Crecy Care Home is a ‘care home’. People in care homes receive accommodation and nursing or personal care as single package under one contractual agreement. CQC regulates both the premises and the care provided, and both were looked at during this inspection.

Crecy Care home was registered for 40 people . There were 34 people living in the home at the time of our inspection. People had a variety of care and support needs related to their physical and mental health.

This unannounced inspection took place on the 8 and 12 December 2017 with final calls being made on 29 December 2017. At our last inspection in June and July 2016 we identified breaches of regulation. These breaches were related to risk management and the use of monitoring to ensure improvements in the environment. At this inspection we checked to see if the provider had made the improvements necessary to meet the requirements of these regulations. We found that people were protected from harm associated with identified risks and that environmental improvements had been made.

There was a registered manager for the service. 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.

People, professionals, staff and relatives all spoke highly of the home and identified the respectful and individual care and attention that people received. The service was very caring. People received compassionate and kind care from staff who went the extra mile to promote their well-being. For example one member of staff was sourcing televisions for people who he had noticed had often lost these belongings after years within mental health services. The caring nature of the staff team was also reflected in highly personalised end of life care that staff were able to provide due to their knowledge of people and the supportive and respectful relationships they developed.

People were happy with their care and they shared appreciation and confidence in the staff team. They told us the staff were kind and friendly. Staff were cheerful and treated people and visitors with respect and kindness throughout our inspection.

Staff were consistent in their knowledge of people’s care needs and spoke with confidence about the support people needed to meet these needs. They told us they felt supported in their roles, by the management and by colleagues. They told us they had taken training that provided them with the necessary knowledge and skills to carry out their roles. There was a plan in place to ensure staff received refresher training as deemed necessary by the provider.

People felt safe. They were protected from harm because staff understood the risks people faced and how to reduce these risks. Measures to reduce risk reflected the person’s preferences. Staff also knew how to identify and respond to abuse and told us they would whistleblow if it was necessary.

People told us they received the care and support they needed. People had support, care and considerate attention, when they needed it, from staff who had been safely recruited. People also told us they saw health care professionals when necessary and were supported to maintain their health by staff. People’s needs related to ongoing healthcare and health emergencies were met and recorded. Health professionals told us that staff followed guidance and ensured they had the information they needed. People received their medicines as they were prescribed.

Staff understood how people consented to the care they provided and encouraged people to make informed decisions about their lives. Care plans reflected that care was being delivered within the framework of the Mental Capacity Act 2005 and Deprivation of Liberty Safeguards had been applied for when ne

The inspection took place on the 4 and 5 July 2016.

Crecy Care Home is registered to provide accommodation and personal care for up to 40 people in a residential area of Weymouth. At the time of our inspection there were 35 older people living there. Crecy Care Home was made up of two separate but neighbouring houses. The larger house was divided into two main areas, the majority of people living on the upper floors were living with dementia and the adults on the lower floor had mental health related care needs. People lived more independently in the smaller house and received support and care related to their mental health.

There was a registered manager in post at the time of our inspection. 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.

There was a strong smell of urine in some parts of the home. This did not promote people’s dignity.

People felt safe and were supported effectively to manage some complex risks related to their physical and mental well-being. They were not always protected from harm because care plans related to identified risks were not always followed

Deprivation of Liberty Safeguards had been applied for where people who needed to live in the home to be cared for safely did not have the mental capacity to consent to this. Where there were conditions to these safeguards being granted they were being met.

People had support and care when they needed it from staff who had been safely recruited and knew them well. Staff were consistent in their knowledge of people’s care needs and spoke confidently about the support people needed to meet these needs. They told us they felt supported in their roles and had taken training that provided them with the necessary knowledge and skills. There was a plan in place to ensure staff received refresher training as deemed necessary by the provider.

People were positive about the care they received and told us the staff were kind. Staff were cheerful and mostly treated people and visitors with respect and kindness throughout our inspection. Everyone described the food as good and there were systems in place to ensure people had enough to eat and drink.

People us they saw health care professionals when necessary and were supported to maintain their health by staff. People’s needs related to ongoing healthcare and health emergencies were met and recorded and they received their medicines as they were prescribed. People were engaged with activities throughout our inspection that reflected their preferences, including individual and group activities both in Crecy Care Home and the local area.

Staff understood how people consented to the care they provided and encouraged people to make decisions about their lives. Care plans reflected that care was being delivered within the framework of the Mental Capacity Act 2005 when people did not have clear capacity to make decisions for themselves. This meant people received care that was in their best interests and did not restrict them unnecessarily.

Quality assurance had led to improvements being made that made the home safer and more responsive to the needs of people. Where we identified concerns during our inspection these were addressed immediately when this was possible. Staff, relatives, professionals and people spoke positively about the management and staff team as a whole.

There were breaches of regulation related to how people were protected from harm and the smell of urine in the building. You can see what action we told the provider to take at the back of the main report.