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Twelve Trees Residential Care Home Good

Inspection Summary


Overall summary & rating

Good

Updated 31 August 2017

Twelve Trees care home provides care and support for up to 34 older people, some of who are living with dementia. There were 28 people living at the service when we visited.

At the last inspection, the service was rated Good. At this inspection we found the service remained Good.

The home had a manager in place who had applied for registration with The Care Quality Commission (CQC). 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.

Staff knew how to protect people from the risk of abuse or harm. They followed appropriate guidance to minimise identified risks to people's health, safety and wellbeing. There were enough staff to keep people safe. The provider had appropriate arrangements in place to check their suitability and fitness to support people.

We saw people were supported to have sufficient to eat and drink to maintain a balanced diet. People told us they liked the food and lunchtime was a social event.

The environment was clean and staff followed good practice for minimising risks to people that could arise from poor hygiene and cleanliness. They also ensured the environment was clear of slip and trip hazards to support people to move freely around. The premises and equipment were regularly maintained and serviced to ensure these were safe. Medicines were managed safely and people received them as prescribed.

People's rights were also protected because management and staff understood the legal framework of the Mental Capacity Act 2005 (MCA) and Deprivation of Liberty Safeguards (DoLS). We saw staff had received refresher training in the last two years. In addition, we also found staff had received formal supervision and appraisal.

The manager and staff ensured access to healthcare services were readily available to people and worked with a range of health professionals, such as social workers, community nurses and GPs to implement care and support plans.

People were involved in the assessment and care planning process and their care plans were regularly updated to reflect their changing needs. People were encouraged and supported to participate in a range of activities to suit their individual interests. There was a complaints system in place and people felt able to raise any complaints or concerns.

Staff were respectful and compassionate towards people ensuring privacy and dignity was valued. People were supported in a person centred way by staff who understood their roles in relation to encouraging independence whilst mitigating potential risks.

Systems were in place to make sure people's views were gathered. These included regular meetings, direct interactions with people and questionnaires being distributed to people, relatives and healthcare professionals. The service was assisted to run effectively by the use of quality monitoring audits carried out by the manager and registered provider, which identified any improvements needed and actions were taken.

Inspection areas

Safe

Good

Updated 31 August 2017

The service remains Good.

Effective

Good

Updated 31 August 2017

The service was previously rated Requires Improvement and is now rated Good.

Staff had been trained in and demonstrated a good understanding of the MCA and DoLS.

Staff could appropriately describe how they would support people in making decisions.

Caring

Good

Updated 31 August 2017

The service was previously rated as outstanding.

The registered provider, manager and staff were fully committed to providing people with the best possible care.

Staff treated people with dignity, respect and compassion.

People were supported to maintain relationships that were important to them.

People's confidentiality was maintained and staff understood the need for this, however, not all records were stored securely.

Responsive

Good

Updated 31 August 2017

The service remains Good.

Well-led

Good

Updated 31 August 2017

The service remains Good.