This was an unannounced inspection carried out on the 21 February 2016.Thomas House is a residential care home in St Helens. The service offers accommodation and support for up to 28 people. The building is arranged across two floors with lift access to the upper floor. The service has 24 ensuite bedrooms and two shared rooms without ensuite facilities. There were 25 people living at the service at the time of our visit.
The service has a registered manager. A registered manager is a person who has registered with the Care Quality Commission to manage the service. Like registered providers, they are ‘registered persons’. Registered persons have legal responsibility for meeting the requirements in the Health and Social Care Act 2008 and associated Regulations about how the service is run.
The last inspection of Thomas House was carried out on 22 October 2013 and we found that the service was meeting the regulations we reviewed.
People we spoke with and their visiting relatives told us they were satisfied with the care and support they received at Thomas House. People told us they had developed good relationships with the staff and said they were treated with dignity, kindness and respect and they felt safe living at the home.
Before using the service the registered manager visited people to assess their support needs. Individualised care plans were developed with the person and where appropriate, with their relatives to agree how care and support would be provided.
Risks to people were identified, managed and reviewed and the staff understood how to keep people safe. There were sufficient numbers of suitably qualified staff to meet people’s needs and promote people’s safety. We saw that staff listened to people and encouraged them to make choices and decisions about their care. Staff sought people’s consent before they provided care and support.
Some of the people who lived at the service did not have the ability to make decisions about some parts of their care and support. Staff had completed training and understood the requirements of the Mental Capacity Act 2005 (MCA). They knew the main principles of the Act and showed good knowledge of the Deprivation of Liberty Safeguards (DoLS) and when a DoLS may be required.
People who lived in the service said the food was good; people’s nutritional needs had been assessed, and people’s specific dietary needs had been provided for in accordance with their care plans.
People were supported to access healthcare professionals whenever they needed to. The service responded promptly if people required a GP or district nurse visit due to ill health or a routine medical appointment.
Staff recruitment procedures were robust and ensured that appropriate checks were carried out before new staff commenced employment. There were sufficient qualified, skilled and experienced staff to meet people’s needs. Staff received a thorough induction and on-going training to ensure they had up to date knowledge and skills to provide the right support and care to people. Members of staff also received regular supervision and annual appraisals.
Staff had received training in how to recognise and report abuse. All staff were clear about how to report concerns and were confident that any allegations made would be fully investigated to help ensure people were protected.
People who lived at the home and their relatives said they were confident that any issues or concerns they raised would be responded to appropriately by the registered manager or the registered provider.
We saw that there was an open and honest culture within the service and staff confirmed this. Staff said that the registered manager was approachable and caring. People and relatives made positive comments about the registered manager, which included “she is lovely” and “she really cares about the people living here”.
There were effective systems in place to monitor the quality of the service people received. The views of people who used the service was obtained as part of monitoring the quality of the service. Audits were regularly undertaken and clearly described what actions were required to improve the service and who was responsible for ensuring the actions were implemented.