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Turret Villa Retirement Home Requires improvement

Inspection Summary


Overall summary & rating

Requires improvement

Updated 29 June 2019

About the service: Turret Villa Residential Care Home provides accommodation and personal care for up to 33 people. There were 29 people living at the home at the time of the inspection.

People’s experience of using this service: At our previous inspection we identified shortfalls with the management of medicines. In addition, risks relating to equipment and the premises had not been fully assessed. We also found omissions in the maintenance of records relating to the Mental Capacity Act 2005 (MCA) and records relating to people's care. These issues had not been highlighted by the provider’s quality monitoring system.

At this inspection, action had been taken with regards to medicines management and the MCA. However, improvements were needed with regards to the premises, care plans and the provider’s quality monitoring system. Actions identified on the legionella risk assessment had not been fully completed and the bath chair had not been serviced. We had identified these issues at our previous inspection.

Care plans were not always detailed, however, many of the staff had worked at the home for a considerable number of years and knew people well.

We did not identify any major impact of these omissions and shortfalls upon people's health, safety and wellbeing. People told us they felt safe and happy living at Turret Villa Retirement Home. One person told us, “I love living here.” A relative said, “It’s like one happy family - very homely.”

There were enough care staff on duty to meet people’s needs. Safe recruitment procedures were followed and there was a staff training programme in place.

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.

People were supported with their nutritional and hydration needs. People told us that the meals had improved since our last inspection. This was confirmed by our own observations.

There was a new manager in post. The previous registered manager had retired in October 2018. The new manager had worked at the home for many years. She knew the home, people and staff very well; although she was still learning about the legal requirements and regulations relating to managing a care home.

Following the inspection, the bath chair was serviced and deemed safe to use. The deputy manager wrote to us and stated that all actions identified on the legionella risk assessment had been completed, more detailed risk assessments had been introduced and audits and action plans had been implemented to help ensure all areas of the service were monitored and any shortfalls addressed.

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

Rating at last inspection: Requires improvement (published April 2018). This service has been rated requires improvement for the last two consecutive inspections.

Why we inspected: This inspection was carried out to follow up action we told the provider to take at the last inspection.

Enforcement: We identified two breaches of the Health and Social Care Act 2008 (Regulated Activities) Regulations 2014, relating to safe care and treatment and good governance. Please see the action we have told the provider to take at the end of this report.

Follow up: We will request an action plan from the provider to understand what they will do to improve the standards of quality and safety. We will also meet with the provider following this report being published to discuss how they will make changes to ensure they improve their rating to at least good. We will work with the local authority to monitor progress. We will return to visit as per our re-inspection programme. If any concerning information is received, we may inspect sooner.

Inspection areas

Safe

Requires improvement

Updated 29 June 2019

The service was not always safe.

Details are in our Safe findings below.

Effective

Good

Updated 29 June 2019

The service was effective.

Details are in our Effective findings below.

Caring

Good

Updated 29 June 2019

The service was caring.

Details are in our Caring findings below.

Responsive

Requires improvement

Updated 29 June 2019

The service was not always responsive.

Details are in our Responsive findings below.

Well-led

Requires improvement

Updated 29 June 2019

The service was not always well-led.

Details are in our Well-Led findings below.