Background to this inspection
Updated
29 January 2020
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
This inspection was carried out by one inspector.
Service and service type
Temecare Limited – Teme Court Residential Home 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.
Notice of inspection
This inspection was unannounced.
What we did before the inspection
We looked at the information we had received about the service since the last inspection. We sought feedback from the local authority and professionals who work with the service. We also sought feedback from Healthwatch. Healthwatch is an independent consumer champion that gathers and represents the views of the public about health and social care services in England. This information helps support our inspections. We used all this information to plan our inspection.
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 four people who used the service, and two relatives about their experience of the care provided. We spent time with people and saw the care provided by staff. We used the Short Observational Framework for Inspection (SOFI). SOFI is a way of observing care to help us understand the experience of people who could not talk with us.
We spoke with two care staff members, a domestic staff member, cook, personal assistant, the registered manager, deputy manager and provider.
We looked at a range of records. This included two people's care records and multiple medication records. We looked at two staff files in relation to recruitment and staff meetings. We viewed a variety of records relating to the management of the service, including quality checks.
After the inspection
We spoke with four relatives and the registered manager provided further information about staff rotas, training and the improvements and plans for recreational activities.
Updated
29 January 2020
About the service
Temecare Limited – Teme Court Residential Care is a residential care home providing personal care to 16 people aged 65 and over at the time of the inspection, some of whom may be living with dementia. The provider can accommodate up to 21 people in one adapted building.
People’s experience of using this service and what we found
People and their relatives were happy with the care they received and felt safe because of the support provided by staff who knew their needs.
The provider had processes in place to protect people from avoidable harm and abuse. Staff were aware of their responsibilities in relation to this and were clear about the way to escalate any concerns they identified. Risks to people were identified using best practice tools and guidance, and care was planned so people’s safety was maintained.
The home environment was clean and tidy, and staff worked to reduce the risk of infection. When accidents or incidents occurred, learning was identified to reduce the risk of them happening again.
Staff were available to provide a timely response to people and provide safe care. People received
their medicines as prescribed and medicines were managed so people’s health needs were met.
People received an assessment before they moved into the home. Care plans reflected people's needs and were reviewed at set intervals or when a person's needs changed to ensure they reflected the latest care people needed.
Staff received training relevant to their roles and had regular supervision. People’s nutritional and health needs were promoted, and the home environment was maintained with ongoing improvements taking place.
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. People's ability to access information was assessed to ensure they had access to information relating to their care and consent to care was gained.
Staff were kind and caring. They respected people's privacy and dignity and supported people to be as independent as possible.
People received personalised care which promoted their preferences. Their care plans reflected their needs and staff understood people's needs. Ongoing action plans were in place to further improve people’s opportunities to recreational activities. Planned events took place to help people mark different times of the year.
People's wishes at the end of their lives were respected and staff worked with healthcare professionals to ensure people were pain free and comfortable.
The provider had processes in place to deal with people’s complaints should they arise. People and relatives were aware of how to raise any concerns and felt comfortable in doing so should they need to.
The registered manager worked in an open way with people, their relatives, staff and health and social care professionals to provide a good quality of life for people. There were clear leadership and people told us they could speak with staff, the registered manager, deputy manager or the provider if there were issues. Staff felt supported by the manager team and worked well as a team. Systems were in place to monitor the quality of the service and the care provided and actions were taken to continuously improve the service.
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 requires improvement (published 31 January 2019).
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.
You can read the report from our last comprehensive inspection, by selecting the ‘all reports’ link for Temecare Limited - Teme Court Residential Care on our website at www.cqc.org.uk.