CQC report explained · a nursing home
What the CQC found at Crosby Close
Rated Good: inspectors found the home performing well and meeting their expectations.
- Safe?
- Good
- Inspectors were assured about infection prevention and control, including visitors, social distancing, admissions, protective equipment, testing, hygiene and outbreak management. They also signposted the home to resources to develop its approach.
- Effective?
- Good
- Does the care work? Training, consent, food and drink, working with GPs and nurses.
- Caring?
- Good
- Are people treated with kindness and dignity?
- Responsive?
- Good
- Is care built around the person? Care plans, activities, complaints.
- Well-led?
- Good
- Is the home run well? The manager, the culture, how problems get found and fixed.
What inspectors found, January 2021
Crosby Close was inspected but not rated; inspectors found good infection-control practice and signposted the home to resources to develop its approach.
This was an announced, targeted inspection on 15 December 2020. It looked only at infection prevention and control because of the coronavirus outbreak response.
Inspectors found the home was clean and well ventilated. Staff used personal protective equipment properly, and managers checked this. There were safe processes for people who needed to self-isolate.
The inspection did not give the home an overall quality rating. The Safe question was recorded as inspected but not rated. Inspectors said they were assured about the infection-control arrangements in the areas they checked.
Clean environment
Inspectors found the home clean and well ventilated.
“The home was clean and well ventilated. Staff followed government guidance with their personal protective equipment (PPE) practices.” from the report
Protective equipment
Staff used protective equipment safely and managers checked how staff followed the process.
“Staff followed government guidance with their personal protective equipment (PPE) practices. The management team completed checks in this area of the staff's practice.” from the report
Self-isolation arrangements
The home had processes for people who were unwell and needed to self-isolate. Staff checked whether people were safe and happy during this time.
“Safe processes were in place when people needed to self-isolate because they were unwell. Staff checked on people to see if they were ok and happy while they were self-isolating.” from the report
Infection-control systems
Inspectors were assured about arrangements covering visitors, admissions, testing, hygiene and outbreak management.
“We were assured that the provider was making sure infection outbreaks can be effectively prevented or managed.” from the report
Approach to be developed
minorInspectors signposted the home to resources to develop its infection-control approach. The report does not give further detail about what needed developing.
“We have also signposted the provider to resources to develop their approach.” from the report
- 01What infection-control resources were you signposted to, and what changes have you made since the inspection?
- 02How do you decide when someone needs to self-isolate, and how do you support them during that time?
- 03How do managers check that staff use personal protective equipment correctly?
- 04How are people using the service and staff given access to testing?
- 05How do you manage visitors and new admissions to reduce infection risks?
This was a targeted inspection of infection prevention and control under the Safe question; the service was inspected but not rated and the other questions were not assessed. This explanation was written from the published report of 9 January 2021 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, May 2019
Crosby Close was rated Good; inspectors found safe, caring and well-organised support for people with complex needs.
This was an unannounced planned inspection on 29 March 2019. One inspector reviewed records, medicines, staff training, care plans, quality checks and the environment. They observed care and spoke with staff, relatives and managers.
The home was rated Good in all five areas: Safe, Effective, Caring, Responsive and Well-led. Inspectors found enough trained staff, safe medicines management, good healthcare monitoring and detailed care planning.
People were treated with dignity and supported to make choices, stay independent and take part in activities. Relatives spoke positively about the care and said they felt their family members were safe and well cared for.
The home was also rated Good at the previous inspection, published in August 2016. Inspectors said they would continue monitoring information received about the service.
Enough trained staff
Inspectors found enough staff to meet people's care and nursing needs. Staff had training, supervision and experience of supporting complex needs.
“There were enough staff to keep people safe and to meet their care and nursing needs.” from the report
Safe medicines
Medicines were recorded, audited and administered safely. Staff were trained and checked as competent before giving medicines.
“All medicines were administered safely. This included oral and medicines given by other methods.” from the report
Kind and respectful care
Staff understood people's needs and preferences and treated them with dignity. People were supported to make choices and develop independence.
“We observed staff being extremely caring towards people. Staff interactions were warm and individually focused on people.” from the report
Good health support
Staff monitored people's health and arranged appointments and specialist support when needed. Advice from health professionals was recorded and shared with staff.
“People's healthcare needs were carefully monitored by staff to ensure any changes in their needs were responded to promptly” from the report
Strong quality checks
The home had detailed audits, reviews and staff meetings. Inspectors found good oversight and a focus on learning and improvement.
“There were detailed and thorough systems in place to monitor and review the quality of the service.” from the report
Inspectors raised no specific concerns in this report.
- 01How will my relative be supported to communicate their choices and take part in decisions about their care?
- 02How will you review and manage my relative's specific health risks, such as falls, choking or epilepsy?
- 03How will you support my relative to build or maintain independence and take part in activities in the community?
- 04How do you keep care plans and daily records up to date when my relative's needs change?
- 05How will you involve our family in care reviews and decisions, including future end of life planning if needed?
This was an unannounced planned inspection of the care, nursing support and premises, and all five CQC questions were rated. This explanation was written from the published report of 23 May 2019 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 Crosby Close
3 rated inspections over 3 years: the service has improved, from Requires improvement to Good.
- January 2021Inspected but not ratedcurrent ratingSafe: Inspected but not rated
- May 2019Goodstayed GoodSafe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
- August 2016Goodup from Requires improvementSafe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
- January 2016Requires improvementSafe: Requires improvementEffective: GoodCaring: GoodResponsive: GoodWell-led: Requires improvement
- March 2014
Report published without a new overall rating.
- November 2012
Report published without a new overall rating.
- February 2012
Report published without a new overall rating.
- March 2011
Registered with the Care Quality Commission on 23 March 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.
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