were recorded and analysed by senior staff and action was taken to reduce the likelihood of them reoccurring again in the future. Staff had been subject to appropriate pre-employment checks to ensure that were of good character and suitable to work with vulnerable adults.

Staff received the support, training and supervision that they required to work effectively in the home. Staff worked closely with people’s allocated healthcare professionals to ensure that people’s health and wellbeing was actively promoted. People could be assured that they would receive the support that they needed to eat and drink enough to help maintain their health and well-being.

People’s needs were assessed prior to moving into the home and detailed plans of care were developed to guide staff in providing consistently person centred care and support. The home provided a safe and accessible environment for people and had been well maintained by the provider.

People are supported to have maximum choice and control of their lives and staff support them in the least restrictive way possible; the policies and systems in the service support this practice.

People were supported by a stable staffing team that knew them well and consistently treated people with dignity and respect. People were actively encouraged to make decisions about their care and support and to direct their care as much as they were able to.

The provider had developed systems to manage feedback and complaints from people appropriately. People had been supported to develop detailed communication aids to support staff in communicating with them and information was provided to people in a format that they understood.

The service had a positive ethos and an open culture. The registered manager and provider were committed to develop the service and actively looked at ways to improve the service. There were effective quality assurance systems and audits in place; action was taken to address any shortfalls.