Livability Talbot Manor

Updated 21 April 2021

We carried out this inspection under Section 60 of the Health and Social Care Act 2008 as part of our regulatory functions. This inspection was planned to check whether the provider is meeting the legal requirements and regulations associated with the Health and Social Care Act 2008.

As part of CQC's response to the coronavirus pandemic we are looking at the preparedness of care homes in relation to infection prevention and control. This was a targeted inspection looking at the infection control and prevention measures the provider has in place.

This inspection took place on 25 March 2021 and was announced.

Updated 21 April 2021

Livability Talbot Manor is made up of a care home and a care at home service. Talbot Manor 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. Liveability Talbot Manor is registered to accommodate up to 12 people. At the time of our inspection 12 younger adults with physical and learning disabilities living in the home.

The location also includes Shaftesbury Court. This service is a domiciliary care agency. It provides personal care to people living in their own specialist housing. At the time of our inspection, 14 younger adults were receiving support with personal care in their own flats at the time of our inspection.

There was a registered manager in post. 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. The registered manager led both the services.

Where our evidence about people’s experience was different in the different settings we have made this clear in the report.

The people living in Talbot Manor had mostly lived there for many years. The home had been established before the introduction of Registering the Right Support and had not been developed and designed in line with the values of inclusion that underpin this and other best practice guidance. However, the people living there were settled and happy with the support they received.

Although actions had been taken to promote independence and choice in line with the guidance there was no formal plan regarding how the provider would ensure the service reflected the values of Registering the Right Support in the future. We have made a recommendation about this in the report.

Staff cared about the well-being of people they supported. We received positive feedback from people about the kindness of staff.

People were supported by safely recruited staff and there were enough trained and experienced staff to support people.

Staff understood how to identify and report abuse and were supported in their roles by senior staff and colleagues. Staff received training to enable them to carry out their roles competently.

People were supported to make choices about how they spent their days. Staff had a good knowledge and understanding of the Mental Capacity Act 2005 (MCA) and promoted independence and choice.

People’s health care needs were met and people were supported to see healthcare professionals when appropriate. People were supported to take their regular prescribed medicines safely by staff who had received the appropriate levels of training. At Talbot Manor, protocols for some medicines that were taken when needed were not being followed. The registered manager assured us that this would be addressed and took immediate action to ensure monitoring and reporting supported safe medicine administration.

People were supported to develop and maintain their interests within the home and the local area.

People and their relatives knew how to make a complaint if they needed to and felt any concerns would be taken seriously and action taken straight away. Some people at Talbot Manor had not raised frustrations about their housemates with staff. We discussed this with the registered manager.

There were quality assurance systems in place to drive improvement and ensure a safe, effective, caring and responsive service.