CQC report explained · a residential care home
What the CQC found at Crimson Hill Support Limited
Rated Good: inspectors found the home performing well and meeting their expectations.
- Safe?
- Good
- Inspectors found that risks, safeguarding, medicines, recruitment and infection control were managed safely. Staff understood how to respond when the person experienced emotional distress.
- Effective?
- Good
- This question was not inspected during this focused visit. Its previous rating was used when calculating the overall rating.
- Caring?
- Good
- This question was not inspected during this focused visit. The report's summary says the person received kind and compassionate care.
- Responsive?
- Good
- This question was not inspected during this focused visit. The report's summary says care was personalised and included regular planned activities and interests outside the home.
- Well-led?
- Good
- Inspectors found effective governance, visible management and staff who understood the person's needs. A relative said communication did not always feel proactive or responsive.
What inspectors found, May 2023
Crimson Hill Support Limited is rated Good; inspectors found safe, personalised care, with some concerns about staff changes, communication and wear to the home.
The home supports one autistic person with personal care around the clock. One inspector visited on 14 April 2023 and observed care and communication. They spoke with staff, the registered manager and a relative, and checked care plans, risk assessments, daily records, medicines and safety records.
The inspection found the home safe and well-led. Staff understood the person's needs, supported their choices and communicated well with them. Medicines, safeguarding, risks, recruitment and infection control were managed safely. The person received kind care and regular activities outside the home.
This was a focused inspection of Safe and Well-led only. Both areas were rated Good. The other ratings were carried over from the previous comprehensive inspection, published in December 2017, so the overall rating remained Good.
Personalised support
Care was built around the person's choices, communication style, sensory needs and lifestyle. Staff supported them in the least restrictive way possible.
“The person received personalised care and support built around their needs and wishes.” from the report
Kind and respectful care
Staff were described as kind and compassionate. They respected the person's privacy, dignity and wish to spend time alone.
“The person received kind and compassionate care. Staff protected and respected the person's privacy and dignity.” from the report
Safe medicines practice
Staff assessed the support needed with medicines and followed safe systems for giving, recording and storing them.
“Staff followed systems and processes to administer, record and store medicines safely.” from the report
Strong oversight
The registered manager visited regularly, worked shifts and reviewed records. Inspectors found governance systems helped keep the person safe and protect their rights.
“Governance processes were effective and helped to hold staff to account, keep the person safe, protect their rights and provide good quality care and support” from the report
Staff changes
needs fixingThe relative said staff often changed and this affected the person, who formed close relationships with staff they knew and trusted.
“there are often changes as staff seem to come and go and this does affect her.” from the report
Communication with relatives
needs fixingA relative had confidence in the management but felt they were not always listened to and sometimes had to complain to get things done.
“I have felt I need to complain or get funny about things to get things done and I shouldn't have to.” from the report
Wear and damage to the home
minorSome areas had heavy wear, tear and environmental damage linked to the person's lifestyle and sensory needs. The provider was discussing an ongoing repairs programme.
“Specific parts of the home suffered very high amounts of wear, tear and environmental damage due to the person's lifestyle and sensory needs.” from the report
- 01How will you reduce staff changes and help the person build stable relationships with staff?
- 02What specific repairs and maintenance are planned for the areas affected by wear and damage?
- 03How will you improve communication with relatives and make sure their concerns are listened to?
- 04How do you make sure the person's sensory needs are protected while repairs are carried out?
- 05When will the Effective, Caring and Responsive areas next be fully reviewed?
This was a focused inspection of Safe and Well-led only; the other ratings carried over from the comprehensive inspection published on 29 December 2017. This explanation was written from the published report of 19 May 2023 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.
What inspectors found, December 2017
Crimson Hill Support Limited was rated Good; inspectors found safe, kind and well-organised care for one person with complex support needs.
This was an unannounced, comprehensive inspection on 07 December 2017. One inspector met the person living at the home, observed their care and spoke with family, staff, managers and health and social care professionals. Records, staff files, medicines and safety information were also checked.
The home was rated Good in all five areas: Safe, Effective, Caring, Responsive and Well-led. Inspectors found enough trained staff, safe medicines management, detailed risk planning and a home adapted to the person's needs.
Staff understood the person's communication, routines and anxieties. Inspectors saw respectful care, support with choices, regular activities in the community and involvement from family and health professionals. The home had been rated Good at the previous inspection and remained Good.
Skilled staffing
Staff received detailed training and support, including training specific to the person's needs. Inspectors found staffing levels and staff competence were suitable.
“Staff received a detailed and thorough induction, including the nationally recognised Care Certificate, which was integrated into the service training.” from the report
Safe medicines
Medicines were stored securely, recorded clearly and monitored. Staff had regular medicines training.
“Medicines were stored securely, records were clear and completed and the use of medicines was monitored.” from the report
Personalised support
The home was adapted for the person and their support plan covered communication, routines, preferences and risks in detail.
“The support plan covered every detail of the person's known preferences.” from the report
Respect and choice
Staff supported privacy, personal choice and time in the community. Inspectors observed a calm and positive relationship between the person and staff.
“The person using the service and the two staff supporting them had a good rapport.” from the report
Active management
The provider and manager used meetings, audits and feedback to review the service and look for improvements.
“The quality of the service was under regular review.” from the report
Inspectors raised no specific concerns in this report.
- 01How will you make sure staff understand and follow the detailed risk plans for my relative?
- 02What person-specific training would staff receive for my relative's communication, health and support needs?
- 03How would you support my relative to make choices and have private time while keeping them safe?
- 04How are medicines checked, recorded and reviewed, and who would be contacted if there was a problem?
- 05How would my family be involved in reviews, complaints and decisions about changes to care?
This was an unannounced, comprehensive inspection of The Bungalow, which provides care for one person; the provider's separately registered personal care agency was not inspected. This explanation was written from the published report of 29 December 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.
Every inspection of Crimson Hill Support Limited
3 rated inspections over 8 years: the service has held its Good rating throughout.
- May 2023Goodcurrent ratingstayed GoodSafe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
Read what inspectors found at Crimson Hill Support Limited →
- December 2017Goodstayed GoodSafe: GoodWell-led: Good
Read what inspectors found at Crimson Hill Support Limited →
- November 2015GoodSafe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
- October 2013
Report published without a new overall rating.
- December 2012
Report published without a new overall rating.
- May 2012
Registered with the Care Quality Commission on 11 May 2012.
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.
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76 live-in carers within about two hours of Somerset
These are self-employed carers on PrimeCarers, the introductory agency that runs this directory. Each has a profile with their own rates and reviews from families, and you choose who to talk to.
Most charge £1,020 to £1,370 a week. 62 can care for a couple. 12 years' experience on average.
“She looked after my mum, who can be incredibly challenging, so well and so gently, and we always felt confident that my mum was getting the best care available.”
“She was not phased by anything, she was adaptable, kind & gave us complete confidence to go away & not worry about a thing!”
Every carer has had an enhanced DBS check in the last 18 months, ID and right-to-work checks and an online interview. Their skills and training are for you to check with them. Carers set their own rates, and who is free changes week to week.