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Inspection Summary


Overall summary & rating

Good

Updated 21 November 2018

We conducted an inspection of Thornsbeach Court on 13 July 2018. The inspection was unannounced. At our last comprehensive inspection we found the service was meeting regulations inspected. However, although we were able to carry out an inspection we did not have enough information about the experiences of a sufficient number of people using the service over a consistent period of time to give a rating to each of the five questions and provide an overall rating for the service.

Thornsbeach Court is a ‘care home’. People in care homes receive accommodation and nursing or personal care as a single package under one contractual agreement. CQC regulates both the premises and the care provided, and both were looked at during this inspection. Thornsbeach Court provides accommodation and personal care for up to seven people with mental health needs. At the time of our inspection there were two people using the service one of whom had moved into the service in September 2017 and the other person had moved in approximately one week prior to our inspection.

There was a registered manager at the service. 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.

The provider operated safer recruitment processes by conducting appropriate pre- employment checks of candidates prior to their employment. The provider ensured that a sufficient number of suitable staff were employed to provide care.

The provider safely administered and managed medicines. Care staff had a good understanding of the procedures they were required to follow when administering medicines to people and records demonstrated that correct processes were being followed.

Risks to people’s care were assessed and appropriate risk management guidelines were put in place. Care staff had a good understanding about the risks to people’s care as well as what they were required to do to manage these.

Staff had a good understanding of their responsibilities under the Mental Capacity Act 2005. People’s rights were protected and their liberty was only deprived in accordance with legal requirements for their own safety. Staff sought people’s consent before providing care and support.

People were supported with their health and nutritional needs. Care staff understood people’s needs and supported them to access any external support they required.

Care staff had a good understanding of the people they were supporting and we observed kind and caring interactions between people using the service and care staff.

Care staff ensured people’s privacy and dignity was respected and promoted. People and their relatives were involved in decisions regarding the management of their care.

There was a complaints procedure in place and people and relatives confirmed they were aware of this if needed.

People were given appropriate support to access activities both within and outside the home. Care staff were proactive in offering different options to people regarding the activities they wished to pursue.

The provider had suitable quality monitoring processes in place and action plans were put in place and implemented where needed.

Inspection areas

Safe

Good

Updated 21 November 2018

The service was safe.

Risks were assessed and appropriate risk management guidelines were in place for care staff to follow.

There was an appropriate safeguarding policy and procedure in place. There were enough staff scheduled to support people using the service.

The provider conducted suitable checks of candidates prior to their employment.

Effective

Good

Updated 21 November 2018

The service was effective.

The provider met the requirements of the Mental Capacity Act 2005.

The provider was meeting the healthcare and nutritional needs of people using the service.

Care workers received an appropriate induction, training and supervisions of their performance.

Caring

Good

Updated 21 November 2018

The service was caring.

The person we spoke with told us care workers were kind.

Care workers had a good understanding of the people they were supporting and encouraged them to be as independent as possible.

Care workers promoted people’s privacy and dignity.

Responsive

Good

Updated 21 November 2018

The service was responsive.

People were involved in planning their care and the provider met different aspects of people’s needs including their physical, emotional and social needs.

People were involved in planning their care and the provider encouraged people to participate in activities they enjoyed.

There was an appropriate complaints policy and procedure in place.

Well-led

Good

Updated 21 November 2018

The service was well- led.

The provider had appropriate quality assurance systems in place to monitor the safety of the living environment and the quality of care records.

Care staff gave good feedback about the registered manager.