Archived: Tewin Road

Updated 31 August 2019

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 Care Act 2014.

Inspection team

The inspection team consisted of two inspectors.

Service and service type

Tewin Road is a ‘care home’. People in care homes receive accommodation and nursing or personal care as 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 Care Quality Commission, however upon arrival we were made aware that the registered manager was not working at the service. We were not notified of this change. This means the provider is legally responsible for how the service is run and for the quality and safety of the care provided. Following on from the inspection the nominated individual has requested the registered manager sends in the appropriate notification to remove the location. The nominated individual is responsible for supervising the management of the service on behalf of the provider

Notice of inspection

This inspection was unannounced.

What we did before the inspection

We used information we had received about the service since the last inspection. This information helps support our inspections. The provider was not asked to complete a provider information return prior to this inspection. This is information we require providers to send us to give some key information about the service, what the service does well and improvements they plan to make. We took this into account when we inspected the service and made the judgements in this report.

During the inspection-

We spoke with three people who used the service about their experience of the care provided. We spoke with four members of care staff. As well as observed the interaction with people and care staff

We reviewed a range of records. This included three people’s care records and medication records. We looked at three 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.

After the inspection

We continued to seek clarification from the provider to validate evidence found.

Updated 31 August 2019

About the service

Tewin Road is a respite residential care home providing personal and nursing care for up to six people. At the time of the inspection four people were receiving support at Tewin Road.

The care home has six individual bedrooms with communal facilities as well as two offices for staff and a staff sleep in room.

The service had been developed in line with most of the principles and values that underpin Registering the Right Support and other best practice guidance. This ensures that people who use the service can live as full a life as possible and achieve the best possible outcomes. The principles reflect the need for people with learning disabilities and/or autism to live meaningful lives that include control, choice, and independence. People using the service receive planned and co-ordinated person-centred support that is appropriate and inclusive for them.

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

People’s care plans and risk assessments had detailed information about their likes and dislikes, however, these had not been reviewed in line with the company’s policy and some information in the care plans was not up to date.

People were supported by staff who felt unsettled with the changes of management and did not feel supported, however with the recent changed in management they have felt an improvement.

People did not have documented best interest decisions. The deprivation of liberty safeguard applications had not been reviewed. This had not been picked up in the quality assurance monitoring. Following the change in management which occurred two weeks prior to the inspection. The manager had completed an action plan which identified the improvements needed.

People were safe in the home, there were enough staff to meet people’s support needs. People were supported to manage their medicines safely. People were supported with things they enjoyed doing.

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; however, the policies and systems in the service did not support this practice.

The outcomes for people using the service reflected the principles and values of Registering the Right Support by promoting choice and control, independence, and inclusion. People's support focused on them having as many opportunities as possible for them to gain new skills and become more independent.

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 30 March 2017).

Why we inspected

This was a planned inspection based on the previous rating.

Follow up

We will continue to monitor information we receive about the service until we return to visit as per our re-inspection programme. If we receive any concerning information we may inspect sooner.