Timperley Care Home

Updated 17 November 2022

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. We checked whether the provider was meeting the legal requirements and regulations associated with the Act. We looked at the overall quality of the service and provided a rating for the service under the Health and Social Care Act 2008.

As part of this inspection we looked at the infection control and prevention measures in place. This was conducted so we can understand the preparedness of the service in preventing or managing an infection outbreak, and to identify good practice we can share with other services.

Inspection team

There were 2 inspectors who visited the home on the first day of the inspection. An inspector and an Expert by Experience returned on the second day. An Expert by Experience is a person who has personal experience of using or caring for someone who uses this type of care service.

A medicines inspector went to the home on the third day of the inspection.

Service and service type

Timperley Care Home is a ‘care home’. People in care homes receive accommodation and nursing and/or personal care as a single package under one contractual agreement dependent on their registration with us. Timperley Care Home is a care home with nursing care. CQC regulates both the premises and the care provided, and both were looked at during this inspection.

Registered Manager

This provider is required to have a registered manager to oversee the delivery of regulated activities at this location. A registered manager is a person who has registered with the Care Quality Commission to manage the service. Registered managers and providers are legally responsible for how the service is run, for the quality and safety of the care provided and compliance with regulations.

At the time of our inspection there was not a registered manager in post. A new manager had been in post for 4 months and was in the process of registering with the CQC.

Notice of inspection

This inspection was unannounced.

What we did before inspection

We reviewed information we had received about the service since the last inspection. We sought feedback from the local authority and professionals who work with the service. We used the information the provider sent us in the provider information return (PIR). This is information providers are required to send us annually with key information about their service, what they do well, and improvements they plan to make. We used all this information to plan our inspection.

During the inspection

We spoke with 6 people who used the service and 5 relatives about their experience of the care provided at Timperley Care Home. We spoke with 19 members of staff including the manager, deputy manager, clinical service manager, nurses, senior support workers, support workers, the chef and housekeepers. We also spoke with a visiting medical professional. We reviewed a range of records, including 6 people’s care records and multiple medication records. We looked at a variety of records relating to the management of the service, including quality assurance and incident reports.

We observed the support provided throughout our inspection and viewed the environment of the home.

After the inspection

We received feedback from the medicines optimisation pharmacist and Greater Manchester integrated care system quality nurse who had visited the home during our inspection.

Updated 17 November 2022

About the service

Timperley Care Home is a nursing home providing personal and nursing care. There were 52 people living at the home at the time of the inspection. The service can support up to 56 people. The home provides en-suite rooms over 2 floors. The first floor predominantly supports people living with dementia and the ground floor for people needing general nursing care as well as people living with dementia. Both floors have communal lounges and dining areas, accessible bathrooms and there is a large accessible garden to the rear of the home.

People’s experience of using this service and what we found

Medicines were managed safely. However, we recommend the records to support staff to administer medicines to people via a feeding tube or covertly, hidden in food or drink are reviewed.

The home was clean throughout. We have made a recommendation about using current government guidance for wearing personal protective equipment.

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 did not always support this practice.

Deprivation of Liberty Safeguards were applied for where applicable. However, we have made a recommendation to improve the systems to ensure re-applications are completed on time.

People and their relatives said they felt safe living at Timperley Care Home. Staff knew how to report any concerns and all incidents and accidents were recorded and reviewed by the manager to ensure actions had been taken to reduce the risk of a re-occurrence.

People said the food was good. Staff made referrals to medical professionals appropriately and followed any guidance provided. Staff received the training and support to carry out their roles.

A quality assurance system was in place with a series of planned audits. Action plans were automatically developed for any issues found. We saw the manager had a home action plan, with many of the actions already completed or in progress.

The provider had oversight of the home through weekly visits and a monthly provider audit. The area manager and director also had remote access to the care planning and quality systems.

Staff said the manager was visible within the home and was approachable. Relatives felt listened to and if they raised a concern it was resolved.

We expect health and social care providers to guarantee autistic people and people with a learning disability the choices, dignity, independence and good access to local communities that most people take for granted. Right support, right care, right culture is the statutory guidance which supports CQC to make assessments and judgements about services providing support to people with a learning disability and/or autistic people. We considered this guidance as there was one person using the service who had a learning disability and or who was autistic.

The person’s family was very involved in their relative’s care and support. They had provided information about their learning disability and needs for the staff to follow. We discussed with the manager the new regulation for all staff to have completed training in learning disability awareness.

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 24 June 2021).

Why we inspected

We received concerns in relation to the management of the home, managing the risks people may face, medicines management, nutrition, staff training and equipment at the home. As a result, we undertook a focused inspection to review the key questions of safe, effective and well-led only. For those key questions not inspected, we used the ratings awarded at the last inspection to calculate the overall rating.

We looked at infection prevention and control measures under the Safe key question. We look at this in all care home inspections even if no concerns or risks have been identified. This is to provide assurance that the service can respond to COVID-19 and other infection outbreaks effectively.

The overall rating for the service has remained good based on the findings of this inspection.

You can read the report from our last comprehensive inspection, by selecting the ‘all reports’ link for Timperley Care Home on our website at www.cqc.org.uk.

Recommendations

We have made recommendations about medicines management, infection control and the Deprivation of Liberty Safeguards. Please see the relevant key questions safe and effective sections of this report.

Follow up

We will continue to monitor information we receive about the service, which will help inform when we next inspect.