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CQC report explained · a nursing home

What the CQC found at Belong Crewe Care Village

Outstandingpublished 14 November 2017, 8 years ago

Rated Outstanding: inspectors found the home performing exceptionally well.

The five questions inspectors ask
Safe?
Good
Inspectors found enough staff to meet people's needs, with trained staff who understood safeguarding, risk management and medicines support. Recruitment checks were completed before staff started work.
Effective?
Outstanding
Staff were well trained and supported to develop their skills. The home worked closely with health and social care professionals and used best practice to support people with complex or continuing health needs.
Caring?
Outstanding
Staff understood people's backgrounds, beliefs, values and relationships. People were treated with respect, supported to remain independent and encouraged to maintain their privacy and dignity.
Responsive?
Outstanding
Care was adapted to people's individual needs, interests and histories. People could choose from varied activities and were supported to maintain relationships, take part in education or work and pursue personal ambitions.
Well-led?
Outstanding
The management team was described as approachable and strongly committed to improving people's quality of life. People and staff were involved in developing the service, and quality checks were used to drive improvement.
The latest report, explained

What inspectors found, November 2017

Rated Outstanding overall; inspectors found excellent, safe and highly personal care, with Safe rated Good.

Inspectors visited without notice on 24 and 27 July 2017. They also made follow-up phone calls during the week beginning 31 July. They spoke with people, relatives, staff, managers and health professionals, and reviewed care plans, risk records, medicines records and recruitment checks.

The home was rated Outstanding overall. Effective, Caring, Responsive and Well-led were all rated Outstanding. Safe was rated Good. Inspectors found enough trained staff, safe medicines support, good risk assessments and appropriate action to protect people from abuse and avoidable harm.

Inspectors found highly personal care. People were supported to make choices, remain independent, maintain relationships and take part in activities, education and work. The home had strong links with health and social care services and used creative approaches, including dementia support and activities tailored to individual interests.

The home had previously been rated Good in September 2015. Inspectors said improvements had been made and raised the overall rating to Outstanding.

What inspectors praised
  • Skilled staff

    Staff received structured training, ongoing development and individual support. Inspectors found a motivated team with the skills needed to support people's health and care needs.

    “People were supported by a consistent staff team who were motivated to develop their skills and knowledge.” from the report
  • Personalised care

    Care plans reflected people's histories, preferences and goals. Staff adapted their approach, including for people living with dementia, to help people stay comfortable and involved.

    “People received person-centred care which achieved exceptional results.” from the report
  • Kind relationships

    People had warm and supportive relationships with staff and other residents. Staff encouraged emotional support, friendships and conversations about matters important to each person.

    “People had positive and empowering relationships with those they lived with and those who supported them.” from the report
  • Meaningful activities

    The home offered a wide range of activities, including dance, swimming, exercise, music and links with a local school. People could also organise their own activities and maintain community connections.

    “People took part in social activities, and where appropriate education and work, which was innovative and met people's individual needs, likes and aspirations.” from the report
  • Strong leadership

    Managers were visible and approachable. The provider sought feedback, worked with community partners and had systems to monitor quality and support improvement.

    “The provider had robust quality monitoring systems in place to drive and sustain improvements.” from the report
What inspectors were concerned about
  • Planned medicine recording change

    minor

    Inspectors found that people received medicines safely. However, the provider said it planned to introduce electronic medicine recording to reduce the likelihood of medicine-related errors.

    “In addition they told us they would be introducing electronic medicine recording to reduce the likelihood of medicine related errors therefore increasing people's safety.” from the report
Questions to ask them, based on this report
  1. 01Has electronic medicine recording been introduced, and how has it affected medicine safety?
  2. 02Are there still enough trained staff available to support people promptly, including when someone needs extra help?
  3. 03Do people still have access to the activities described in the report, such as swimming, dementia-friendly dance, exercise and links with the local school?
  4. 04How are people and their families involved in reviewing care plans and making changes to support?
  5. 05What changes have been made since the July 2017 inspection?

This was an unannounced inspection covering all five CQC questions, including observations, discussions with people and staff, six care plans, medicines records and recruitment checks, followed by phone calls. This explanation was written from the published report of 14 November 2017 by an AI system and checked against the report text: every quoted line appears in the report. It is a guide to the report, not a substitute for it. Read the full report on cqc.org.uk. The report was longer than we could read in one go; the later sections may not be reflected.

The story over the years

Every inspection of Belong Crewe Care Village

2 rated inspections over 2 years: the service has improved, from Good to Outstanding.

  1. November 2017Outstandingcurrent ratingup from Good
    Safe: GoodEffective: OutstandingCaring: OutstandingResponsive: OutstandingWell-led: Outstanding

    Read what inspectors found at Belong Crewe Care Village →

  2. September 2015Good
    Safe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good

    We are reading this report · the original is on cqc.org.uk

  3. March 2014

    Report published without a new overall rating.

    Read this report on cqc.org.uk

  4. March 2013

    Report published without a new overall rating.

    Read this report on cqc.org.uk

  5. July 2011

    Report published without a new overall rating.

    Read this report on cqc.org.uk

  6. February 2011

    Registered with the Care Quality Commission on 28 February 2011.

Ratings and report dates from the Care Quality Commission, Open Government Licence v3.0. A home can also be visited without a new rating being published, so the timeline shows published inspections.

Next steps

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