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Inspection Summary


Overall summary & rating

Good

Updated 8 August 2017

This unannounced inspection was conducted on 25 July 2017.

Situated in Birkdale and located close to public transport links, leisure and shopping facilities, Tudor Bank Nursing Home is registered to provide accommodation for up to 46 younger and older adults who have mental health needs and require nursing or personal care. The location has a specialist unit for people living with dementia. It is a large three storey property which is fitted with a passenger lift. All the bedrooms are currently in use for single occupancy and have hand-basins.

At the time of inspection 18 people were using the services for younger people with mental health conditions and 24 people were using the dementia services.

A registered manager was in post. A registered manager is a person who has registered with the Care Quality Commission 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.

At the last inspection, the service was rated Good.

At this inspection we found the service remained Good.

Why the service is rated Good.

People and their relatives told us that the service at Tudor Bank was safe. Staff were deployed in sufficient numbers to monitor people’s safety. We asked people living in the home and their relatives about staffing levels. Everyone said they thought there were enough staff on duty to meet people’s needs and keep them safe. We saw that staff were not rushed and were available to monitor and provide care as required. Staff were recruited in accordance with a robust procedure.

We saw that people were protected from the risk of abuse or harm because staff knew people well and were vigilant in monitoring risk. Risk assessments had been regularly reviewed and changes applied where necessary.

Medicines were safely managed within the service by nursing staff and in accordance with best-practice guidance for care homes. We checked the storage, administration and record-keeping for medicines and found that stock levels were correct and records were completed correctly. We noted one stock error which had been caused by a labelling mistake at the pharmacy. This was addressed immediately by staff.

Safety checks had been completed as required. Safety certificates were up to date although there had been a slight delay in the gas safety check caused by a late cancellation by the contractor. This was addressed during the inspection and no issues were identified.

Staff were trained in subjects relevant to the needs of people living at Tudor Bank. This training was refreshed on a regular basis.

People’s capacity was assessed and consent sought in accordance with the Mental Capacity Act 2005 (MCA). This process included the use of best interest decisions for example, in relation to end of life care.

People were supported to maintain a varied and healthy diet in accordance with their preferences and healthcare needs. The service operated a menu which offered good choice.

We saw from care records that staff supported people to access a range of community based healthcare services on a regular basis. Some people were also supported to access specialist healthcare services where there was an identified need.

Part of Tudor Bank was specifically adapted to meet the needs of people living with dementia. Adaptations and décor had been developed with the support of information from Stirling University which specialises in understanding dementia and the care of people living with the condition.

Throughout the inspection we saw that staff were exceptionally caring in their approach to the provision of care. People living at Tudor Bank, their relatives and professionals were extremely complimentary about the quality of care provided and the positive impact that the service had on people’s lives. The relatives that we spoke with were equally clear

Inspection areas

Safe

Good

Updated 8 August 2017

The service remained Good.

Effective

Good

Updated 8 August 2017

The service remained Good.

Caring

Outstanding

Updated 8 August 2017

The service was exceptionally caring.

People living at the service and their relatives spoke extremely positively about the quality of care and the positive impact that the service had on people’s lives.

Staff were exceptionally knowledgeable and demonstrated a caring and gentle approach throughout the inspection.

We saw evidence of numerous examples where the provision of care had resulted in significant improvement in people’s health and wellbeing.

The service delivered accredited high-quality end of life care which reduced the risk of hospital admissions and demonstrated a commitment to maintaining people’s comfort and dignity.

Responsive

Good

Updated 8 August 2017

The service remained Good.

Well-led

Good

Updated 8 August 2017

The service remained Good.