Tiverton Drive

Updated 17 May 2022

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.

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 who visited Tiverton Drive on 19 April 2022.

Service and service type

Tiverton Drive is a 'care home'. People in care homes receive accommodation and nursing or personal care as a single package under one contractual agreement. Care Quality Commission (CQC) regulates both the premises and the care provided, and both were looked at during this inspection.

The service had a registered manager. This means the registered manager 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

This inspection was unannounced.

What we did before inspection

We reviewed information we had received about the service. We used any information the provider had sent us from their annual Provider Information Return. 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 also reviewed the information we held, such as statutory notifications, as well as any information shared with us by the local authority. We also used the information we had recorded when we completed a recent direct monitoring approach call with the registered manager. We used all this information to plan our inspection.

During the inspection

During our visit, people who received a regulated activity had gone out for the day, so we were unable to get their experiences of the service they received. We spoke with two staff members and the registered manager.

We reviewed a range of records. This included two people’s care records and samples of medicine records and daily records. We also looked at records that related to the management and quality assurance of the service, fire safety and environmental risks, two staff recruitment files and records for infection control and risk management.

Updated 17 May 2022

About the service

Tiverton Drive provides accommodation, personal care and support for up to four people who have mental health and learning difficulties. The service specialises in providing 'aftercare services'; the care and support of people who may have been detained under the Mental Health Act 1983 and then discharged from certain sections of the Act. The provider worked closely with other professional organisations and agencies in providing the agreed care and support to people. There were four people living at the home on the day of our inspection visit but only two people received personal care. Each person had their own bedroom and there was a shared lounge, bathroom and a dining room area that people used.

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

People were supported by a well-established staff team that knew them well and how to keep them safe.

Staff were trained in safeguarding and demonstrated a good understanding of recognising signs of abuse. Staff knew how to report any concerns and told us they would be acted on appropriately by the management team.

We expect health and social care providers to guarantee autistic people and people with a learning disability the choices, dignity, independence and good access to local communities that most people take for granted. Right support, right care, right culture is the statutory guidance which supports CQC to make assessments and judgements about services providing support to people with a learning disability and/or autistic people.

Based on our review of the key questions Safe and Well-led, the service was able to demonstrate how they were meeting the underpinning principles of Right support, right care, right culture.

Right support: Model of care and setting maximises people’s choice, control and Independence. People were supported to live their lives how they wanted to and were supported to continue doing things that interested them.

Right care: People were supported by staff that were kind and caring. Staff were passionate about their roles and the people they were supporting. They knew people well and knew there likes, dislikes, needs and preferences. This allowed staff to provide personalised care that met people’s needs.

Right culture: There was a positive culture in the service that promoted independence. The staff team spoke positively about each other and the support they received from the management team.

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’s care and support was personalised and tailored to meet their needs. Staff showed a good understanding of people; their likes/dislikes, routines and their preferred methods of communication.

Staff supported people to access the community, be involved in activities and interests that they wanted to pursue and staff encouraged and prompted people to be as independent as possible.

People were supported to take their medicines and for those people who could, they were encouraged to self-administer their own medicines. People received their medicines by trained and competent staff. Staff understood what action to take should an error occur with medicines. Daily medicine counts ensured errors were kept to a minimum.

Staff were provided with training and regular refresher training which enabled them to carry out their roles effectively. Staff told us they felt they were supported.

The staff team ensured people’s health needs were met and sought appropriate healthcare when required. This included working closely with mental health support teams.

A variety of audits and monitoring systems were in place to maintain oversight of the service and to further drive through improvements which supported good care outcomes for people.

Risks to people had been assessed and identified. Staff had information which helped them to understand people’s individual risks and how best to support them to reduce these.

The registered manager welcomed the inspection and during our visit, implemented improved ways of recording certain information and risks.

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 28 November 2018).

Why we inspected

We undertook this inspection as part of a random selection of services which have had a recent Direct Monitoring Approach (DMA) assessment where no further action was needed to seek assurance about this decision and to identify learning about the DMA process.

The overall rating for the service has remained good based on the findings of this inspection. For those key questions not inspected, we used the ratings awarded at the last inspection to calculate the overall rating.

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.

You can read the report from our last comprehensive inspection, by selecting the ‘all reports’ link for Tiverton Drive on our website at www.cqc.org.uk.

Follow up

We will continue to monitor information we receive about the service, which will help inform when we next inspect.