Updated 13 June 2019
The inspection
We carried out this inspection under Section 60 of the Health and Social Care Act 2008 (the Act) as part of our regulatory functions. This inspection was planned to check whether the provider was meeting the legal requirements and regulations associated with the Act, to look at the overall quality of the service, and to provide a rating for the service under the Care Act 2014.
Inspection team
This inspection was carried out by one inspector.
Service and service type
Turning Point 1-2 Cuthberts Close is a 'care home'. People in care homes receive accommodation and nursing or personal care as a single package under one contractual agreement. CQC regulates both the premises and the care provided, and both were looked at on this inspection.
The service had a manager registered with the Care Quality Commission, but they were absent when we visited. The provider’s locality manager and area manager were managing the home when we visited. A registered manager and the provider are legally responsible for how the service is run and for the quality and safety of the care provided.
The service has been developed and designed in line with the principles and values that underpin Registering the Right Support and other best practice guidance. This ensures that people who use the service can live as full a life as possible and achieve the best possible outcomes. The principles reflect the need for people with learning disabilities and/or autism to live meaningful lives that include control, choice, and independence. People using the service receive planned and co-ordinated person-centred support that is appropriate and inclusive for them.
Notice of inspection
We gave the service 24 hours’ notice of the inspection visit because people who use the service are often out during the day, so we needed to be sure someone would be in.
What we did
Before the inspection we reviewed the information we held about the service. This included the statutory notifications sent to us by the registered provider about incidents and events that had occurred at the service. A notification is information about important events which the service is required to send to us by law. We also contacted the commissioners of the service to gain their views.
The provider had completed a Provider Information Return (PIR). This is a form that asks the provider to give some key information about the service, what the service does well and any improvements they plan to make. We used all this information to plan how the inspection should be conducted.
Some of the people who used the service had complex needs which limited their communication. This meant they could not always tell us their views of the service so we sought the views of two relatives by telephone. During the visit we observed how people were supported in communal areas and spoke with three people who used the service. We spoke with the provider’s locality manager, the area manager, one agency nurse and three support workers.
We looked at care records for two people, medicine records for four people, recruitment records for two staff and other records relating to the management and quality monitoring of the service.