Turfcote Care Home with Nursing

Updated 10 February 2022

We carried out this inspection under Section 60 of the Health and Social Care Act 2008 as part of our regulatory functions. This inspection was planned to check whether the provider is meeting the legal requirements and regulations associated with the Health and Social Care Act 2008.

As part of CQC’s response to the COVID-19 pandemic we are looking at how services manage infection control and visiting arrangements. This was a targeted inspection looking at the infection prevention and control measures the provider had in place. We also asked the provider about any staffing pressures the service was experiencing and whether this was having an impact on the service.

This inspection took place on 26 January 2022 and was announced. We gave the service 24 hours notice of the inspection.

Updated 10 February 2022

This inspection was carried out on the 27, 28 February 2018 and 9 March 2018 and the first day was unannounced.

At our inspection on 27 June 2017 we found breaches of legal requirements. There were concerns about the unavailability of suitable activities for people in the home, records in care plans were incomplete with poor recording of support and care reviews and the service’s checks and audits were not picking up on issues.

We asked the provider to make improvements in all of these areas and they kept CQC informed of the changes that had been made.

At this inspection we found that improvements had been made in all of these areas but that further steps were required in relation to the provision of activities for people.

We found that there were activities available for people and that the home had employed an activities coordinator. However, there were days when sufficient activities were not arranged and the activities coordinator required training. Records in care plans were complete and accurate and the service’s auditing systems were highlighting issues of potential concern and checks were being made to ensure that the service operated effectively.

Turfcote Care Home with Nursing is a ‘care home’ in Rossendale in the county of Lancashire. People in care homes receive accommodation and nursing or personal care as single package under one contractual agreement. CQC regulates both the premises and the care provided and both were looked at during this inspection.

The home is registered to provide accommodation and support for up to 76 people and cares for people, including those living with dementia and general nursing and personal care. At the time of our inspection 46 people were using the service.

There was a registered manager in place who had been registered since 1 October 2010. A registered manager is a person who has registered with the Care Quality Commission to manage the service. Like registered providers, they are ‘registered persons’. Registered persons have legal responsibility for meeting the requirements in the Health and Social Care Act 2008 and associated regulations about how the service is run.

People using the service said they felt safe and that staff treated them well. There were enough staff on duty and deployed throughout the home to meet people’s care and support needs. Safeguarding adult’s procedures were robust and staff understood how to safeguard people they supported. There was a whistle-blowing procedure available and staff said they would use it if they needed to. Appropriate recruitment checks took place before staff started work.

People were supported to maintain a balanced diet and had access to a range of healthcare professionals when required. People received appropriate end of life care and support.

We found that people and their relatives, where appropriate, had been involved in planning for their care needs. Care plans and risk assessments provided clear information and guidance for staff on how to support people using the service with their needs. People and their relatives knew about the home’s complaint’s procedure and said they were confident their complaints would be fully investigated and action taken if necessary.

The registered manager and provider conducted regular checks to make sure people were receiving appropriate care and support. The registered manager took into account the views of people using the service, their relatives and staff through meetings and surveys. The results were analysed by the provider and action was taken to make improvements at the home. Staff said they enjoyed working at the home and received appropriate training and good support from the management team.