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What the CQC found at Town Moor House

Goodpublished 22 October 2022, 3 years ago

Rated Good: inspectors found the home performing well and meeting their expectations.

The five questions inspectors ask
Safe?
Good
Inspectors found that risks were assessed and managed, staffing levels were sufficient, medicines were given safely and infection control arrangements were effective. Accidents and incidents were reviewed so lessons could be learned.
Effective?
Good
People's needs and choices were assessed, and staff received training and supervision. People were supported with food, drinks, healthcare and decisions made under the Mental Capacity Act.
Caring?
Good
Staff were observed treating people in a caring, kind and considerate way. People were involved in choices about their care, and their privacy, dignity and confidentiality were respected.
Responsive?
Good
Care plans recorded people's preferences and staff knew people well. The home provided group and one-to-one activities, supported communication needs and had a complaints process.
Well-led?
Good
The management team used regular audits to monitor areas such as medicines, incidents, safeguarding and complaints. Inspectors found an open and supportive culture, with clear roles and support for staff.
The latest report, explained

What inspectors found, October 2022

Rated Good; inspectors found safe, kind and personalised care, with improvements since the previous inspection.

This was an unannounced, comprehensive inspection on 4 October 2022. Two inspectors and an Expert by Experience visited the home. They spoke with five people and seven staff, observed care, and checked care, medicines and management records.

The home was rated Good in all five areas: Safe, Effective, Caring, Responsive and Well-led. Inspectors found enough staff, safe medicines support, suitable care plans, good infection control and staff who treated people with kindness and respect.

The previous rating was Requires Improvement, published in July 2019. The provider had been asked to improve safe care, person-centred care and governance. Inspectors found enough improvement had been made and said the home was no longer in breach of the regulations.

What inspectors praised
  • Risks managed

    Inspectors found that risks relating to people's care and support had been assessed, with clear information for staff about how to reduce those risks.

    “Risks in relation to people's care and support had been assessed and were managed effectively.” from the report
  • Kind and respectful care

    Staff were seen treating people with kindness and consideration. People were supported to make choices and their dignity and privacy were protected.

    “We observed staff interacting with people and found they were caring, kind and considerate.” from the report
  • Personalised support

    Care plans included people's preferences and staff understood what mattered to them. The home also provided activities, outings and one-to-one support.

    “Care plan's detailed people's preferences and how they liked to spend their day.” from the report
  • Improved oversight

    The manager carried out regular audits and acted on issues and lessons learned. Inspectors said the earlier governance problems had been addressed.

    “Monthly audits were carried out by the registered manager.” from the report
What inspectors were concerned about

Inspectors raised no specific concerns in this report.

Questions to ask them, based on this report
  1. 01How will you assess and record my relative's individual risks and make sure staff follow those plans?
  2. 02How will you support my relative's food, drink and healthcare needs, including any advice from outside professionals?
  3. 03What activities and one-to-one support would be available if my relative does not want to join group activities?
  4. 04How would you support my relative's communication needs, including the use and care of hearing aids or spectacles?
  5. 05How are medicines, accidents, safeguarding and complaints audited, and how are families told about any relevant changes?

This was an unannounced comprehensive inspection covering all five Key Questions, including infection prevention and control under Safe. This explanation was written from the published report of 22 October 2022 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.

An earlier report, explained

What inspectors found, January 2021

Town Moor House was inspected but not rated; inspectors were assured about infection prevention and control during the targeted visit.

This was a targeted inspection on 16 December 2020. It checked infection prevention and control because of the CQC's response to coronavirus outbreaks in care homes. The visit was announced.

Inspectors found the home was clean and well ventilated. Staff used personal protective equipment appropriately, and the home was accessing government testing for people and staff.

The home had a COVID-19 secure visiting area, which inspectors saw being used. Infection control procedures were supported by pictorial signs, extra domestic hours and oversight from the registered manager.

The service was inspected but not rated. The inspection did not give an overall quality rating or ratings for the other areas of care.

What inspectors praised
  • Infection control

    The home was clean and well ventilated, with extra domestic hours used to strengthen infection control.

    “The home was clean and well ventilated, with additional domestic hours being used to enhance infection control processes.” from the report
  • Testing arrangements

    The home was using the government testing scheme, and inspectors found that management had good oversight of it.

    “The home was accessing the government testing scheme and the registered manager demonstrated good oversight of this.” from the report
  • Safe visiting

    People were supported to stay in contact with family and friends through a dedicated secure visiting area.

    “People were supported to keep in touch with family and friends, and a COVID-19 secure visiting area had been developed.” from the report
  • Use of PPE

    Inspectors saw staff using protective equipment appropriately.

    “Staff wore PPE appropriately.” from the report
What inspectors were concerned about

Inspectors raised no specific concerns in this report.

Questions to ask them, based on this report
  1. 01How often are people and staff currently tested, and how are the results recorded and acted on?
  2. 02Is the COVID-19 secure visiting area still available, and what are the current arrangements for visiting?
  3. 03How are cleaning, ventilation and infection control checks monitored now?
  4. 04Can you show us the current infection prevention and control policy and explain how possible outbreaks would be managed?

This was a targeted inspection of infection prevention and control only; it did not provide ratings for the other areas of care or an overall rating. This explanation was written from the published report of 8 January 2021 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.

The story over the years

Every inspection of Town Moor House

4 rated inspections over 7 years: the service has held its Good rating throughout.

  1. October 2022Goodcurrent rating
    Safe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good

    Read what inspectors found at Town Moor House →

  2. January 2021Inspected but not rated
    Safe: Inspected but not rated

    Read what inspectors found at Town Moor House →

  3. July 2019Requires improvementstayed Requires improvement
    Safe: Requires improvementEffective: Requires improvementCaring: Requires improvementResponsive: Requires improvementWell-led: Requires improvement

    Read this report on cqc.org.uk

  4. July 2018Requires improvementdown from Good
    Safe: Requires improvementEffective: Requires improvementCaring: Requires improvementResponsive: Requires improvementWell-led: Requires improvement

    Read this report on cqc.org.uk

  5. April 2016Good
    Safe: GoodEffective: GoodCaring: GoodResponsive: Requires improvementWell-led: Good

    Read this report on cqc.org.uk

  6. July 2014

    Report published without a new overall rating.

    Read this report on cqc.org.uk

  7. August 2013

    Report published without a new overall rating.

    Read this report on cqc.org.uk

  8. December 2012

    Report published without a new overall rating.

    Read this report on cqc.org.uk

  9. May 2012

    Report published without a new overall rating.

    Read this report on cqc.org.uk

  10. January 2011

    Registered with the Care Quality Commission on 24 January 2011.

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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