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Thornton Manor Nursing Home Requires improvement

Inspection Summary


Overall summary & rating

Requires improvement

Updated 8 July 2021

About the service

Thornton Manor Nursing Home is a care home that is set in its own grounds and located close to a rural village of Thornton-le-Moors between Ellesmere Port and Chester. The service is based over two floors and is registered to provide nursing and personal care for up to 47 people. At the time of our inspection there were 40 people living at the home.

People’s experience of using this service and what we found

There were a lack of robust systems to demonstrate quality assurance was in place and effectively managed. Governance systems in place had failed to identify the concerns we found and whilst regular checks and audits were in place, they were not effective at driving improvement.

People’s care plans and risk assessments were not all up to date and did not always reflect their up to date needs. Language within care records was not always dignified or person centred.

Some areas of the environment were unsafe due to items that needed to be replaced or disposed of. The registered manager immediately addressed these issues.

The provider had commenced a refurbishment programme. However, we found multiple areas within the service where paintwork, flooring and furniture was damaged.

Safe recruitment procedures were in place. A clear training plan was in place to ensure staff revisited all mandatory training due to this not being up to date.

The staff and management team worked closely with health and social care professionals to ensure good outcomes for people.

Medication was managed safely by trained and competent staff. Medicines policies and procedures were available for staff along with best practice guidance. Medicines trolleys were stored securely.

People were protected from the risk of abuse. Safeguarding policies and procedures were in place and staff had received training to understand how to keep people safe. Staff told us they felt confident to identify and raise any concerns they had about people's safety. They believed the management team would take action.

Family members told us they felt their relatives were safe living at the home. They spoke positively about the staff that supported their relatives. People appeared happy with the care home and the staff that provided their care.

People were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible and in their best interests; the policies and systems in the service supported this practice.

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

Rating at last inspection (and update)

The last rating for this service was requires improvement (published 3 December 2020) and there were two breaches of regulation. The provider completed an action plan after the last inspection to show what they would do and by when to improve. At this inspection we found improvements had not been made and the provider was still in breach of regulations.

Why we inspected

This was a planned inspection based on the previous rating.

We looked at infection prevention and control measures under the Safe key question. We look at this in all care home inspections even if no concerns or risks have been identified. This is to provide assurance that the service can respond to COVID-19 and other infection outbreaks effectively.

You can read the report from our last comprehensive inspection, by selecting the ‘all reports’ link for Thornton Manor Nursing Home on our website at www.cqc.org.uk.

Enforcement

We are mindful of the impact of the COVID-19 pandemic on our regulatory function. This meant we took account of the exceptional circumstances arising as a result of the COVID-19 pandemic when considering what enforcement action was necessary and proportionate to keep people safe as a result of this inspection. We will continue to monitor the service.

We have identified breaches in relation to environmental risks as well as risks to people and also a lack

Inspection areas

Safe

Requires improvement

Updated 8 July 2021

The service was not always safe.

Details are in our safe findings below.

Effective

Requires improvement

Updated 8 July 2021

The service was not always effective.

Details are in our effective findings below.

Caring

Requires improvement

Updated 8 July 2021

The service was not always caring.

Details are in our caring findings below.

Responsive

Requires improvement

Updated 8 July 2021

The service was not always responsive.

Details are in our responsive findings below.

Well-led

Requires improvement

Updated 8 July 2021

The service was not always well-led.

Details are in our well-led findings below.