Norbury Crescent

There was one person living in the care home and three people using the domiciliary care agency at the time of our inspection.

There was a registered manager in post. A registered manager is a person who has registered with the Care Quality Commission to manage the service. Like registered providers, they are 'registered persons'. Registered persons have legal responsibility for meeting the requirements in the Health and Social Care Act 2008 and associated Regulations about how the service is run.

The provider had improved medicines management and people received their medicines safely. The provider checked staff were competent to administer medicines and audited medicines management to ensure staff followed best practice.

The provider had also improved their risk assessment and care planning processes. Risks to people's care were reduced as the provider assessed risks and put guidance in place for staff to follow. People were involved in their care plans and care plans set out how people wanted to receive their care.

The leadership of the service improved. The provider had improved their quality assurance processes to check the service was meeting the fundamental standards. Leadership was visible and the registered manager and staff understood their roles and responsibilities.

People and relatives were positive about the staff who provided support. People received consistency of care and staff knew the people they supported. People were supported to do activities they were interested in. The provider gathered feedback from people, staff and professionals and communicated open with them. The provider responded appropriately to concerns and complaints. The care home premises were suitably maintained with a range of health and safety checks so the environment remained safe for people.

Staff followed suitable infection control procedures and the care home was clean and free of malodours.

Staff understood the signs people may be being abused and how to respond to keep people safe. Staff received training in safeguarding adults at risk. Staffing levels were suitable to care for people safely. The provider carried out the necessary checks on staff to ensure they were suitable to work at the service. Staff were supported to understand people's needs with training and supervision and staff felt well supported. People received food and drink of their choice. Staff supported people with their day to day health needs. People received care in line with the Mental Capacity Act 2005 and received choice in relation to their care.

The five questions we ask about services and what we found