17 October 2023
During an inspection looking at part of the service
Thornbury Residential Home is registered to provide personal care and accommodation for up to 19 older people. At the time of the inspection there were 18 people living at the service. The service provides care to older people, with conditions affecting their mobility, general frailty, and medical conditions such as heart failure, and diabetes.
People’s experience of using this service and what we found
The registered manager had systems and processes to safely assess and manage risks to people, including their medicines and the environment. However, these had not identified some of the shortfalls we found. For example, the audits had not identified that water temperatures whilst tested had not been recorded and that as required medicine protocols had not been transferred over with the new medicine providers administration records. These were immediately actioned, and risk mitigated.
People received safe care and support by staff trained to recognise signs of abuse or risk and understood what to do to support people safely. People told us, "I am safe, and the girls are wonderful.” People had care plans and risk assessments which meant peoples’ safety and well-being were promoted and protected. The environment was clean, well-maintained, and comfortable. There were enough staff to meet people's needs. Safe recruitment practices had been followed before staff started working at the service. Accidents and incidents were recorded, and lessons learnt to prevent re-occurrences.
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.
There was an effective management team at Thornbury Residential Home which provided good leadership for staff, and they communicated effectively with people, relatives, and health professionals. The management team were approachable and available to people, staff, and visitors. Staff were positive about their roles in the home and felt valued for the work they did. One staff member said,"We get thanked for the job we do, its very rewarding."
People who lived at the service, their relatives and staff were encouraged to give their views, and these were listened to and acted upon by the management team. People and their relatives felt able to raise any concerns they had and were confident they would receive an appropriate response.
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 November 2017)
Why we inspected
We undertook this inspection due to the age of the last rating.
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 remained Good and is based on the findings at this inspection.
You can read the report from our last comprehensive inspection, by selecting the ‘all reports’ link for Thornbury Residential 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.