- Homecare service
Crewton Care
Report from 24 April 2024 assessment
Contents
Ratings
Our view of the service
Date of assessment 13 May to 6 June 2024. This assessment was in response to concerns raised by a partner organisation relating to the management of the service, medicines, safeguarding, poor record keeping and staff not adhering to people’s support plans. We also considered the breach of regulation in safeguarding identified at the previous CQC inspection. Systems and processes, supported by the provider’s policies and procedures promoted and supported a safe, supportive, personalised and nurturing environment. People were able to meet the staff who would be providing their care before they transferred to the service. A core team of staff supported people. Staff worked with a range of external health and social care professionals to promote people’s health and wellbeing. People’s medicine was managed safely. Staff underwent pre employment checks as part of their recruitment, and received ongoing support including induction, training, supervision and appraisal. Staff were knowledgeable about people’s needs and worked in partnership with people to respond to any changes in need, including recognising and responding to emotional well-being. There was a positive culture where people, their relatives and staff felt confident and supported to share their views. Quality and safety of the service was kept under review through ongoing monitoring. There were clear lines of accountability within the staff and management team, who collaborated with partner agencies to achieve the best outcomes for people. We expect health and social care providers to guarantee people with a learning disability and autistic people respect, equality, dignity, choices and independence and good access to local communities that most people take for granted. ‘Right support, right care, right culture is the guidance CQC follows to make assessments and judgements about services supporting people with a learning disability and autistic people and providers must have regard to it.
People's experience of this service
People and their relatives spoke of working in partnership with staff and the management team to achieve the best outcomes. People told us they felt safe, and had developed positive and trusting relationships with the core team of staff who supported them. People and their relatives spoke of their achievements, which included improvements to health and emotional wellbeing as a direct result of the support and care provided by staff. People were encouraged and supported to maintain and promote their own physical and mental health by taking part in activities both at home and in the community. People and their relatives spoke of the personalised support they received, which included having accessible information in a format to support their understanding of key events, including health care appointments. People and their relatives told us their prescribed medicines were regularly reviewed, and that their health and wellbeing and improved. Relatives spoke of the positive impact of staff working in partnership with external health and social care professionals.