Turning Point - Marloes Walk

Updated 15 December 2023

The inspection

We carried out this inspection under Section 60 of the Health and Social Care Act 2008 (the Act) as part of our regulatory functions. We checked whether the provider was meeting the legal requirements and regulations associated with the Act. We looked at the overall quality of the service and provided a rating for the service under the Health and Social Care Act 2008.

Inspection team

The inspection team consisted of 2 inspectors.

Service and service type

Turning Point – Marloes Walk is a 'care home'. People in care homes receive accommodation and personal care as a single package under one contractual agreement dependent on their registration with us. Turning Point – Marloes Walk is a care home without nursing care. CQC regulates both the premises and the care provided, and both were looked at during this inspection.

Registered Manager

This provider is required to have a registered manager to oversee the delivery of regulated activities at this location. A registered manager is a person who has registered with the Care Quality Commission to manage the service. Registered managers and providers are legally responsible for how the service is run, for the quality and safety of the care provided and compliance with regulations.

At the time of our inspection there was a registered manager in post.

Notice of inspection

The inspection was announced. We gave 24 hours notice of the inspection. This is because it is a small service and we needed to be sure that the provider or registered manager would be in the office to support the inspection.

What we did before the inspection

We reviewed information we had received about the service since the last inspection. We sought feedback from the local authority who work with the service. We used the information the provider sent us in the provider information return (PIR). This is information providers are required to send us annually with key information about their service, what they do well, and improvements they plan to make. We used all this information to plan our inspection.

During the inspection

We spoke with 2 relatives of people who lived at the home about their experience of the care provided. We spent time seeing how staff cared for people. We spoke with 8 staff, including the provider’s locality manager, the registered manager, a team leader, 2 senior support workers, 2 support workers and an agency staff member. We also spoke with a healthcare professional who supported the service.

We reviewed a range of records. These included 4 people's care records and 2 medication records. We checked 1 staff recruitment files and records relating to the management and safety of the service, including audits, policies and procedures.

Updated 15 December 2023

About the service

Turning Point – Marloes Walk is registered to provide accommodation and personal care for up to 8 people. The service provides support to people with learning disabilities or autistic spectrum disorder. At the time of our inspection there were 8 people using the service.

People's experience of the service and what we found

We expect health and social care providers to guarantee people with a learning disability and autistic people respect, equality, dignity, choices and independence and good access to local communities that most people take for granted. 'Right support, right care, right culture' is the guidance CQC follows to make assessment and judgements about services supporting people with a learning disability and autistic people and providers must have regard to it.

Right Support

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. The provider assessed risks to ensure people were safe and staff received training so that they felt confident and competent to manage those risks safely. Some people had epilepsy. Records clearly detailed what action staff should take if people experienced a seizure and staff knew how to respond in an emergency situation. People received their medicines as prescribed from staff who were appropriately trained.

Right Care

People’s needs had been assessed and staff knew people well. Staff understood their responsibilities to encourage people to make their own decisions and they ensured people’s voices were heard. Good communication meant relatives felt involved in how their family member’s care was provided. The registered manager and provider regularly checked the quality of people's care and used their findings to improve the quality of the service and to take learning from incidents.

Right Culture

The provider had systems to provide person-centred care that achieved good outcomes for people. Staff used their knowledge of people's individual needs and preferences when caring for them. The provider worked alongside other healthcare professionals to ensure people’s needs were met. There was an inclusive culture where equality, diversity and inclusion were reflected and supported.

For more details, please see the full report which is on the CQC website at www.cqc.org.uk

Rating at last inspection

The last rating for this service was Good (published 20 July 2018).

Why we inspected

This inspection was prompted by a review of the information we held about this service.

We undertook a focused inspection to review the key questions of safe and well-led only. For those key questions not inspected, we used the ratings awarded at the last inspection to calculate the overall rating.

You can read the report from our last comprehensive inspection by selecting the 'all reports' link for Turning Point – Marloes Walk on our website at www.cqc.org.uk.

Follow Up

We will continue to monitor information we receive about the service, which will help inform when we next inspect.