Crescent Nursing Home

People's experience of the service and what we found:

We expect health and social care providers to guarantee autistic people and people with a learning disability the choices, dignity, independence and good access to local communities that most people take for granted. Right support, right care, right culture is the statutory guidance which supports CQC to make assessments and judgements about services providing support to people with a learning disability and/or autistic people. We considered this guidance as there were people using the service who have a learning disability and or who are autistic.

Right Care Medicines were not always administered safely. Information which was recorded within the medicine administration record (MAR) was not always clear or accurate. Guidance for staff was not consistent within records or person centred.

A recruitment process was in place. Staffing levels were appropriate to meet the needs of people safely.

Staff received training which equipped them with the skills for their role.

All staff were positive and motivated in their role. This supported a positive atmosphere and environment for people to live in.

Staff were passionate about the people they cared for and understood the importance of providing care, which was dignified, respectful and which enabled independence.

Right Support Risk assessments and care plans had been completed. Not all of the records contained person centred information.

People were supported to maintain personal friendships and links within the community.

People were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible and in their best interests; the policies and systems in the service supported

this practice.

Right Culture The quality assurance processes and systems in place were not robust in identifying and addressing the shortfalls of the service.

People were supported by a familiar staff team.

People, their relatives and staff spoke positively of the registered manager who they found to be approachable.

For more details, please see the full report which is on the CQC website at www.cqc.org.uk