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Inspection Summary


Overall summary & rating

Good

Updated 12 December 2018

This inspection took place on the 16 November 2018 and was unannounced.

Thornwood 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.

Thornwood is a care home providing accommodation for up to 16 people with a dementia type illness. There were 15 people living there at the time of our inspection.

At our last inspection we rated the service 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.

The service had a registered manager in place. 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 spoke positively of the home and commented they felt safe. Our own observations and the records we looked at reflected the positive comments people made. Care plans reflected people’s assessed level of care needs and care delivery was person specific, holistic and based on people's preferences. Risk assessments included falls, skin damage, behaviours that distress, nutritional risks including swallowing problems and risk of choking, and moving and handling. Pressure relieving mattresses and cushions were in place for those who were susceptible to skin damage and pressure ulcers. The care plans also highlighted health risks such as diabetes. Staff and relatives felt there were enough staff working in the home and relatives said staff were available to support people when they needed assistance. All staff had attended safeguarding training. They demonstrated a clear understanding of abuse; they said they would talk to the management or external bodies immediately if they had any concerns. Staff had a clear understanding of making referrals to the local authority and CQC. Pre-employment checks for staff were completed, which meant only suitable staff were working in the home. People said they felt comfortable and at ease with staff and relatives felt people were safe.

Staff had received training to ensure they provided safe and effective care and there were opportunities for additional training specific to the needs of the service. This included the care of people with specific health needs such as diabetes and dementia. Staff had formal personal development plans, including two monthly supervisions and annual appraisals. The provider assessed people's capacity to make their own decisions if there was a reason to question their capacity. Staff and the registered manager had a good understanding of the Mental Capacity Act. Where possible, they supported people to make their own decisions and sought consent before delivering care and support. Where people's care plans contained restrictions on their liberty, applications for legal authorisation had been sent to the relevant authorities as required by the legislation.

Staff had a good understanding of people's needs and treated them with respect and protected their dignity when supporting them. People were very complimentary about the caring nature of staff. People told us care staff were kind and compassionate.

A range of activities were available for people to participate in if they wished and people enjoyed spending time with staff. Activities were provided throughout the day and were developed in line with people's preferences and interests. Staff had received training in end of life care supported by the Local

Inspection areas

Safe

Good

Updated 12 December 2018

Thornwood remains Good.

Effective

Good

Updated 12 December 2018

Thornwood remains Good.

Caring

Good

Updated 12 December 2018

Thornwood remains Caring.

Responsive

Good

Updated 12 December 2018

Thornwood remains Good.

Well-led

Good

Updated 12 December 2018

Thornwood Remains Good.