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Inspection Summary


Overall summary & rating

Good

Updated 11 April 2018

Thornbank is a residential care home that provides care for up to 33 older people. Some people using the service were living with dementia. At the time of this unannounced inspection of 14 March 2018 there were 30 people who used the service.

At our last inspection on 12 February 2016, we rated the service overall Good, The key questions Safe, Caring, Responsive and Well Led were rated good. The key question Effective was rated Requires Improvement with a breach of Regulation 11 of the HSCA Regulated Activities 2014, Need for consent. Shortfalls included people had not been assessed properly in relation to their mental capacity and where required best interests meetings had not been completed.

We asked the provider to complete an action plan to show what they would do and by when to improve the key question of effective. The provider submitted an action plan to us about the measures they were taking to address the concerns found at the previous inspection. This included training in the Mental Capacity Act and Deprivation of Liberty safeguards, competency assessments for all staff, weekly observations by the registered manager and improvements to people’s care records regarding their capacity.

During this inspection 14 March 2018 we found that the improvements had been fully embedded into practice and Effective is now rated as Good. We found the evidence continued to support the overall 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 continued to provide a safe service to people. This included systems in place intended to minimise the risks to people, including from abuse, falls and with their medicines.

Staff understood their roles and responsibilities in keeping people safe. They were trained and supported to meet people’s needs. Staff were available when people needed assistance and had been recruited safely.

People were complimentary about the care they received and the approach of the registered manager and staff. They told us that they felt safe and well cared for. Staff had developed good relationships with people. Staff consistently protected people’s privacy and dignity and promoted their independence.

Systems were in place to receive, record, store and administer medicines safely. Where people required assistance to take their medicines there were arrangements in place to provide this support safely.

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

People enjoyed a positive meal time experience and were enabled to eat and drink enough to maintain a balanced diet. They were also supported to maintain good health and access healthcare services.

People received care that was personalised and responsive to their needs. They participated in meaningful activities and were supported to pursue their interests. The service listened to people’s experiences, concerns and complaints and took action where needed.

The environment met the needs of the people who lived there. All areas of the home were clean and in good state of repair with equipment maintained.

The registered manager was accessible, supportive and had good leadership skills. Staff were aware of the values of the provider and understood their roles and responsibilities. Morale was good within the workforce.

The service had a quality assurance system and shortfalls were identified and addressed. There was a culture of listening to people and positively learning from events so similar incidents were not repeated. As a result the quality of the service continued to improve.

Inspection areas

Safe

Good

Updated 11 April 2018

The service remains Good

Effective

Good

Updated 11 April 2018

The service has improved to effective.

People�s rights were protected in line with the Mental Capacity Act 2005 and DoLS.

Staff were trained and supported to meet the needs of the people who used the service.

People were supported nutritionally in accordance with their needs.

People were supported to maintain good health and had access to appropriate healthcare services. The service worked with other professionals to provide people with a consistent service.

The design and layout of the building met the needs of people who lived here.

Caring

Good

Updated 11 April 2018

The service remains Good

Responsive

Good

Updated 11 April 2018

The service remains Good

Well-led

Good

Updated 11 April 2018

The service remains Good