The Care Quality Commission
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Archived: RNID Action on Hearing Loss 11 Tarragon Gardens

Overall: Good read more about inspection ratings

11 Tarragon Gardens, Frankley, Northfield, Birmingham, West Midlands, B31 5HU (0121) 411 2133

Provided and run by:
The Royal National Institute for Deaf People

All Inspections

20 June 2017

During a routine inspection

Care service description:

11 Tarragon Gardens provides accommodation with personal care for up to four people with hearing impairment or deafness. At the time of our inspection there were three people living at the location.

Rating at last inspection:

At the last inspection in May 2015, the service was rated Good in all the areas that we looked at.

Rating at this inspection:

At this inspection we found the service remained Good.

Why the service is rated as Good:

There was a registered manager 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.

People were kept safe and secure from the risk of abuse and avoidable harm because staff were knowledgeable about safeguarding procedures and what their reporting responsibilities were. Potential risks to people had been assessed and managed appropriately by the provider. People received their medicines safely and as prescribed and were supported by sufficient numbers of staff to ensure that risk of harm was minimised.

Staff had been recruited appropriately and had received relevant training so that they were able to support people with their individual care and support needs. Staff sought people’s consent before providing care and support. People were supported to have maximum choice and control of their lives and staff supported them in the least restrictive ways possible; the policies and systems in the service supported this practice.

People were treated with kindness and compassion and there were positive interactions between staff and the people living at the location. People’s rights to privacy and confidentiality were respected by the staff that supported them and their dignity was maintained. People were supported to express their views and be actively involved in making decisions about their care and support needs. People received care from staff that knew them well and benefitted from opportunities to take part in activities that they enjoyed.

Relatives and staff were confident about approaching the manager if they needed to and knew how to complain. People’s views on the quality of the service were gathered and used to support service development. The provider had effective auditing systems in place to further monitor the effectiveness and quality of the service.

7 and 8 May 2015

During a routine inspection

The inspection visit took place on 7 and 8 May 2015 and was unannounced. At the last inspection on 22 November 2013, we found that the provider was meeting the requirements of the Regulations we inspected.

11 Tarragon Gardens is registered to provide accommodation, personal care and support for up to four adults with deafness or hearing/visual impairment, blindness and mental health needs. At the time of our inspection, three people were living there.

There was a registered manager in post at the home. 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.

People who lived at the home told us they felt safe and staff was available to support them, when they needed to be supported. The provider had systems in place to keep people safe and protected them from the risk of harm and ensured people received their medication as prescribed.

We found that there were enough staff to meet people’s identified needs because the provider ensured staff were recruited and trained to meet the support needs of people.

The staff understood their responsibilities under the Mental Capacity Act 2005 (MCA). They had conducted assessments and held meetings to ensure decisions were made in the best interests of the people who used the service.

We saw that people were supported to make choices and were free to prepare their own food and drink, with support, at times to suit them. People made their own choices about what food to eat. We saw that staff supported people to go shopping and encouraged them to consider healthy options.

People were supported to access other health care professionals to ensure their health care needs were met.

Everyone thought the staff was respectful, supportive and caring. We saw that staff encouraged people to be as independent as possible.

We found that people’s health care and support needs were assessed and regularly reviewed. People and relatives had no complaints about the service; but were confident, if they did, they would be listened to and issues addressed quickly.

The provider had established management systems to assess and monitor the quality of the service provided.

14, 22 November 2013

During a routine inspection

We found that people's needs were assessed to establish the care that they needed. Care plans were written and regularly updated to take into account changes in people's needs and conditions. Risks presented by the people's needs were identified and managed to balance health and protection with independence. The service worked closely with health care professionals to support people's physical and mental health care needs. People seemed at ease with staff, engaged in what was happening and made choices about how they spent their day.

We found that people were supported to be able to eat and drink sufficient and proportionate amounts to meet their needs. Any health risks around food and drink consumption had been identified and managed. People were provided with a choice of suitable and nutritious food and drink and supported to eat a balanced diet.

We saw that the service has a written statement of purpose. The provider has sent us a copy to keep us informed of the service being provided. During our inspection of the home we found that the services provided reflected those described in the statement of purpose.

We found that the service appropriately reported any important events that affected people's welfare, health and safety to us. This meant that, where needed, action could be taken.

16 January 2013

During a routine inspection

People had their privacy, dignity and independence respected. We found that people's needs were assessed to establish the care that they needed and plans had been reviewed at the end of 2012. Risks presented by people's complex and changing needs were managed with their signed agreement. Care staff knew people's needs and understood their care plans and people had access to general and specialist health care workers.

People were protected against the risk of unlawful or excessive control or restraint because staff responded to behaviour that had a negative impact on the person or on others through clear guidelines in individual care plans. The staffing roster was planned to ensure there were staff on duty each shift that had communication skills to match the needs of people using the service.

We found that people had their health and welfare needs met by sufficient numbers of appropriate staff. Care staff at the service held national vocational qualifications in health and social care and undertook appropriate induction training. Staff treated people with warmth and kindness and understood the way that they communicated.

People's personal records were accurate and fit for purpose. Care records were well organised, up to date and kept securely and daily welfare records provided a clear account to handover between staff shifts. Staff records and other records relevant to the management of the services were generally accurate and fit for purpose.