CQC report explained · a residential care home
What the CQC found at The Crescent
Rated Good: inspectors found the home performing well and meeting their expectations.
- Safe?
- Good
- Inspectors found enough staff, safe recruitment, suitable risk assessments and safe medicines systems. The home was clean and had infection control arrangements.
- Effective?
- Good
- Staff were trained and supported, and people received help with food, drink, healthcare and communication. Inspectors found care was based on people's needs and choices.
- Caring?
- Good
- Staff were caring and attentive. People were supported to make decisions, maintain their dignity and privacy, and keep in contact with important people.
- Responsive?
- Good
- People had personalised care, communication aids and a range of activities inside and outside the home. Staff recognised signs that people were unhappy and acted on concerns.
- Well-led?
- Good
- Inspectors found stable management, staff support and quality checks. People, relatives and staff were encouraged to contribute to how the home was run.
What inspectors found, June 2019
Rated Good in every area; inspectors found safe, kind and personalised care, with some legal authorisations still awaited.
This was an unannounced inspection on 15 May 2019. One inspector reviewed care plans, risk assessments, medicines, staff training, complaints and quality checks. They also spoke with staff and four relatives. The people living at the home could not tell inspectors about their experiences.
The home was rated Good overall and Good in all five areas: Safe, Effective, Caring, Responsive and Well-led. Inspectors found enough safely recruited staff, suitable support with medicines, clean surroundings and systems to learn from incidents.
Care was tailored to people's communication needs, choices, health and interests. Staff were described as kind and skilled. The home supported people with meals, healthcare, activities and contact with relatives, and had systems for monitoring quality.
Safe staffing
Inspectors found enough staff on duty and evidence that recruitment checks had been completed. Relatives said there were always enough staff.
“People were cared for by sufficient numbers of staff who had been recruited safely.” from the report
Personalised communication
The home used pictures, communication passports, Makaton and Now and Next cards to help people express choices and understand activities.
“Various communication aids were used to assist people in having a say about their care and support needs.” from the report
Kind and respectful care
Staff were observed to be caring and attentive. Inspectors saw people being supported with dignity, privacy and contact with relatives.
“We observed that staff were caring and attentive to people's needs.” from the report
Activities and choice
People were supported to follow individual interests and take part in activities inside and outside the home.
“Everyone was provided with support to pursue their individual interests.” from the report
Quality monitoring
The provider used audits, medication checks, monitoring visits and meetings to review safety and improve care.
“The provider had systems in place to monitor the quality of the service provided to people.” from the report
Authorisations still awaited
minorTwo people had authorised Deprivation of Liberty Safeguards in place, while applications for three more people were still awaiting authorisation at the inspection.
“Two people had an authorised DoLS in place and they were awaiting the authorisation of a further three.” from the report
- 01What is the current position on the three Deprivation of Liberty Safeguards applications that were awaiting authorisation?
- 02How would you support my relative to communicate choices, concerns and decisions using pictures, signs or other aids?
- 03What activities are available that match my relative's interests, both inside and outside the home?
- 04How would staff recognise and respond if my relative became unhappy or distressed?
- 05How are medicines, risk assessments and staff competency checked now?
This was an unannounced inspection covering all five CQC areas, the care provided and the care home environment; the people living at the home could not give inspectors verbal feedback. This explanation was written from the published report of 20 June 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
Rated Good; inspectors found safe, caring and personalised support, with a keyworker system that needed review after staff changes.
The inspection was unannounced and took place on 7 September 2016. One inspector met the five people living at the home, spoke with relatives and staff, and checked care, medicines, incident, recruitment and management records.
Inspectors found enough staff and suitable recruitment checks. People were supported with medicines, health appointments, food and drinks. Staff understood people's risks and helped them make choices without unnecessarily restricting their independence.
The report describes friendly and respectful staff. People were supported to keep in touch with relatives, build daily living skills and try activities that matched their interests. Staff used communication methods such as sign language, Makaton and picture books.
All five areas were rated Good: Safe, Effective, Caring, Responsive and Well-led. This means the inspectors found the service met the required standards at the time of this inspection, although it was not rated Outstanding.
Safe staffing and medicines
Inspectors found enough staff to meet people's needs, including when they went out. Medicines were given by trained staff and records were accurate.
“There were enough staff to support people's health and social needs.” from the report
Supportive staff development
Staff received structured induction, regular training and supervision. They said they felt supported and could discuss concerns with managers.
“Staff had excellent training opportunities and felt supported in their roles.” from the report
Respect and independence
People were involved in decisions using communication methods suited to them. Staff encouraged everyday skills and supported people to make choices.
“Staff treated people with dignity and respect and supported them to increase their independent living skills.” from the report
Meaningful opportunities
The home helped people pursue interests, build confidence and try new activities. Staff used people's dreams and aspirations to guide support.
“People were supported to follow their dreams and aspirations.” from the report
Open management
Inspectors found clear leadership, open communication and systems for checking care quality and safety.
“There was a positive working culture at the home which encouraged open and honest communication.” from the report
Keyworker system needed review
minorThe manager said staff changes meant the keyworker system needed to be reviewed so that people could be matched with staff who had a good rapport with them.
“As there had been a number of staff changes they said that keyworker system needed to be reviewed to support this aim.” from the report
- 01How was the keyworker system reviewed after the staff changes mentioned in the report?
- 02How do you support my relative to communicate choices, especially if they use signs, pictures or another communication method?
- 03What activities and community opportunities would be available for my relative, based on their interests and aspirations?
- 04How do you cover shifts when permanent staff or bank staff are unavailable?
- 05How are medicines, health appointments and changes in support needs recorded and reviewed?
This was an unannounced inspection covering all five CQC questions and the overall quality of the home. This explanation was written from the published report of 7 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 The Crescent
2 rated inspections over 3 years: the service has held its Good rating throughout.
- June 2019Goodcurrent ratingstayed GoodSafe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
- December 2016GoodSafe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
- January 2014
Report published without a new overall rating.
- January 2013
Report published without a new overall rating.
- November 2011
Report published without a new overall rating.
- January 2011
Registered with the Care Quality Commission on 21 January 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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57 live-in carers within about an hour of Shropshire
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 £960 to £1,230 a week. 52 can care for a couple. 9 years' experience on average.
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.