Archived: Tynecroft

Updated 22 January 2015

We carried out this inspection under Section 60 of the Health and Social Care Act 2008 as part of our regulatory functions. This inspection checked whether the provider is meeting the legal requirements and regulations associated with the Health and Social Care Act 2008, to look at the overall quality of the service, and to provide a rating for the service under the Care Act 2014.

This unannounced inspection took place on 02 and 03 December 2014 and was carried out by one inspector.

Before the inspection we looked at all of the information that we had about the home. This included information from notifications received by us. A notification is information about important events which the provider is required to send to us by law. We also reviewed the provider information return. This is information that the provider is required to send to us to give us some key information about the service including what the service does well and any improvements that they intend to make. We also made contact with a local authority contract monitoring officer and health care professionals.

During the inspection we spoke with six people who lived at Tynecroft and two relatives. The registered manager was not available when we visited. We spoke with six members of staff, including the deputy manager. We looked at five people’s care records and reviewed records in relation to the management of the service. We also observed activities taking place throughout the home and how staff supported people.

Due to the complex communication needs of some of the people living at the care home, we carried out a Short Observational Framework for Inspection (SOFI) during lunch time. SOFI is a specific way of observing care to help us understand the experiences of people who could not talk to us.

Updated 22 January 2015

Tynecroft care home is situated in a suburb of the city of Peterborough and is registered to provide support and non-nursing care for up to 16 adults who have a learning disability. The care home is a domestic-style dwelling and is divided into two separate buildings with a shared garden/courtyard. At the time of our inspection there were 15 people living at the home.

The inspection was unannounced and was carried out on 02 and 03 December 2014 by one inspector. The last inspection was carried out on 08 August 2013 when we found the provider was meeting the requirements of the regulations.

A registered manager was in post. 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 were protected people from the risk of harm and were looked after by enough staff. People were supported to take their medication as prescribed and also their individual health and safety risks were assessed and these were well-managed. Satisfactory checks were completed during the recruitment of new staff so that only suitable staff looked after people who lived at Tynecroft care home.

People received the care that met their individual health needs and they were supported to eat and drink sufficient amounts of food and drink.

People’s rights in making decisions and suggestions in relation to their support and care were valued and acted on. Individual recreational and social hobbies and interests were provided to maintain and promote people’s confidence and wellbeing. Staff were trained and supported to provide people with safe and appropriate support and care.

The CQC monitors the operation of the Mental Capacity Act 2005 (MCA) and the Deprivation of Liberty Safeguards (DoLS) which applies to care services. We found that people’s rights may not have been fully protected as we found some of the people only went out with the support from staff although DoLS applications had not been made and submitted to the authorising agencies.

People were treated with respect by patient and attentive staff and they were involved in the development and review of their own care plans.

People received care that was responsive to their individual needs and were supported to maintain contact with their relatives and make friends. There were also community links and people were also supported to visit local amenities. People knew who to speak with if they were unhappy and wanted to make their concerns known.

The care home was well-led and staff enjoyed their work and were supported and managed to look after people in a caring and safe way. People were enabled to be integrated in to the local community. They and staff made suggestions at meetings and actions were taken as a result. Quality monitoring procedures were in place and effective action had been taken where improvements were identified.