CQC report explained · a residential care home
What the CQC found at Crummock Road
Rated Outstanding: inspectors found the home performing exceptionally well.
- Safe?
- Good
- Inspectors found effective safeguarding, risk management, recruitment, staffing and medicines arrangements. The home was clean and infection control systems were in place.
- Effective?
- Good
- People had detailed assessments and staff supported their health, nutrition and hydration needs. Staff worked with health and social care professionals and followed consent and best-interest processes.
- Caring?
- Outstanding
- Staff treated people with compassion, dignity and respect. People were involved in decisions and supported to achieve personal goals and greater independence.
- Responsive?
- Outstanding
- Care plans were highly detailed and tailored to individual needs, communication styles and goals. Staff adapted support quickly and helped people maintain relationships, interests and community involvement.
- Well-led?
- Outstanding
- Inspectors found strong leadership, a positive culture and detailed quality monitoring. People and staff were involved in planning, recruitment, activities and improvements to the home.
What inspectors found, April 2020
Walsingham Support - Holly Dyke is rated Outstanding; inspectors found exceptionally caring, responsive and well-led support, with safe and effective care rated Good.
This was an unannounced inspection on 10 February 2020. One inspector spoke with five of the six people living there, a relative and six staff. The inspector reviewed care, medicines, recruitment, training, staffing and management records.
People told inspectors they felt safe. The home had suitable risk assessments, safe medicines systems, appropriate staffing arrangements and clean surroundings. Staff were trained and understood people's health, communication and support needs.
The strongest findings were about caring, responsiveness and leadership. People were supported to make choices, build independence, take part in meaningful activities and maintain relationships. The overall rating was Outstanding. Safe and Effective were Good, while Caring, Responsive and Well-led were Outstanding.
Outstandingly caring support
Staff put people's needs first and supported them to live as independently as possible. Inspectors found that staff helped people achieve personal goals and overcome barriers.
“The service provided an outstandingly caring approach where the staff team put the needs of people first” from the report
Choice and independence
People had control over daily decisions, care planning, activities and some recruitment decisions. They were supported to develop skills, travel, study and take part in voluntary work.
“People had become more independent, had travelled, studied and undertaken voluntary work.” from the report
Personalised activities
Activities were based on people's interests and goals, including sport, social activities, community roles and time at a static caravan.
“The service supported people to have meaningful individual, person-centred activities, including sporting and social activities” from the report
Strong leadership
The manager and staff team were committed to quality and worked closely with people and professionals. Quality checks, audits and development plans were used to improve the service.
“Holly Dyke is an exceptionally well-led service with a commitment to quality.” from the report
Good safety systems
Inspectors found suitable safeguarding, risk assessment, recruitment and medicines systems. People said they felt safe.
“People told us they felt very safe. Staff understood their responsibilities in protecting people from harm and abuse.” from the report
Inspectors raised no specific concerns in this report.
- 01How would you support my relative to develop independence and achieve their own goals?
- 02What staffing arrangements are in place, and how are new staff recruited and trained?
- 03How would you support my relative's specific communication needs, including any use of signing, pictures or technology?
- 04How would you meet my relative's health needs if they changed, given that the home does not provide nursing care?
- 05How are people and their families involved in care planning, complaints and decisions about activities or the home?
This was an unannounced planned inspection covering the home, the care provided and all five CQC questions; the previous overall rating was also Outstanding, with Caring improving from Good to Outstanding. This explanation was written from the published report of 8 April 2020 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, August 2017
Rated Outstanding; inspectors found safe, respectful care, highly individual support and exceptionally strong management.
This was an unannounced inspection on 12 May 2017. One inspector met all six people living in the home, spoke with relatives and professionals, observed daily life, and checked care plans, medicines, staff records, safety records and quality checks.
The home was rated Good for Safe, Effective and Caring. Inspectors found suitable staffing, safe medicines management, trained staff, good support with health and nutrition, and respectful care that promoted dignity, choice and independence.
Responsive and Well-led were rated Outstanding. Care plans were detailed and personal. People were supported to pursue their own interests, use community facilities, keep in touch with family and become more independent. The home had a stable management team and thorough quality checks.
The overall rating improved from Good at the previous inspection in November 2014 to Outstanding. Safe, Effective and Caring stayed Good. Well-led remained Outstanding, while Responsive improved from Good to Outstanding.
Personalised care
Inspectors found that care planning was detailed, current and focused on each person's preferences, strengths and changing needs.
“We read all six care plans in the home and these were extremely detailed and covered each person's needs in a holistic and person centred way.” from the report
Community life
People were supported to enjoy ordinary community activities, hobbies, holidays and relationships that reflected their own choices.
“People in the home had been helped to engage in the activities that everyone in their community enjoyed.” from the report
Strong leadership
The management team was experienced, stable and closely involved in supporting people and staff.
“The registered manager and her deputy worked closely together and created a strong and stable leadership for people in the home and for the staff.” from the report
Quality checks
The home used regular checks across medicines, food safety, finances, care records and daily tasks. People were involved in decisions and improvements.
“Each month at least one senior officer of this organisation completed an audit of different aspects of the care and support systems in the home.” from the report
Inspectors raised no specific concerns in this report.
- 01What progress has been made with the planned staff training in end of life care?
- 02How will you review and change my relative's care as they get older or their health needs increase?
- 03How would you support my relative to become more independent, including managing their own medicines if they wanted to?
- 04How would my relative be involved in choosing activities, holidays, staff and other people moving into the home?
- 05How would you support regular contact with our family and involve us in future care planning where appropriate?
This was an unannounced comprehensive inspection covering all five CQC questions, with observations, discussions and checks of care, medicines, staffing, safety and quality records; the previous inspection was in November 2014. This explanation was written from the published report of 4 August 2017 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 Crummock Road
3 rated inspections over 5 years: the service has improved, from Good to Outstanding.
- April 2020Outstandingcurrent ratingstayed OutstandingSafe: GoodEffective: GoodCaring: OutstandingResponsive: OutstandingWell-led: Outstanding
- August 2017Outstandingup from GoodSafe: GoodEffective: GoodCaring: GoodResponsive: OutstandingWell-led: Outstanding
- February 2015GoodSafe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Outstanding
- November 2013
Report published without a new overall rating.
- December 2012
Report published without a new overall rating.
- November 2011
Report published without a new overall rating.
- December 2010
Registered with the Care Quality Commission on 30 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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9 live-in carers within about an hour of Cumberland
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.
8 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.