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Tozer House Requires improvement

Inspection Summary


Overall summary & rating

Requires improvement

Updated 9 January 2020

About the service

Tozer House is a residential care home providing personal care and accommodation for up to 15 people. At the time of the inspection 13 people were living at the service which included people who lived at the service long term and some people who were supported for short stays and respite placements. Tozer House is a West Sussex County Council specialist in-house residential service supporting people who have learning disabilities, autism spectrum disorders and/or physical disabilities.

Tozer House was built and registered with the Care Quality Commission as a residential home before Registering the Right Support guidance was produced. The principles of this guidance reflect the need for people with learning disabilities and/or autism to live meaningful lives that include control, choice, and independence. Tozer House is located close to Chichester town centre which provided people with opportunities to access the local community and people using the service received planned and co-ordinated support. The home is larger than current best practice guidance. However, the size of the service having a negative impact on people was mitigated by offering accommodation across two separate houses on the same site where people have their own bedroom and access to a shared lounge, kitchen and bathrooms in each of the houses. The building reflected the surrounding residential area and staff were discouraged from wearing anything that suggested they were care staff when coming and going with people.

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

Risk’s to people were not always identified or appropriately managed. We observed staff did not always follow risk management plans in place which placed a person at risk of harm. Environmental risks and fire safety measures were not always managed in line with the provider's policy. People received their medicines safely, however management of people’s prescribed topical creams could be improved. There were clear safeguarding procedures in place to protect people from the risk of harm. People and their relatives told us they received safe care.

Systems to monitor the quality of the service and ensure all records were complete and accurate were not always effective. Audits did not identify the issues highlighted in this inspection report. There was a clear management structure in place, and people and relatives we spoke with told us they had good relationships with staff.

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. We received positive feedback from professionals that the service worked well with other organisations. People were supported to maintain their health and wellbeing. People enjoyed the meals provided and were offered foods to encourage a varied diet.

People were encouraged to engage in activities and some people accessed day services and clubs to promote their social networks. People’s communication needs were fully considered, and people has access to information that was accessible and meaningful to them. People’s care plans were person-centred and capture their likes, dislikes and preferences.

We observed people and staff had developed positive relationships, and staff treated people with compassion, kindness and respect. People’s independence was promoted where possible, and people and their relatives were encouraged to be involved in their care.

The service applied the principles and values of Registering the Right Support. These ensure that people who use the service can live as full a life as possible. Most outcomes for people using the service reflected the principles and values of Registering the Right Support by promoting choice and control, independence and inclusion. People's support focused on them having as many opportunities as possible for them to gain new skills and become more independent.

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Inspection areas

Safe

Requires improvement

Updated 9 January 2020

The service was not always safe.

Details are in our safe findings below.

Effective

Good

Updated 9 January 2020

The service was effective.

Details are in our effective findings below.

Caring

Good

Updated 9 January 2020

The service was caring.

Details are in our caring findings below.

Responsive

Good

Updated 9 January 2020

The service was responsive.

Details are in our responsive findings below.

Well-led

Requires improvement

Updated 9 January 2020

The service was not always well-led.

Details are in our responsive findings below.