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We are carrying out a review of quality at Threen House Nursing Home. We will publish a report when our review is complete. Find out more about our inspection reports.

Inspection Summary


Overall summary & rating

Good

Updated 17 May 2018

This focused inspection took place on 24 April 2018 and was unannounced. The last comprehensive inspection of the service was on 25, 26 and 29 January 2018 when we found one breach of the Care Quality Commission (Registration) Regulations 2009 as the provider did not inform CQC of the outcomes of applications they had made to the local authority for authorisation to deprive people of their liberty. At the inspection in April 2018 we looked at the key questions Safe and Well-led and found that the provider and registered manager had made improvements to ensure they sent statutory notifications to CQC and monitored accidents and incidents to keep people safe.

No risks, concerns or significant improvements were identified in the remaining Key Questions through our ongoing monitoring or during our inspection activity so we did not inspect them. The ratings from the previous comprehensive inspection for these Key Questions were included in calculating the overall rating in this inspection

Threen House Nursing 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. The service provides accommodation and nursing care for up to 26 older people in a converted, detached property. When we carried out this inspection 11 people were using the service.

The service had a manager who registered with the Care Quality Commission in December 2017. 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 using the service were cared for safely as staff completed training in safeguarding and whistleblowing and were clear about reporting any concerns.

Staff reviewed possible risks to people using the service and took action to mitigate these.

The provider carried out checks to ensure new staff were suitable to work with people using the service and there were enough staff deployed to meet people’s needs.

People received the medicines they needed safely and as prescribed.

The provider had appointed a qualified and experienced manager who started work at the service in August 2017. People’s relatives and staff told us the service was well managed.

The registered manager had appointed teams of staff that were champions in skin integrity, infection control, falls prevention and health and safety. They had also reviewed systems to improve the management of health and safety, including the reviewing of incidents and accidents.

The provider consulted people using the service, their relatives and staff about the care and support people received.

Inspection areas

Safe

Good

Updated 17 May 2018

The service was safe.

Staff received training in safeguarding and whistleblowing and were clear about reporting any concerns.

Staff reviewed possible risks to people using the service and took action to mitigate these.

The provider carried out checks to ensure new staff were suitable to work with people using the service.

People received the medicines they needed safely and as prescribed.

Effective

Good

Updated 4 April 2018

The service was effective.

Staff had the training and support they needed to provide effective care and support to people using the service.

People using the service and their relatives told us they were involved in planning their care and could make decisions about the support they received.

The provider acted in accordance with the requirements of the Mental Capacity Act 2005 to promote people’s rights.

People told us they enjoyed the food and drinks provided in the service and staff supported people to eat and drink enough to maintain a balanced diet.

People had access to the healthcare services they needed.

Since our last inspection the provider had improved the standards of accommodation they provided.

Caring

Good

Updated 4 April 2018

The service was caring.

People using the service and their relatives told us staff were kind and caring.

The atmosphere in the home was calm and relaxed, staff interactions with people were kind and respectful and they had a very good knowledge of the people they supported.

Staff respected people’s privacy and dignity.

Responsive

Good

Updated 4 April 2018

The service was responsive.

People told us they were happy with the care and support they received and this was tailored to their personal needs and wishes.

The registered manager planned people's care and support with them and with people who knew them well, such as their relatives, staff and relevant health and care professionals.

The registered manager reviewed support plans each month to ensure they remained relevant and up to date.

The provider managed any complaints in line with their procedures.

Well-led

Good

Updated 17 May 2018

The service was well led.

The provider had appointed a qualified and experienced manager who started work at the service in August 2017. People’s relatives and staff told us the service was well managed.

The registered manager had appointed teams of staff that were champions in skin integrity, infection control, falls prevention and health and safety.

The provider consulted people using the service, their relatives and staff about the care and support people received.