Archived: Temple Manor Care Home

Updated 8 February 2017

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 registered 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 unannounced inspection took place on 11 January 2017. It was carried out by one adult social care inspector.

Before the inspection, we had received a completed Provider Information Return (PIR). The PIR asks the registered provider to give some key information about the service, what the service does well and improvements they plan to make. We reviewed the PIR and other information we held about the service as part of our inspection. This included the notifications we had received from the registered provider. Notifications are changes, events or incidents the registered provider is legally obliged to send CQC. We contacted commissioners from the local authorities who contracted people's care. We used all of this information to plan the inspection.

We spoke with five people who used the service either individually or in small groups. No visitors or relatives were present during our inspection. We left leaflets and inspector contact details for the registered manager to hand out to allow people the opportunity to share their views about the care being provided. At the time of writing this report, no one had contacted us. However, we noted comments from nine relatives about their experiences between March and September 2016. The information had been added to a review of the service on a public internet forum.

Some people who lived at the service had complex needs and were not able to verbally communicate their views and experiences to us. Due to this we used a formal way to observe people during this inspection, to help us understand how their needs were supported.

We spoke with staff including two care assistants, a senior care assistant, the chef, administrator, the registered manager and the registered provider. During our visit we also spoke with a visiting doctor. We reviewed a sample of records relating to the management of the service such as the quality assurance, recruitment and staff training. We also checked the fire and electrical maintenance documents and infection control audits. We reviewed three staff files, three care plans and a random selection of medicine records.

Not all of the people we met could tell us directly about their care. Therefore, we observed the interaction between people who used the service and staff to gain an impression of their care experience.

Updated 8 February 2017

This inspection took place on 11 January 2017. The visit was unannounced.

We last inspected this service on 14 April 2016 to look specifically at the safety of the service. At the April inspection we identified a breach relating to:

Regulation 12 of the Health and Social Care Act 2008 (Regulated Activities) Regulations 2014 – safe care and treatment. The provider was not meeting the requirements relating to fire safety and the testing of electrical appliances was not being carried out as required.

Prior to the April visit, we had also carried out an inspection on 2 February 2016. At the February inspection we identified breaches relating to:

Regulation 12 of the Health and Social Care Act 2008 (Regulated Activities) Regulations 2014 – safe care and treatment. Communal bathrooms were not clean and there were risks of infections being acquired and,

Regulation 17 of the Health and Social Care Act 2008 (Regulated Activities) Regulations 2014 – good governance. Audits were not being completed and were not robust enough to identify issues relating to care records.

After both inspections, the registered provider sent us an action plan telling us about the actions to be taken. During this inspection we found that the assurances from the registered provider had been implemented with the necessary improvements being made across the service.

Temple Manor Care Home is owned by Temple Manor Care Home Limited. The home is in Temple Hirst, near Selby. It is registered to provide care for up to 19 older people some of whom may be living with dementia.

There was 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.

People told us they felt safe. Thorough recruitment processes were followed prior to staff starting work. This reduced the risk of unsuitable people being employed.

People were supported and cared for by skilled, well trained staff who took a pride in their work.

We found that people were encouraged to exercise choice and control in every aspect of their lives wherever possible. Key people were involved in best interests meetings for people who required additional support with decision making.

Any risks around peoples care were identified. Where risks were identified action was taken to minimise these whilst protecting individual's rights and freedoms.

People had food and drink to meet their needs. People were supported to receive their medicines as prescribed and to access their health care appointments to make sure they received appropriate care and treatment. A number of health care professionals were present in the service on a daily basis working alongside staff.

We observed good relationships were present between people who used the service and staff. We did not meet any relatives during our time in the service but left contact details in case relatives wished to share their views. Staff were knowledgeable about the people they supported. This was confirmed in feedback we received about the service.

People had comprehensive care and support plans in place. These guided staff on people’s preferred approach to meet their care needs. An example of this was how one person liked to have their clothes protected whilst eating at the table.

A complaints procedure was in place. People confirmed they knew who to speak to if they had any worries or if they were unhappy about something. People told us they had not raised a complaint but said they knew how to if they needed to. People told us they thought they would be listened to if they raised an issue. They said the registered manager and the registered provider would act upon any concerns raised with them.

The registered provider undertook a range of audits to check on the quality of care provided. People were asked for their views and their comments were used to identify improvements.