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Inspection Summary


Overall summary & rating

Good

Updated 14 June 2018

Thornlea delivers care and support for a maximum of 17 older people. At the time of our inspection, 17 people lived at the home. Thornlea is a bungalow, situated on a main road in the South Shore area of Blackpool. There are two lounges, a dining room and a rear garden with a decking area offering a range of seating. There are multiple aids and adaptations to meet the needs of people who live there.

At the last inspection on 04 November 2015, the service was rated Good. At this inspection we found the evidence continued to support the rating of Good and there was no evidence or information from our inspection and ongoing monitoring that demonstrated serious risks or concerns. This inspection report is written in a shorter format because our overall rating of the service has not changed since our last inspection.

During this inspection visit, people we spoke with said they felt safe and comfortable living at the home. Thornlea was clean and well-maintained and care records we reviewed included risk assessments intended to enhance everyone’s safety and welfare. Staff had training to protect people against the risk of harm, poor care and abuse.

We observed staff ensured people received their medicines on time and concentrated on one person at a time. Evidence in staff files confirmed employees who administered medicines completed relevant training to protect individuals from unsafe management of medication.

The provider followed their recruitment policy to protect people from unsuitable staff. Records we reviewed evidenced there were sufficient numbers and skill mixes of staff to meet each person’s requirements. Staff undertook a variety of training courses to underpin their duties. A relative said, “There are lots of staff on duty and they all seem well trained.”

People were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible. The policies and systems in the service supported this practice. When we discussed choice, consent and freedom with people and relatives, they told us they felt in control of their lives.

Staff frequently provided fluids to maintain people’s hydration levels. We observed they offered a choice of food at meal times and checked each person had sufficient to eat. A relative commented, “The food is very nice.”

We observed staff engaged with those who lived at Thornlea and their relatives with a cheerful and friendly approach. People were smiling and relaxed throughout our inspection, which demonstrated strong bonds with those who supported them. A relative commented, “The staff are A1, top notch. They’re so lovely.”

Care records we looked at showed the management team engaged people and their relatives in the development of their care plans. People and relatives told us staff involved them in all aspects of their care, including the review and update of treatment.

The provider had worked with the local hospice to ensure staff received accredited training in end of life care provision. Staff monitored each person’s general health, through a coding system, to ensure the provision of additional support if the person started to deteriorate.

Staff discussed and agreed what support people required and established a care plan to meet their needs. We found records were person-centred because assessments and documentation were geared towards the individual’s abilities and preferences.

The management team conducted and completed a variety of processes to check quality assurance and people’s experiences of living at Thornlea. These included multiple audits to retain oversight of everyone’s safety and welfare. People and relatives told us Thornlea’s management team were supportive, approachable and led the home well.

Further information is in the detailed findings below.

Inspection areas

Safe

Good

Updated 14 June 2018

The service remains good.

Effective

Good

Updated 14 June 2018

The service remains good.

Caring

Good

Updated 14 June 2018

The service remains good.

Responsive

Good

Updated 14 June 2018

The service remains good.

Well-led

Good

Updated 14 June 2018

The service remains good.