02 and 03 December 2014
During a routine inspection
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.