Thornbury Residential Home

Updated 16 November 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 carried out by 2 inspectors.

Service and service type

Thornbury Residential Home 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. Thornbury Residential Home 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 who was also the registered provider.

Notice of inspection

This inspection was unannounced.

What we did before the inspection

We reviewed information we had received about the service since the last inspection. We sought feedback from the local authority and professionals who work with the service. 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 15 people who used the service and 1 relative about their experience of the care provided. We spoke with 5 members of staff including the provider, who was also the registered manager, senior care workers, maintenance staff, and kitchen staff.

We reviewed a range of records. This included 6 people’s care records and 18 medication records. We looked at 4 staff files in relation to recruitment and staff supervision. A variety of records relating to the management of the service, including policies and procedures was reviewed.

Updated 16 November 2023

About the service

Thornbury Residential Home is registered to provide personal care and accommodation for up to 19 older people. At the time of the inspection there were 18 people living at the service. The service provides care to older people, with conditions affecting their mobility, general frailty, and medical conditions such as heart failure, and diabetes.

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

The registered manager had systems and processes to safely assess and manage risks to people, including their medicines and the environment. However, these had not identified some of the shortfalls we found. For example, the audits had not identified that water temperatures whilst tested had not been recorded and that as required medicine protocols had not been transferred over with the new medicine providers administration records. These were immediately actioned, and risk mitigated.

People received safe care and support by staff trained to recognise signs of abuse or risk and understood what to do to support people safely. People told us, "I am safe, and the girls are wonderful.” People had care plans and risk assessments which meant peoples’ safety and well-being were promoted and protected. The environment was clean, well-maintained, and comfortable. There were enough staff to meet people's needs. Safe recruitment practices had been followed before staff started working at the service. Accidents and incidents were recorded, and lessons learnt to prevent re-occurrences.

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.

There was an effective management team at Thornbury Residential Home which provided good leadership for staff, and they communicated effectively with people, relatives, and health professionals. The management team were approachable and available to people, staff, and visitors. Staff were positive about their roles in the home and felt valued for the work they did. One staff member said,"We get thanked for the job we do, its very rewarding."

People who lived at the service, their relatives and staff were encouraged to give their views, and these were listened to and acted upon by the management team. People and their relatives felt able to raise any concerns they had and were confident they would receive an appropriate response.

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 29 November 2017)

Why we inspected

We undertook this inspection due to the age of the last rating.

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 and is based on the findings at this inspection.

You can read the report from our last comprehensive inspection, by selecting the ‘all reports’ link for Thornbury Residential Home 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.