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Inspection Summary


Overall summary & rating

Good

Updated 12 January 2018

We carried out this announced inspection to Tall Trees on 14 December 2017. Tall Trees is registered to provide accommodation with personal care for up to three people with physical and learning disabilities. At the time of our visit three people lived at the service.

At out last inspection, the service was rated Good. At this inspection we found the service remained Good.

People were supported by sufficient, skilled staff to meet their needs and robust recruitment processes were in place to ensure only suitable staff were employed. Risks to people had been identified and as such staff took appropriate steps to help mitigate any risk of harm of injury to people. Staff were aware of their responsibilities in safeguarding people from abuse.

Staff received on-going training, induction and supervision to support them in their roles. They were knowledgeable in relation to infection control and what to do in the event of a fire.

People were supported to make their own decisions about their care and encouraged to be independent as much as they could. Where there were restrictions in place staff had followed legal guidance in order to help ensure these were in people’s best interests.

People received support from staff who knew them well and positive relationships had developed. Staff treated people with kindness and were aware of their preferences. Staff demonstrated a good understanding of people’s communication styles and ensured people received care that focused on people’s health and wellbeing. People received the medicines prescribed to them and staff sought advice from health and social care professionals to help ensure people received the most appropriate, effective and responsive care.

People had access to nutritious food of their choosing. People’s care records were person centred and completed in detail. Care plans were regularly reviewed and updated to ensure staff had up to date guidance regarding people’s care. People had access to a range of individual activities in line with their interests.

People lived in an environment that was homely and suitable for their needs. The service was clean and hygienic and people had access to communal areas, a garden and their own bedrooms which were individualised.

Systems were in place to monitor the quality of the service provided and ensure continuous development. People and staff were involved in the running of the home and relatives played an active role. The service had a registered manager, who although also managed another of the provider’s services, demonstrated good management oversight of the service. Staff felt supported by the registered manager as well as the deputy manager.

Inspection areas

Safe

Good

Updated 12 January 2018

The service remains Good.

Effective

Good

Updated 12 January 2018

The service remains Good.

Caring

Good

Updated 12 January 2018

The service remains Good.

Responsive

Good

Updated 12 January 2018

The service remains Good.

Well-led

Good

Updated 12 January 2018

The service remains Good.