17 January 2024
During an inspection looking at part of the service
Turret Villa Retirement Home is a care home which provides personal care and accommodation for up to 35 older people. At the time of the inspection, 27 people were living at the service and 26 people received the regulated activity.
People’s experience of using this service and what we found
Medicines were not always managed safely. Medicines were not always stored appropriately or disposed of safely. Medicines stock balances were not correct and care plans for specialist medicines were not always in place. Medicines audits were not robust.
People were not always supported to have maximum choice and control of their lives and staff did not always support them in the least restrictive way possible. The practices around documenting decisions were not in line with guidance.
The provider’s quality assurance and monitoring systems were not always effective. Some staff training was significantly out of date. We could not be assured that lessons had been learnt and shared with staff following incidents or accidents. The quality monitoring systems had not identified the issues we found during the inspection.
Risks to people had been assessed but actions to reduce risks were not always followed. Some risk assessments were generic, others were in place for people who did not need them such as a denture assessment for someone who didn’t wear them.
Staff understood how to protect people from poor care and abuse. The service had enough staff to meet people's needs and keep them safe.
The building was well maintained, and health and safety risks were assessed. People enjoyed the food and special dietary needs were catered for.
There was a positive culture in the service. Staff said the management team were supportive. People enjoyed living at the service and felt listened to. People generally felt the care was good.
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 22 August 2020).
Why we inspected
We received concerns in relation to medicines management and the overall management of the service. As a result, we undertook a focused inspection to review the key questions of safe, effective and well-led only. For those key questions not inspected, we used the ratings awarded at the last inspection to calculate the overall rating. The overall rating for the service has changed from good to requires improvement based on the findings of this inspection.
You can see what action we have asked the provider to take at the end of this full report.
You can read the report from our last comprehensive inspection, by selecting the ‘All inspection reports and timeline’ link for Turret Villa Retirement Home on our website at www.cqc.org.uk.
Enforcement
We have identified breaches in relation to medicines management, staff training, consent to care and quality assurance at this inspection. Please see the action we have told the provider to take at the end of this report.
Follow up
We will continue to monitor information we receive about the service, which will help inform when we next inspect.