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Inspection Summary

Overall summary & rating


Updated 17 September 2019

About the service

Thames House provides accommodation and nursing care to up to 20 people with Huntington's disease, acquired brain injury and other physical disabilities on two floors. It is purpose built with 20 en-suite bedrooms.

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

Safeguarding policies, procedures and staff training helped protect people from harm. All necessary checks on staff and the environment were undertaken to keep people safe. Risk assessments helped protect the health and welfare of people who used the service.

People were supported to live healthy lives because they had access to professionals, a well-trained staff team and a choice of a nutritious diet. The service worked with other organisations to provide effective and consistent care. 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 treated as individuals which helped protect their dignity. People’s equality and diversity was respected by a caring staff team and where they wanted supported pursue their sexuality and religion

We saw that the service responded to the needs of people by providing meaningful activities, having regularly reviewed plans of care and any concerns acted upon. Staff were able to support people at the end of their lives.

The registered manager conducted audits and attended meetings to discuss best practice topics with other organisations to improve the service. A positive culture was being created which helped motivate staff.

For more details, please see the full report which is on the CQC website at

Rating at last inspection.

The last rating for this service was good (published on 21 January 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.

Inspection areas



Updated 17 September 2019

The service was safe.

Details are in our safe findings below.



Updated 17 September 2019

The service was effective.

Details are in our effective findings below.



Updated 17 September 2019

The service was caring.

Details are in our caring findings below.



Updated 17 September 2019

The service was responsive.

Details are in our responsive findings below.



Updated 17 September 2019

The service was well-led.

Details are in our well-Led findings below.