Archived: The Tynings

Updated 12 September 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, carried out by one inspector. The inspection took place on 21 August 2018 and was unannounced.

Prior to the inspection we looked at the information we had about the service. This information included the statutory notifications that the provider had sent to the Care Quality Commission (CQC). A notification is information about important events which the service is required to send us by law. We reviewed the Provider Information Record (PIR). This is a form that asks the provider to give some key information about the service, tells us what the service does well and the improvements they plan to make. The commissioners of the service had provided us with reports about the care provided to people.

During our inspection we observed the care provided to four people. We spoke with the registered manager and four members of staff. We spoke with one relative and contacted health care professionals for feedback. We looked at the care records for three people, including their medicines records. We looked at the recruitment records for two new members of staff, training records and quality assurance systems. We have referred to feedback from relatives, staff and health care professionals given to the provider as part of their quality assurance systems.

Updated 12 September 2018

The Tynings is a ‘care home’. People in care homes receive accommodation and nursing or personal care as a single package under one contractual agreement. CQC regulates both the premises and the care provided, and both were looked at during this inspection. The Tynings can accommodate up to six people with a learning disability. People have their own rooms with en suite facilities. They share a lounge, dining room and conservatory. Grounds around the property are accessible.

The Tynings has been developed and designed in line with the values that underpin the Registering the Right Support, Building the Right Support and other best practice guidance. These values include choice, promotion of independence and inclusion. People with learning disabilities and autism using the service can live as ordinary a life as any citizen.

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 on going 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.

People’s care was individualised reflecting their backgrounds, likes and dislikes and aspirations. They were involved in the planning of their care and had the opportunity to talk with staff about their care and support. Their diversity was recognised and their human rights were respected. They were provided with accessible information which used pictures and photographs to illustrate the text. Staff promoted communication through a range of strategies and resources to enable people to express their views and feelings. People occasionally became unsettled or anxious. Staff supported them to cope with these emotions effectively following their care records. Staff knew people well and recognised the importance of good communication to ensure continuity of care and support.

People were kept safe from harm. Risks were minimised whilst encouraging people to be as independent as possible. People were supported to learn the skills to live more independently and helped out around their home. They had access to a wide range of activities both at home and in the community. They had individual support when needed to participate in activities such as the cinema or concerts. People were supported to stay healthy and well. They had access to health care professionals and were supported to attend appointments. The registered manager was working closely with health care professionals to ensure all people had access to the support they needed. People’s medicines were safely administered and people were helped to manage their own medicines if they wished. People’s dietary needs were considered and special diets provided.

People were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible; the policies and systems in the service supported this practice. People whose liberty was restricted had the necessary safeguards in place. People made choices about their day to day lives. Best interest meetings were held when people were unable to make decisions about aspects of their care.

People were supported by staff who had access to training to equip them with the skills to meet their needs. A satisfactory recruitment process was in place to make sure staff had the right character and skills. Staff were confident raising concerns and found the registered manager to be open and accessible. Staff levels reflected the needs of people and were reviewed as people’s needs changed.

People’s views and those of their relatives and staff were sought as part of the quality assurance process. A range of audits and checks were completed to monitor the quality of service provided and make sure a safe environment was maintained. The provider and their representatives visited the home and carried out their own quality assurance audits. The registered manager felt supported and kept up to date with changes in legislation and best practice.

Further information is in the detailed findings below.