Telford Court Nursing Home

Updated 13 October 2020

The inspection:

We carried out this inspection under Section 60 of the Health and Social Care Act 2008 as part of our regulatory functions. This inspection checked whether the provider is meeting the legal requirements and regulations associated with the Health and Social Care Act 2008, to look at the overall quality of the service, and to provide 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 conducted by two inspectors and a medicines inspector.

Service and service type:

Telford Court Nursing Home is a 'care home'. People in care homes receive accommodation and nursing or personal care. 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 registered 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.

What we did:

Our inspection plan took into account any statutory notifications sent to us, by the registered provider, with regard to any incidents and events that had occurred at the service since our last inspection. We also contacted the local authority for their feedback on the service and used all of this information to plan our 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.

During the inspection, we spoke with four people using the service and four relatives to ask about their experience of care and support at Telford Court. We also spoke with the manager, registered provider, two unit managers, a care supervisor, five nurses and three members of staff who held various roles including care staff and ancillary staff.

We used the Short Observational Framework for Inspection (SOFI). SOFI is a way of observing care to help us understand the experience of people who could not talk with us.

We looked at four people's care records and a selection of medication administration records (MARs). We looked at other records including quality monitoring records, staff recruitment and training records and records of checks carried out on the premises and equipment.

Details are in the Key Questions below.

The report includes evidence and information gathered by the specialist advisor, medicines inspector.

Updated 13 October 2020

About the service

Telford Court Nursing Home is a care home that provides personal and nursing care for up to 85 people in a purpose-built building. Some people live with dementia. At the time of the inspection 84 people were living in the home.

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

People’s care plans included risk assessments which ensured risks were reduced or mitigated. Risk assessments were regularly reviewed and updated as changes occurred.

Safe recruitment procedures were in place and enough staff were employed to meet people’s needs. The staff and management team worked closely with health and social care professionals to ensure good outcomes for people.

Staff had developed positive relationships with people and their relatives. They had a good understanding of how to meet individual needs.

Medication was managed safely by trained and competent staff. Medication administration records (MARs) were fully completed and regularly reviewed. Medicines policies and procedures were available for staff along with best practice guidance. Staff had access to and understood the importance of personal protective equipment (PPE). Infection control policies and procedures were followed by all staff.

People were protected from the risk of abuse. Safeguarding policies and procedures were in place and staff had received training on how to keep people safe. Staff told us they felt confident to identify and raise any concerns they had about people’s safety. They believed prompt action would be taken.

The service was well-led. Effective audits were completed, and action plans developed to reflect areas for development and improvement.

People, relatives and staff told us that the management team were approachable. The registered manager and staff spoke positively about the provider.

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 requires improvement (published 30 May 2019) and there were two breaches of regulation. The provider completed an action plan after the last inspection to show what they would do and by when to improve. At this inspection we found improvements had been made and the provider was no longer in breach of regulations.

Why we inspected

This was a planned inspection based on the previous 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 coronavirus and other infection outbreaks effectively.

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.