Tanners

Updated 20 October 2023

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 Health and Social Care Act 2008.

Inspection team

The inspection was carried out by 1 inspector.

Service and service type

Tanners is a ‘care home’. People in care homes receive accommodation and personal care as a single package under one contractual agreement dependent on their registration with us. CQC regulates both the premises and the care provided, and both were looked at during this inspection.

Registered Manager

This provider is required to have a registered manager to oversee the delivery of regulated activities at this location. A registered manager is a person who has registered with the Care Quality Commission to manage the service. Registered managers and providers are legally responsible for how the service is run, for the quality and safety of the care provided and compliance with regulations. At the time of our inspection there was a registered manager in post.

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 all this information to plan our inspection. The provider was not asked to complete a Provider Information Return (PIR) prior to this inspection. A PIR is information providers send us to give some key information about the service, what the service does well and improvements they plan to make.

During the inspection

We used the Short Observational Framework for Inspection (SOFI). SOFI is a way of observing care to help us understand the experience of people who could not talk with us. We reviewed a range of records related to 2 people's care and support. This included their care plans, risk assessments, and medicines records. We reviewed 2 staff files in relation to recruitment and training. We reviewed records related to the management of the service, which included training records, safeguarding incidents, complaints, quality assurance records and a range of policies and procedures. We spoke with the registered manager and 3 support workers. After the inspection we contacted 6 professionals, receiving feedback from 2, we spoke with 5 relatives of people living at the service.

Updated 20 October 2023

We expect health and social care providers to guarantee people with a learning disability and autistic people respect, equality, dignity, choices and independence and good access to local communities that most people take for granted. ‘Right support, right care, right culture’ is the guidance CQC follows to make assessments and judgements about services supporting people with a learning disability and autistic people and providers must have regard to it.

About the service

Tanners is a residential care home that provides personal care for up to 7 older autistic people or older people with learning disabilities and physical disabilities. At the time of the inspection six people lived at the home.

People’s experience of using this service and what we found

Right Support:

People and their relatives told us they would like to see more opportunities to pursue their interest and try new activities within the home. We made a recommendation to the provider about this. 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 were safe and staff understood how to keep people safe. Medicines were administered safely. Staff supported people to integrate and be part of the community. Staff knew people’s needs and ensured each person received care and support that met their needs. People were supported to make decisions about their care.

Right Care:

The service worked in partnership with other health and social care professionals to ensure people received effective care. Medicines were managed safely. Risk assessments were in place to support and guide staff. People’s needs were assessed before they moved into the home. The home was well maintained, and the home had good infection control practices.

Right Culture:

The ethos, values, attitudes and behaviours of the registered manager and support staff adequately ensured people living at the home led confident, inclusive and empowered lives. People and their relatives told us, the service had improved since the new manager had started at the home and they felt the home was moving in the right direction.

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 under the previous provider was good published (7 March 2019)

Why we inspected

This inspection was prompted by a review of the information we held about this service.

We looked at infection prevention and control measures under the Safe key question. We look at this in all care home inspections even if no concerns or risks have been identified. This is to provide assurance that the service can respond to COVID-19 and other infection outbreaks effectively.

Recommendations

We made a recommendation to the provider to ensure people were supported to participate in meaningful occupation and pursuing personal interests within the home.

Follow up

We will continue to monitor information we receive about the service, which will help inform when we next inspect.