Archived: The Crescent Care Home with Nursing

Updated 9 June 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 announced inspection took place on 17 and 26 April 2018. The inspection team was made up of one inspector, a specialist advisor and an expert by experience. The specialist advisor had clinical skills and knowledge. An expert by experience is a person who has personal experience of using or caring for someone who uses this type of care service.

Before the inspection we reviewed information we held about the service. This included notifications the service had sent us and information received from other parties. The provider had submitted a Provider Information Return (PIR). 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 our inspection we spoke with nine people. We also spoke with relatives of three people. We spoke with seven members of staff, and the registered manager. We gathered information from social care professionals who had worked with the service. We also looked at five people’s care records, and reviewed records relating to the running of the service. This included three staff records, quality monitoring audits and accident and incident records.

Updated 9 June 2018

The Crescent Care Home with Nursing is a ‘care home’. People in care homes receive accommodation and nursing or personal care as a single package under one contractual agreement. CQC regulates both the premises and the care provided, and both were looked at during this inspection.

The Crescent Care Home with Nursing is registered to provide nursing and personal care with accommodation for up to 40 people,although the home only usually accommodates up to 33 people as seven rooms are for double occupancy. At the time of our inspection it accommodated 31 older people in one adapted building in a residential area of Bournemouth.

At our last inspection we rated the service Good. At this inspection we found the evidence continued to support the rating of Good and there was no evidence or information from our inspection and ongoing monitoring that demonstrated serious risks or concerns. This inspection report is written in a shorter format because our overall rating of the service has not changed since our last inspection.

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At this inspection we found the service remained Good.

People were supported by staff who understood the risks they faced and how to support them to reduce these. Staff understood how to identify and report abuse. Staff also supported people to take medicines safely.

People liked the food and there were systems in place to ensure they ate and drank safely.

People were supported by skilled and caring staff, the majority of whom at worked in the home for a long time, to ensure they lived their life the way they chose. Communication styles and methods were considered and staff supported people to understand the choices available to them.

Staff supported people in the least restrictive way possible. The systems in the service supported this practice and continued to be developed as people’s needs changed.

People had access to activities and tasks. These were not always recorded. We have made a recommendation about this.

People and relatives told us they could raise any concerns and these were addressed appropriately. They told us that the registered manager and the whole staff team were approachable.

Quality assurance systems involved people and were being developed to support the provision of a safe and good quality service.

Further information is in the detailed findings below.