Background to this inspection
Updated
2 September 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 undertaken by 1 inspector and 1 specialist advisor.
Service and service type
Turnpike court 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. Turnpike court 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.
What we did before the inspection
We reviewed information we had received about the service. 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 8 people who used the service and 4 relatives about their experience of the care provided. We observed interactions between staff and people living at Turnpike Court. We spoke with 8 members of staff in various roles and spoke to 2 visiting professionals.
We reviewed 7 people's care records and other records relating to people's care and support. We looked at 7 staff files in relation to recruitment. A variety of records relating to the management of the service were reviewed, including policies and procedures.
Updated
2 September 2023
About the service
Turnpike Court is ‘care home’ without nursing which accommodates up to 53 people across 2 separate units, each of which have separate adapted facilities. At the time of the inspection there were 47 people receiving a service.
People’s experience of using this service and what we found
We received mix responses from people and relatives regarding staffing levels. The provider was able to demonstrate a dependency tool which assessed the number of staff needed. During the inspection we saw people requiring care, but staff were busy which delayed time to response to people care needs immediately. We discussed this with the registered manager and have made a recommendation about monitoring how staff are deployed across the service in line with people's dependency.
Although processes were in place to assess people under the principles of the Mental Capacity Act (MCA) we found that the service was not always working in line with this and recommended the provider reviewed information held on people.
People gave mixed responses on opportunities to discuss feedback with management and we have made a recommendation the provider reviews how outcomes from meetings are shared with people.
People were positive about the care and support they received. People were treated with dignity and respect by staff knowledgeable about the person and their support needs.
Relatives felt their loved ones were safe living at the service and where confident people's needs would be meet. People described positive relationships with staff and senior leaders at the service.
Staff recruitment processes were followed. Staff received training appropriate to their role, with on-going training given.
Visiting professionals spoke approvingly regarding the staff team and the knowledge they have of the people living at the service.
Staff spoke positively about working at Turnpike Court and felt well supported by the management team.
The registered manager was open and proactive to any queries we raised during the inspection and took appropriate action to mitigate any risks to people.
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 27 November 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.
For those key questions not inspected, we used the ratings awarded at the last inspection to calculate the overall rating. The overall rating for the service has remained good based on the findings of this inspection.
Recommendations
We made recommendation about how staffing is deployed across the service. Further recommendations to review systems for documentation relating to the Mental Capacity Act and how feedback following meetings with people who use the service is shared with them.
Follow up
We will continue to monitor information we receive about the service, which will help inform when we next inspect.