27 September 2023
During a routine inspection
Thomas Colledge House Care Home is a residential care home providing personal care to up to 24 people. The service provides support to older people, people with dementia, those with a mental health diagnosis, people with a physical disability and/or sensory impairment and younger adults. At the time of our inspection there were 14 people using the service. The care home accommodates people in one building on one floor. There are separate wings, each with bedrooms, communal dining rooms and lounges. People have access to a secure outdoor space.
People’s experience of using this service and what we found
People felt safe using the service. Safeguarding policies and procedures were in place and understood by staff. Risk assessments were in place, so people were kept safe. Restrictions to people were minimised and people were safely supported to be involved in managing their risks. There were enough staff to keep people safe and staffing numbers were reviewed regularly against the level of support people required. People’s requests for support were answered quickly. Medicines were managed safely, and people received their medicines as prescribed from trained staff. The home was clean, and staff followed best infection prevention and control practice. Lessons were learned when things went wrong.
Assessments of people’s needs and preferences were comprehensive and informed by people themselves. Staff had received sufficient training, and their competence regularly assessed to ensure they remained skilled and confident to carry out their roles. Nutrition and hydration risks were assessed, and people were supported to eat and drink enough. People achieved good outcomes in relation to their health and well-being and staff worked well together, and with other relevant healthcare professionals to meet their healthcare needs. The environment was accessible and specialist equipment was available for those that required it.
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.
Staff treated people with kindness and knew the people they supported well. Equality, diversity and human rights needs were understood by staff, so people were protected from the risk of discrimination. The service promoted independence wherever possible.
Person centred support plans were created with people and those important to them. A complaints policy was in place and people felt comfortable to raise any issues with the service.
The service was well-led. A robust quality assurance system was in place to provide effective oversight of the service. Actions for improvement were quickly identified and addressed. There was a commitment to continuous learning which was informed by governance systems and people’s feedback. There were various opportunities for people to be involved which meant everyone could have a voice in the running of the service. The service worked in collaboration with a range of external stakeholders to support people to achieve good outcomes.
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 7 December 2017).
Why we inspected
This was a planned inspection due to the age of the previous rating.
Follow up
We will continue to monitor information we receive about the service, which will help inform when we next inspect.