CQC report explained · a residential care home
What the CQC found at Cross Park House
Rated Good: inspectors found the home performing well and meeting their expectations.
- Safe?
- Good
- People were protected from abuse and avoidable harm. Inspectors found clear risk assessments, enough staff, safe recruitment, safe medicines management and suitable infection control arrangements.
- Effective?
- Good
- People's needs and preferences were assessed and reviewed. Staff were trained, people received support with food and healthcare, and staff followed the principles of consent and the Mental Capacity Act.
- Caring?
- Good
- Staff treated people with kindness, dignity and respect. People were involved in decisions about their daily lives and were encouraged to remain as independent as possible.
- Responsive?
- Good
- Care records were personalised and regularly updated. People were supported with communication, activities, family relationships and complaints, and their end of life wishes were recorded.
- Well-led?
- Good
- The home had a clear management structure, regular audits, staff supervision and competency checks. People, relatives and staff were asked for their views, and the manager responded to constructive comments.
What inspectors found, May 2022
Rated Good; inspectors found safe, kind and personalised care across all five areas.
The inspection was unannounced and took place on 10, 11 and 16 May 2022. One inspector spoke with six people, three relatives and eight staff. They also reviewed care records, medicines records, recruitment files and the home's management records.
Inspectors found enough trained staff, safe medicines management and suitable infection control measures. People's risks and care needs were recorded and reviewed. Staff treated people with kindness, respected their choices and supported family contact, activities and access to healthcare.
All five areas were rated Good: Safe, Effective, Caring, Responsive and Well-led. This was the same overall rating and the same rating for each area as at the previous inspection, published on 30 November 2018.
The inspection included a separate thematic probe about oral health care and access to dentists. The report says a follow-up report on this national work would be published later.
Enough trained staff
Inspectors found sufficient staff with the skills and experience to meet people's needs. Recruitment checks, induction and ongoing training were in place.
“There were sufficient numbers of staff to meet people's needs. People were supported by a regular team who knew people well.” from the report
Kind and respectful care
Staff knew people's preferences and supported them at their own pace. Inspectors observed kindness, reassurance and respect for privacy.
“We observed staff were kind and compassionate towards people. For example, staff took their time and supported people at their own pace” from the report
Personalised support
Care records included people's routines, preferences, life histories and communication needs. Staff understood how each person wanted to be supported.
“People's care records were personalised to the individual and contained information about how a person liked to be supported” from the report
Good management oversight
The home used audits, staff supervision, competency checks and handovers to monitor care and share information about changes in people's needs.
“Audits and competency checks of staff were carried out frequently to monitor and continuously improve the quality of the service provided.” from the report
Inspectors raised no specific concerns in this report.
- 01How do you make sure there are enough suitably trained staff on every shift?
- 02How will you support my relative's specific medicines, including any medicines needed only when required?
- 03How will you assess and review my relative's communication needs, including any support with hearing aids or glasses?
- 04What activities and family contact would be available for my relative, including if they preferred to spend time in their room?
- 05How would you discuss and record my relative's wishes for end of life care if their needs changed?
This was an unannounced inspection covering all five key questions, with additional checks on infection control and a thematic probe about oral health care and access to dentists. This explanation was written from the published report of 31 May 2022 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, November 2018
Cross Park House was rated Good in all five areas; inspectors found safe, kind and personalised care.
This was an unannounced inspection on 05 November 2018. One inspector and an expert by experience spoke with 11 people, seven relatives, five staff and the registered manager. They also checked care records, medicines, staff files, training, complaints and quality checks.
Inspectors found enough staff to meet people's needs. They found safe recruitment, suitable training, safe medicines practice and plans to manage risks. People were supported with food, healthcare, activities and end-of-life care.
People and relatives spoke very positively about the home. Staff were described as kind, caring and attentive. Care was adapted to people's preferences, and relatives and people were involved in decisions about care.
The home was rated Good overall and Good for Safe, Effective, Caring, Responsive and Well-led. It had also been rated Good at the previous inspection, published on 13 May 2016.
Kind and respectful staff
People and relatives consistently said they felt well cared for. Inspectors saw staff treating people as individuals and respecting what mattered to them.
“Our observations showed staff were kind, caring, friendly and attentive.” from the report
Safe care and medicines
Risks were assessed and staff had guidance to reduce them. Medicines were given by trained and assessed staff, with safe storage and disposal arrangements.
“Medicines were managed safely and people received their medicines as prescribed.” from the report
Enough trained staff
Inspectors found enough care staff to meet people's needs and spend time with them. Staff received induction, training, supervision and appraisals.
“Sufficient numbers of care staff were available to meet people's needs and to spend time with people in conversation and social activities.” from the report
Personalised support
Care plans described people's abilities, preferences and communication needs. Staff knew people's histories and adapted support accordingly.
“People receive care and support in a way that was flexible and responsive to their needs.” from the report
Activities and community links
People could take part in activities, entertainment, trips and community events. The home also invited local groups to visit.
“People told us they enjoyed a wide range of activities which included opportunities to go out of the home for meals and trips to local places of interest.” from the report
Inspectors raised no specific concerns in this report.
- 01How would you assess and update my relative's care plan if their mobility, skin care or nutrition needs changed?
- 02How do you make sure medicines are given safely, especially medicines prescribed to be taken when needed?
- 03What activities and outings would be suitable for my relative, including if they have dementia or limited mobility?
- 04How will you involve me and my relative in care reviews and decisions about support?
- 05What training and support do staff receive for dementia care and end-of-life care?
This was an unannounced planned inspection of the whole care home, including both the premises and the care provided, and it assessed all five CQC questions. This explanation was written from the published report of 30 November 2018 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 Cross Park House
3 rated inspections over 6 years: the service has held its Good rating throughout.
- May 2022Goodcurrent ratingstayed GoodSafe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
- November 2018Goodstayed GoodSafe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
- May 2016GoodSafe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
- July 2014
Report published without a new overall rating.
- February 2014
Report published without a new overall rating.
- December 2012
Report published without a new overall rating.
- September 2012
Report published without a new overall rating.
- March 2012
Report published without a new overall rating.
- December 2010
Registered with the Care Quality Commission on 20 December 2010.
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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21 live-in carers within about an hour of Torbay
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 £980 to £1,400 a week. 17 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.