Cromwell House Care Home

Cromwell House Care Home accommodates people across three separate floors, each of which has separate adapted facilities.

Oversight and processes within the care home should be reviewed and further monitored by the provider. Specifically, the provider should ensure appropriate oversight and guidance is available to staff in the absence of the registered manager.

We have made a recommendation for the provider to ensure continued review of processes and systems takes place. Furthermore, staff support, oversight and guidance should be effective and robust in the absence of the registered manager.

People and their relatives told us they were not routinely involved in the care planning process on an ongoing basis.

We have made a recommendation for the provider to review how people and their relatives, where appropriate, are involved in the care planning process on an ongoing basis.

Staff had undertaken the required safeguarding training, and people told us they felt safe. Lessons learnt were appropriately shared with staff, and learning from incidents took place. Risks to people had been assessed, and staff were confident of the risk reducing measures in place. The care home was clean and tidy, and good infection prevention control practice was observed. Medicines were managed safely by suitably trained staff.

There were enough staff to meet people's assessed needs. The provider had followed safe recruitment procedures. Staff had the right level of training and support to deliver effective care and meet the needs of people living at the care home.

People were supported to access health professional services, as required, and had access to a variety of

food and drinks which met their dietary needs and wishes. Effective monitoring and support were provided by staff to those who required assistance with eating and drinking.

The care home environment had received extensive refurbishment since the last inspection. People told us they were happy with the décor and facilities available. 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.

Staff were kind and caring in their duties and showed people respect and dignity. People were supported in a person-centred way, and their likes and dislikes were adhered to. People were satisfied with the activities available at the care home, however, these could be improved upon with additional staff recruitment. People, and their relatives, knew how to raise a complaint or concern and felt confident to do so. Care plans were in place to support people nearing the end of their life.

A positive, open, and inclusive culture was now evident at the location. This had been firmly led, embedded, and sustained by the experienced registered manager who began working at the care home following our last inspection. Governance systems were appropriately used and managed, and effective oversight was in place.