Telford Court Nursing Home

Date of Assessment: 7 to 17 January 2025. Telford Court is a care home providing personal and nursing care for up to 85 adults with a range of needs, including people living with dementia. At the time of our inspection 79 people were using the service. People were protected and kept safe. Overall, staff understood and managed risks, however, some records needed to be more robust. The facilities and equipment met people’s needs, were clean and well-maintained. There were enough staff with the right skills, qualifications and experience. Managers made sure staff received training and regular supervisions to maintain good care, some staff appraisals were overdue. Staff managed medicines well and involved people in planning any changes. Staff undertook assessments, taking account of people’s communication, personal and health needs. Whilst staff knew people well, some care plans would benefit from more individualised information and records did not always demonstrate people had been involved in regular reviews. However, staff communicated well with people and their relatives on a frequent basis. Staff worked closely with agencies involved in people’s care for the best outcomes. Staff involved those important to people, who took decisions in people’s best interests where they did not have capacity. Some records needed to be clearer in relation to some decisions relating to mental capacity assessments and best interest decisions. People were treated as individuals and staff supported their preferences. Staff worked to provide a sociable atmosphere with daily activities and activities within the local community. Overall, the provider had effective oversight and systems to monitor quality. However, they had not ensured some regulatory requirements relating to informing CQC of certain incidents were always met. The assessment identified some areas for improvement which the management team were either already working on or took immediate actions to address.