Archived: Thackley Green

Updated 12 January 2023

The inspection

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.

Inspection team

The inspection was carried out by 1 inspector and 1 Expert by Experience. An Expert by Experience is a person who has personal experience of using or caring for someone who uses this type of care service.

Service and service type

Thackley Green 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. Thackley Green is a care home with nursing care. CQC regulates both the premises and the care provided, and both were looked at during this inspection.

Registered Manager

This provider is required to have a registered manager to oversee the delivery of regulated activities at this location. A registered manager is a person who has registered with the Care Quality Commission to manage the service. Registered managers and providers are legally responsible for how the service is run, for the quality and safety of the care provided and compliance with regulations.

At the time of our inspection there was a registered manager in post.

Notice of inspection

This inspection was unannounced.

What we did before the inspection

We reviewed information we had received about the service and we sought feedback from the local authority and professionals who work with the service. We used all this information to plan our inspection.

The provider did not complete the required Provider Information Return (PIR). This is information providers are required to send us annually with key information about the service, what it does well and improvements they plan to make. Please see the Well-Led section of the full inspection report for further details.

During the inspection

We spoke to 8 people and 1 relative about their experience of the care provided. We spoke with 9 members of staff including the registered manager, team leaders, senior care staff, care staff and kitchen staff.

We reviewed a range of records. This included people's care plans, risk assessments and daily care records including pressure care and food and fluid support. We looked at recruitment of staff, maintenance records and medication administration. A variety of records relating to the management of the service including auditing and monitoring were also reviewed.

Updated 12 January 2023

Thackley Green is a specialist care centre providing short term personal and nursing care to up to 51 people in one adapted building. The service provides rehabilitation support to younger and older people and people with physical disabilities and dementia. At the time of our inspection there were 24 people using the service and nursing care was not being provided.

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

People were protected from the risk of abuse and people told us they felt the service was safe. Staff were recruited safely, there were sufficient numbers of staff with the necessary training to support people safely and meet their needs. Risks to people had been assessed and measures were in place to reduce risks. Medicines were managed safely and the provider had sufficient infection, prevention and control measures in place.

People’s needs were assessed prior to them receiving care and support from the service. Staff received training that gave them the skills and confidence to perform in their roles. Staff worked with other agencies to ensure people had access to healthcare and support.

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 told us staff treated them with kindness and respect. Staff understood how to promote people’s independence. Staff supported people to express their views and respected their choices.

People’s needs and preferences were highlighted in their care plans for staff to follow. These required further development which the service was in the process of doing. People’s communication needs were considered and met. People and relatives knew how to raise a complaint about the service and when concerns had been raised, we found the registered manager had promptly taken action to resolve the issue.

The registered manager understood their role and responsibilities and was proactive and enthusiastic about improving the care and support people received at Thackley Green. Quality assurance systems and checks were in place to maintain oversight of the service and drive improvements as required.

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

Rating at last inspection

This service was registered with us on 01 April 2021 and this is the first inspection.

The last rating for the service under the previous provider was Good, published on 29 June 2018.

Why we inspected

This inspection was prompted by a review of the information we held about this service.

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 COVID-19 and other infection outbreaks effectively.

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

Follow up

We will continue to monitor information we receive about the service, which will help inform when we next inspect.