# Thorndene Residential Care Home

*Operated by Presidential Care Limited.*

Thorndene Residential Care Home is a CQC-regulated home-care agency in Doncaster.

## CQC Ratings

| Key question | Rating |
| --- | --- |
| Overall | Not Rated |
| Safe | Not Rated |
| Effective | Not Rated |
| Caring | Not Rated |
| Responsive | Not Rated |
| Well-led | Not Rated |

## Practical info

- Postcode: DN2 5BE
- Registered manager: Tattersall, Samantha
- Local authority: Doncaster
- Region: Yorkshire & Humberside
- City: Doncaster
- Last CQC check: 18/Aug/2025 - 00:00

## Inspection findings

### Other

- Finding
  - Evidence: Service exited Special Measures following demonstrated improvements.
  - Published: 2024-01-17
- Finding
  - Evidence: Provider understood duty of candour responsibilities and was transparent about continued improvements needed.
  - Published: 2024-01-17
- Finding
  - Evidence: Regular resident and staff meetings took place, and people were engaged in suggesting improvements.
  - Published: 2024-01-17
- Finding
  - Evidence: Provider appointed a head of service to oversee improvements and worked closely with infection prevention, commissioners and local fire and rescue service.
  - Published: 2024-01-17
- Finding
  - Evidence: Positive and calm atmosphere in the home with kind and caring staff reported by people and family members.
  - Published: 2024-01-17
- Finding
  - Evidence: Provider no longer in breach of Regulations 12, 13, 17 and 18 following significant improvements since previous inspection.
  - Published: 2024-01-17
- Finding
  - Evidence: Sufficient staff on duty to meet people's needs, providing support in a kind and caring manner.
  - Published: 2024-01-17
- Finding
  - Evidence: Risks to people were assessed, monitored and managed appropriately with systems in place to protect people from harm and abuse.
  - Published: 2024-01-17
- **safeguarding** _(minor)_
  - Evidence: Safeguarding records were maintained and organised. The information in the records would benefit from analysis to identify causative factors or precursors which would identify learning.
  - Published: 2024-01-17
- **infection_control** _(minor)_
  - Evidence: There were shortfalls around cleaning of the laundry area and freezers. The outside bins were overflowing as a result of their position and organisation of the bin area.
  - Published: 2024-01-17
- **governance** _(moderate)_
  - Evidence: Medicines audits were undertaken but improvement was needed to ensure PRN protocols and risk assessments were reviewed.
  - Published: 2024-01-17
- **incident_learning** _(moderate)_
  - Evidence: Behaviour charts were used as a record of an incident but they were not written in a way which identified what happened before, during and after the behaviour so learning could be identified.
  - Published: 2024-01-17
- **medication_management** _(minor)_
  - Evidence: There were no risk assessments in place for prescribed creams stored in people's bedrooms.
  - Published: 2024-01-17
- **medication_management** _(moderate)_
  - Evidence: Where people were prescribed PRN medicines, guidance was in place but there was no information recorded about the effectiveness of the medicine following administration.
  - Published: 2024-01-17

### safe

- Finding
  - Preventing and controlling infection
  - Published: 2024-01-17
- Finding
  - Systems and processes to safeguard people from the risk of abuse
  - Published: 2024-01-17
- Finding
  - Staffing and recruitment
  - Published: 2024-01-17
- Finding
  - Assessing risk, safety monitoring and management; Learning lessons when things go wrong
  - Published: 2024-01-17
- Finding
  - Using medicines safely
  - Published: 2024-01-17
- Finding
  - Preventing and controlling infection
  - Published: 2023-07-06
- Finding
  - Using medicines safely
  - Published: 2023-07-06
- Finding
  - Systems and processes to safeguard people from the risk of abuse
  - Published: 2023-07-06

### well_led

- Finding
  - Duty of candour
  - Published: 2024-01-17
- Finding
  - Engaging and involving people, the public and staff
  - Published: 2024-01-17
- Finding
  - Promoting a positive culture that is person-centred, open, inclusive and empowering
  - Published: 2024-01-17
- Finding
  - Managers and staff being clear about roles, quality performance, risks and regulatory requirements; Continuous learning; Working in partnership
  - Published: 2024-01-17
- Finding
  - Engaging and involving people using the service, the public and staff
  - Published: 2023-07-06
- Finding
  - Promoting a positive culture that is person-centred, open, inclusive and empowering
  - Published: 2023-07-06
- Finding
  - How the provider understands and acts on the duty of candour
  - Published: 2023-07-06
- Finding
  - Managers and staff being clear about their roles; continuous learning and improving care; working in partnership with others
  - Published: 2023-07-06

## Source

Data published by the [Care Quality Commission](https://www.cqc.org.uk/) under the Open Government Licence v3.0. Canonical page: https://homecarecompass.co.uk/agency/1-6640083813

HomeCare Compass is an independent guide and is not affiliated with the CQC.