Archived: Thorncliffe Residential Care Home

Updated 12 December 2018

We carried out this inspection under Section 60 of the Health and Social Care Act 2008 as part of our regulatory functions. This inspection was planned to check whether the provider is meeting the legal requirements and regulations associated with the Health and Social Care Act 2008, to look at the overall quality of the service, and to provide a rating for the service under the Care Act 2014.

This was a comprehensive inspection which took place on 9 October 2018 and was unannounced.

This inspection was conducted by two adult social care inspectors and an 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, in particular older people.

Before the inspection, the provider completed a Provider Information Return (PIR). This is a form the provider completes to give some key information about the home, what the home does well and improvements they plan to make. The provider returned the PIR within the agreed timeframe and we took the information provided into account when we made the judgements in this report.

In preparation for our inspection we gathered feedback from health and social care professionals who visited the service. We also reviewed the information we held about the service and the provider. This included safeguarding alerts, information from whistle blowers and statutory notifications sent to us by the registered provider about significant incidents and events that had occurred at the service. A notification is information about important events which the service is required to send us.

During our inspection visit, we spoke with seven people living in the home, one relative, the administrator, one housekeeper, two members of care staff, the deputy manager and the registered manager.

We had a tour of the premises and looked at a range of documents and written records including four people's care records, three staff recruitment files and staff training records. We also looked at information relating to the administration of medicines, a sample of policies and procedures, staff meeting minutes and records relating to the auditing and monitoring of service provision.

Updated 12 December 2018

This inspection took place on the 9 October 2018 and was unannounced.

Thorncliffe Residential Care Home is a residential care home for 28 older people with a range of needs. Bedrooms were located on both the ground floor and first floor; a lift was available. There were 28 people accommodated at the service on the day of our inspection.

At our last inspection we rated the service good. At this inspection we found the evidence continued to support the rating of good and there was no evidence or information from our inspection and ongoing monitoring that demonstrated serious risks or concerns. This inspection report is written in a shorter format because our overall rating of the service has not changed since our last inspection.

At this inspection we found the service remained Good.

All the people who used the service told us they felt safe in the service. We saw safeguarding training had been completed by all the staff and those staff we spoke with knew their responsibilities in relation to this.

Risk assessments were in place to keep people safe, without restricting them. Risk assessments were reviewed regularly to ensure they remained current.

Medicines were managed safely. Staff had received training in administering medicines and their competencies were checked regularly. We found medicines were stored safely and the medicine administration records were completed without any gaps.

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

When commencing employment, all staff had to undertake and induction. Training courses were available to staff which were relevant to their roles. Staff members told us and records confirmed that staff members received supervisions and appraisals on a regular basis.

People who used the service told us staff were kind and caring. We observed interactions from staff that were kind, caring and respectful.

Staff members knew people very well, including their preferences, background and history. People’s care records contained information relating to their sexuality, cultural/spiritual needs and relationships.

Records evidenced that GP’s, district nurses, podiatrists and other health care professionals were contacted to meet people’s health care needs.

All the staff we spoke with told us they would be happy for a family member to be cared for by the service.

We saw detailed, person centred care plans were in place. These clearly reflected people’s choices and preferences. People told us they had been involved in the development and review of their care plans.

One person told us they had needed to raise an issue with management. However, they were satisfied with how management had dealt with this and that it was resolved to their satisfaction. We saw the complaints policy and procedure was available in communal areas.

All the people we spoke with knew who the registered manager was and told us they were approachable.

The registered manager sought feedback from people who used the service, relatives, external professionals and staff to improve the service.

The service’s management and leadership processes achieved good outcomes for people.

The service was meeting all relevant fundamental standards.

Further information is in the detailed findings below