Terrys Cross House

Updated 27 August 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 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

One inspector carried out this inspection.

Service and service type

Terry’s Cross House 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. Terry’s Cross House 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 service is required to have a registered manager. A registered manager is a person who has registered with the Care Quality Commission to manage the service. 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. At the time of our inspection there was a registered manager in post.

Notice of inspection

This inspection was unannounced.

What we did before inspection

We reviewed information we had received about 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 four people to gain their views on the care provided. We spent time in the home whilst people were in the dining area and receiving support from staff. This gave us an opportunity to observe staff interactions with people. We spoke with 3 members of staff including the registered manager. We reviewed records that included care plans, risk assessments and medicine administration records. We also looked at records relating to the management of the service, including policies and procedures, quality assurance systems and staff training records.

Updated 27 August 2022

About the service

Terry’s Cross House is a residential care home providing personal care for up to 12 people. The service provides support to older people and people with physical disabilities and sensory loss. The care home accommodates people in one adapted building in a rural setting. At the time of our inspection there were eight people using the service.

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

People were receiving a personalised service from staff who knew them well. People were consistent in their view that they were safe and happy at Terry’s Cross House. One person told us, “I am very happy here, the staff treat us well, they are always kind and they come quickly if I need them.”

There were enough staff to provide safe care and people were protected from risks of abuse. Staff were trained to administer medicines to people and some people were supported to manage medicines themselves where appropriate. Risks to people were identified, assessed and managed and staff were knowledgeable about people’s individual needs. There were effective systems for the prevention and control of infections and systems for monitoring incidents ensured that lessons were learned when things went wrong.

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.

Staff had received the training and support they needed to be effective in their roles. They supported people to access the health care services they needed and worked effectively with other agencies. People were supported to have enough to eat and drink and spoke highly of the standard of food and the choices on offer. One person told us, “If you don’t want the choices offered the staff put themselves out to cook something else for you.”

People spoke highly of the kind and caring approach of the staff. They told us they were treated with dignity and respect. People were supported to express their views and described feeling in control of their care. One person said, “I can choose how I spend my day, if I don’t want to do anything, then at my age, I don’t have to do anything.”

People and staff told us the service was well managed. There was an open and inclusive culture where people and staff were encouraged to contribute their views and ideas. The registered manager had clear oversight of the running of the home.

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

Rating at last inspection

This service was registered with us on 1 June 2021 and this is the first inspection. The last rating for the service under the previous provider was good, published on 25 January 2020.

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.