Turnbull Close

FitzRoy Support at Turnbull Close provides a residential care service for up to 10 individuals with learning disabilities and complex physical needs. The service is designed to promote independence, choice, and a fulfilling life for its residents. This report summarizes the findings from a recent inspection by the Care Quality Commission (CQC), which assessed the service across five key areas.

Regarding safety, the home ensures residents are protected from harm. Staff are well-trained in safeguarding procedures and feel confident reporting any concerns, which are then addressed promptly and lessons learned are shared. Risks to residents' health and well-being are carefully assessed and managed, with detailed protocols in place for specific needs. Recruitment processes are robust, ensuring staff are safely employed, though a minor administrative oversight in one staff file was identified and immediately rectified. Medication is administered safely and on time by trained staff, with clear procedures for managing different types of medication and a good understanding of non-verbal cues for pain. The service maintains high standards of cleanliness and infection control.

In terms of how effective the care is, residents' physical, mental, social, and emotional needs are holistically assessed, and care plans are developed collaboratively with residents and their representatives. Staff are well-trained and supported in their professional development, with regular training that includes practical elements. The service ensures residents receive adequate nutrition and hydration, with meals planned around their activities and dietary needs accommodated even for outings. The environment is adapted to meet residents' needs, with personalised rooms and ongoing improvements to communal areas. Staff work effectively with external healthcare professionals to ensure residents' health is well-managed, and there is a strong understanding and application of the Mental Capacity Act and Deprivation of Liberty Safeguards.

The caring aspect of the service is a strong point, with staff consistently demonstrating kindness, patience, and compassion. Residents are treated with dignity and respect, and their individual preferences and lifestyle choices are central to their care. Staff build trusting relationships with residents, offering support and comfort. The home actively encourages residents to maintain relationships with friends and family, with visitors always welcome. Each resident has a hospital passport, facilitating effective communication with healthcare professionals. Residents are supported to express their views and be involved in decisions about their care, with keyworkers playing a vital role.

The service demonstrates that it is responsive to residents' needs. Individual needs and lifestyle choices, including religious observance, are accommodated. Residents appear relaxed and content, with staff showing genuine empathy and understanding, particularly for those who cannot communicate verbally. The home actively supports residents to maintain relationships, with an open-door policy for visitors. Personalisation of rooms with photos and personal effects reflects residents' individuality. The service also ensures that residents' privacy, dignity, and independence are consistently respected and promoted.

Finally, the home is well-led by a registered manager who is dedicated to providing high-quality care. They lead by example, fostering a supportive and valued environment for staff. Regular quality checks are conducted, and actions are taken promptly when shortfalls are identified. The manager actively seeks feedback and has a comprehensive oversight of the service. Staff report feeling supported and motivated, contributing to the positive atmosphere and effective operation of the home. The service design itself is a testament to its principles, blending into the residential area to promote a sense of normalcy and community integration for residents.