Tynwald Residential Home

Updated 6 May 2021

We carried out this inspection under Section 60 of the Health and Social Care Act 2008 as part of our regulatory functions. This inspection was planned to check whether the provider was meeting the legal requirements and regulations associated with the Health and Social Care Act 2008.

As part of CQC's response to the COVID -19 pandemic we are looking at the preparedness of care homes in relation to infection prevention and control. This was a targeted inspection looking at the infection control and prevention measures the provider had in place.

This inspection took place on 7 April 2021 and was announced.

Updated 6 May 2021

About the service

Tynwald Residential Home is providing personal care to 23 older people at the time of the inspection. The service can support up to 26 people.

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

People felt safe and secure living at the service. They were supported by staff who understood how to protect people and keep them safe. People and staff knew how to report any concerns and felt confident the right action would be taken. Risks to people’s health safety and welfare were assessed, managed and regularly reviewed. Measures were taken to reduce risks whilst keeping restriction to a minimum.

People were supported by a consistent team of staff, many of whom had worked at the service for a long time. Staff worked flexibly to cover any unexpected staff absence. The registered manager followed safe recruitment practices and carried out the necessary checks to ensure new staff were safe to work with people. Staff were skilled, trained and knowledgeable. They had regular meetings to discuss their performance, learning and development.

People told us the staff supported them to have their medicines when they needed them. Medicines were stored, managed and disposed of safely. There were robust systems to check the administration of medicines.

People lived in a service which was kept clean by a team of housekeeping staff. Additional measures were in place, in line with current Government guidelines, to reduce any risks of infection.

People’s physical, mental health, emotional and social care needs were assessed and regularly reviewed. Care plans were kept up to date. This enabled staff to follow up to date information to provide the right care and support. Staff worked closely with health care professionals to provide effective, consistent joined-up care.

People told us the meals were very good and there was always plenty of choice. People were supported to eat healthily and to drink plenty. There were snack and drinks stations in the service where people and their family and friends could help themselves. Most people ate together in the dining room and meals were very social occasions. People and staff ate together, chatting and laughing with each other.

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.

People told us the staff were all kind and caring. Staff knew people and their families well. Staff spent quality time with people and were not task orientated or rushed. People’s privacy and dignity were respected, and their independence encouraged.

People kept busy throughout the day with plenty of pre-arranged and ad-hoc activity sessions. People told us they enjoyed these. Photos were taken of people having fun and these were sent to families who were unable to regularly visit.

People did not have any complaints about the care and support they received. The registered manager welcomed feedback from people, relatives, health care professionals and staff to help drive improvements.

The registered manager promoted and open and inclusive culture and lead by example. People and staff felt the service was well-led. There were robust and effective quality and safety monitoring processes. The management team and staff understood their roles and responsibilities and worked as a cohesive team to provide people with the care they need.

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 this service was requires improvement (published 13 March 2019). The provider completed an action plan after the last inspection to show what they would do and by when to improve. At this inspection we found improvements had been made and the provider was no longer in breach of regulations.

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.