Twynham

Updated 1 October 2022

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

Twynham 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. The service had a manager registered with the Care Quality Commission.

Notice of inspection

This inspection was announced, and we provided 48 hours’ notice of our visit.

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 (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 the registered manager, the senior manager, and two people.

After the inspection

We reviewed a range of records. This included two people’s care records, incident records, medication records, training records, activity records, governance audits and infection prevention control audits. We continued to seek clarification from the registered manager to validate evidence found. We obtained feedback from six members of staff, two relatives and one external professional.

Updated 1 October 2022

About the service

Twynham is a care to up to seven people who may be living with a learning disability or autism. At the time of our inspection there were seven people using the service.

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

Staff consistently commented additional permanent staff were needed in the home. However, they told us people’s needs were being met as the provider had employed regular agency staff. The registered manager told us they were in the process of recruiting staff.

People felt safe living at the service and relatives felt assured they were kept safe. Systems were in place to protect people from abuse. Staff we spoke to were aware of how to identify, prevent and report abuse. There were enough staff to keep people safe. Staff were safely recruited. There were plans in place for foreseeable emergencies.

Risks associated with people’s needs were assessed appropriately and managed. Medicines were stored safely and securely, and procedures were in place to ensure people received their medicines as prescribed. We were assured that most infection prevention and control practices were in line with current guidance.

People were supported by staff who knew them well. Staff we spoke with were enthusiastic about their jobs and showed care and understanding both for the people they supported. People’s privacy and dignity was respected and promoted.

Effective procedures were in place in relation to infection prevention. Staff were trained in infection control and the home was clean.

Effective governance systems were in palace to regularly assess, monitor and drive improvement in the quality of care people received. People and relatives told us the service provide safe care that was supported by positive leadership.

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

Rating at last inspection and update

The last rating for the service was rated good. The report was published on 8 January 2018.

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. We also inspected to the service because we received information of concern.

Follow up

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