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Archived: Tithebarn Good

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Reports


Inspection carried out on 9 &10 December 2014

During a routine inspection

Tithebarn is registered to provide personal care and accommodation for up to 42 adults. Thirty eight people were living at the home at the time of our inspection. Accommodation is provided mainly in single rooms, which have an ensuite facility. There are two double rooms. The service is run by the Royal Masonic Benevolent Institution and is located in the Crosby area of Sefton, Merseyside. The home is fully accessible to people with restricted mobility. Accommodation is provided over two floors, with bedrooms located on the ground and first floor. The home has a separate unit for up to ten people with dementia care needs.

The inspection took place on 9 and 10 December 2014 and it was unannounced.

The home had a registered manager. 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.

People said they felt safe living at the home and were supported in a safe way by staff. Staff understood what abuse was and how they would report suspected or actual abuse. Procedures were in place for responding and reporting to the relevant agencies and the manager was fully aware of how this was done.

Staff had been recruited appropriately to ensure they were suitable to work with vulnerable adults. Staff were only able to start work at the home when the provider had received satisfactory pre-employment checks. People and their families told us there was sufficient numbers of staff on duty at all times.

The building was safe, clean and well maintained. Measures were in place to monitor the safety of the environment. The home was fully accessible. Aids and adaptations were in place to meet people’s needs and aid their independence. The dementia care unit was designed, decorated and run in a ‘dementia friendly’ way.

Staff were following the Mental Capacity Act (2005) for people who lacked mental capacity to make their own decisions. For example, some people had their medication administered covertly and the decision to do this had been agreed based on a mental capacity assessment and best interest meeting or discussion.

People told us they liked the food and got plenty to eat and drink. People had access to a health professional and staff arranged any appointments promptly.

Staff told us they felt supported in their roles and responsibilities. Staff received an induction and regular mandatory (required) training in many topics such as health and safety, infection control, fire safety, moving and handling, and safeguarding of vulnerable adults. Records showed us that they were up-to-date with this training. This helped to ensure that they had the skills and knowledge to meet people’s needs.

People who lived at the home had a plan of care. The care plans we looked at contained relevant information to ensure staff had the information they needed to support people in the correct way and respect their wishes, likes and dislikes. A range of risk assessments had been undertaken depending on people’s individual needs.

Medication was given at times when people needed it. We observed the administration of medication by staff. We saw that staff that ensured people took their medication by waiting with them. Medication was stored safely and securely.

Activities were arranged for people in the home throughout the week by an activities co-ordinator. These included quizzes, board games, arts and crafts, reminiscence and films. Entertainers visited the home once a month. Activities were also provided in the evening.

During our visit we observed staff supported people in a caring manner and treated people with dignity and respect. Staff knew people’s individual needs and how to meet them. We saw that there were good relationships between people living at the home and staff, with staff taking time to talk and interact with people. People told us they were happy at the home, and our observations supported this. Relatives we spoke with gave us positive feedback about the staff team.

A procedure was in place for managing complaints and people living there and their families were aware of what to do should they have a concern or complaint. We found that complaints had been managed in accordance with complaints procedure. A copy of the procedure was displayed in the foyer of the home.

Systems were in place to check on the quality of the service and ensure improvements were made. These included surveying people about the quality of the service and carrying out regular audits on areas of practice.

Inspection carried out on 6 June 2013

During a routine inspection

During our inspection, we were able to spend time talking to people living at Tithebarn. We asked them if the care and support met their needs, and if staff respected their wishes. We also looked at how people were encouraged to maintain a sense of independence in every day tasks.

We spoke to a group of people in the lounge area. One person told us "Yes the care is good; the staff are genuinely helpful and always happy to lend a hand." Another person described how staff would ask if they needed any assistance, rather than routinely try to help with what they were doing. People spoke to us about a trip that was being planned, which involved a cruise on the Leeds to Liverpool canal on a barge, and how they were looking forward to it. The activities co-ordinator involved everybody in conversation, asking people to tell a particular story about something that had happened to them when they were younger. We noted that the activities co-ordinator found ways to draw quieter members of the group into conversation, which increased their sense of inclusion.

Part of the home was developed for the needs of people with dementia. We noted that people's bedroom doors had been painted to represent the 'front door' of their house. The corridor was wallpapered in a brick effect which gave the impression of people being neighbours in their own street. The Registered Manager told us of plans to create a 'memory lane' for people, which would assist in them sharing memories from their past.

Inspection carried out on 4 September 2012

During a routine inspection

We spoke with a lot of people who were living at the home and feedback from the majority of people was positive. People made some of the following comments;

"I can't fault the place"

“They’re very good here. They can’t do enough for you”

“This is a good place”

“It’s very good. We go out in the minibus to a lot of different places”

"The staff are so friendly and helpful".

People told us they were happy with the care and support they had received and that they were making decisions about their care and support.

People told us they had attended 'resident's meetings' and told us that meetings for relatives had also taken place. These meetings provided an opportunity for people to give their opinion on the service and to help shape the service.

People gave us positive feedback about staff. People described staff as being caring and attentive and they told us staff had readily contacted a nurse or doctor if they had felt unwell or they had needed medical attention.

We also spoke with a number of visiting relatives. They gave us good feedback about the service and said they felt the standard of care was ‘Very good’.

Reports under our old system of regulation (including those from before CQC was created)