Thirlestaine Park Care Home is a 'care home'. People in care homes receive accommodation and nursing as a single package under one contractual agreement. The Care Quality Commission regulates both the premises and the care provided, and both were looked at during this inspection.

The care home can accommodate 63 people in one adapted building spread over three floors. Nursing care was provided on the second floor and people living with dementia lived on the first floor. People requiring help with their personal care lived on the ground floor. At the time of our inspection there were 38 people living at the home. People had individual bedrooms with en-suite facilities and also had access to a bathroom with an assisted bath. Spacious communal areas were provided on each of the three floors which included lounges and dining areas. In addition people had access to smaller private lounges, a gym, an activities room and a reception room where they and their visitors could have coffee. Grounds around the home were accessible. Raised flower beds and patio areas were provided. On the first and second floors there were enclosed balconies for people to sit outside.

This inspection took place on 13 and 14 December 2017. At the last comprehensive inspection in October 2015 the service was rated as Good overall.

At this inspection we found the service remained Good.

There was a registered manager in place. A registered manager is a person who has registered with the Care Quality Commission to manage the service. Like registered providers, they are ‘registered persons’. Registered persons have legal responsibility for meeting the requirements in the Health and Social Care Act 2008 and associated Regulations about how the service is run.

People’s care and support was individualised reflecting their backgrounds, lifestyles and aspirations. Staff knew people well, treating them with kindness and respect. They understood how to support people who were anxious or upset, helping them to manage their emotions. People had positive relationships with staff, sharing lighter moments and laughing with them. People were encouraged to be independent and staff knew what they could and could not do for themselves. People were offered choices about their day to day lives. People were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible; the policies and systems in the service supported this practice. Deprivation of liberty safeguards were in place where people were restricted of their liberty.

People’s health and wellbeing was promoted. They had access to a range of health care professionals. When people’s needs changed they received the appropriate health and support to enable them to stay as well and safe as possible. People were supported to have a healthy and nutritious diet which reflected their individual dietary needs. People’s interests were considered when providing a range of activities both inside and outside of the home. People enjoyed art and flower arranging classes, using the gym, gentle exercise, music and individual clubs. A group of people had visited a local airport and had a helicopter ride. People had also been entertained by a choir and local celebrity. Good use was made of technology to make information accessible to people and to ensure they received safe care.

People were supported by staff who had been through a recruitment process which verified their competency and aptitude for the roles they were to perform. Staff had access to training to equip them with the skills to support people. They were supported to develop in their roles with individual meetings, annual appraisals and staff meetings. Staff understood how to keep people safe and were confident about raising concerns about people’s safety and wellbeing.

People’s views were sought as part of the quality assurance process to drive through improvements. A range of quality assurance audits were

This was an announced inspection which took place on the 10 April 2017. Thirlestaine Park Care Home is a care home for up to 63 people.

There was a registered manager in post. A registered manager is a person who has registered with the Care Quality Commission to manage the service. Like registered providers, they are ‘registered persons’. Registered persons have legal responsibility for meeting the requirements in the Health and Social Care Act 2008 and associated Regulations about how the service is run.

We undertook this focused inspection on 10 April 2017 to check that they had followed their plan and to confirm that they now met legal requirements in relation to a breach of Regulation 19. This report only covers our findings in relation to these issues. You can read the report from our last comprehensive inspection, by selecting the 'all reports' link for Thirlestaine Park Care Home on our website at www.cqc.org.uk”.

At the unannounced comprehensive inspection of this service on 8 and 9 October 2015 a breach of a legal requirement was found. After this comprehensive inspection, we asked the provider to take action to make improvements to the recruitment and selection processes for new staff. We found that staff recruitment processes had improved to a degree but further improvements were needed.

We have made a recommendation about staff recruitment processes.

The inspection took place on the 8 and 9 October 2015 and was unannounced.

Thirlestaine Park Care Home is a care home for up to 63 people. At the time of our inspection there were 17 people living at the home.

Thirlestaine Park Care Home had a registered manager. A registered manager is a person who has registered with the Care Quality Commission to manage the service. Like registered providers, they are ‘registered persons’. Registered persons have legal responsibility for meeting the requirements in the Health and Social Care Act 2008 and associated Regulations about how the service is run.

People were not protected against the risk of being cared for by unsuitable staff because robust recruitment procedures were not applied.

People were protected from the risk of abuse by staff who understood safeguarding procedures.

There were sufficient numbers of staff who received appropriate training and had the right knowledge and skills to carry out their role. People’s medicines were managed and stored safely.

Thirlestaine Park Care Home protected people’s rights through an understanding of the Mental Capacity Act 2005 and the associated Deprivation of Liberty Safeguards (DoLS).

People were treated with kindness, their privacy and dignity was respected and they were supported to maintain their independence.

People received personalised care and there were arrangements in place for people and their representatives to raise concerns about the service.

The vision and values of the service were clearly communicated to staff. Quality assurance systems were in place to monitor the quality of care and safety of the home. As part of this, the views of people using the service were taken into account and responded to.

We found a breach of the Health and Social Care Act 2008 (Regulated Activities) Regulations 2014. You can see what action we told the provider to take at the back of the full version of the report.