Temple Croft Care Home

Updated 3 March 2022

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 included checking the provider was meeting COVID-19 vaccination requirements. 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 completed by one inspector.

Service and service type

Temple Croft 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 service had a manager registered with the CQC. This means that they and the provider are legally responsible for how the service is run and for the quality and safety of the care provided.

Notice of inspection

This inspection was unannounced.

What we did before inspection

We used information gathered as part of monitoring activity that took place on 30 November 2021 to help plan the inspection and inform our judgements.

We sought feedback from the local authority and professionals who work with 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 two people who used the service and a relative about their experience of the care provided. We spoke with the registered manager, a team leader, two care workers and activities coordinator.

We reviewed a range of records. This included three people's care records and multiple medication administration records. We inspected two staff files in relation to recruitment and training. A variety of records relating to the management of the service were also reviewed.

After the inspection

We continued to seek clarification from the registered manager to validate evidence found.

Updated 3 March 2022

About the service

Temple Croft is a residential care home providing personal care for to up to 40 people. The service provides support to older people, some of whom may be living with dementia. At the time of our inspection, 25 people were using the service.

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

The provider used a 'dependency tool' to ensure enough staff were on duty to meet people's needs. Staff told us there were occasions when additional staff would have been beneficial to reduce staff stress levels due to COVID-19.

We have made a recommendation about the management of staffing levels.

People received support from staff who were recruited safely and received regular supervision to monitor their performance. Staff attended an induction programme and received ongoing training to support them to carry out their roles effectively.

People told us they felt safe and well cared for, staff knew their individual needs well. People told us the meals were lovely and spoke about activities they had participated in. People and their relatives said they could always go to a staff member or the registered manager if they were not satisfied, and they spoke positively of staff and the registered manager.

The premises were clean and tidy, people's rooms were personalised, and communal areas were homely. The layout provided people with the opportunity to socialise with others and spend time in quieter areas when needed.

People's dignity was promoted, and we observed positive interactions with staff. Managers and staff had positive working relationships with external agencies and healthcare professionals ensuring that people's needs were met in a timely manner.

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.

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

Rating at last inspection and update

The last rating for this service was requires improvement (published 17 September 2019) and there were breaches of regulation. The provider completed an action plan after the last inspection to show what they would do and by when to improve. At this inspection we found improvements had been made and the provider was no longer in breach of regulations.

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. This included checking the provider was meeting COVID-19 vaccination requirements.

We carried out an unannounced comprehensive inspection of this service on 12 and 20 August 2019. Breaches of legal requirements were found. The provider completed an action plan after the last inspection to show what they would do and by when to improve safe care and treatment and good governance.

We undertook this focused inspection to check they had followed their action plan and to confirm they now met legal requirements. This report only covers our findings in relation to the Key Questions Safe, Effective, Caring and Well-led which contain those requirements.

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 requires improvement to good. This is based on the findings at this inspection.

You can read the report from our last comprehensive inspection, by selecting the ‘all reports’ link for temple Croft Care Home 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.