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Tithe Farm Nursing Home Good

Inspection Summary

Overall summary & rating


Updated 26 January 2019

About the service:

• The service is based on acreage in the Stoke Poges area; a rural setting with expansive grounds.

• The service provided accommodation and personal or nursing care to older adults with dementia. People lived in their own bedrooms. Some rooms had ensuite facilities. There were communal bathroom facilities, lounges and a dining room.

• At the time of our inspection, 24 people used the service and there were 40 staff.

People’s experience of using this service:

• The service had made improvements to the safety of people’s care.

• People were protected against avoidable harm, abuse, neglect and discrimination. The care they received was safe.

• People’s risks were assessed and strategies put in place to mitigate the risks.

• Risks from the premises were satisfactorily assessed and managed. We made a recommendation about reviewing the suitability of the environment for dementia care.

• Staff received improved supervision and training since our last inspection, which provided them with the knowledge and skills to perform the roles they were employed to do.

• People and relatives provided consistently positive feedback about the care, staff and management. They said the service was safe, caring and well-led.

• People’s care was person-centred. The care was designed to ensure people’s independence was encouraged and maintained.

• People were involved in their care planning. End of life care planning and documentation required further improvement.

• There were positive changes to the management team. Improved audits and checks were put in place to ensure the service was well-governed.

• There was a happy workplace culture and staff we spoke with provided positive feedback.

• The service met the characteristics for a rating of “good” in all the key questions we inspected. Therefore, our overall rating for the service after this inspection was “good”.

• More information is in our full report.

Rating at last inspection:

• The service was rated “requires improvement”.

• Our previous inspection report was published on 27 December 2017.

Why we inspected:

• This inspection was part of our scheduled plan of visiting services to check the safety and quality of care people received.

Follow up:

• We will continue to monitor the service to ensure that people receive safe, compassionate, high quality care. Further inspections will be planned for future dates.

• We made recommendations in our inspection report. We will check any actions taken by the provider at our next inspection.

Inspection areas



Updated 26 January 2019

The service was safe.

Details are in our findings below.



Updated 26 January 2019

The service was effective.

Details are in our findings below.



Updated 26 January 2019

The service was caring.

Details are in our findings below.



Updated 26 January 2019

The service was responsive.

Details are in our findings below.



Updated 26 January 2019

The service was well-led.

Details are in our findings below.