CQC report explained · a residential care home
What the CQC found at The Crescent Care Home Limited
Rated Good: inspectors found the home performing well and meeting their expectations.
- Safe?
- Good
- People were protected from abuse and avoidable harm. Inspectors found suitable risk assessments, enough trained staff, safe recruitment, safe medicines management and appropriate infection control.
- Effective?
- Good
- This area was not assessed during this focused inspection. The previous rating was carried forward.
- Caring?
- Good
- This area was not assessed during this focused inspection. The previous rating was carried forward.
- Responsive?
- Good
- This area was not assessed during this focused inspection. The previous rating was carried forward.
- Well-led?
- Good
- Inspectors found positive leadership, effective checks and audits, good communication with relatives and staff, and a culture focused on person-centred care.
What inspectors found, March 2024
Rated Good; inspectors found safe, person-centred care and effective management, but this was a focused inspection rather than a full review.
The home provides personal care for up to six people with a learning disability. Four people were living there when inspectors visited. The inspection was unannounced and was carried out by one inspector on 25 January and 10 February 2024.
Inspectors spoke with staff and relatives, observed people and staff, looked around the home, and checked care, medicine, recruitment and management records. They found people were safe, treated with kindness and supported to make choices and build independence.
The home was rated Good overall. Safe and Well-led were both rated Good. This inspection only checked those two areas. The other ratings were carried forward from the previous inspection, which was published in March 2018.
Detailed risk planning
Care records contained detailed, individual risk assessments and guidance for supporting people in the least restrictive way.
“Care files were extremely detailed and person-centred, they contained a range of personalised risk assessments, which reflected the care and support needs of each individual.” from the report
Independence and activities
People were supported to make choices, develop independence and take part in activities inside the home and in the community.
“Their passions and interests were supported by the wide range of activities they took part in, not only inside the home but out in the community.” from the report
Safe medicines practice
Inspectors found regular checks on medicines and said staff were trained and competent to administer them.
“Medicines were managed safely. The manager carried out regular checks on people's medicines to make sure they were being administered in line with national best practice” from the report
Effective leadership
The manager used audits and action plans to monitor the service and identify improvements.
“Audits and action plans were used effectively as a tool for continuous improvement.” from the report
Inspectors raised no specific concerns in this report.
- 01How will you support my relative's individual communication needs and positive behaviour support plan?
- 02What activities and community opportunities would be available for my relative?
- 03How will you involve me and my relative in care planning and reviews?
- 04How often are medicines checked, and how are staff's medicine skills assessed?
- 05How do you make sure staffing levels continue to match each person's changing support needs?
This was a focused inspection of Safe and Well-led only; the other ratings were carried forward from the previous inspection published on 1 March 2018. This explanation was written from the published report of 22 March 2024 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, March 2018
The Crescent Care Home Limited is rated Good; inspectors found safe, kind and personalised care, with quality checks improved since the previous inspection.
Inspectors visited on 16 and 19 January 2018. The inspection was announced with 48 hours' notice. They spoke with six people living there, three visitors, the manager, provider and two care staff. They examined care records, staff records, medicines and management checks.
The home was rated Good in all five areas: Safe, Effective, Caring, Responsive and Well-led. Inspectors found suitable staffing, safe medicines systems, trained staff, clean premises and appropriate safety checks.
People were treated with dignity and encouraged to make choices and remain independent. Care plans reflected people's needs and wishes, including their activities, health support and end of life preferences. The home remained Good overall compared with the previous inspection in February 2016, and its quality assurance system had improved.
Safety systems
Inspectors found that accidents, risks, fire safety, premises checks and medicines were managed appropriately.
“We found appropriate arrangements were in place for the safe administration and storage of medicines.” from the report
Trained staff
Staff received regular training, supervision and appraisals. Recruitment checks had been completed for a new staff member.
“Staff were supported in their role and received regular supervisions and an annual appraisal.” from the report
Respect and choice
Staff protected privacy and dignity and supported people to make their own choices and do things for themselves.
“We saw staff knocking on bedroom doors and asking permission before entering people's rooms.” from the report
Activities and community life
People were supported to take part in activities, work placements, day services, holidays and local community life.
“We found the provider protected people from social isolation.” from the report
Improved oversight
The provider had introduced audits covering all areas of the service and used meetings and surveys to gather views.
“The service had an internal audit policy and procedure in place.” from the report
Inspectors raised no specific concerns in this report.
- 01How would you support my relative's specific communication needs, including hearing, glasses or other aids?
- 02What support is available if my relative has swallowing difficulties or other dietary needs?
- 03How would you maintain my relative's preferred activities, work placements, holidays and community links?
- 04How are staffing levels covered when there is a vacancy or staff absence, including overnight?
- 05How are care plans and quality audits reviewed, and how are families involved in changes?
This was an announced inspection covering all five CQC questions, with the premises and care provided both looked at; the previous overall rating was Good in February 2016. This explanation was written from the published report of 1 March 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 The Crescent Care Home Limited
4 rated inspections over 9 years: the service has improved, from Requires improvement to Good.
- March 2024Goodcurrent ratingstayed GoodSafe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
Read what inspectors found at The Crescent Care Home Limited →
- March 2018Goodstayed GoodSafe: GoodWell-led: Good
Read what inspectors found at The Crescent Care Home Limited →
- March 2016Goodup from Requires improvementSafe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Requires improvement
- April 2015Requires improvementSafe: Requires improvementEffective: Requires improvementCaring: GoodResponsive: Requires improvementWell-led: Requires improvement
- September 2013
Report published without a new overall rating.
- January 2013
Report published without a new overall rating.
- April 2011
Registered with the Care Quality Commission on 5 April 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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43 live-in carers within about an hour of Hartlepool
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 £970 to £1,120 a week. 40 can care for a couple. 10 years' experience on average.
“I found Alison to be kind , caring helpful concencious... Alison has a heart of gold”
“Petty introduced herself to Mum every time she was caring for her and responded very quickly to Mum if she was distressed in the night.”
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.