We carried out a review of the data available to us about Twynham on 6 July 2023. We have not found evidence that we need to carry out an inspection or reassess our rating at this stage.
This could change at any time if we receive new information. We will continue to monitor data about this service.
If you have concerns about Twynham, you can give feedback on this service.
Twynham is a care to up to seven people who may be living with a learning disability or autism. At the time of our inspection there were seven people using the service.
People’s experience of using this service and what we found
Staff consistently commented additional permanent staff were needed in the home. However, they told us people’s needs were being met as the provider had employed regular agency staff. The registered manager told us they were in the process of recruiting staff.
People felt safe living at the service and relatives felt assured they were kept safe. Systems were in place to protect people from abuse. Staff we spoke to were aware of how to identify, prevent and report abuse. There were enough staff to keep people safe. Staff were safely recruited. There were plans in place for foreseeable emergencies.
Risks associated with people’s needs were assessed appropriately and managed. Medicines were stored safely and securely, and procedures were in place to ensure people received their medicines as prescribed. We were assured that most infection prevention and control practices were in line with current guidance.
People were supported by staff who knew them well. Staff we spoke with were enthusiastic about their jobs and showed care and understanding both for the people they supported. People’s privacy and dignity was respected and promoted.
Effective procedures were in place in relation to infection prevention. Staff were trained in infection control and the home was clean.
Effective governance systems were in palace to regularly assess, monitor and drive improvement in the quality of care people received. People and relatives told us the service provide safe care that was supported by positive leadership.
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 the service was rated good. The report was published on 8 January 2018.
Why we inspected
This inspection was prompted by a review of the information we held about this service.
We looked at infection prevention and control measures under the Safe key question. We look at this in all care home inspections even if no concerns or risks have been identified. This is to provide assurance that the service can respond to COVID-19 and other infection outbreaks effectively. We also inspected to the service because we received information of concern.
Follow up
We will continue to monitor information we receive about the service, which will help inform when we next inspect.
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.
We found people’s safety was compromised in some areas. Infection control practices were not always adhered to. Parts of the home were in need of refurbishment and presented an infection control risk.
Fire and other safety checks were carried out. However records showed automatic fire doors guards had not been working since August 2017. This meant the service did not always respond to identified concerns in a timely way which could compromise the safety of people.
People felt safe staying at Twynham and risks to people were minimized through risk assessments. There were plans in place for foreseeable emergencies.
Relevant recruitment checks were conducted before staff started working at Twynham to make sure they were of good character and had the necessary skills. Staff had received training in safeguarding adults and knew how to identify, prevent and report abuse. There were enough staff to keep people safe.
People were supported to take their medicines safely from suitably trained staff. Medication administration records (MAR) confirmed people had received their medicines as prescribed.
People received varied meals including a choice of fresh food and drinks. Staff were aware of people’s likes and dislikes and went out of their way to provide people with what they wanted.
Staff sought consent from people before providing care or support. The ability of people to make decisions was assessed in line with legal requirements to ensure their liberty was not restricted unlawfully. Decisions were taken in the best interests of people.
New staff completed an induction designed to ensure they understood their new role before being permitted to work unsupervised. Staff received regular support and one to one sessions or supervision to discuss areas of development. They completed a wide range of training and felt it supported them in their job role.
People were cared for with kindness and compassion. Care plans provided comprehensive information about how people wished to receive care and support. This helped ensure people received personalised care in a way that met their individual needs.
People were supported and encouraged to make choices and had access to a range of activities. Staff knew what was important to people and encouraged them to be as independent as possible.
A complaints procedure was in place. There were appropriate management arrangements in place. Staff felt supported by the registered manager and staff meetings took place. Regular audits of the service were carried out to assess and monitor the quality of the service.