Background to this inspection
Updated
19 March 2020
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
One inspector carried out this inspection.
Service and service type
Tawny Lodge is a residential care respite service. People in respite services receive accommodation and nursing or personal care as a 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
We gave the service 24 hours’ notice of the inspection. This was because the service is small and people are often out and we wanted to be sure there would be people at home to speak with us.
What we did before the inspection
We reviewed information we had received about the service since the last inspection. The provider was not asked to complete a provider information return prior to this inspection. This is information we require providers to send us to give some key information about the service, what the service does well and improvements they plan to make. We took this into account when we inspected the service and made the judgements in this report.
During the inspection
We spoke with one person who used the service about their experience of the care provided. We observed the care of another person to help us understand their experience as they could not talk with us. We spoke with six members of staff including the registered manager, two team leaders and three care staff.
We reviewed a range of records. This included two people’s care records and medicine records. We looked at one staff file in relation to recruitment and staff supervision. A variety of records relating to the management of the service were reviewed.
After the inspection
We spoke with six families about their experience of the care provided to their relatives.
Updated
19 March 2020
About the service
Tawny Lodge is a residential care respite service providing planned short breaks for people with learning and physical disabilities, sensory impairment and autism and people living with dementia. The service can accommodate up to four people at a time, and two people were staying there during our inspection.
The service has 22 people to whom it offers care and support on a regular basis.
People’s experience of using this service and what we found
People using the service receive planned and co-ordinated person-centred support that was appropriate and inclusive for them.
We received very positive views from families about the support provided to their relatives. They said they had total trust and confidence that staff looked after their relatives well. One person said they felt safe and their care workers were respectful.
The registered manager followed robust recruitment checks, and enough staff were employed to ensure people’s needs were met.
Staff followed good infection protection and control standards and the service was clean and smelt fresh.
People received their medicines safely and on time and their health was well managed.
Staff had received appropriate induction, training and support to enable them to carry out their roles.
Staff used verbal and non-verbal communication techniques to ensure people could make their own choices and decisions.
People were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible. The policies and systems in the service supported this practice.
The registered manager and team leaders worked with the staff team and led by example to ensure people received a good service. People and relatives told us the management team were approachable and listened to them when they had any concerns. All feedback was used to make continuous improvements to the service.
For more details, please see the full report which is on the Care Quality Commission (CQC) website at www.cqc.org.uk
Rating at last inspection
The last rating for this service was good (published 22 August 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.