8 August 2019
During a routine inspection
Tewin Road is a respite residential care home providing personal and nursing care for up to six people. At the time of the inspection four people were receiving support at Tewin Road.
The care home has six individual bedrooms with communal facilities as well as two offices for staff and a staff sleep in room.
The service had been developed in line with most of the principles and values that underpin Registering the Right Support and other best practice guidance. This ensures that people who use the service can live as full a life as possible and achieve the best possible outcomes. The principles reflect the need for people with learning disabilities and/or autism to live meaningful lives that include control, choice, and independence. People using the service receive planned and co-ordinated person-centred support that is appropriate and inclusive for them.
People’s experience of using this service and what we found
People’s care plans and risk assessments had detailed information about their likes and dislikes, however, these had not been reviewed in line with the company’s policy and some information in the care plans was not up to date.
People were supported by staff who felt unsettled with the changes of management and did not feel supported, however with the recent changed in management they have felt an improvement.
People did not have documented best interest decisions. The deprivation of liberty safeguard applications had not been reviewed. This had not been picked up in the quality assurance monitoring. Following the change in management which occurred two weeks prior to the inspection. The manager had completed an action plan which identified the improvements needed.
People were safe in the home, there were enough staff to meet people’s support needs. People were supported to manage their medicines safely. People were supported with things they enjoyed doing.
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; however, the policies and systems in the service did not support this practice.
The outcomes for people using the service reflected the principles and values of Registering the Right Support by promoting choice and control, independence, and inclusion. People's support focused on them having as many opportunities as possible for them to gain new skills and become more independent.
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 30 March 2017).
Why we inspected
This was a planned inspection based on the previous rating.
Follow up
We will continue to monitor information we receive about the service until we return to visit as per our re-inspection programme. If we receive any concerning information we may inspect sooner.