Archived: Therese Care Home

Updated 25 March 2023

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

This inspection was carried out by 1 inspector.

Service and service type

Therese Care Home 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.

Registered Manager

This provider is not required to have a registered manager to oversee the delivery of regulated activities at this location, this is because the service is managed by an individual. A registered manager is a person who has registered with the Care Quality Commission to manage the service. Registered managers and providers are legally responsible for how the service is run, for the quality and safety of the care provided and compliance with regulations.

Notice of inspection

The inspection took place on 24 January and 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 health 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 in person with the manager, 1 care worker and 2 people using the service. We also reviewed a range of records, including 2 people’s care plans and risk records and 3 staff files in relation to recruitment, training and supervision. We also checked a variety of records relating to the management of the service, including audits and quality assurance records.

Updated 25 March 2023

About the service

Therese Care Home provides residential care for up to 3 people with mental health needs. At the time of our inspection there were 2 people using the service.

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

People told us that Therese Care Home was a safe place to live and they considered it their home. This was due to the length of time they had been living there and the stable staff team that had supported them over the years.

People using the service were kept as safe as possible form harm because staff understood what steps to take reduce and manage any identified risks to them. Staff understood how to protect people from abuse, including who to report any concerns to.

There were enough staff employed to meet people’s needs, including taking them out into the community and supporting them with their personal care and medicines support needs. Medicines were administered safely by staff who had been trained to do so.

The home was clean and hygienic. Staff used Personal Protection Equipment (PPE) effectively.

There was a warm, open culture within the home. We received positive feedback about how the home was run by the manager.

Staff carried out checks to ensure that people continued to receive a good level of care. These included medicines, infection control, health and safety and other checks.

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

The last rating for this service was Good (published 29 August 2018). The overall rating for the service remains good. This is based on the findings at this inspection.

Why we inspected

We undertook this inspection as part of a random selection of services rated Good and Outstanding.

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.

We did not inspect the key questions of effective, caring and responsive.

For those key questions not inspected, we used the ratings awarded at the last inspection to calculate the overall rating.

You can read the report from our last comprehensive inspection, by selecting the ‘all reports’ link for Therese Care Home on our website at www.cqc.org.uk.

Follow up

We will continue to monitor information we receive about the service, which will help inform when we next inspect.