Latest Inspection
This is the latest available inspection report for this service, carried out on 12th January 2010. it is an annual review prepared by CQC after examining previous reports and information from the provider. At the time of this report, CQC judged the service to be Good.
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.
For extracts, read the latest CQC inspection for Crescent House.
Annual service review
Name of Service: Crescent House The quality rating for this care home is: The rating was made on: two star good service A quality rating is our assessment of how well a care home, agency or scheme is meeting the needs of the people who use it. We give a quality rating following a full review of the service. We call this review a ‘key’ inspection We do an annual service review when there has been no key inspection of the service in the last 12 months. It does not involve a visit to the service but is a summary of new information given to us, or collected by us, since the last key inspection or annual service review.
Has this annual service review changed our opinion of the service?
No You should read the last key inspection report for this service to get a full picture of how well outcomes for the people using the service are being met. The date by which we will do a key inspection: Name of inspector: Rajshree Mistry Date of this annual service review: 0 2 1 2 2 0 0 9 Annual Service Review Page 1 of 10 Information about the service
Address of service: 3 The Crescent Phippsville Northampton NN1 4SB 01604791141 01604716951 Telephone number: Fax number: Email address: Provider web address:
Name of registered provider(s): Conditions of registration: Category(ies) : old age, not falling within any other category Conditions of registration: Crescent Homes Limited Number of places (if applicable): Under 65 Over 65 0 33 The Home will limit its services to the following service user categories: No person falling within the category Older Persons (OP) can be admitted where there are already 33 persons of category OP in the Home. The total number of service users in the Home must not exceed 33. Have there been any changes in the ownership, management or the No service’s registration details in the last 12 months? If yes, what have they been: Date of last key inspection: Date of last annual service review (if applicable): Brief description of the service Crescent House is a large property situated in a pleasant residential area of Northampton, close to local shops, and accessible by public transport from the town centre. The home is surrounded by attractive landscaped gardens. The accommodation is mostly in single bedrooms and there is a large bedroom that can be used by a couple or people who wish to share. Communal areas are spacious and are tastefully furnished and decorated to a high standard throughout. Annual Service Review Page 2 of 10 The fees for 2009/2010 are not known. People who are interested in using Crescent House should contact the Registered Manager or the home directly for the range of fees applicable. Further information about Crescent House can be obtained from the home in the form of the Service User Guide and the Statement of Purpose. The latest Inspection Reports are available at the home or can be accessed via the Care Quality Commission (CQC) website: www.cqc.org.uk Annual Service Review Page 3 of 10 Service update since the last key inspection or annual service review:
What did we do for this annual service review? We looked at all the information that we have received or asked from since the last key inspection. This included the Annual Quality Assurance Assessment (AQAA) that was sent to us by the service. The AQAA is a self-assessment that focuses on how well outcomes are being met for the people using the service. It also gave us some numerical information about the service. We assessed the information we have about the service and how the complaints received have been managed. We looked at what the service has told us with regards to the things that have happened in the service. These are called notifications and are a legal requirement. We looked at the last Key Inspection Report dated 12th December 2007, the last Annual Service Review dated 2nd December 2008 and the results of any other visits that we have made to the service in the last 12 months. We looked at the relevant information from other organisations and what other people have told us about the service. We sent out surveys to the people using the service, which included surveys for their relatives. We also sent out surveys to the General Practitioners who are involved in the care and well-being of the people who use the service and the care staff. What has this told us about the service? Crescent House sent us their Annual Quality Assurance Assessment (AQAA) when we asked for it. It was clear and gave us all the information we asked for. We looked at the information in the AQAA and our judgement is that the home is still providing a good service. Crescent House has demonstrated how it continues to maintain the standards of care and meet the needs of the people who use the service. The AQAA was completed by the Registered Person and provided us with details of what the service does well and the evidence to support the practice. There was information provided that demonstrated how peoples individual needs are met and their independence promoted. The AQAA states that people who are considering using Crescent House and their relatives are given information about the home, known as the Service User Guide. It contains information about the range of services and facilities available to people, what they can expect and experience, should they choose to move to the home. The AQAA demonstrated that there is a robust pre-admission assessment of needs process that involves the person. This process looks at the individual needs and their Annual Service Review Page 4 of 10 life history. This ensures the care needs can be met and Crescent House is the right place for them. People who move to Crescent House are offered a contract of stay, which sets out the terms and conditions. The AQAA states individual care plans are developed using the information gathered from the assessment of needs. The care plans are holistic, sets out the care needs, individual daily routines, preferences and choice of lifestyle. There is clear guidance for staff to follow that ensures needs are met. The daily evaluation records provides an overview of the peoples well-being. The staff treat people with respect and provides support that promotes their dignity and well-being. The AQAA demonstrated the management systems for the storage, administration and recording of medication are good. There is an internal audit system in place to ensure compliance with best practice. Crescent House encourages people who use the service to receive visitors at any time. People have a choice of lounges that they can use in addition to the privacy of their bedroom. There are a range of social activities and entertainment arranged by the home and the details are displayed on the notice board. There is a newsletter developed for the people using the service about the home and any forthcoming events. The AQAA states people are offered a choice of menus, caters for special dietary needs and fresh fruit is available. The AQAA states the complaints procedure is in place and provided to the people who use the service. People are supported to express their concerns and worries, which are listened to and addressed quickly. Crescent House states they have not received any complaints in the last 12 months. The Care Quality Commission has received no expressions of concerns or complaints about Crescent House. The AQAA states there is a policy and procedure on abuse, in place. Staff are trained in understanding, recognising and reporting any suspicions or allegations of abuse. This means protecting and promoting the well-being of people who use the service from any risk, harm or abuse. Crescent House is an established care home, decorated to a high standard. There are a range of communal lounges. All bedrooms are single with the exception of one bedroom, which is used by a couple. The majority of bedrooms have en-suite facilities. There are specialist equipment is available at the home to aid in promoting peoples safety and independence. The improvements made in the home include new carpeting and decoration in some areas. Crescent House has also acquired land and are considering extending the home. There are plans to install a new lift and provide additional en-suite facilities to the remaining bedrooms. This shows the home environment is continually being improved for the people who use the service.
Annual Service Review Page 5 of 10 The AQAA states staff recruitment is good. All staff employed are appointed with satisfactory pre-employment checks. All staff receive training to develop their skills to meet the needs of the people who use the service. All staff receive regular supervision, support and training to ensure their skills and competencies are maintained. The numerical information provided indicates 66 of the care staff have attained the National Vocational Qualification (NVQ) level 2 or above in care. Crescent House has recently purchased new training aids from a specialist company to improve the quality of service people receive. The AQAA states the Crescent House has an experienced and qualified Registered Manager who provides leadership and support. Crescent House has reported to the Care Quality Commission timely notifications detailing incidents and events that affected the well-being of the people who use the service. These notifications are known as Regulation 37s and are a legal requirement. Crescent House has internal quality assurance systems in place to ensure the service complies with rules and regulations. There is an internal quality assurance survey carried out and the results were good. Crescent House has achieved the Investors in People award showing the service promotes staff training and continuously raising the standards of service delivery. The AQAA details the range of policies and procedures in place, all of which were reviewed in April 2009. The details of the maintenance, servicing and testing of equipment in the home is recorded, which includes the electrical tests, hoists, fire safety, heating and lighting. This shows Crescent House complies with other regulations. We sent out 28 surveys to the people who use the service, which included surveys for their relatives. We received 15 surveys from the people who use the service and 13 from relatives. All the responses indicated people received enough information about Crescent House to help them decide to use the service. All the responses indicated Crescent House meets the needs of the people who use the service including support with their medication. All the responses in the relatives surveys indicated that they are kept informed about the well-being of their relative. All responses indicated people like the meals and can take part in activities arranged by the home. All the responses indicated the staff have the right skills, experiences and are available, listen and act on requests. All the responses indicated people know how to make a complaint. All the responses indicated that the home is always fresh and clean. The additional comments received in the surveys with regards to what the service does well, included: All the staff here are lovely I like watching things in the garden Creates a good friendly homely atmosphere Annual Service Review Page 6 of 10 Most things, food is good, clean and tuck me in bed The rooms are bright and clean Supplying an alternative meal if you do not like the meal on offer The garden is always colourful and a joy to me who loves gardening Looks after me and are always willing to help me I feel Crescent House is the nearest thing possible to my own home Very caring and pleasant always Everything They give my mother the care she needs in a caring and friendly way The staff are always available to help with any concerns that the family have I am very happy with the care she receives. Having had other family members in other local care homes, I would say Crescent House is one of the best around The staff are friendly and well trained Most staff have been at the home for a long time so their is a real knowledge of the residents needs / likes / dislikes Staff are very obviously kind and caring to the residents Care is taken to provide for individual likes/dislikes at meal times e.g. jam sandwiches for ....s tea The staff cleared one of the lounges so that we could hold a family party for his 100th Birthday. All the residents shared some of his birthday care. They wouldnt hear of us clearing up. They insisted that they would do all that for us. They care for us and about us as a family as well as my ...... Retaining the care team who all show respect and interest in residents Creating a family feeling, providing a pleasant and homely environment both inside the home and in the surrounding gardens The owners of the home are closely involved in the running of the home. Both in caring and in maintenance of the property Allowing visitors at any time, day or night to visit An excellent establishment with good standards set by example and the management and the owners Annual Service Review Page 7 of 10 The staff are very caring, they find time to talk to my mother, hold her hand if she gets upset They are very quick to tell us of anything that has happened during her day I have found Crescent House staff and surroundings extremely good. The rooms, lounges and gardens are bright, clean and well cared for. There is no smell about the home as I found in some establishments. I couldnt wish for anything better for mum Crescent House is by far the best care home I have visited. Staff are fantastic, accommodation and food very good and as a visitor we are always made welcome and looked after Crescent House is as near to home as a home like this can be The comments we received with regards to what the service could do better, included: Be more prompt with meals Better maintenance of wheelchairs is needed Maybe could have things to do in the afternoons, like board games, quizzes, etc, to get out of rooms A little more entertainment Maybe more activities but the residents are reluctant to join in I think the laundry service could be better organised Consider name badges for staff members mainly because both mum and myself are getting quite forgetful We sent out 5 surveys to General Practitioners of which 1 was returned. The responses received indicated the home meets peoples health and personal care needs, seeks timely advice and supports people with their medication. The responses indicated staff are available, respects peoples privacy and dignity and promotes their preferred choice of lifestyle. The additional comments received in the survey were: Pleasant surroundings Friendly, obliging staff We sent out 20 staff surveys of which 2 were returned. All the responses indicated staff received up to date information about the people who use the service and their care needs. All the responses indicated that staff were appointed with satisfactory preemployment checks that includes a criminal records bureau (crb) check. This is a check to assess the suitability of the person to work with vulnerable people. All the responses received indicated that staff receive induction and training that covered their job role,
Annual Service Review Page 8 of 10 providing them with the knowledge and the right skills. The responses received indicated staff were confident to receive concerns and complaints from the people who use the service, relatives and visitors. The responses also indicated that staff receive support and have meetings to discuss work issues. The additional comments received in the staff surveys were: The home ensures that the residents have the care and comfort that is possible, plus friendly and caring staff Only that I personally am very happy working here and that the management and staff are very helpful We concluded that the information received in the AQAA and the information we have received about the events in the service is supported by the responses and comments received in the surveys. This shows people who live at Crescent House or are involved with the people using Crescent House continue to have their needs met and enjoy their choice of lifestyle. Crescent House continues to let us know about the things that have happened since the last Key Inspection. They have shown that they have managed issues and made improvements to the quality of the service and the home environment. They work well with us and have shown that the service continues to provide good outcomes for the people who use it. What are we going to do as a result of this annual service review? The next inspection of this service will be based on the Fees and Frequency Regulations 2007 and the assessment of risk of the service. Further clarity will become evident as the new registration and inspection system under the Health and Social Care Act 2008 is confirmed. Annual Service Review Page 9 of 10 Reader Information
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