CQC report explained · a residential care home
What the CQC found at 9 Twyford Lane
Rated Good: inspectors found the home performing well and meeting their expectations.
- Safe?
- Good
- People felt safe and risks were assessed and reviewed monthly. Inspectors found enough staff, safe recruitment, safe medicines systems and suitable infection control arrangements.
- Effective?
- Good
- People's physical, mental health, rehabilitation and social needs were assessed. Staff had suitable training and supported people with meals, healthcare and independence.
- Caring?
- Good
- Staff knew people well and treated them with kindness, dignity and respect. People were involved in decisions about their care and supported to remain independent.
- Responsive?
- Outstanding
- Care was highly personalised and people were supported to achieve individual goals, follow their interests and take part in community life. Inspectors described staff as often going the extra mile.
- Well-led?
- Good
- The home was well managed, with regular audits, staff support and systems to learn from incidents. People, relatives and staff gave very positive feedback about the management.
What inspectors found, November 2019
Disabilities Trust - 9 Twyford Lane was rated Good overall, with Outstanding support for people's choices, goals and independence.
The inspection took place on 16 and 17 October 2019. One inspector spoke with three people, four staff members and two relatives. They also reviewed care, medicines, staff and management records.
The home supported nine people with acquired brain injuries. Inspectors found that people were safe, received effective care and were treated with kindness and respect. Staffing levels were good, risks were managed and medicines were administered safely.
The strongest area was being responsive to people's individual needs. People were supported to follow their interests, take part in community activities, volunteer, travel and work towards personal goals. The overall rating was Good, with the Responsive rating improved from Good to Outstanding since the previous inspection.
Personal goals
Staff supported people to identify and work towards their own goals and dreams. This included travel, swimming, work and adventurous activities.
“Staff supported people to identify their short and long term goals and dreams and there were clear plans in place to help people achieve these.” from the report
Independence
People were supported to make choices and do more for themselves, including shopping, cooking, going into the community and volunteering.
“People were supported to live as independently as possible and the service was split into three individual houses all on one complex.” from the report
Kind relationships
Inspectors found that staff knew people well and had built warm, respectful relationships with them. People and relatives spoke positively about the care.
“They had developed positive relationships with the staff.” from the report
Community involvement
The home helped people build links in the local community through volunteering, social activities, worship and maintaining relationships.
“The service took a key role in the local community and was actively involved in building further links.” from the report
Accessible communication
Information about care planning, meetings and complaints was available in easy-read and pictorial formats.
“There were easy read and pictorial guides available for people.” from the report
Inspectors raised no specific concerns in this report.
- 01How would you support my relative's particular rehabilitation, communication and behavioural needs?
- 02Which personal goals and activities would you help my relative work towards?
- 03How do you balance positive risk-taking with keeping people safe when they go out independently?
- 04How would you support my relative to manage medicines, including self-medicating if appropriate?
- 05How would my relative and our family be involved in care reviews, complaints and decisions about support?
This planned inspection looked at all five key questions and reviewed the care and premises, with ratings compared with the previous inspection published on 3 May 2017. This explanation was written from the published report of 22 November 2019 by an AI system and checked against the report text: every quoted line appears in the report. It is a guide to the report, not a substitute for it. Read the full report on cqc.org.uk.
What inspectors found, May 2017
Disabilities Trust - 9 Twyford Lane is rated Good; inspectors found safe, kind and personalised care, with systems supporting people's independence.
This was an unannounced comprehensive inspection on 7 April 2017. One inspector reviewed records, spoke with seven people living at the home and four staff members, and checked information from the provider and local authority.
The inspectors found that people were safe and that there were enough staff. Risks and medicines were managed, staff were trained, and people were supported with food, drink and healthcare appointments.
People had positive relationships with staff and were treated with kindness, dignity and respect. Care was based on individual needs and goals, with support for activities, work opportunities and involvement in decisions.
The overall rating was Good, and all five areas were rated Good. The home remained Good, the same rating given at the previous inspection on 7 April 2015.
Safe staffing
Inspectors found enough staff to meet people's assessed needs. Records also showed continuity of staffing and robust recruitment procedures.
“There were enough staff members to make sure people's needs were being met.” from the report
Personalised care
Care was planned around each person's needs, wishes and goals. Plans were reviewed when people's needs or achievements changed.
“Care plans were then produced based on this information and goals were set with the person based on what they wanted to achieve.” from the report
Kind relationships
People and staff had positive relationships. Inspectors saw people being treated as equals and supported with dignity and respect.
“There were positive relationships between people and members of staff.” from the report
Quality monitoring
The home used regular checks and audits to identify improvements and put action plans in place.
“There were quality assurance systems in place to help monitor the care being provided and identify areas for improvement or development.” from the report
Inspectors raised no specific concerns in this report.
- 01How would you assess and support my relative's individual needs and goals following an acquired brain injury?
- 02How would you help my relative manage medicines and daily tasks independently, while providing support when needed?
- 03How do you make sure care plans stay up to date when a person's needs, wishes or goals change?
- 04What activities, community opportunities or work placements could my relative take part in?
- 05How do you maintain staffing continuity and make sure there are enough staff for each person's assessed needs?
This was an unannounced comprehensive inspection covering all five areas: Safe, Effective, Caring, Responsive and Well-led. This explanation was written from the published report of 3 May 2017 by an AI system and checked against the report text: every quoted line appears in the report. It is a guide to the report, not a substitute for it. Read the full report on cqc.org.uk.
Every inspection of 9 Twyford Lane
3 rated inspections over 5 years: the service has held its Good rating throughout.
- November 2019Goodcurrent ratingstayed GoodSafe: GoodEffective: GoodCaring: GoodResponsive: OutstandingWell-led: Good
- May 2017Goodstayed GoodSafe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
- May 2015GoodSafe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
- October 2013
Report published without a new overall rating.
- January 2013
Report published without a new overall rating.
- October 2011
Report published without a new overall rating.
- December 2010
Registered with the Care Quality Commission on 6 December 2010.
Ratings and report dates from the Care Quality Commission, Open Government Licence v3.0. A home can also be visited without a new rating being published, so the timeline shows published inspections.
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At least 100 live-in carers within about an hour of Milton Keynes
These are self-employed carers on PrimeCarers, the introductory agency that runs this directory. Each has a profile with their own rates and reviews from families, and you choose who to talk to.
Most charge £980 to £1,260 a week. 90 can care for a couple. 11 years' experience on average.
“We can all fully relax around Nyarai and she feels like part of our family, which is no mean feat!”
“She was v competent and confident and we felt our mum was safe in her care. She supported us through a difficult time.”
Every carer has had an enhanced DBS check in the last 18 months, ID and right-to-work checks and an online interview. Their skills and training are for you to check with them. Carers set their own rates, and who is free changes week to week.