We conducted an inspection Thornsbeach Court on 30 October 2017. The inspection was announced. This was our first inspection of this service.Thornsbeach Court provides accommodation and personal care for up to four people with mental health needs. At the time of our inspection there were two people using the service one of whom had moved into the service in July 2017 and the other person had moved in approximately one month earlier. This meant that although we were able to carry out an inspection we did not have enough information about the experiences of a sufficient number of people using the service over a consistent period of time to give a rating to each of the five questions and provide an overall rating to the service. We will return to the service in due course to conduct a further inspection of this service.
There was a registered manager at the service. A registered manager is a person who has registered with the Care Quality Commission to manage the service. Like registered providers, they are ‘registered persons’. Registered persons have legal responsibility for meeting the requirements in the Health and Social Care Act 2008 and associated Regulations about how the service is run.
Staff followed safe practises for administering and storing medicines. Staff had completed medicines administration training within the last year and were clear about their responsibilities.
Risk assessments and care plans contained clear information for staff. These included objectives for each person as well as details about how care workers could help people meet these.
Staff demonstrated knowledge of their responsibilities under the Mental Capacity Act 2005. People’s rights were protected and their liberty was only deprived in accordance with legal requirements for their own safety.
Care staff demonstrated an understanding of people’s life histories and current circumstances and supported people to meet their individual needs in a caring way.
People using the service and their relatives were involved in decisions about their care and how their needs were met. Regular meetings were held with people, their relatives and other professionals involved in their care.
Recruitment procedures ensured that only staff who were suitable worked within the service. There was an induction programme for new staff, which prepared them for their role. Staff were provided with appropriate training to help them carry out their duties. Staff received regular supervision. There were enough staff employed to meet people’s needs.
Staff respected people’s privacy and dignity and people’s cultural and religious needs were met.
People were supported to maintain a balanced, nutritious diet and their choices were respected. People were supported effectively with their health needs and were supported to access a range of healthcare professionals.
People using the service, their relatives and staff felt able to speak with the registered manager and provided feedback on the service. They knew how to make complaints and there was a complaints policy and procedure in place.
People were encouraged to participate in activities they enjoyed and care staff were available to ensure people attended these.
The organisation had adequate systems in place to monitor the quality of the service. Feedback was obtained from people on a regular basis. There was evidence of auditing in many areas of care provided and action plans were in place and monitored on a monthly basis to secure improvement.