The Crest Care Home

Infection prevention control practices were in place. Staff were following current guidance and maintaining use of personal protective equipment (PPE) where it was appropriate. Additional cleaning of all areas and frequently touched surfaces was in place and recorded regularly by staff. Training included hand hygiene and other infection prevention control related subjects.

At our last inspection we recommended the provider should consider current guidance on 'as and when required medicines' and to ensure they update their practice accordingly. At this inspection we found the provider had acted and made improvements by implementing better recording methods and instructions for staff to follow.

Medicines were stored, managed, and administered safely and records regarding people's medicines were completed effectively. Improvements to care plans and systems meant medicines were managed well. People received the medicines they needed to support their health needs. Fire safety was managed, appropriate checks and completed action plans were in place along with robust risk assessments.

The environment was clean and safe and was adapted to meet people's needs. There were plans in place for more refurbishment work to be completed There were systems in place for communicating with people, their relatives, and staff to collect their views and feedback regarding people's care and support.

Individualised risk assessments were improved to be more detailed. These were in place to ensure people could take risks safely. Staff were confident about how to raise concerns to safeguard people. Robust recruitment and selection procedures ensured suitable staff were employed.

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.