Thornbury

Updated 12 February 2019

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.

Inspection team: The inspection team consisted of an adult social care inspector.

Service and service type: The service is a 'care home'. People in care homes receive accommodation and personal care as single package under one contractual agreement. The Care Quality Commission (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. This means that they and the provider are legally responsible for how the service is run and for the quality and safety of the care provided.

Notice of inspection: This inspection was announced one hour before we arrived. This was to ensure the person and staff would be available to speak with us.

What we did: We reviewed the records held on the service. This included notifications. Notifications are specific events that the provider is required to tell us by law. We reviewed the Provider Information Return (PIR) submitted by the registered manager. This told us what the service had achieved and what they intend to develop in future. We require the provider to submit this annually and it provides us with information to plan our inspection.

The person living at Thornbury were not able to fully share with us their experiences of living at the service. Therefore, we spent time observing staff with the person in communal areas during the inspection.

During the inspection we spoke with staff, reviewed two staff recruitment and supervision files, one care record and records relating to health and safety, safeguarding and other aspects of the service. We spoke with three care staff, manager, operational manager and the behavioural analyst. Following the inspection visit we spoke with a relative to gain their views of the service.

Updated 12 February 2019

About the service:

Thornbury is a residential care home that accommodates up to two people living with learning disabilities or autistic spectrum disorder. At the time of our inspection one person was living at the home. The care service has been developed and designed in line with the values that underpin the Registering the Right Support and other best practice guidance. These values include choice, promotion of independence and inclusion. People with learning disabilities and autism using the service can live as ordinary a life as any citizen ' Registering the Right Support' CQC policy.

People’s experience of using this service:

People were supported by staff who were caring, compassionate and treated them with the utmost dignity and respect. Any concerns or worries were listened and responded to and used as opportunities to improve.

The person received person centred care and support based on their individual needs and preferences. Staff were aware of their life history, and their communication needs. They used this information to develop positive, meaningful relationships with them.

The provider ensured the person had regular staff meaning the person and staff were able to build positive relationships. The person was supported by staff who had the skills and knowledge to meet their needs. Staff understood and felt confident in their role.

Staff liaised with other health care professionals to ensure the person's safety and meet their health needs.

Where people lacked capacity, staff worked with the local authority to make sure they minimised any restrictions on people’s freedom for their safety and wellbeing.

Staff spoke positively about working for the provider. They felt well supported and that they could talk to management at any time, feeling confident any concerns would be acted on promptly. They felt valued and happy in their work.

Audits were completed by staff, the registered manager and provider to check the quality and safety of the service.

Thornbury is a leased property on a long term basis by Green Light PBS Limited who run a number of services within Cornwall. There is a clearly defined management structure and regular oversight and input from senior management. The ethos of the service is ‘Empowering people to lead a lifestyle they are proud of.’ Staff were aware and supported people to achieve this ethos.

More information is in Detailed Findings below

Rating at last inspection: This was the first inspection of the service.

Why we inspected: This was the first planned comprehensive inspection of the service. The service has an overall rating of Good.

Follow up: We will continue to monitor intelligence we receive about the service until we return to visit as per our re-inspection programme. If any concerning information is received we may inspect sooner.