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Turner Home Requires improvement

Inspection Summary


Overall summary & rating

Requires improvement

Updated 19 June 2021

About the service

Turner Home is a residential care home providing accommodation, personal and nursing care for up to 59 people. The home supports people with mental and physical health conditions, including dementia. There were 52 people living at the home at the time of this inspection.

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

At our last inspection the provider had failed to ensure medicines were safely managed, effectively manage the risks associated with people’s care and implement robust processes to monitor and improve the safety and quality of care being provided. At this inspection we found improvements had been made and the provider was no longer in breach of regulations.

People received their medicines safely and as prescribed. Changes had been made to the home’s medicines dispensing and administration processes to ensure medicines were stored securely. Quality assurance processes around medicines administration had also improved. People had personalised risk assessments which gave staff the information needed to safely manage the risks associated with people’s care. However, the consistency and quality of health and care monitoring records still required improvement. The environment was safe and well-maintained. The home was clean and effective infection prevention and control measures were in place.

People told us they felt there were enough staff at the home. One person said, “There are always plenty of staff around even at weekends and at night. If I use the buzzer, I get help quickly.” The home was reliant on some agency staff, potentially making it more challenging to deliver and sustain improvements, such as maintaining consistent and high-quality records. Staff were visible around the home and were readily available to support people when needed.

People were safeguarded from the risk of abuse. People told us they felt safe living at the home and relatives felt the same. One person said, “I feel safe here as the staff look after me well. If I need anything I just ask for their assistance.” Staff had received safeguarding training and were aware of their responsibility to report safeguarding concerns. The provider had systems in place to manage concerns of a safeguarding nature.

Quality assurance and audit processes had improved since the last inspection. However, further improvements were still needed. For example, greater clarity was needed about who was responsible for ensuring highlighted actions were completed and in what timescale they were due to be completed.

People living at the home and their relatives gave positive feedback about the staff. One person said, “The staff look after me very well they do everything for me. The staff talk to me very nicely, they are polite.” Relatives said staff kept them well-informed and involved in their relative’s care. One relative commented, “The staff often chat with me and they tell me what [Relative] has been doing. If there is a problem, they call me up.”

For more details, please see the full report which is on the CQC website at www.cqc.org.uk

Rating at last inspection (and update)

The last rating for this service was requires improvement (published 10 November 2020) and there were multiple breaches of regulation. The provider completed an action plan after the last inspection to show what they would do and by when to improve. At this inspection we found improvements had been made and the provider was no longer in breach of regulations.

Why we inspected

We carried out an unannounced focused inspection of this service on 29 September 2020. Breaches of legal requirements were found. The provider completed an action plan after the last inspection to show what they would do and by when to improve safe care and treatment and good governance at the service.

We undertook this focused inspection to check they had followed their action plan and to confirm they now met legal requirements. This report only covers our findings in relation to t

Inspection areas

Safe

Requires improvement

Updated 19 June 2021

The service was not always safe.

Details are in our safe findings below.

Effective

Requires improvement

Updated 19 June 2021

Caring

Requires improvement

Updated 19 June 2021

Responsive

Requires improvement

Updated 19 June 2021

Well-led

Requires improvement

Updated 19 June 2021

The service was not always well-led.

Details are in our well-Led findings below.