Background to this inspection
Updated
12 November 2021
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 carried out by one inspector.
Service and service type
Malborn Teroan House is a ‘care home’. People in care homes receive accommodation and nursing or personal care as a 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.
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. This is information providers are required to send us with key information about their service, what they do well, and improvements they plan to make. This information helps support our inspections. We used all of this information to plan our inspection.
During the inspection
We spoke with three people, who used the service, about their experience of the care provided. We spoke with three members of staff including the registered manager, advanced nurse practitioner and support worker. We observed general interactions between the staff and the people who lived at the service.
We reviewed a range of records. This included multiple medication records and a variety of records relating to the management of the service, including policies, procedures and risk assessments.
After the inspection
We continued to seek clarification from the provider to validate evidence found. We looked at two people’s care plans, three staff recruitment records, staff training data, and the provider’s quality assurance records. We received feedback from five professionals who had contact with the service. We also received feedback from a relative of a person who lives at the care home and from five staff who worked there.
Updated
12 November 2021
About the service
Malborn Teroan House is a residential care home providing accommodation for people who need personal or nursing care. Six people, aged 18 and over, were supported at the time of the inspection. The service can support up to six people, and consisted of two 3-bed, semi-detached, houses on the same site. The service specialised in caring for people who had mental health support needs or issues relating to the misuse of drugs or alcohol.
People’s experience of using this service and what we found
People told us they felt safe living in the service. Staff received training and knew how to report any safeguarding concerns. The environment was homely, clean, safe and well maintained.
People were supported by enough trained and experienced staff to meet their care needs. Staffing levels were flexible if people’s needs increased. When incidents occurred the care team identified any lessons to be learned to reduce the likelihood of recurrence.
People had comprehensive care plans in place which staff understood and followed. This meant people received consistent support. Advice from internal and external health care specialists was also obtained for people if required.
People were supported to maintain, and increase, their independent living skills. The service had been successful in supporting some people to move into other, less intensively supported, living situations. Any restrictions placed on people were all appropriately authorised, recorded, and monitored.
People were supported, by staff, with kindness and their dignity and privacy was respected. Important links with families were maintained where appropriate.
People were involved in developing and reviewing their own care and support plans; and deciding what outcomes they wanted to achieve from the care they received.
The service was well-led by a registered manager based on site. Staff told us they felt well supported. The provider’s monitoring processes ensured the service maintained quality standards. Feedback received from external professionals, about the service, was wholly positive.
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.
For more details, please see the full report which is on the CQC website at www.cqc.org.uk
Rating at last inspection
This service was registered with us on 28 September 2020 and this is the first inspection.
Why we inspected
This was a planned comprehensive inspection to assess how the service was operating and to rate the service in respect of the Safe, Effective, Caring, Responsive and Well-led key questions.
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.
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.