Background to this inspection
Updated
6 March 2020
The inspection
We carried out our inspection under Section 60 of the Health and Social Care Act 2008 as part of our regulatory functions. Our inspection checked whether the provider was meeting the legal requirements and regulations associated with the Health and Social Care Act 2008, to look at the overall quality of the service, and to provide a rating for the service under the Care Act 2014.
Inspection team
The inspection was completed by one inspector and an Expert by Experience. An Expert by Experience is a person who has personal experience of using or caring for someone who uses this type of care service.
Service and service type
Tudor Bank is a ‘care home’. People in care homes receive accommodation and nursing or personal care as single package under one contractual agreement. CQC regulates both the premises and the care provided, and both were looked at during this inspection.
The service had a manager registered with the Care Quality Commission. This means that they and the provider are legally responsible for how the service is run and for the quality and safety of the care provided.
Notice of inspection
This inspection was unannounced.
What we did before the inspection
We used the information the provider sent us in the provider information return. This is information providers are required to send us with key information about their service, what they do well, and improvements they plan to make. This information helps support our inspections.
We reviewed information we had received about the service since the last inspection. We sought feedback from the local authority and professionals who work with the service.
During the inspection
We spoke with the registered manager, resources manager, compliance manager, operations manager, director, a registered nurse, the activities co-ordinator, a senior carer and two care staff. We also spoke with 11 people who used the service and four relatives.
We reviewed a range of records. This included three people’s care records and medication records. We looked at three staff files in relation to recruitment and staff supervision. A variety of records relating to the management of the service, including policies and procedures were reviewed.
Updated
6 March 2020
About the service
Tudor Bank is a residential care home providing personal care to 39 people at the time of our inspection. The service can support 46 people across two floors. The service consisted of two halves, one which specialised in the care for those living with dementia, and one for those living with enduring mental health conditions. The service is located within a residential area of Southport with access to shops, public transport links and parks.
People's experience of using this service and what we found
At our last inspection we rated the service overall as Good and Outstanding in the caring domain. There has now been a change of rating to Outstanding for the responsive and well-led domains.
The culture and ethos of the service was to ‘make it happen’ for people. The registered manager told us, "People come to Tudor Bank to live, we make every day count.’’ The service focused on pro-active approaches, and staff worked hard to ensure that people lived a life which was meaningful to them. People’s diverse needs were not seen as barriers to people living life to the full.
Distinctive leadership at the service meant that every member of staff genuinely valued the uniqueness of each person, and promoted the provision of care and support as individual as the person receiving it. Staff were passionate about empowering people to have a say in the care and support they wanted, and ensuring people received person-centred and dignified support of an exceptionally high standard.
The service took the time to get to know about what was most important to people. This information was used to determine people’s aspirations for the future, and to empower people to live a more independent and enriched life.
Tudor Bank had a relaxed and informal environment. People told us they thought of Tudor Bank as their own home. People’s relatives told us they were often astonished by how much progress their loved one had made since arriving at Tudor Bank, and how they were now enjoying ''a quality of life they wouldn’t otherwise have had.’’
People received care and support from staff who were kind, caring and compassionate and familiar to them. It was evident staff had formed genuine relationships and bonds with the people they supported. Staff told us they, ‘’looked forward to coming to work and making people smile.’’
The service demonstrated great innovation in its commitment to continuously seek ways to drive forward improvements. This drive and innovation helped to achieve extremely positive outcomes for people.
People were supported in such a way that allowed them maximum choice and control of their lives and staff supported them in the least restrictive way possible and in their best interests; the policies and systems in the service supported this practice.
For more details, please see the full report which is on the CQC website at www.cqc.org.uk
Rating at last inspection
At our last inspection, the service was rated "Good." (Report published August 2017).
Why we inspected
This was a planned inspection based on the rating of the last inspection.
Follow up
We will continue to monitor information we receive about the service until we return to visit as per our reinspection programme. If we receive any concerning information we may inspect sooner.