Turret Villa Retirement Home

Updated 17 February 2024

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, 1 medicines inspector 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.

Service and service type

Turret Villa Retirement Home 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. Turret Villa Retirement Home is a care home without 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. We contacted the local authority commissioning team for their feedback about the service. We used the information the provider sent us in the provider information return (PIR). This is information providers are required to send us annually with key information about their service, what they do well, and improvements they plan to make. We used all this information to plan our inspection.

During the inspection

We spoke with 4 people who lived at Turret Villa Retirement Home and 10 relatives about their experience of the care provided. We observed interactions between staff and people in communal areas. We spoke with 4 members of staff including the registered manager, deputy manager, and care staff. We were in touch with 3 members of care staff by email. We reviewed a range of records. This included 3 people's care records and multiple medicines records. We looked at 3 staff files in relation to recruitment and staff supervision. A variety of records relating to the management of the service, including policies and procedures, were reviewed.

Updated 17 February 2024

About the service

Turret Villa Retirement Home is a care home which provides personal care and accommodation for up to 35 older people. At the time of the inspection, 27 people were living at the service and 26 people received the regulated activity.

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

Medicines were not always managed safely. Medicines were not always stored appropriately or disposed of safely. Medicines stock balances were not correct and care plans for specialist medicines were not always in place. Medicines audits were not robust.

People were not always supported to have maximum choice and control of their lives and staff did not always support them in the least restrictive way possible. The practices around documenting decisions were not in line with guidance.

The provider’s quality assurance and monitoring systems were not always effective. Some staff training was significantly out of date. We could not be assured that lessons had been learnt and shared with staff following incidents or accidents. The quality monitoring systems had not identified the issues we found during the inspection.

Risks to people had been assessed but actions to reduce risks were not always followed. Some risk assessments were generic, others were in place for people who did not need them such as a denture assessment for someone who didn’t wear them.

Staff understood how to protect people from poor care and abuse. The service had enough staff to meet people's needs and keep them safe.

The building was well maintained, and health and safety risks were assessed. People enjoyed the food and special dietary needs were catered for.

There was a positive culture in the service. Staff said the management team were supportive. People enjoyed living at the service and felt listened to. People generally felt the care was good.

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 this service was good (published 22 August 2020).

Why we inspected

We received concerns in relation to medicines management and the overall management of the service. As a result, we undertook a focused inspection to review the key questions of safe, effective and well-led only. For those key questions not inspected, we used the ratings awarded at the last inspection to calculate the overall rating. The overall rating for the service has changed from good to requires improvement based on the findings of this inspection.

You can see what action we have asked the provider to take at the end of this full report.

You can read the report from our last comprehensive inspection, by selecting the ‘All inspection reports and timeline’ link for Turret Villa Retirement Home on our website at www.cqc.org.uk.

Enforcement

We have identified breaches in relation to medicines management, staff training, consent to care and quality assurance at this inspection. Please see the action we have told the provider to take at the end of this report.

Follow up

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