Cressington Court Care Home

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• Overview
• Person-centred Care
• Care provision, Integration and continuity
• Providing Information
• Listening to and involving people
• Equity in access
• Equity in experiences and outcomes
• Planning for the future

We assessed one quality statement in the responsive key question and found areas which required improvement. The scores for these areas have been combined with scores based on the rating from the last inspection, which was requires improvement. Our rating for this key question remains requires improvement. We identified two breaches of the legal regulations. The provider failed to always take the necessary action to ensure people experienced positive outcomes. For people who had experienced continued weight loss, we found no evidence that the required referrals to the relevant health professionals were made to prevent any further decline in this area. Leaders were unable to offer an explanation as to why the referrals had not been made.

This service scored 50 (out of 100) for this area. Find out what we look at when we assess this area and How we calculate these scores.

We did not look at Person-centred Care during this assessment. The score for this quality statement is based on the previous rating for Responsive.

We did not look at Care provision, Integration and continuity during this assessment. The score for this quality statement is based on the previous rating for Responsive.

We did not look at Providing Information during this assessment. The score for this quality statement is based on the previous rating for Responsive.

We did not look at Listening to and involving people during this assessment. The score for this quality statement is based on the previous rating for Responsive.

We did not look at Equity in access during this assessment. The score for this quality statement is based on the previous rating for Responsive.

We received mixed feedback from people, some people experienced positive outcomes whilst others did not. A visiting relatives told us their loved one was at risk of experiencing negative outcomes in relation to their personal care. They described how they had made suggestions to ensure positive outcomes in this area but had not received an acknowledgement from staff or managers. Therefore, the risk of their loved one experiencing poor outcomes continued.

Staff described how they tried to advocate for people to ensure good outcomes were achieved. A staff member told us, "I just try to be their voice, because I would want someone to do that for me." People experienced delays in receiving essential support and treatment as referrals to external healthcare services were not made in a timely manner. The provider was unable to offer an explanation as to why necessary referrals were not made.

People’s care plans did not demonstrate attempts had been made to actively engage with people to ensure their needs and preferences could be met. Communication care plans lacked the required person-centred details to ensure those people who experienced communication difficulties had documented strategies in place to guide staff on how to support people and prevent isolation. Referrals were not always made in a timely manner. For a person who required a specialist piece of equipment, we found this was not sourced for over a year. Another person had a skin injury and this was not referred to the district nursing team for appropriate treatment for several days.

We did not look at Planning for the future during this assessment. The score for this quality statement is based on the previous rating for Responsive.