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CQC report explained · a nursing home, run by Barchester Healthcare

Tyspane

Lower Park Road, Braunton, EX33 2LH

Goodpublished 14 April 2023, 3 years ago

Rated Good: inspectors found the service performing well and meeting their expectations.

The five questions inspectors ask
Safe?
Good
People were found to be protected from abuse and avoidable harm. Inspectors found suitable staffing, safe medicines management, updated risk assessments and clean premises.
Effective?
Good
This key question was not inspected during this focused visit. The previous rating was used to calculate the overall rating.
Caring?
Good
This key question was not inspected during this focused visit. The previous rating was used to calculate the overall rating.
Responsive?
Good
This key question was not inspected during this focused visit. The previous rating was used to calculate the overall rating.
Well-led?
Good
Inspectors found effective audits, better management support and staff who understood their roles. The service had improved since the previous inspection.
The latest report, explained

What inspectors found, April 2023

Tyspane rated Good after a focused inspection; inspectors found safe care and stronger management, but only Safe and Well-led were checked.

The inspection was unannounced and took place on 15 March 2023. Two inspectors spoke with people living in the home, relatives and staff. They observed care and reviewed care plans, risk assessments, medicines, staffing, recruitment, training and quality records.

The home was rated Good for Safe and Well-led. Inspectors found clean premises, suitable staffing, safe medicines management, updated risk assessments and effective safeguarding arrangements. Visitors were welcomed, and people and relatives said they felt safe.

The previous rating was Requires Improvement, published in January 2022. Inspectors found that improvements had been made and the home was no longer in breach of regulations. This was a focused inspection, so the other areas were not checked during this visit and their previous ratings were used in calculating the overall Good rating.

What inspectors praised
  • Clean and hygienic premises

    The home had reviewed its premises and replaced carpets where needed. Inspectors found the premises clean and free from unpleasant smells.

    The premises were clean throughout and there were no malodours.from the report
  • Safe staffing

    Inspectors found enough suitably trained and experienced staff to meet people's needs. Staffing levels were regularly reviewed using a dependency tool.

    There were enough suitably trained and qualified staff to meet people's needs in a timely way.from the report
  • Medicines managed safely

    Staff gave medicines as prescribed, followed instructions for medicines given when needed, and had their competence checked.

    People received their medicines as prescribed. We witnessed part of a medicine round and observed staff administering medicines to people consistently and safely.from the report
  • Good risk management

    Risk assessments were kept up to date and changes were made when people's circumstances changed. Incidents were reviewed and lessons were shared with staff.

    Records confirmed safety checks and maintenance work was carried out to make sure the premises and equipment were in safe working order.from the report
  • Stronger leadership and oversight

    The home had introduced a new management structure, regular audits and more support for staff. Inspectors found that concerns were identified and action was taken.

    These areas had improved immediately after that inspection and there were now robust premises and maintenance audits.from the report
What inspectors were concerned about
  • Registered manager vacancy

    minor

    There was no registered manager in post during the inspection. A new manager had started and planned to register, so families should check that this has been completed and that the management arrangements remain stable.

    At the time of our inspection there was not a registered manager in post.from the report
Questions to ask them, based on this report
  1. 01Has the new manager now registered with the CQC, and who is responsible for the home if the registration is not yet complete?
  2. 02How do you make sure staff can be found promptly when they are working in people's rooms along the long corridors?
  3. 03What checks now make sure carpets, cleaning and continence management remain effective?
  4. 04How are accidents, incidents and changes to people's risks shared with all staff?
  5. 05What are the current ratings and most recent findings for Effective, Caring and Responsive?

This was a focused inspection of Safe and Well-led, including infection prevention and control; Effective, Caring and Responsive were not inspected and their previous ratings were used to calculate the overall rating. This explanation was written from the published report of 14 April 2023 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.

The story over the years

Every inspection of Tyspane

4 rated inspections over 8 years: the service has held its Good rating throughout.

  1. April 2023Goodcurrent ratingup from Requires improvement
    Safe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good

    Read what inspectors found at Tyspane

  2. January 2022Requires improvementdown from Good
    Safe: Requires improvementWell-led: Requires improvement

    We are reading this report · the original is on cqc.org.uk

  3. January 2018Goodstayed Good
    Safe: GoodWell-led: Good

    Read this report on cqc.org.uk

  4. March 2015Good
    Safe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good

    Read this report on cqc.org.uk

  5. July 2014

    Report published without a new overall rating.

    Read this report on cqc.org.uk

  6. August 2013

    Report published without a new overall rating.

    Read this report on cqc.org.uk

  7. July 2013

    Report published without a new overall rating.

    Read this report on cqc.org.uk

  8. August 2012

    Report published without a new overall rating.

    Read this report on cqc.org.uk

  9. September 2011

    Report published without a new overall rating.

    Read this report on cqc.org.uk

  10. February 2011

    Registered with the Care Quality Commission on 15 February 2011.

Ratings and report dates from the Care Quality Commission. A service can also be visited without a new rating being published, so the timeline shows published inspections, not every contact the CQC has had with the service.

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