14 November 2022
During an inspection looking at part of the service
About the service
Thorpedale is a residential care home providing personal care to six people at the time of the inspection. The service can support up to seven people.
People’s experience of using this service and what we found
Right Support
The care plans and risk assessments did not always focus on people’s aspirations and did not highlight some key risks for people.
Staff supported people with their medicines in a way that promoted their independence and achieved the best possible health outcome.
People were in the main 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. However, further development was required with clearly documenting any day to day decisions where people did not have capacity.
The service required improvement to ensure people were cared and support in a clean and well-maintained environment that met their sensory and physical needs.
Staff supported people to play an active role in maintaining their own health and wellbeing and enabled people to access specialist health care. People spoke about wanting to have more access to social activities.
Right Care
The provider made sure that there was enough skilled staff to meet people’s needs and keep them safe.
Staff understood how to protect people from poor care and abuse. The service worked well with other agencies to do so. Staff had training on how to recognise and report abuse and they knew how to apply it.
The manager was proactive in ensuring people had the care and treatment they needed; however, this was not always reflected in care plans.
Right Culture
Professionals and relatives spoke positively about the responsiveness of staff and the management team when supporting people.
The provider had quality assurance systems in place. Most actions were documented, and improvements implemented. However there needed to be further development in capturing lessons learnt particularly where incidents and accidents occurred.
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 29 September 2017).
Why we inspected
The inspection was prompted in part due to concerns received about another location owned by the same provider. This was in relation to environmental issues, management of safeguarding and good governance. A decision was made for us to inspect and examine those risks at Thorpedale. Thorpedale had not been inspected for some time and a decision was made for us to inspect.
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.