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People told us they felt safe living at Threeways Nursing Home. There were sufficient levels of staff to protect people’s health, safety and welfare. The provider had improved staffing levels based on the dependency of people’s needs. The Care Quality Commission monitors the operation of the Deprivation of Liberty Safeguards and to report on what we find.
We spoke with the matron who confirmed that she had monitored response times to call bells and that there had been improvements in this area. We found that care plans had been reviewed to show the needs of people and how they should be met. The provider had introduced new systems to monitor and improve the service. People told us what it was like to live at Threeways Nursing Home and described how they were treated by staff and their involvement in making choices about their care. They also told us about the quality and choice of food and drink available. The quality assurance system had been reviewed and areas for change had been identified and prioritised to drive improvement.
CQC Rating for Threeways Nursing Home
The registered manager was familiar with the processes involved in the application for a DoLS, and had made the necessary applications to the authorising authority. Although there was some improvement in relation to staff understanding of the Mental Capacity Act and the Deprivation of Liberty Safeguards people’s rights to take risks had not been taken into account. From 1 August 2016, all providers of NHS care and publicly-funded adult social care must follow the Accessible Information Standard in full, in line with section 250 of the Health and Social Care Act 2012. Services must identify, record, flag, share and meet people’s information and communication needs. Risk assessments had been completed as part of the care planning process, with guidance for staff to follow to reduce the risk of harm. We also spoke with seven staff members; these were the manager, a registered nurse, the activities co-ordinator, the chef and three care workers.
The registered manager spoke highly of the staff team and their hard work throughout the pandemic. People had access to health professionals as and when they required it. The visits were recorded in the care plans with details of any changes to support provided as guidance for staff to follow when planning care. People were encouraged to make decisions about the care provided.
August 2012
At the time of the inspection there were 41 people living there. Some people required continual nursing care due to complex health care needs; including end of life care. At the last inspection on 13 and 14 December 2016 we found the provider had taken action and had met the regulations in relation to safeguarding people from abuse and improper treatment.
Others needed support with personal care and assistance moving around the home due to physical frailty or medical conditions, and some were living with dementia. This inspection took place on the 11, 12 and 14 June 2018 and was unannounced. We carried out an inspection at Threeways Nursing Home on 11 and 13 August 2015 where we found the provider was in breach of the Health and Social Care Act Regulations 2014. We spoke with five people to hear their views and experience of living in the home. One person said that they were 'well cared for' and 'didn't see anything to complain about.' Another person spoken with also said that staff looked after them well. Three people said that they had to wait too long when they used their call bell to request assistance.
Who runs this service
However, they had not addressed the breach in relation to ensuring complete and accurate contemporaneous records in respect of people were available.We also found a new breach of regulation. The provider had not ensured safe care and treatment for people. The home provides support and care for up to 45 people with nursing and personal care needs. There were 38 people living at the home at the time of the inspection. Some people had complex needs and required continual nursing care and support, including end of life care.
We undertook an unannounced inspection on 13 and 14 December 2016 to check that the provider had made improvements and to confirm that legal requirements had been met. We saw that the provider had implemented an effective accident and incident recording system. This was to gather and analyse information about the risks to people's health, welfare and safety and make changes to the care provided where necessary. You can see what action we told the provider to take at the back of the full version of the report. Risk had been assessed and people were support to the independent in a safe way, with appropriate walking aids and assistance from staff to support people to move around the home.
Other Care Providers Nearby
If this service has not had a CQC inspection since it registered with us, our judgement may be based on our assessment of declarations and evidence supplied by the service. Ratings are provided by Care Quality Commission and reflects the most recent report for this care home, which was published on 21 July 2018. This was displayed on the notice board near the entrance to the building, and given to people, and relatives, when they moved into the home.
Every registered care provider in the UK can claim a free listing on Autumna. However, a paid subscription allows more information to be added and as a result a higher profile score. – there are some services which we can’t rate, while some might be under appeal from the provider. Suspended ratings are being reviewed by us and will be published soon. We found a number of breaches of the Health and Social Care Act Regulations 2014.
At other times we offer an answer phone service so please leave a message and we'll call you back. We have therefore encouraged every provider to open their ‘online windows and doors’ to help you make an informed choice. The profile score is a measure of how much information has been provided.
Sound arrangements were in place for the safe ordering, storage, administration and disposal of medicines at the service. Staff had a good understanding of their responsibilities in relation to the safe administration of medicines. People said that staff called them by their preferred names and that they always knocked before entering their rooms.
We recommend that the provider seek advice and guidance from a reputable source, about Accessible Information Standards to ensure staff are aware of their responsibilities. For more details - staff are happy to answer any of your questions about care. If you are looking for care, if you think a family member needs support, or if you want to know what services are available for carers, find the information you need in the pages below. For services we haven't rated we use ticks and crosses to show whether we've asked them to take further action or taken enforcement action against them. – the service isn't performing as well as it should and we have told the service how it must improve.
Choosing care has been ranked one of life’s most stressful events. That’s why Care Concierge’s care experts will act as your personal care consultants. We’ll research on your behalf and find you the right care, at the right cost - turning stress into straightforward. The Scottish Care Inspectorate is the official regulator for care services in Scotland. Including what different types of care homes offer and why you might want to choose a home care service or look for support in your community.
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