Tushmore Lane is a care home and is registered to provide care to up to four people with learning disabilities and complex needs including mental health, autism and Asperger’s syndrome. Four people were using the service at the time of the inspection, including one who was in hospital and another away on holiday. The care service has been developed and designed in line with the values that underpin the Registering the Right Support and other best practice guidance. These values include choice, promotion of independence and inclusion. People with learning disabilities and autism using the service can live as ordinary a life as any citizen.
The service is a detached property with single occupancy bedrooms located over two floors. People have access to a kitchen, lounge, dining room, quiet room, a conservatory and a garden. The building and accommodation is wheelchair accessible. The service has a well-maintained garden.
At the last inspection of 4 August 2015, the service was rated Good.
At this inspection, the service remained Good.
There was a registered manager in post. 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.
People were safe at the service. Staff knew how to identify abuse and understood the safeguarding procedures to follow to protect people from abuse.
Risks to people’s health and well-being were assessed and managed. Appropriate risk management systems were in place which ensured staff delivered safe care.
People’s needs were met in a safe and timely manner by a sufficient number of staff. The provider followed appropriate recruitment procedures to ensure they employed staff who were suitable to provide care.
People received their medicines when needed. Medicines were administered and managed safely by staff who were trained to perform that role. Health and social care professionals were involved in the planning and reviewing of people’s care to ensure support provided met best practice guidance and legislation.
Staff provided care that was responsive to people’s needs. Lessons were learnt from incidents and accidents to minimise a recurrence. Staff were supported and trained to undertake their roles.
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. People gave consent to care and support.
People were happy that staff delivered their care in a kind and caring manner. People had developed positive working relationships with the staff who supported them.
Staff involved people in planning their care and knew their likes, dislikes and preferences. People were treated with respect and their confidentiality maintained. Staff promoted people’s privacy and dignity.
People were provided with a healthy and balanced diet. Staff ensured people had sufficient amounts to eat and drink. People’s health needs were met.
People took part in a wide range of activities. Staff supported people to develop and maintain their daily living skills. People were actively involved in the community and engaged in voluntary service and gainful employment.
People using the service and their relatives’ views were sought about the service. The provider welcomed their feedback and made changes when necessary. People knew how to make a complaint and were confident their concerns would be resolved.
People and staff commented positively about the registered manager and how the service was managed. There was an open and transparent culture at the service. People received care that was focussed on meeting their individual needs.
Regular audits and checks were carried out on the quality of care people received. Shortfalls identified were addressed in a timely manner to develop the service.
People’s health and well-being was improved because of the close working partnership between the registered manager and other agencies.