Background to this inspection
Updated
5 September 2019
The inspection:
We carried out this inspection under Section 60 of the Health and Social Care Act 2008 (the Act) as part of our regulatory functions. We checked whether the provider was meeting the legal requirements and regulations associated with the Act. We looked at the overall quality of the service and provided a rating for the service under the Care Act 2014.
Inspection team:
This inspection was carried out by one inspector and one inspection manager.
Service and service type:
Tudor House 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 reviewed information we had received about the service since the last 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 used all this information to plan our inspection.
During the inspection:
The inspector and inspection manager visited the service on 19 August 2019. We spoke with five people who used the service and one relative about their experience of the care provided. We observed people being supported by the staff team throughout the inspection. We spoke with three care staff, one housekeeping staff, the cook, the registered manager, the head of care and the operations manager.
We reviewed a range of records. This included two people’s care records which included all aspects of care and risk including medication records. We looked at two staff files in relation to recruitment, staff supervision and training. A variety of records relating to the management of the service, including audits, policies and procedures were reviewed.
On 20 August 2019 we spoke to another relative about their experience of the care provided and reviewed feedback from relatives sent to us by e-mail.
After the inspection:
The registered manager sent us further evidence in relation to training data and supervision records.
Updated
5 September 2019
About the service:
Tudor House is a residential care home providing personal and nursing care to 13 people aged 65 and over, some of whom may have been living with dementia, at the time of the inspection. The service can support up to 18 people. Tudor house is an adapted building consisting of three floors. People have their own rooms and share communal facilities such as the kitchen, lounges, the dining room and the garden.
People’s experience of using this service and what we found:
People were positive about the care they received. One person told us, ‘‘Everything runs smoothly at Tudor House and there are never any problems. I am as happy as I can be.’’
People were supported with kindness, respect and compassion by a staff team that took the time to get to know their likes, dislikes and preferences well. People were able to make choices about their care and staff promoted people’s independence by encouraging them to be in control of their own lives.
People’s support was tailored to meet their individual needs and communication methods. People took part in a variety of activities which they enjoyed. People were encouraged to make and maintain social relationships with family and friends.
People were kept safe from harm and abuse in all areas including medicines. People were supported by well trained and competent staff and there were enough staff to meet people’s needs safely. The service was well-maintained and kept clean to promote good infection control. Plans were in place to further improve facilities at the service for people living with dementia.
People’s needs were assessed before they began using the service and were re-assessed if people’s needs changed. People were offered a wide variety of food and drink and were supported with a healthy and balanced diet. People were supported to see health professionals when they needed support.
People were supported to have 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.
People had access to a complaints policy and procedure. People’s complaints were taken seriously and responded to promptly. People were treated with dignity and respect at the end of their lives.
People, relatives and the staff team were very positive about the management of the service. The registered manager and the provider promoted a positive culture that put people at the centre of their care and support. Audits were completed to monitor the quality of the service and improvements were put in place where necessary.
The registered manager and staff team had a passion for involving people in the local community and supporting people to access various events and activities available to them. This had a positive impact and achieved good outcomes for people.
For more details, please see the full report which is on the CQC website at www.cqc.org.uk
Rating at last inspection (and update):
The last rating for this service was Good (report published 04 March 2017).
Why we inspected:
This was a planned inspection based on the previous rating.
Follow up:
We will continue to monitor information we receive about the service until we return to visit as per our re-inspection programme. If we receive any concerning information we may inspect sooner.