Background to this inspection
Updated
8 March 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
The inspection was completed by one inspector.
Service and service type
25-27 Teewell Avenue 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. 25-27 Teewell Avenue 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 the information we held about the service and the service provider. 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 five people who lived at the home, two relatives and emailed two visiting professionals. We spoke with four staff, the registered manager and the senior operations manager. We spent time observing people.
We reviewed a range of records. This included people’s risk assessments, care records and medicines records. A variety of records relating to the management of the home were examined, including health and safety records, maintenance checks and quality audits.
Updated
8 March 2023
25-27 Teewell Avenue provides accommodation and personal care for 7 people. The home was registered to support people who had mental health needs. At the time of the inspection there was 7 people living in the home.
People’s experience of using this service and what we found
People told us they were safe and liked living in Teewell Avenue. People were supported by staff who had been through a robust recruitment process, received training and were supported. There were sufficient staff to ensure people received the care and support they needed. People’s medicines were managed safely.
Infection, prevention and control measures were in line with the latest best practice guidance.
Staff understood their role and responsibilities to keep people safe from harm. Risks were assessed and plans put in place to keep people safe. People were encouraged to take positive risks.
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.
The provider and registered manager were visible within the service. People were involved in their care and care was delivered in person centred way. Systems to monitor the quality of the care and support were robust and effective at ensuring people received safe care which had positive outcomes. The registered manager and the staff worked with other agencies and kept up to date with best practice.
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 good (published 22 September 2017). The service continues to be rated good based on the findings of this inspection.
Why we inspected
We undertook this inspection as part of a random selection of services rated good and outstanding.
This report only covers our findings in relation to the key questions safe, and well led. 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. This is based on the findings at this inspection.
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.