Background to this inspection
Updated
26 February 2020
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.
Inspection team
The inspection team consisted of one inspector.
Service and service type
Turning Point – Masons Road 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 announced. We gave the service 24 hours' notice of the inspection. This was because the service is small and people are often out and we wanted to be sure there would be people at home to speak with us.
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 who works with the service and the local Healthwatch. Healthwatch is an independent consumer champion that gathers and represents the views of the public about health and social care in England. This information helps support our inspections.
The provider had not been 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. We used all this information to plan our inspection.
During the inspection
We spent time with both people who used the service to understand their experience of the care provided. We spoke with the registered manager and two care staff.
We reviewed a range of records. This included one person’s care records and medication records. A variety of records relating to the management of the service, including the provider’s quality assurance processes were also reviewed.
After the inspection
We spoke with one relative of a person who used the service by telephone.
Updated
26 February 2020
About the service
Turning Point – Masons Road is a care home that providers accommodation and personal care for up to four people who may have learning disabilities or autistic spectrum disorder. There were two people living at Masons Road in their own self-contained flats at the time of our inspection visit.
The service has been developed and designed in line with the principles and values that underpin Registering the Right Support and other best practice guidance. This ensures that people who use the service can live as full a life as possible and achieve the best possible outcomes. The principles reflect the need for people with learning disabilities and/or autism to live meaningful lives that include control, choice, and independence.
People's experience of using this service
Each person received one to one support from suitably trained and experienced staff, so they had guidance and assistance when they needed it. Staff knew about risks to people and understood their role in keeping people safe. People received their medicines as prescribed from staff who had received training about managing medicines safely.
People's needs were assessed and regularly reviewed to ensure the care they received was effective and promoted their physical and mental health and emotional wellbeing. People had access to the general and specialist healthcare services they required. Staff were aware of people’s nutritional risks and ensured people ate and drank well.
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. Staff spoke to and about people in a caring and respectful manner and promoted their privacy, dignity and independence.
The service was tailored to meet the needs of people and ensured flexibility, choice and continuity of care. People’s social needs were met and they provided with information in a format they could understand.
The registered manager had good oversight of the home and staff received guidance and support to understand and be effective in their roles. Effective systems were in place to monitor the quality of the service and the care provided.
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 overall rating for this service was good (published 16 August 2017).
Why we inspected
This was a planned inspection based on the previous rating.
Follow up
We will continue to monitor information we receive about the service until we return to visit as per our reinspection programme. If we receive any concerning information we may inspect sooner.