CQC report explained · a residential care home
What the CQC found at Townsend Hub
Rated Requires improvement: inspectors found the home was not performing as well as it should and told it what to change.
What inspectors found, January 2022
Requires Improvement; inspectors found enough staff and good partnership working, but risk records and management checks were not reliable enough.
This was an unannounced focused inspection on 30 November and 3 December 2021. One inspector spoke with people, relatives and staff, and reviewed care, medicines, staff and management records.
The home was rated Requires Improvement overall. Safe and Well-led were both rated Requires Improvement. Risks were assessed when people arrived, but records were not always reviewed as people's needs changed. Care records did not always show clearly that planned care had been delivered.
There were enough staff, medicines were generally managed safely, and the home was clean and well maintained. Staff worked well with health professionals and people achieved good reablement outcomes. However, incident analysis was missing and some relatives said communication could be better.
The home breached Regulation 17 on good governance. The provider was asked for an action plan, and CQC said it would monitor progress and return for another inspection.
Staff available
Inspectors found enough suitably qualified staff. Staff were visible and available to help people with essential care and social contact.
“There were enough suitably qualified staff to support people safely.” from the report
Good partnership working
Staff worked with nurses, physiotherapists and other professionals. This helped people achieve good health and reablement outcomes.
“People achieved good outcomes because of effective partnership working.” from the report
Medicines generally safe
Medicines, including controlled drugs, were stored and administered safely. Staff responsible for medicines had training and competency checks.
“Medicines were safely managed, stored and administered.” from the report
Clean and maintained
The home was safe and well maintained, with infection prevention measures in place and access to protective equipment.
“The environment was safe and well-maintained. The home was clean and effective infection prevention and control measures were in place.” from the report
Risk records not kept up to date
seriousRisk assessments were not always reviewed as people's needs changed. Some care plans were not detailed enough, and records did not always show that planned care had been completed.
“Risk assessments were completed when people were admitted to the home. However, these assessments were not always reviewed regularly to ensure people's changing needs were considered and safely managed.” from the report
Governance breach
seriousManagement systems did not identify problems with risk assessments and care records. The report says the provider failed to have robust procedures to assess, monitor and reduce risks.
“There was a failure to ensure appropriate processes were in place to assess, monitor and mitigate the risks to the health, safety and wellbeing of people.” from the report
Incidents not analysed
needs fixingIncidents were recorded and action was taken, but the home did not analyse them. This meant chances to learn and prevent similar events were missed.
“Analysis of incidents was not completed which meant opportunities for learning and reducing the risk of recurrence were missed.” from the report
As-required medicines
needs fixingSome as-required medicines did not have clear plans explaining when they should be given. CQC recommended that the provider review current guidance and update its practice.
“'As required' medicines (PRN) did not always have a plan in place to detail when this medicine would be needed.” from the report
Communication with relatives
minorSome relatives said communication with the home was not good enough and that it was difficult to reach the person in charge.
“Some relatives felt communication with the service could be improved.” from the report
- 01How are you now reviewing risk assessments when a person's needs change?
- 02How do you check and record that planned care, such as repositioning, has taken place?
- 03What changes have you made to analyse incidents and make sure lessons are acted on?
- 04How are as-required medicines now supported by clear instructions about when they should be given?
- 05Who should relatives contact for updates, and how do you prevent messages being passed between different staff?
This was an unannounced focused inspection of Safe and Well-led only; the other ratings were carried forward from the previous comprehensive inspection. This explanation was written from the published report of 27 January 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.
Every inspection of Townsend Hub
2 rated inspections over 5 years: the service has slipped, from Good to Requires improvement.
- January 2022Requires improvementcurrent ratingdown from GoodSafe: Requires improvementEffective: GoodCaring: GoodResponsive: GoodWell-led: Requires improvement
- December 2016GoodSafe: GoodWell-led: Good
- May 2019
Registered with the Care Quality Commission on 3 May 2019.
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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91 live-in carers within about an hour of Liverpool
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Most charge £980 to £1,260 a week. 83 can care for a couple. 10 years' experience on average.
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