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Inspection Summary


Overall summary & rating

Outstanding

Updated 5 July 2019

About the service: Thornfield is a care home without nursing and is registered to provide accommodation and support for a maximum of 38 people. At the time of the inspection there were 32 people living with dementia staying at the service.

People’s experience of using this service: At our last inspection we rated the home as Outstanding in three of the five key questions and overall. At this inspection, there had been many further improvements in pursuit of an ever more safe, effective, caring, responsive and well-led service. As a result, the home is now rated as Outstanding in four key questions and overall.

People were at the very heart of the service. A person commented on the “…high quality care, you would have to go quite a way to find a better one, everyone’s nice.” People’s feedback and our observations provided us with many examples of how good this person-centred approach made them feel. For example, a relative said, “My mum was resisting care, however as soon as she entered Thornfield she is so happy - a changed woman in fact. I couldn't fault the care provided. Mum has a new lease of life and all problematic behaviour has disappeared as has her stress. The home is full of love and laughter and activities abound with an emphasis on music, which all enjoy.”

Staff promoted people's right to make choices in every aspect of their lives and actively supported them to maintain their independence for as long as possible. There was a commitment to provide a socially stimulating environment seven days a week, one person said, “The entertainment here is very good, never boring.” People were treated with the utmost dignity and respect. End of life care was provided in an individualised and compassionate way. People were treated with dignity and respect in a way that truly valued them as individuals. The registered manager and all staff, whatever their role, were always prepared to go the extra mile to ensure people received

the care they needed and lived full and meaningful lives.

There was a registered manager in post. A registered manager is a person who has registered with CQC to manage the service. Like registered providers (the 'provider') 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 was deeply involved in all aspects of the running of the home and provided their team with skilled leadership. This ensured all staff had the same aim to enable people living with dementia to lead fulfilled lives. The culture of Thornfield was exceptionally open and positive. The atmosphere was relaxed and friendly; a fact repeatedly commented on by visitors. One said, “(X) has settled in beautifully at the home because of the staff's professional attitude and kindness, everything printed in their brochure is exactly as stated and all the family are very happy with these arrangements.”

Learning and development was a high priority for both the registered manager and their team. This meant the staff team were exceptionally skilled and motivated. Under the registered manager's research-led leadership a number of innovative changes had taken place, to promote people's physical and mental health. A person told us, “High quality care, you would have to go quite a way to find a better one, everyone’s nice.” A visitor said, “Thornfield is a lovely home, well run, with caring dedicated and professional staff who are always happy to go that extra mile.”

The service placed people’s wellbeing at the heart of their work. People received personalised support which met their needs and preferences wherever possible. People told us the service listened to their wishes and suggestions to improve their care and support.

Effective quality assurance systems were in place to monitor the quality of service being delivered and the running of the home. Regular audits were complet

Inspection areas

Safe

Good

Updated 5 July 2019

The service was safe.

Details are in our Safe findings below.

Effective

Outstanding

Updated 5 July 2019

The service continued to be exceptionally effective.

Details are in our Effective findings below.

Caring

Outstanding

Updated 5 July 2019

The service continued to be exceptionally caring.

Details are in our Caring findings below.

Responsive

Outstanding

Updated 5 July 2019

The service continued to be exceptionally responsive.

Details are in our Responsive findings below.

Well-led

Outstanding

Updated 5 July 2019

The service was exceptionally well-led.

Details are in our Well-Led findings below.