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Inspection carried out on 13 July 2018

During a routine inspection

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 carried out on 30 October 2017

During a routine inspection

We conducted an inspection Thornsbeach Court on 30 October 2017. The inspection was announced. This was our first inspection of this service.

Thornsbeach Court provides accommodation and personal care for up to four 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 July 2017 and the other person had moved in approximately one month earlier. This meant that 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 to the service. We will return to the service in due course to conduct a further inspection of this service.

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.

Staff followed safe practises for administering and storing medicines. Staff had completed medicines administration training within the last year and were clear about their responsibilities.

Risk assessments and care plans contained clear information for staff. These included objectives for each person as well as details about how care workers could help people meet these.

Staff demonstrated knowledge 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.

Care staff demonstrated an understanding of people’s life histories and current circumstances and supported people to meet their individual needs in a caring way.

People using the service and their relatives were involved in decisions about their care and how their needs were met. Regular meetings were held with people, their relatives and other professionals involved in their care.

Recruitment procedures ensured that only staff who were suitable worked within the service. There was an induction programme for new staff, which prepared them for their role. Staff were provided with appropriate training to help them carry out their duties. Staff received regular supervision. There were enough staff employed to meet people’s needs.

Staff respected people’s privacy and dignity and people’s cultural and religious needs were met.

People were supported to maintain a balanced, nutritious diet and their choices were respected. People were supported effectively with their health needs and were supported to access a range of healthcare professionals.

People using the service, their relatives and staff felt able to speak with the registered manager and provided feedback on the service. They knew how to make complaints and there was a complaints policy and procedure in place.

People were encouraged to participate in activities they enjoyed and care staff were available to ensure people attended these.

The organisation had adequate systems in place to monitor the quality of the service. Feedback was obtained from people on a regular basis. There was evidence of auditing in many areas of care provided and action plans were in place and monitored on a monthly basis to secure improvement.