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Turning Point - Avondale Good

Inspection Summary

Overall summary & rating


Updated 6 February 2020

About the service

Turning Point is a residential home for adults with learning disabilities. It provides accommodation for up to eight people. At the time of the inspection eight people were living there. People had their own bedrooms. There is a large communal dining/lounge area, garden and spacious corridors. The home is a purpose built building and offers ground floor accommodation only.

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

The service had been developed and designed in line with the principles and values that underpin Registering the Right Support and other best practice guidance. This ensures that people who use the service can live as full a life as possible and achieve the best possible outcomes.

The principles reflect the need for people with learning disabilities and/or autism to live meaningful lives that include control, choice and independence. People using the service receive planned and co-ordinated person-centred support that is appropriate and inclusive for them.

People were supported by staff who were trained effectively and recruited safely. Staff were knowledgeable about safeguarding practices and how to recognise the different types of abuse.

Medicines were managed, administered and stored safely. There were safe processes in place for the overall management of medicines. People had their medicines regularly reviewed which included the reduction in the use of psychotropic medicines to manage complex behaviours.

Risks were identified and risk management plans were in place and regularly reviewed.

People had their health and social care needs holistically assessed by a team of professionals. Care and support plans were individually developed, reviewed and audited by the management team. Care and support plans were detailed, contained people’s preferences and were developed in a pictorial format.

There were robust systems in place to monitor the quality of the service and make improvements where they were needed. The provider had good oversight of the service and the monitored outcomes.

People enjoyed a variety of activities, outings, holidays and community social networks. This had improved since the last inspection.

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 this practice.

There was a registered manager in post who had made significant improvements to the care and support of people living at Avondale. They had developed good relationships with staff and relatives and close working partnerships with professionals from the community disabilities service. We received very good feedback from everyone contacted.

For more details, please see the full report which is on the CQC website at

Rating at last inspection

The last rating for this service was good (published 21 April 2017).

Why we inspected

This was a planned inspection based on the previous rating.

Follow up

We will continue to monitor information we receive about the service until we return to visit as per our re-inspection programme. If we receive any concerning information we may inspect sooner.

Inspection areas



Updated 6 February 2020

The service was safe.

Details are in our safe findings below.



Updated 6 February 2020

The service was effective.

Details are in our effective findings below.



Updated 6 February 2020

The service was caring.

Details are in our caring findings below.



Updated 6 February 2020

The service was responsive.

Details are in our responsive findings below.



Updated 6 February 2020

The service was well-led.

Details are in our well-Led findings below.