You are here

Inspection Summary


Overall summary & rating

Good

Updated 31 January 2018

Tyspane is a large, purpose-built, two storey building set in its own gardens and grounds in Braunton, North Devon. The home provides nursing and personal care for up to 69 people and is also registered for the treatment of disease, disorder and injury. On the first day of our visit there were 62 people living at the home, with three of those people receiving respite care. One person was receiving care at the local hospital.

At the last inspection in January 2015, the service was rated Good.

At this inspection we found the service remained Good.

People said they felt safe and cared for in the home. There were sufficient, suitably qualified staff to

meet people’s needs. The provider was needing to use agency staff where additional staffing was required. There were robust recruitment checks in place.

People were protected from the risks of abuse as staff understood and carried out what they needed

to do when they identified a concern.

There was a safe system to ensure the safe management of medicines at the service. Medicines were administered by registered nurses and care practitioners who had been trained regarding medicine management and had their competency regularly checked.

People’s needs and risks were assessed before they were first admitted to the home and these were

reviewed on a regular basis and when a change in their needs was identified. There were environmental risk assessments which ensured the premises were safe.

Staff had the skills and knowledge to support people appropriately. They received regular supervision and appraisals to support them with their performance and future development. New staff undertook a thorough induction when they started working at the service

People were supported to have a balanced and variable diet. Where people had specific dietary requirements these were catered for.

People had access to health professionals. A Physiotherapy worked at the home each Friday and a physiotherapist assistant was provided at the service to provide on going support to people with their physical mobility needs.

Staff were very caring and kind. They treated people with respect and dignity at all times. There was a friendly atmosphere at the home and a strong ethos from the registered manager and all staff regarding it being the people’s home and a privilege to be able to spend time with them.

The registered manager and deputy manager had been undertaking the six steps end of life programme to further improve end of life care at the service.

There were four designated activity staff to support people to engage in activities that they were interested in, on an individual and group basis.

People knew how to make a complaint if necessary. They said if they had a concern or complaint they would feel happy to raise it with any member of staff without any worries about repercussion. There had been two complaints since our last inspection which had been responded to in line with the provider’s policy.

There was a registered manager in post who was very active within the service. They led by example and had a high level of expectation of the staff to deliver good quality care.

The provider had several assurance systems in place to assure themselves the service was running safely. These included monitoring visits from the quality team, health and safety and monthly visits from the regional operations director. There were systems in place where the registered manager input data onto the provider’s computer system which could be analysed at the head office.

Inspection areas

Safe

Good

Updated 31 January 2018

The service remains Good.

Effective

Good

Updated 31 January 2018

The service remains Good.

Caring

Good

Updated 31 January 2018

The service remains Good.

Responsive

Good

Updated 31 January 2018

The service remains Good.

Well-led

Good

Updated 31 January 2018

The service remains Good.