Background to this inspection
Updated
7 October 2016
We carried out this inspection under Section 60 of the Health and Social Care Act 2008 as part of our regulatory functions. This inspection was planned to check whether the provider is 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.
This inspection took place on 15 September 2016 and was announced. ‘48 hours’ notice of the inspection was given because the service is small and the manager is often out of the office supporting staff or providing care. We needed to be sure that they would be in. The inspection was carried out by one inspector.
Before the inspection, we review the provider's completed Provider Information Return (PIR) which they had sent to us. A PIR is a form that asks the provider to give some key information about the service, what the service does well and improvements they plan to make. We also reviewed the information available to us about the home, such as notifications. A notification is information about important events which the provider is required to send us by law.
During the inspection, we spoke with two people who lived at the home, one member of staff, the registered manager, and the registered provider and received feedback from one relative.
We reviewed the care records and risk assessments for two people who lived at the home and looked at both people's medicines and medicines administration records. We also looked at staff recruitment, training and supervision records, and reviewed information on how the quality of the service was monitored and how complaints were managed.
Updated
7 October 2016
This inspection took place on 15 September 2016 and was announced. We last inspected this service in August 2014 and found that they were meeting all legal requirements and were overall rated as ‘Good’.
2a Tudor Gardens is a residential care home that provides accommodation and support for up to four people with learning disabilities and autism spectrum disorder. At the time of our inspection there were two people living at the home.
The home had a registered manager in post. A registered manager is a person who has registered with the Care Quality Commission (CQC) to manage the service. Like registered providers, they are 'registered persons'. Registered persons have legal responsibility for meeting the requirements in the Health and Social Care Act 2008 and associated Regulations about how the service is run.
The registered manager was approachable and supportive of staff and people who lived at the service.
The provider had effective systems to protect people from avoidable harm. Appropriate risk assessments had been carried out and risk management plans put in place for each person who lived at the home, and for the environment to ensure people's safety.
There was a sufficient number of staff deployed who were trained and knew how to meet people's care needs.
People's medicines were administered safely and they were supported to access healthcare services to maintain their health and well-being.
People had enough to eat and drink. They were provided with a choice of food, snacks and drinks as appropriate. They were supported to access healthcare services when required.
Staff understood the requirements of the Mental Capacity Act 2005 and sought people's consent before providing care and support. They were trained in areas that were relevant to the needs of the people, who lived at the home.
They were knowledgeable about people's care needs and they provided appropriate support to people.
People were treated with dignity and respect and were encouraged to maintain their independence, interests and hobbies. They were supported to express their views and be actively involved in making decision about their care. Staff were respectful and friendly in their interactions with people.
People's needs had been identified before they moved to the home, and changes to people's needs were managed appropriately. People had personalised care plans that gave guidance to staff on meeting people's needs. They were supported by the staff team to take part in activities that were of interest to them.
The provider had an effective system in place for handling complaints. They encouraged feedback from people and acted on this to improve the quality of the service. They also had an effective quality monitoring process in place to ensure they were meeting the required standards of care.