Inspection on 22/11/07 for The Crest Residential Home
Also see our care home review for The Crest Residential Home for more information
Due to difficulties updating our database, this is probably NOT the latest inspection report for this service. Please check the CQC website instead. We hope to resume regular updates of BestCareHome soon.
The following inspection below was carried out on 22nd November 2007.
CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Good. The way we rate inspection reports is consistent for all houses, though please be aware that this may be different from an official CSCI judgement.
The inspector made no statutory requirements on the home as a result of this inspection and there were no outstanding actions from the previous inspection report.
What follows are excerpts from this inspection report. For more information read the full report on the next tab.
What the care home does well
People`s needs are assessed before they are admitted. This helps to make sure that the home will be a suitable place for them to live, and to receive the care they need. One said `Oh yes, I like it here. I`ve always liked it. The staff are nice`. Another said `It`s very nice here I have no complaints`. People have good care plans, which explain their needs in an individual way. This helps to make sure that their care will be person centred, and based on people`s needs and wishes.Visitors can visit the home at any time. This helps people to maintain important social links with their families and friends. Staff are patient and respectful. One person said `People are very kind and considerate here. It helps`. Staff know that they must report any complaints or concerns about care to the right person, so that the proper action can be taken to put things right, and to protect people. The environment is very pleasant. It is kept maintained, clean and tidy. Everyone has their own single bedroom. This helps to protect their privacy. People have access to a pleasant dining area, and a choice of food. One person said that the food was `marvellous`, and said that they get `excited about mealtimes`. Another commented that they enjoyed their lunch, and that afterwards they just needed `a good sleep`. Good links with outside professionals have been forged. Their comments included `Very enthusiastic caring staff`, who `treat people with kindness and dignity`. One had observed that people were always `approached well by staff when needing guidance` and that `high standards of personal hygiene were maintained`.
What has improved since the last inspection?
After a period without an appointed manager, the vacancy has now been filled. After a settling in period, she now intends to seek the views of people at the home and their families, so that it is run in people`s best interests. One person commented that they were `relieved to see that a manager is now in charge`. All staff have now received training about what to do if they suspect that a person has been abused. This will give them confidence to act quickly should such a situation ever arise, and will help to keep people safe and protected from harm.
What the care home could do better:
To reduce the risk from any unnecessary errors: · Staff could complete a risk assessment for people who want to look after their own medication to make sure that they continue to be safe and happy to do so. · Further training for staff in the safe handling of medication could be considered, to make sure that they are all up to date, and following current best practice, when looking after people`s medicines. · The general practitioner could be asked what medication staff are allowed to give without prescription or consultation, and for how long. · Further thought could be given as to how staff can be protected from distraction when they are administering medication to people. To help meet people`s spiritual needs, a representative of the Church of England denomination should be invited to visit the home.To ensure that all staff are working in a safe way, the manager could check to make sure that none of the staff have missed any of the mandatory training provided by the company. She could also check to make sure that there is suitable first aid cover available at the home at all times to assist people in an emergency situation. Staffing availability should be kept under regular review to reflect changes in people`s needs so that the care that they get remains consistent. Recruitment files could be kept in better order, and a reference could always be requested from the applicant`s previous employer. This would help to check the reasons why they have left, and would give assurance that they are fit to work with vulnerable people. The kitchen could be cleaned to a better standard, so that it is maintained in good order for the preparation of people`s meals.