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Inspection Summary

Overall summary & rating


Updated 19 June 2019

About the service: Thornfield House specialises in providing care and support to people with learning disabilities. The service was a large home, bigger than most domestic style properties. It was registered for the support of up to seven people and seven people were living there when we inspected. This is larger than current best practice guidance. However. the size of the service having a negative impact on people was mitigated by the building design fitting into the residential area and the other large domestic homes of a similar size. There were deliberately no identifying signs, intercom, cameras, industrial bins or anything else outside to indicate it was a care home. Staff were also discouraged from wearing anything that suggested they were care staff when they were coming and going with people.

People’s experience of using this service:

The outcomes for people using the service reflected the principles and values of Registering the Right Support in the following ways. There was a strong focus on promoting choice, control and independence. People’s support focused on taking positive risks to ensure they had as many opportunities as possible for them to gain new skills and become independent.

People received good care and support which met their individual needs.

People and relatives praised the home and the way in which care was provided.

People were supported in a safe environment. Risks to people's health and safety were assessed and managed. The service learnt lessons and improved the safety of the service following incidents.

There were enough staff deployed to ensure people received their required care and support. Staff were kind and caring and treated people well. Staff knew people well and had developed good, caring relationships with them.

Staff had received training to enable them to care for people living at the home.

People were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible; the policies and systems in the service supported this practice.

Medicines were managed safely, and people’s health needs were met.

The service was well managed. The provider had robust systems in place to assess, monitor and improve the service. People were given opportunities to have a say in how the service was provided.

Rating at last inspection: Good. (Report published November 2016).

Why we inspected: This was a planned inspection based on the last rating.

Follow up: We will continue to monitor intelligence we receive about the service until we return to visit in line with our re-inspection programme. It any concerning information is received we may inspect sooner.

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

Inspection areas



Updated 19 June 2019

The service was safe.

Details are in our Safe findings below.



Updated 19 June 2019

The service was effective.

Details are in our Effective findings below.



Updated 19 June 2019

The service was caring.

Details are in our Caring findings below.



Updated 19 June 2019

The service was responsive.

Details are in our Responsive findings below.



Updated 19 June 2019

The service was well-led.

Details are in our Well-led findings below.