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Archived: Royal Mencap Society - Teversall Bungalow Good

This service was previously registered at a different address - see old profile


Inspection carried out on 19 February 2020

During a routine inspection

About the service

Royal Mencap Society-Teversall Bungalow is a residential care home providing personal and nursing care to five people with learning disabilities. The service can support up to six people.

People were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible and in their best interests; the policies and systems in the service supported this practice.

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

Risk assessments were completed to mitigate specific risks associated with individuals, but some lacked detail of how staff would manage these risks.

Systems were in place to protect people from avoidable harm. People felt safe living at the home. People received their medicines as prescribed. The service followed policy and procedures related to infection control legislation. Lessons were learned when things went wrong.

The provider demonstrated an understanding of the need to consider people's mental capacity and followed the principles of the mental capacity act. However, the MCA assessments we looked at were not clear, or person centred. Initial assessment of care was undertaken, monitored and managed to ensure people received effective care. Staff were supported to acquire the knowledge and skills required to support people’s needs. People received a balanced diet and made choices of what they wanted to eat and drink. The service worked well with other healthcare professionals and provided consistent care and support.

Staff were kind and considerate. They always treated people with respect and dignity. People were encouraged to achieve their hopes and dreams. People were encouraged to share their views and expressed choices to ensure they had a happy, content life. Staff respected people’s wishes and choices.

People’s care, choices and preferences were adhered to. Staff and management worked with passion and dedication and the people who used the service always came first. People were supported to participate in activities that were relevant and important to them. Peoples communication needs were met in line with the Accessible Information Standard. The service was open and transparent when dealing with complaints. People who wished to make advanced plans for their end of life care were supported to do so.

The provider was meeting their responsibility to report incidents to CQC. Themes and trends were clearly identified when monitoring accident and incidents. People and relatives spoke positively about the management of the service. The registered manager took a proactive approach to address issues and concerns. People were encouraged to be involved with promoting the service. The registered manager and staff worked well with external healthcare professionals to ensure people received good care and support.

The outcomes for people using the service reflected the principles and values of Registering the Right Support by promoting choice and control, independence and inclusion. People's support focused on them having as many opportunities as possible for them to gain new skills and become more independent.

For more details, please see the full report which is on the CQC website at

The last rating for this service was requires improvement (published 24 October 2018). and there was a breache of regulation 17. 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

This was a planned inspection based on the previous rating.

Follow up

We have made a recommendation about the detail and recording of decisions for Mental Capacity Assessments.

We will continue to monitor information we receive about the service until we return to visit as per our re-inspection programme. If we receive any concerning information we may inspect s

Inspection carried out on 3 December 2018

During a routine inspection

What life is like for people using this service

This was the first inspection for Royal Mencap Society - Teversall Bungalow. The four different sites at this location had previously been part of the same service and registered as one home. This had been changed to each individual bungalow being a different registered care location with each having its own registered manager.

The staffing levels were not always adequate for the needs of the people who lived at the service. Records showed that some people could need attention during the night and there was only one waking night staff available to support them.

People were not always kept safe from infection as we found bins overflowing which included general waste and clinical waste. Recommendations on fire safety had not been actioned in relation to replacing fire equipment on the premises.

Staff were well trained and training was kept up to date and monitored by the registered manager. Staff did not receive regular supervision to formally support them in their roles. Staff knew people that they cared for well and supported them well with social opportunities. People were encouraged to choose activities they liked to do and to try new things. They participated in a range of different activities to meet their choices and preferences. They also supported them with choosing and preparing food at mealtimes which was nutritious, healthy and supported their needs.

Support planning was comprehensive and involved the person and any professionals involved. However, some of the information had not been reviewed and updated. There was also health plans and information regarding new activities and how people were enjoying them. This also included aspirations for the future and what they wanted to achieve.

Staff understood the importance of this for people and provided structured support which best suited individuals. Staff had developed an ‘outcomes’ file on each person using the service. This showed what people wanted to achieve and had pictures of what they had achieved to date.

More information is in the detailed findings below.

About the service

Royal Mencap Society - Teversall Bungalow is a residential care home for six individuals with a learning disability. At the time of our visit six people lived at the service.

Why we inspected

This was a first full comprehensive inspection for Teversall Bungalow since its registration in November 2017.