CQC report explained · a residential care home
What the CQC found at Turnbull Close
Rated Good: inspectors found the home performing well and meeting their expectations.
- Safe?
- Good
- People were protected from abuse and avoidable harm, and risks such as choking and epilepsy were assessed and reviewed. Staff were recruited safely overall, although one file had a discrepancy in employment dates.
- Effective?
- Good
- People's health, social and emotional needs were assessed, and staff worked with relatives and health professionals. Staff received induction, training and competency checks.
- Caring?
- Good
- Inspectors saw kind, patient and respectful support. People were helped to make choices, stay in touch with family and friends, and remain as independent as possible.
- Responsive?
- Good
- Care was planned around people's individual needs, preferences and communication. People were supported with activities, work, local transport and visits to community places.
- Well-led?
- Good
- The manager had oversight of the service and used audits, feedback, incidents and complaints to identify improvements. Staff said they felt supported and listened to.
What inspectors found, February 2020
Rated Good; inspectors found kind, person-centred care, with one recruitment record discrepancy and a home larger than current best-practice guidance.
This was an unannounced inspection on 16 January 2020. One inspector spoke with people, staff and the registered manager, observed care, and reviewed care plans, medicines records, staff recruitment files and management checks.
All five areas were rated Good: Safe, Effective, Caring, Responsive and Well-led. Inspectors found enough trained staff, safe medicines support, personalised care, kind relationships and good support for people to be independent and take part in community activities.
The home was supporting 10 people and could support up to 12. It was larger than current best-practice guidance for this type of service, but inspectors said the design and location reduced the possible negative effect. One staff file had an employment-date discrepancy, and the registered manager acted on this immediately.
Choice and independence
People were supported to make choices, develop skills and do more for themselves. This included going out, using local transport and taking part in work and activities.
“The outcomes for people using the service reflected the principles and values of Registering the Right Support by promoting choice and control, independence and inclusion.” from the report
Kind relationships
Staff knew people well and recognised changes in body language or behaviour. Inspectors saw positive, patient and compassionate interactions.
“People were supported by kind, caring and compassionate staff.” from the report
Community involvement
People were supported to attend day centres, cafes, shops, restaurants and activities. Staff also supported people with jobs and public transport.
“People were supported to be an active part of the local community, for example visiting day centres and cafes and they were supported with attending jobs and activities.” from the report
Good management checks
The manager monitored the service, reviewed incidents and complaints, and took action when checks identified a shortfall.
“Audits and checks on the quality of service were effective. Action was taken when a shortfall was identified.” from the report
Recruitment record discrepancy
minorOne staff file showed different employment dates on a reference and the application form. The registered manager took immediate action to address this.
“We found one staff file contained a discrepancy on the dates of a member of staff's employment on a reference compared to the application they had completed.” from the report
Larger than current guidance
minorThe home was larger than current best-practice guidance for this type of service. Inspectors said the building design and its setting helped reduce the possible negative impact.
“The service was a large home, bigger than most domestic style properties.” from the report
- 01What checks are now used to make sure employment dates and other recruitment information match across each staff file?
- 02How do you decide staffing levels when several people need appointments, work or community activities at the same time?
- 03How will the bathroom updates affect people, and how will you support anyone who may become anxious during the work?
- 04How will you involve my relative and our family in reviewing the care plan and communication guidance?
- 05What activities, work opportunities and community visits could be offered to my relative based on their interests and needs?
This was an unannounced planned inspection covering all five key questions, including the care provided, the premises, care records, medicines, staff files and management systems. This explanation was written from the published report of 22 February 2020 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 Turnbull Close
Each visit the CQC has published, newest first, back to the day the home was registered.
- February 2020Goodcurrent ratingSafe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
- January 2019
Registered with the Care Quality Commission on 16 January 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.
Weigh the report against the rest
Fees, photos and reviews from families
How to read CQC ratings and reports
What to check when you visit
39 live-in carers within about an hour of Kent
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. 33 can care for a couple. 12 years' experience on average.
“Always on time and with a lovely smile for my mum. Theresa is kind and sensitive to my mum's needs.”
“Irene was a very kind and empathetic carer who knew just the right words to say to put a smile on my face.”
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.