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
The inspection was carried out by one inspector.
Service and service type
Turketel Rd 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 did not have a manager registered with the Care Quality Commission. 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. A manager was in post who had started the application process with CQC to become registered.
Notice of inspection
This inspection was unannounced.
What we did before the inspection
What we did before inspection
We reviewed information we had received about the service since the last inspection. We used the information the provider sent us in the provider information return. This is information providers are required to send us with key information about their service, what they do well, and improvements they plan to make. This information helps support our inspections. We spoke with one health professional. We used all of this information to plan our inspection.
During the inspection
We observed the care given to people as they were unable to tell us about their experiences. We spoke with four members of staff including the manager, deputy manager, and two care workers.
We reviewed a range of records. This included three people’s care records and multiple medicines records. A variety of records relating to the management of the service, including audits were reviewed.
After the inspection
We spoke with two relatives about the care their loved one received.
Updated
29 January 2020
About the service
Turketel Road is a residential care home providing personal care to six people with a learning disability.
The service has been developed and designed in line with 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 were supported by staff who knew them well and who treated them with care and compassion. Staff were supported to spend time getting to know people and to build trusting relationships with them. People and their loved ones were partners in planning their care and staff worked with people to develop their communication skills to enable them to give their views.
People decided on a daily basis what they would like to do, and staff supported this. People took part in a range of activities which they enjoyed and were supported by staff to try new things. 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. Relatives told us, and we saw that staff persevered and were committed to people expanding their experiences no matter how long this took.
People were supported to manage their health and staff worked with health care professionals to meet people’s needs. People’s medicines were managed safely and in the way, they preferred. People were involved in planning and cooking their own meals. Staff worked with people to expand the foods they would eat whilst respecting their choices.
The service applied the principles and values of Registering the Right Support and other best practice guidance. These ensure that people who use the service can live as full a life as possible and achieve the best possible outcomes that include control, choice and independence. People were supported to be part of their local community.
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.
The manger and staff had a shared vision and set of values which focussed on supporting people to achieve their fullest potential. The manager and provider’s quality team carried out a range of audits to monitor the quality of the service. Staff were recruited safely and there were enough staff to meet people’s needs.
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 04 May 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.