Turning Point - Sybden

Updated 5 April 2019

We carried out this inspection under Section 60 of the Health and Social Care Act 2008 (the Act) 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 Act, to look at the overall quality of the service, and to provide a rating for the service under the Care Act 2014.

Inspection team:

The inspection team consisted of one inspector.

Service and service type:

Turning Point - Sybden is a 'care home'. People in care homes receive accommodation and nursing or personal care as single package under one contractual agreement. CQC regulates both the premises and the care provided, and both were looked at during this inspection. Turning Point - Sybden accommodates up to six people in one adapted building.

The service had a manager registered with the Care Quality Commission. 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.

Notice of inspection:

The inspection was announced because the service is small, and people spend a lot of time undertaking activities in the community. We needed to be sure that they would be in.

What we did:

Before the inspection we reviewed information that we had received about the service since the last inspection in March 2016. This included information that the service is required to provide us annually in a provider information return. This gives us information about what the service does well and improvements that are planned. We also contacted the local authority commissioners and safeguarding team for their views about the service.

In addition to speaking with three people living at Turning Point - Sybden, we spent time observing staff working with and supporting people in communal areas during the inspection. We spoke with three care staff, the deputy manager and the locality manager.

We reviewed a range of records. This included two people's care plans, medication records, audits and quality assurance reports, menus, records of activities, and compliments, staff training records and minutes of staff meetings.

Updated 5 April 2019

About the service:

Turning Point – Sybden is a residential care home for people with learning disabilities and

autistic spectrum disorders. Turning Point – Sybden can accommodate six people. At the time of our inspection there were six people using the service.

The service was working in line with the values that underpin the Registering the Right

Support and other best practice guidance. These values include choice, promotion of independence and inclusion. People with learning disabilities and autism using the service can live as ordinary a life as any citizen.

People's experience of using this service:

People were safeguarded from the risk of abuse. Staff were aware of what actions to take to ensure people were safe. Risks associated with people's care and support had been identified and plans were in place to help minimise these risks.

Sufficient staff were available to meet people's needs and to ensure they could go out when they wanted to. Trained staff supported people to manage their prescribed medicines.

Accidents and incidents were monitored to identify trends and patterns and the registered manager and provider took action to minimise incidents from re-occurring.

People received support from staff who were trained and supported to carry out their role. People were supported to maintain a healthy diet which catered for their likes and dislikes. People had access to health care professionals as required.

Policies and systems were in in place that supported people’s maximum choice and control of their lives. Staff supported them in the least restrictive way possible.

Staff and people had a good rapport with each other. Staff were kind and caring in their approach. Staff maintained people's privacy and dignity and were respectful of their home.

People received personalised care which was responsive to their needs and preferences. Support plans were detailed and provided guidance to staff on how people liked their care.

The provider had a complaints procedure and people felt at ease to raise concerns. No complaints had been received since our last inspection.

The service was well led and had a registered manager and a staff team who were dedicated to providing high-quality care which promoted an open and fair culture. Audits were in place to measure the performance of the service and to action any concerns as they arose.

Rating at last inspection:

The service was rated Good (report published in June 2016).

Why we inspected:

This was a planned inspection based on the previous rating.

Follow up:

We will continue to monitor all intelligence received about this service to ensure that the next

planned inspection is scheduled accordingly.