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Inspection Summary

Overall summary & rating


Updated 26 April 2017

Turning Point Avondale is registered to provide care without nursing for up to 8 people with varying degrees of learning disability. At the time of the inspection there were 8 people using the service. People had their own bedrooms and there were spacious shared areas within the home and gardens. The home is purpose built and offers only ground floor accommodation. The home was last inspected on 10 February 2015 and was rated of ‘Good’ overall.

The inspection took place on the 14 and 15 February 2017 and was unannounced.

There was a registered manager in post at the service. A registered manager is a person who has registered with the Care Quality Commission to manage the service. Like registered providers, 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.

Staff had the knowledge and confidence to identify safeguarding concerns and who to report these to. Staff told us they had received safeguarding training and we confirmed this from training records. Staff were aware of different types of abuse people may experience and the action they needed to take if they suspected abuse was happening.

Medicines were managed safely. We observed medicines being administered. Staff knew what medicines were for and explained to people what they were taking.

The ordering, storage and disposal of medicines was well managed. Stock levels were regularly checked to ensure there was sufficient medicines available to people according to what they had been prescribed.

Risk assessments had been completed and guidance on how to provide care in response to these were available in people’s care records.

Staff received regular supervision and annual appraisals which staff said were helpful and productive. Actions identified during these meetings were followed up as appropriate.

The service worked within the requirements of the Mental Capacity Act 2005. Where decisions were made in people’s best interests, documentation to support this was available in people’s care files.

People had access to health and social care services as required. Referrals were made as appropriate in response to changes to people’s needs. For example, GPs, physiotherapists, occupational therapists and speech and language therapists.

There were positive caring interactions from staff towards people using the service. Staff knew how to support people to be independent; giving them choices. People’s care records had details of their preferences, likes and dislikes. Staff were also aware of these and knew people well.

People participated in activities such as arts and crafts, puzzles and visits to day centres. People’s relatives told us there was sometimes a lack of interaction and stimulation for their family members and that very little happened at weekends. The registered manager told us they were currently in the process of improving activities within the home with a particular focus on encouraging people to be engaged with more routine day to day activities as well as improving and enhancing social activities.

Staff spoke highly of the registered manager and told us they were positive about some recent improvements such as the recent recruitment of new staff.

Systems were in place to track when staff training was due and to ensure this had been completed. Where staff were due training, this had been scheduled accordingly. Quality assurance processes were in place and action plans written and responded to following identification of shortfalls or issues.

Inspection areas



Updated 26 April 2017

This service was safe.

People were protected against the risks of potential harm or abuse.

Risks assessments were in place and action plans detailed how to minimise these risks.

People’s medicines were managed and administered safely.



Updated 26 April 2017

This service was effective.

Staff received training to equip them with the necessary knowledge and skills required to meet people’s needs.

People were supported to maintain a healthy weight and there were positive comments about the quality of the food.

People’s health care needs were monitored and any changes in their health or well-being prompted a referral to their GP, health or social care professionals.



Updated 26 April 2017

The service was caring.

People were supported by staff who were caring and respectful towards them.

People were treated with compassion and kindness in their day to day care.

Staff showed concern for people’s well-being in a caring and meaningful way and responded to their needs.


Requires improvement

Updated 26 April 2017

The service was mostly responsive.

Feedback from people’s relatives stated they would like more opportunities for their family members to have more to do. The registered manager confirmed plans were currently in place to address this.

Care and support plans were personalised and reflected people’s needs and choices.

People were given information on how to raise a concern or complaint in a clear and simple format which helped them understand.



Updated 26 April 2017

The service was well-led.

Quality assurance systems were in place to monitor and continually improve the quality of service.

People, their relatives and staff had confidence the home manager would listen to their concerns and would be dealt with appropriately.

The service had a positive culture that was person centred, open and inclusive.