Town View

Updated 12 March 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

This inspection was completed by one inspector.

Service and service type

Town view 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. 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 who used the service and one relative about their experience of the care provided. We spoke with six members of staff including the service manager, registered manager, the duty manager and care workers. We reviewed a range of records. This included two people’s care records and multiple medication records. We looked at two staff files in relation to recruitment and staff supervision. A variety of records relating to the management of the service, including policies and procedures were reviewed.

After the inspection

We continued to seek clarification from the provider to validate evidence found. We looked at training data and quality assurance records. We spoke with two professionals who regularly visit the service.

Updated 12 March 2020

About the service

Town View is a purpose-built care service run by the East Riding of Yorkshire Council. It is registered to provide a respite service for up to 14 people who are over 18 years old with learning and physical disabilities. Respite care provides planned short- and long-term breaks for people and their families including temporary emergency care. At the time of inspection 14 people were using the service.

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 using the service receive planned and co-ordinated person-centred support that is appropriate and inclusive for them.

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

People staying at Town View were happy and well supported. The home provided a safe place for people to stay and enjoy their everyday routines. Risks to people were assessed and managed appropriately to promote independence. There were suitable numbers of appropriately recruited staff. Appropriate systems were in place to manage medicines safely.

Staff were well trained and received suitable support. 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. People’s diverse needs were assessed and respected.

Staff understood their roles and knew what was expected of them. Staff were kind and caring and promoted positive relationships with people within the environment. The service had a warm, friendly and welcoming atmosphere with people enjoying the way staff provided them with care and support. Relatives spoke positively about the service.

People spent time in a way they chose to. Staff understood the importance of supporting people to be socially included and prevented them from social isolation. Complaints were responded to appropriately. People were encouraged to express their feelings and were supported with bereavement.

The service was focused on people’s wellbeing and having a sense of purpose. The registered manager promoted the visions and values of the service by embedding an open and honest culture. Staff felt supported in their role and had formed good working relationships. Quality assurance systems in place, monitored the service effectively and drove improvements when they were needed.

For more details, please see the full report which is on the Care Quality Commission website at www.cqc.org.uk

Rating at last inspection

The last rating for this service was good. (Published 12 July 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 re-inspection programme. If we receive any concerning information we may inspect sooner.