Archived: The Crescent Care Home with Nursing

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.

People and visitors that we spoke with were positive about the way the home was run and managed. No complaints or concerns were raised with us during our visit.

People told us that they staff were "kind and friendly", the food was good, the home was kept clean and there were organised activities to keep them occupied.

Before people received any care or treatment they were asked for their consent and the provider acted in accordance with their wishes.

We found that care plans accurately reflected people's needs and had been drawn up with their involvement.

Appropriate checks were undertaken before staff began work.

People were protected against the risks associated with medicines because the provider had appropriate arrangements in place to manage medicines.

The provider had suitable quality assurance procedures in place to manage the health and welfare of people living in the home. People were able to comment on the service provided.

We found that the home had a robust quality assurance system in place to ensure standards in the home were maintained.

People told us that they had good relationships with the staff, who were described as kind and helpful. They told us that the home was kept clean and warm. They told us that the standard of food was very good and there were activities arranged to keep people occupied.

People told us that they were involved in decisions about how they were looked after and that they could choose when they got up and when they went to bed. They told us that they could also choose to participate in activities or not.

There were some systems in place to monitor and review the quality of the service. However, where people were being nursed in bed, the home did not have systems in place to monitor and record when people were repositioned. Also the risks associated with the use of bed rails were not assessed and monitored.