CQC report explained · a residential care home
What the CQC found at Cross Street Residential Care Home
Rated Good: inspectors found the home performing well and meeting their expectations.
What inspectors found, July 2019
Cross Street Residential Care Home was rated Good; inspectors found safe, kind and personalised care across all five areas.
This was a planned, unannounced inspection on 19 and 21 June 2019. One inspector spoke with people living at the home, relatives, care workers, the registered manager and a healthcare professional. The inspector also reviewed care plans, staff records, audits and activity information.
The home supported up to four people with learning disabilities. Inspectors found that people were safe, treated with kindness and respect, and supported to make choices and build independence. Medicines were administered safely, staff were suitably trained, and people had access to healthcare, activities and community life.
All five areas were rated Good: Safe, Effective, Caring, Responsive and Well-led. This means the inspection found consistently good care and management. The previous inspection rating was also Good, published in December 2016.
Safe staffing and recruitment
Recruitment checks were completed and staffing levels were enough to meet people's needs and support activities safely.
“The home's staff rota demonstrated that there were sufficient numbers to provide care flexibly to meet people's needs.” from the report
Personal choice
People were involved in decisions about moving in, their care, meals, activities and how they spent their time.
“People visited the home as many times as they needed to, before deciding if they wanted to move in.” from the report
Kind and respectful care
Staff understood people's communication and treated them as adults, while respecting their dignity, privacy and differences.
“Staff treated people as adults, did not talk down to people and people were treated respectfully.” from the report
Activities and relationships
People took part in varied activities at home and in the community, and were supported to keep in touch with relatives and friends.
“People's activities took place individually and as a group, at home and in the community.” from the report
Open management
The management culture was described as open and empowering, with regular audits and clear responsibilities.
“The home's culture was open, positive, inclusive and empowering.” from the report
Inspectors raised no specific concerns in this report.
- 01How will you assess whether my relative can safely manage any of their own medicines in the future?
- 02How will my relative be involved in reviewing their care plan and making decisions about daily activities?
- 03How will you adapt communication if my relative needs pictorial information or extra time to respond?
- 04Which activities and community links would be suitable for my relative's interests and abilities?
- 05How would you support my relative if their health needs increased or they needed end of life care?
This was an unannounced inspection of the care and premises, covering all five CQC questions; all five ratings remained Good from the previous inspection. This explanation was written from the published report of 26 July 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.
What inspectors found, December 2016
Cross Street Residential Care Home was rated Good; inspectors found safe, kind and personalised care.
This was an unannounced inspection on 21 and 24 October 2016. One inspector spoke with three people living there, two relatives and two care staff. They observed care, checked the home and reviewed records, policies and care plans.
The home supported up to four people with learning disabilities. Inspectors found a warm atmosphere where people could choose their activities, move around freely and take part in home and community life. Staff knew people's needs and preferences and treated them with dignity and respect.
All five areas were rated Good: safe, effective, caring, responsive and well-led. The report says this was the first inspection since the provider was registered and that the home met the regulations.
Choice and independence
People were supported to choose what they did, when they did it and who they did it with. They took part in activities at home and in the community.
“People were provided with a variety of activities. They chose their activities themselves, when they wished to do them and with whom.” from the report
Kind and respectful staff
Staff knew people well and supported them in a patient, friendly and respectful way. Inspectors saw people being treated as equals.
“Staff provided care and support in a professional, friendly and supportive way that was focussed on people using the service as individuals.” from the report
Continuity of care
Although there was a new provider, many staff stayed from the previous provider. This meant people were familiar with the staff supporting them.
“It is good that continuity of care was maintained during the transfer to the new provider with many staff being retained.” from the report
Personalised meals and health support
People chose their meals and could change their minds. Their health, nutrition and hydration needs were recorded and reviewed.
“People chose the meals they wanted on a daily basis, participated in food shopping and could change their minds at any time with alternatives provided.” from the report
Quality monitoring
The manager and provider used meetings, feedback, audits and regular checks to monitor the service and identify improvements.
“The quality assurance, feedback and recording systems covered all aspects of the service constantly monitoring standards and driving improvement.” from the report
Inspectors raised no specific concerns in this report.
- 01How have staffing arrangements and staff continuity changed since the October 2016 inspection?
- 02How will my relative be supported to choose activities and take part in the local community?
- 03How are care plans, risk assessments and health needs reviewed when a person's needs or interests change?
- 04How are medicines checked, audited, stored and recorded now?
- 05How can my relative or our family raise a complaint, and how will we be told what action was taken?
This was an unannounced comprehensive inspection covering all five CQC questions; it was the first inspection since the provider was registered. This explanation was written from the published report of 13 December 2016 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 Street Residential Care Home
2 rated inspections over 3 years: the service has held its Good rating throughout.
- July 2019Goodcurrent ratingstayed GoodSafe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
Read what inspectors found at Cross Street Residential Care Home →
- December 2016GoodSafe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
Read what inspectors found at Cross Street Residential Care Home →
- February 2016
Registered with the Care Quality Commission on 18 February 2016.
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.
Weigh the report against the rest
Fees, photos and reviews from families
How to read CQC ratings and reports
What to check when you visit
At least 100 live-in carers within about an hour of Richmond upon Thames
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 £1,270 a week. 78 can care for a couple. 11 years' experience on average.
“Without his support we wouldn't have been able to navigate bringing and keeping Dad at home.”
“We cannot speak highly enough of the care that Angelique gave, and would recommend her to anyone else needing a live-in carer.”
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.