Townsend Hub

Townsend Hub is registered to provided accommodation and personal care for up to 35 people. At the time of the inspection 27 people were living at the service. Townsend Hub provides accommodation, personal care and therapies on a short-term basis to help people regain their independence and return to their own homes (re-ablement). The people living at the home have both physical and psychological support and care needs

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

Risks to people’s health and welfare were assessed on admission to the service, however these were not regularly reviewed to ensure people’s changing needs were considered and safely managed. People were protected from harm because staff worked closely with other professionals, such as nurses, based in the service but this was not well recorded or planned. This increased the risk of people’s needs not being managed safely.

People received their medicines safely and as prescribed. Medicines were stored safely and audited regularly to ensure good practice was maintained. ‘As required medicines’ (PRN) were not managed in line with best practice guidance. We made a recommendation about this.

Accidents and incidents were recorded, and actions were in place to ensure people were safe. Referrals were made to healthcare professionals when needed to ensure good outcomes for people. However, there was no analysis of incidents which meant opportunities to learn lessons were missed.

The environment was safe and well-maintained. The home was clean and effective infection prevention and control measures were in place.

There were enough staff at the service to meet people’s needs. Staff were visible around the home and were readily available to support people when needed. Staffing levels were monitored, reviewed and amended when needed by the manager.

There were good working relationships between staff and other health professionals, such as physiotherapists and nurses, which ensured people achieved good health outcomes.

People were safeguarded from the risk of abuse. Staff had received safeguarding training and understood their role in recognising and reporting safeguarding concerns. The provider had appropriate systems in place to manage concerns of a safeguarding nature.

There were regular checks completed to ensure quality and safety were maintained. However, these checks had not identified concerns with risk assessments and risk management planning found at this inspection. Relatives told us they felt communication with the home could be improved.

For more details, please see the full report which is on the CQC website at www.cqc.org.uk

Rating at last inspection

The last rating for the service at the previous premises was good, published on 1st December 2016.

Why we inspected

This was a planned inspection based on the previous rating.

We undertook a focused inspection to review the previous rating. This report only covers our findings in relation to the Key Questions Safe and Well-led. The ratings from the previous comprehensive for those key questions not looked at on this occasion were used in calculating the overall rating at this inspection. The overall rating for the service has changed to requires improvement. This is based on the findings at this inspection.

We looked at infection prevention and control measures under the Safe key question. We look at this in all care home inspections even if no concerns or risks have been identified. This is to provide assurance that the service can respond to coronavirus and other infection outbreaks effectively.

You can read the report from our last comprehensive inspection, by selecting the ‘all reports’ link for Townsend Hub on our website at www.cqc.org.uk.

Enforcement

At this inspection we have identified a breach in relation to governance processes at the service.

Please see the action we have told the provider to take at the end of this report.

Follow up

We will request an action plan for the provider to understand what they will do to improve the standards of quality and safety. We will work alongside the provider and local authority to monitor progress. We will return to visit as per our re-inspection programme. If we receive any concerning information we may inspect sooner.