- Care home
Templemore Care Home
Assessment report published 16 May 2025
Contents
Ratings
Our view of the service
Date of Assessment: 3 and 4 March 2025. Templemore Care Home is a residential care home providing support for up to 65 older people, including those living with dementia. At the time of this assessment, there were 54 people in residence. This assessment was prompted in part due to concerns raised around the quality of care people received, staffing and the management of the service. We identified 2 breaches of regulation relating to people receiving safe care and treatment, and governance of the service. Management oversight, governance systems and audits had not been used effectively to assess, monitor and improve the quality and safety of the service. Concerns were identified in relation to people’s assessed needs and risks relating to catheter care, fluid intake and repositioning were not effectively managed or monitored. We have asked the provider to make improvement in this area. Staff made sure people understood their care and treatment to enable them to give informed consent. Environmental risks we identified was immediately addressed by the provider when we told them. Staff were recruited safely. The oversight of staffing levels and staff deployment needed to improve. Staff training was up to date and they understood their responsibility to protect people from abuse. Staff treated people with kindness, compassion and supported their preferences. Information was available in formats people could understand. People maintained relationships with family and friends. People’s choices were respected. People’s wishes and decisions made about end-of-life care had been recorded. The service has a registered manager. Systems were in place to support staff, but most staff were not confident to speak up. The provider’s oversight and governance system was not used effectively to monitor all aspects of the service and opportunities to learn lessons and drive improvements were missed. The overall rating for the service has changed from ‘good’, to ‘requires improvement’ at this assessment. We found two legal breaches of regulation in relation to safe care and treatment and the governance of the service. We have taken enforcement action and asked the provider to make improvements in these areas.
People's experience of this service
People felt safe with the staff who provided the support they needed. People’s needs had been assessed and where required appropriate equipment was provided to promote their safety and independence. However, some relatives expressed concerns with the oversight of people’s needs. Some people and relatives expressed concerns about staffing levels. One relative said, “I think the staff do their best to keep [Person] and the others safe but they are very short staffed particularly at weekend.” People told us they received their medicines on time. People told us they like the food provided however, some people felt the quality or menu choices could be better. People had access to health care support when required and were confident staff would seek appropriate support in an emergency. During the inspection visit we observed a staff member responded appropriately to medical emergency, showing care and compassion. People had the opportunity to participate in activities and some could go on outings. A relative told us, “It's a beautiful place, recently redecorated it doesn't smell. Always clean and good lighting not harsh bright. [Person] had new carpet and they have allowed me to put up pictures and canvases of the family and the dogs they love so much.” People’s views were sought through surveys and meetings. People felt confident to raise concerns with staff but some relatives told us their concerns were not acted or and there had been little or no response received.