Timken Grange

Updated 12 January 2023

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 Health and Social Care Act 2008.

As part of this inspection we looked at the infection control and prevention measures in place. This was conducted so we can understand the preparedness of the service in preventing or managing an infection outbreak, and to identify good practice we can share with other services.

Inspection team

This inspection was carried out by 2 inspectors and an Expert by Experience. An Expert by Experience is a person who has personal experience of using or caring for someone who uses this type of care service.

Service and service type

Timken Grange is a ‘care home’. People in care homes receive accommodation and nursing and/or personal care as a single package under one contractual agreement dependent on their registration with us. Timken Grange is a care home without nursing care. CQC regulates both the premises and the care provided, and both were looked at during this inspection.

Registered Manager

This provider is required to have a registered manager to oversee the delivery of regulated activities at this location. A registered manager is a person who has registered with the Care Quality Commission to manage the service. Registered managers and providers are legally responsible for how the service is run, for the quality and safety of the care provided and compliance with regulations.

At the time of our inspection there was a registered manager in post.

Notice of inspection

This inspection was unannounced.

Inspection activity started on 5 October 2022 and ended on 25 October 2022. We visited the location’s service on 5 October 2022.

What we did before the inspection

We reviewed 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 used the information the provider sent us in the provider information return (PIR). This is information providers are required to send us annually with key information about their service, what they do well, and improvements they plan to make.

We used all this information to plan our inspection.

During the inspection

We spoke with 6 people who used the service and 10 relatives of people using the service, about their experience of the care provided. We spoke with 8 members of staff including the registered manager, the deputy manager, a team leader, 4 care workers and a maintenance engineer.

We reviewed a range of records. This included 2 people’s care records and multiple medication and staff care note records. We looked at 2 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.

During the inspection there was a change to the provider ownership of the service. The senior management team, the registered manager and staff team remained the same. People and their relatives had been consulted, were well informed and there were no changes to the day to day operation of the service.

Updated 12 January 2023

About the service

Timken Grange is a residential care home providing personal care for up to 66 people. The service provides support to older people and people with dementia. At the time of our inspection there were 66 people using the service.

Timken Grange is a purpose-built care home which accommodates 66 people across three floors. Each floor has a communal lounge, dining area and kitchen. All bedrooms have private en-suite facilities. There are two lifts operating between floors which also give access to a library, cinema café and bar. There are communal gardens and parking.

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

Systems and processes protected people from the risk of abuse. Staff were recruited safely with appropriate checks in place. Individualised risks to people and risks in the environment were assessed and mitigated. Medicines were managed stored and disposed of safely, people received their medicines as prescribed and when they needed them. People were protected from the risk of infection; the home was clean and PPE was available and used appropriately by staff. Accidents and incidents were recorded, investigated and measures put in place to prevent reoccurrence.

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 were assessed prior to moving into the service to ensure their needs could be met. People were supported to maintain a balanced diet and regular hot and cold drinks were provided, they were monitored for the risk of malnutrition and health professionals were consulted where required. People were supported with healthcare appointments and records were in place to support a smooth transition into emergency care if needed. Staff went through an induction process, were trained and received regular support including supervision, appraisal, handover and staff meetings.

People were well treated by staff who were kind, caring and understood their needs, they and their families had developed positive relationships with the staff and management team. People were leading their care and making their own decisions, their privacy dignity and independence was well supported.

Care planning and delivery was person centred, reviewed regularly and adapted to meet people’s changing needs. People were well supported with social activity and enjoyed an active social life. People were supported with their end of life decisions and staff had access to information they needed to support people’s choices. Complaints were well managed and the provider was open and honest with people when things had gone wrong.

Systems and processes were in place which ensured the provider and management team maintained effective oversight of the safety and quality of the service and drive learning and improvement. There was a positive culture, people, relatives and staff felt informed, included and respected. The registered manager was well supported by the provider who played an active part in the home. There was partnership working with other professionals to ensure people’s needs were met.

For more details, please see the full report which is on the CQC website at www.cqc.org.uk

Rating at last inspection This service was registered with us on 3 November 2022 and this is the first inspection.

Why we inspected This inspection was prompted by a review of the information we held about this service.

We looked at infection prevention and control measures under the Safe key question. We look at this in all care home inspections even if no concerns or risks have been identified. This is to provide assurance that the service can respond to COVID-19 and other infection outbreaks effectively.

Follow up

We will continue to monitor information we receive about the service, which will help inform when we next inspect.