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Inspection Summary


Overall summary & rating

Good

Updated 18 September 2019

About the service

Tudor House provides residential and nursing care for older people who may be living with a physical disability or dementia. The service is registered to support up to 30 people, and 24 people were using the service when we inspected.

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

People received safe and effective support to meet their needs. Staff were kind, caring and respectful in their approach and people responded positively to the friendly relationships they shared with the staff who supported them.

Staff had been safely recruited and the registered manager monitored staffing levels to make sure enough staff were deployed to meet people’s needs.

Regular training, observations and competency checks were used to make sure staff had the skills and knowledge to safely meet people’s needs. Staff had been trained to recognise and respond to any safeguarding concerns.

Medicines were managed and administered safely. We made a recommendation about continuing to monitor and make sure medicines were stored at a safe temperature.

People’s needs were assessed and care plans and risk assessments guided staff on how best to support people.

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. Staff understood people’s communication needs and used accessible information when necessary to help people be involved in decisions.

The environment was suitable for people’s needs. It was clean, tidy and regular maintenance checks helped make sure it was safe and suitable for people.

Staff were caring in their approach. They treated people with dignity and respected their privacy.

Improvements had been made to the range of activities and opportunities for meaningful stimulation offered at the service. People were encouraged to raise issues, concerns or complain if needed. The provider had a policy and procedure to ensure complaints were responded to.

The provider had responded to feedback at the last inspection to improve the service. Regular audits were used to continually monitor the quality and safety of the service.

For more details, please see the full report which is on the Care Quality Commission’s (CQC) website at www.cqc.org.uk.

Rating at last inspection and update

At the last inspection service was rated requires improvement (report published 30 August 2018). The provider completed an action plan after the last inspection to show what they would do and by when to improve. At this inspection improvements had been made and the provider was no longer in breach of regulations.

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

Safe

Good

Updated 18 September 2019

The service was safe.

Details are in our safe findings below.

Effective

Good

Updated 18 September 2019

The service was effective.

Details are in our effective findings below.

Caring

Good

Updated 18 September 2019

The service was caring.

Details are in our caring findings below.

Responsive

Good

Updated 18 September 2019

The service was responsive.

Details are in our responsive findings below.

Well-led

Good

Updated 18 September 2019

The service was well-led.

Details are in our well-Led findings below.