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Tynwald Residential Home Requires improvement

Inspection Summary


Overall summary & rating

Requires improvement

Updated 13 March 2019

About the service: Tynwald is a residential care home that was providing personal care to 25 older people, some who were living with dementia, at the time of the inspection.

People’s experience of using this service:

• The provider could not be assured that people had received all their medicines due to an error in their electronic system. We have made a recommendation about managing this.

• Not all equipment had been maintained as wheelchairs were not serviced.

• The provider had failed to identify any learning from falls by analysing these for any trends.

• Enough suitably recruited and trained staff were deployed to meet people’s needs. However, there had been feedback from people there wasn’t enough staff. We made a recommendation that the provider uses a dependency tool in the main report.

• The provider had not ensured that feedback and auditing was used to make improvements.

• Monitoring records for people’s food intake and weight monitoring where they were at risk of malnutrition needed improvement as they were not always completed or completed accurately. The failure to ensure complete records and effective quality assurance systems was a breach of regulation.

• Systems were in place to protect people from abuse.

• The provider promoted a good quality of life for people. People were happy living at the home and were supported to access the healthcare they needed.

• Care was person centred, achieved good outcomes and people were offered choice and involved wherever possible.

• Feedback from people, relatives and staff was positive.

• The provider was responsive to feedback at our inspection and has put a new management structure in place to support the necessary improvements.

• On the day of our inspection we spoke to the new manager who was in the process of registering as the current registered manager was not available.

More information is in the full report.

Rating at last inspection: At the last inspection the service was rated Requires Improvement (report published on 16 May 2018). This service has been rated Requires Improvement at the last two inspections.

Why we inspected: This was a comprehensive planned inspection based on the previous rating.

Follow up: We will continue to monitor this home and plan to inspect in line with our reinspection schedule for those services rated Requires Improvement.

Inspection areas

Safe

Requires improvement

Updated 13 March 2019

The service was not always safe

Details are in our Safe findings below.

Effective

Good

Updated 13 March 2019

The service was effective

Details are in our Effective findings below.

Caring

Good

Updated 13 March 2019

The service was caring

Details are in our Caring findings below.

Responsive

Good

Updated 13 March 2019

The service was responsive

Details are in our Responsive findings below.

Well-led

Requires improvement

Updated 13 March 2019

The service was not always well-led

Details are in our Well-Led findings below.