Updated 4 November 2022
We carried out this inspection under Section 60 of the Health and Social Care Act 2008 (the Act) as part of our regulatory functions. We checked whether the provider was meeting the legal requirements and regulations associated with the Act. We looked at the overall quality of the service and provided a rating for the service under the Health and Social Care Act 2008.
As part of this inspection we looked at the infection control and prevention measures in place. This was conducted so we can understand the preparedness of the service in preventing or managing an infection outbreak, and to identify good practice we can share with other services.
The inspection was carried out by one Inspector.
Twyford House is a ‘care home’. People in care homes receive accommodation and nursing and/or personal care as a single package under one contractual agreement dependent on their registration with us. Twyford House is a care home without nursing care. CQC regulates both the premises and the care provided, and both were looked at during this inspection.
This service is required to have a registered manager. A registered manager is a person who has registered with the Care Quality Commission to manage the service. This means that they and the provider are legally responsible for how the service is run and for the quality and safety of the care provided.
At the time of our inspection there was a registered manager in post.
Notice of inspection
This inspection was unannounced.
What we did before inspection
We reviewed information about the service since it was registered. We sought feedback form the local authority and other professionals who work with the service. We used the information the provider sent to us on the provider information return (PIR). This is information providers are required to send to us annually with key information about their service, what they do well, and improvements they plan to make. We used all this to plan our inspection.
During the inspection
We spoke with 7 people who lived at the service and 5 relatives about their experience of the care provided. We spoke with 12 members of staff including the area manager, quality lead. registered manager, deputy manager, administrator, team leader, care staff and ancillary staff. A variety of records relating to the management of the service, including policies and procedures were reviewed. This included seven people's care records and multiple medication records. We looked at four staff files in relation to recruitment.
After the inspection
We continued to seek clarification from the provider to validate evidence found.