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Archived: Tudor Lodge Good

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Reports


Inspection carried out on 6 April 2016

During a routine inspection

This inspection took place on 6 April 2016 and was unannounced. At the last inspection in March 2014 we found the service was meeting the regulations we looked at.

Tudor Lodge is a small home which provides care and accommodation for up to six adults. The service specialises in supporting people with learning disabilities. At the time of our inspection there were six people living at the home.

The service is required to have a registered manager in post. A registered manager is a person who has registered with the Care Quality Commission (CQC) to manage the service. Like registered providers, they are ‘registered persons’. Registered persons have a legal responsibility for meeting the requirements in the Health and Social Care Act and associated Regulations about how the service is run.

At the time of this inspection a new manager had been appointed for the service in February 2016. A new deputy manager was also appointed in December 2015. The new manager had submitted their application to CQC to become the registered manager for the home, which was being processed. Relatives and staff told us, prior to these appointments, the service had not been managed as well as it should have been. Relatives said there had been a lack of continuity and uncertainty as a result of staffing changes particularly with regard to the management of the service. Staff told us during the last two years morale and motivation had been affected by the changes in management.

However, people and staff had positive things to say about the new managers and the quality of their leadership at the home. People said the new managers had made improvements and positive changes at the home. Staff told us they felt better supported and morale and motivation had improved since the new managers were appointed. It was clear from people and staff’s comments they believed leadership of the service had improved but these changes were still quite recent so it was too early to judge at the time of this inspection whether these improvements were sustainable and that consistency in respect of the management of the service could be maintained.

The new managers were improving openness and transparency within the service. People said managers were approachable and they felt well listened to. Staff were encouraged to use communication methods more effectively to ensure people could participate in discussions about how the service could be improved. Staff themselves were provided opportunities to share their views and discuss any issues or concerns they had about work based practices.

Managers carried out regular checks to monitor the safety and quality of the service. They took action to make the necessary changes needed where shortfalls or gaps in the service were identified.

Relatives said people were safe at Tudor Lodge. Staff knew how to protect people if they suspected they were at risk of abuse or harm. They had received training in safeguarding adults at risk and knew how and when to report their concerns if they suspected someone was at risk of abuse. There were procedures in place for staff to follow to ensure concerns were reported to the appropriate person. They had also received training to ensure people were protected from discriminatory behaviour and practices that could cause them harm.

To keep people safe from injury or harm in the home and community, staff had access to appropriate guidance on how to minimise identified risks to people due to their specific needs. Maintenance and service checks were carried out at the home to ensure the environment and equipment was safe. Staff kept the home free of hazards and obstacles so that people could move safely around.

There were enough suitable staff to care for and support people. The provider had carried out appropriate checks to ensure they were suitable and fit to work at the home. Staff received relevant training to help them in their roles. Staff had a good understanding and awareness of people’s

Inspection carried out on 7 March 2014

During an inspection looking at part of the service

We found that people were protected from the risks of inadequate nutrition and dehydration. We saw evidence that people's food preferences were taken into account. We looked at the meal choices available to people using the service and found that people were offered a varied, well-balanced diet which consisted of meals made using fresh ingredients. We observed lunch being prepared and served. We saw that people were provided with food that was well presented and the portion sizes were sufficient. Comments we received included, "The food is good." and �I'm often there during lunch and dinner and I know X is getting a balanced diet and they use fresh ingredients not ready meals"

We found that people were cared for by staff who were supported to deliver care and treatment safely and to an appropriate standard. This was because staff received appropriate training, professional development, supervision and appraisal.

Inspection carried out on 28 November 2013

During a routine inspection

We found that before people received any care or treatment they were asked for their consent and the provider acted in accordance with their wishes. Where people did not have the capacity to consent, the provider acted in accordance with legal requirements.

We reviewed four care files and saw evidence that a comprehensive assessment of people's needs was carried out before they began to use the service. We reviewed the records of care provided and saw that care and treatment was planned and delivered in line with people's individual care plan. The assessments included input from people using the service, their relatives and other significant people in their lives. A person using the service told us, "I like it here. The staff are nice." A relative told us, " x is settled there. I think the staff are doing a good job."

People who use the service were protected from the risk of abuse, because the provider had taken reasonable steps to identify the possibility of abuse and prevent abuse from happening.

We reviewed four staff files and found that there were effective recruitment procedures in place and appropriate checks were carried out before staff began work. However, we were concerned that staff were not supported by the provider to deliver care safely and to an appropriate standard, through relevant training, professional development, supervision and appraisal.

Inspection carried out on 2 January 2013

During a routine inspection

We looked at the personal care or treatment records of people who use the service, carried out a visit on 2nd January 2013, observed how people were being cared for and talked with people who use the service. We talked with carers and / or family members, talked with staff and talked with stakeholders.

People who use the service told us that they were happy and that the accommodation and that the staff were nice. Most of the people who use the services were unable to speak to us due to their communication needs. However we did speak with family members. People made generally positive comments about Tudor Lodge and said that they had always felt listened to and had been made to feel welcome by the staff. People were aware of the complaints process and of the annual surveys which were sent out by the provider.

You can see our judgements on the front page of this report.

Inspection carried out on 16 January 2012

During a routine inspection

Due to their needs, some people that we met during our visit were unable to share their

views about the standards of care. The views of people who were able to comment on

their experience can be summarised as follows "the staff are good� and "I like it here".