20 January 2022
During an inspection looking at part of the service
People’s experience of using this service and what we found
Risks to people's safety and well-being were managed through a risk management process. On the day of inspection there were sufficient staff deployed to meet people's basic care needs. However, we saw staff were very busy and at times, rushed. We observed people not receiving timely support and staff told us they were task focused due to staffing levels. Whilst we found no evidence that people had been harmed, the staffing issues had an impact on the service running effectively. The registered manager was aware and the provider was actively recruiting.
Medicines were managed safely, and people received their medicines as prescribed.
People living at Townsend House were supported to lead purposeful lives, engaging with their families and the local community. Whilst adjustments had been made due to the restrictions of the Covid-19 pandemic, measures had remained in place to ensure meaningful relationships and people's overall health and wellbeing was maintained.
People told us they felt safe living at the home. Staff knew how to identify and report any concerns. Staff had been trained and were aware of their responsibilities to report concerns.
Staff worked well with external social and health care professionals. The service had a clear management and staffing structure in place and staff worked well as a team.
Rating at last inspection
The last rating for this service was Good (published 31 January 2020).
Why we inspected
We undertook a targeted inspection to follow up on specific concerns which we had received about the service. The inspection was prompted in part due to concerns received about staffing levels. A decision was made for us to inspect and examine those risks.
We inspected and found there was a concern with staffing levels, so we widened the scope of the inspection to become a focused inspection which included the key questions of Safe and well-led.
For those key questions not inspected, we used the ratings awarded at the last inspection to calculate the overall rating.
The overall rating for the service remains Good based on the findings of this inspection.
You can read the report from our last comprehensive inspection, by selecting the ‘all reports’ link for Townsend House on our website at www.cqc.org.uk.
Enforcement and Recommendations
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.
Follow up
We will request an action plan for the provider to understand what they will do to improve the standards of quality and safety. We will work alongside the provider and local authority to monitor progress. We will return to visit as per our re-inspection programme. If we receive any concerning information we may inspect sooner.