Background to this inspection
Updated
6 February 2020
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 Care Act 2014.
Inspection team
The inspection was carried out by one inspector.
Service and service type
Turning Point 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.
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.
This inspection was unannounced.
What we did before the inspection
The provider was not asked to complete a provider information return prior to this inspection. This is information we require providers to send us to give some key information about the service, what the service does well and improvements they plan to make. We took this into account when we inspected the service and made the judgements in this report. We used all of this information to plan our inspection.
During the inspection
We received feedback from three relatives, whose family member used the service, about their experience of the care provided. We spoke with five members of staff including the registered manager.
We reviewed a range of records. This included three people’s care records and medication records. We looked at three staff files in relation to recruitment and staff supervision. A variety of records relating to the management of the service, including policies and procedures were reviewed.
After the inspection
We continued to seek clarification from the provider to validate evidence found. We looked at training data and quality assurance records. We spoke with two professionals who regularly visit the service.
Updated
6 February 2020
About the service
Turning Point is a residential home for adults with learning disabilities. It provides accommodation for up to eight people. At the time of the inspection eight people were living there. People had their own bedrooms. There is a large communal dining/lounge area, garden and spacious corridors. The home is a purpose built building and offers ground floor accommodation only.
People’s experience of using this service and what we found
The service had been developed and designed in line with 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 were supported by staff who were trained effectively and recruited safely. Staff were knowledgeable about safeguarding practices and how to recognise the different types of abuse.
Medicines were managed, administered and stored safely. There were safe processes in place for the overall management of medicines. People had their medicines regularly reviewed which included the reduction in the use of psychotropic medicines to manage complex behaviours.
Risks were identified and risk management plans were in place and regularly reviewed.
People had their health and social care needs holistically assessed by a team of professionals. Care and support plans were individually developed, reviewed and audited by the management team. Care and support plans were detailed, contained people’s preferences and were developed in a pictorial format.
There were robust systems in place to monitor the quality of the service and make improvements where they were needed. The provider had good oversight of the service and the monitored outcomes.
People enjoyed a variety of activities, outings, holidays and community social networks. This had improved since the last inspection.
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 this practice.
There was a registered manager in post who had made significant improvements to the care and support of people living at Avondale. They had developed good relationships with staff and relatives and close working partnerships with professionals from the community disabilities service. We received very good feedback from everyone contacted.
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 21 April 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.