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Inspection carried out on 4 December 2018

During a routine inspection

About the service: Timkin Grange is a purpose built three storey care home that provides residential care for up to 66 older people, including people living with dementia.

What life is like for people using this service:

People told us they felt safe. On inspection we found that people had not consistently received safe care. People’s medicines had not always been managed safely. Systems were in place to ensure that people were protected by the prevention and control of infection. However, we recommend this be implemented further by providing people with their own hoist sling to prevent cross contamination. Accidents and incidents were analysed for lessons learnt and these were shared with the staff team to reduce further reoccurrence.

The Manager and provider had a clear vison and plan in place for improvement that had commenced prior to our inspection. People and staff were encouraged to provide feedback about the service. Staff received supervision and regular team meetings were in place that gave them an opportunity to share ideas, and exchange information. The internal audit system had not always identified the inconsistencies in the recording and monitoring of information. The Manager was aware of their responsibility to report events that occurred within the service to the CQC and external agencies.

The registered provider followed safe recruitment procedures to ensure staff employed were suitable for their role. Staff received an induction process when they first commenced work at the service and received on-going training to ensure they could provide care based on current practice when supporting people. Staff had been provided with safeguarding training to enable them to recognise signs and symptoms of abuse and how to report them.

People received enough to eat and drink and were supported to use and access a variety of other services and social care professionals. People were supported to access health appointments when required, including opticians and doctors, to make sure they received continuing healthcare to meet their needs.

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. The principles of the Mental Capacity Act (MCA) were followed.

People received care from staff who were kind and caring. People were encouraged to make decisions about how their care was provided and their privacy and dignity were protected and promoted. People had developed positive relationships with staff who had a good understanding of their needs and preferences.

People’s needs were assessed and planned with the involvement of the person and or their relative where required. Staff promoted and respected people's cultural diversity and lifestyle choices. Care plans were personalised and provided staff with guidance about how to support people and respect their wishes. Information was made available in accessible formats to help people understand the care and support agreed.

More information is in the full report

Rating at last inspection: The Service was new so had not yet been rated.

Why we inspected: This was a planned first inspection.

Follow up: We will continue to monitor the service through the information we receive until we return to visit as per our re-inspection programme. If any concerning information is received we may inspect sooner.