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Inspection Summary


Overall summary & rating

Outstanding

Updated 16 May 2018

This inspection was completed on 20 February 2108 and was unannounced.

Tomlen is a ‘care home’. People in care homes receive accommodation and nursing or personal care as a single package under one contractual agreement. CQC regulates both the premises and the care provided, and both were looked at during this inspection. Tomlen primarily supports people with a learning disability and accommodates six people in one adapted building. There were six people living at Tomlen at the time of the inspection.

The care service has been developed and designed in line with the values that underpin the Registering the Right Support and other best practice guidance. These values include choice, promotion of independence and inclusion. People with learning disabilities and autism using the service can live as ordinary a life as any citizen.

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 of the Health and Social Care Act 2008 and associated Regulations about how the service is run.

The previous comprehensive inspection was completed in June 2015 and the service was rated ‘Good’ overall. At this inspection, the service was rated ‘Outstanding’.

The service remained outstandingly responsive to people’s needs. People received care from staff who were highly motivated to providing excellent levels of personalised care. People and their relatives were positive about the care and support they received. They told us staff were very caring and kind and they felt safe living in the home.

The service was exceptionally responsive to people’s individual interests and how they chose to lead their lives. People had access to an excellent range of activities which maximised their potential and enabled them to learn new life skills. The registered manager and staff had a ‘can do’ attitude and were creative in enabling people to overcome any perceived limitations and live a rewarding and fulfilling life. The registered manager and staff had an excellent understanding of people’s emotional well-being and provided appropriate support to people.

The service benefitted from excellent leadership. The registered manager was highly driven to ensure best practice was sustained. The registered manager was a member of various forums which were focused on promoting best practice and driving improvements in social care. We saw several examples of how people had benefitted from the registered manager’s involvement in these initiatives. People, staff and relatives spoke positively about the registered manager. Quality assurance checks were in place and identified actions to improve the service. The registered manager sought feedback from people and their relatives to continually improve the service.

Staff had been trained in safeguarding and had a good understanding of safeguarding policies and procedures. The administration and management of medicines was safe. There were sufficient numbers of staff working at the service. There was a robust recruitment process to ensure suitable staff were recruited. Risk assessments were updated to ensure people were supported in a safe manner and risks were minimised. Where people had suffered an accident, themes and trends had been analysed, and action had been taken to ensure people were safe and plans put in place to minimise the risk of re-occurrence.

Staff had received training appropriate to their role. People were supported to access health professionals when required. They could choose what they liked to eat and drink and were supported to prepare their own meals. People were supported in an individualised way that encouraged them to be as independent as possible. People were given information about the service in ways they wanted and could understand.

Inspection areas

Safe

Good

Updated 16 May 2018

The service was safe.

There were sufficient staff to keep people safe and meet their needs.

Medicines were managed safely with people receiving their medicines as prescribed.

Staff reported any concerns and were aware of their responsibilities to keep people safe from harm.

People were kept safe through risks being identified and well managed.

Effective

Good

Updated 16 May 2018

The service was effective.

Staff received adequate training to be able to do their job effectively.

Staff received regular supervisions and appraisals.

The manager and staff had a good understanding of the Mental Capacity Act (MCA).

People and relevant professionals were involved in planning their nutritional needs.

People�s health was monitored. Healthcare professionals visited when required to provide an effective service.

Caring

Good

Updated 16 May 2018

The service was caring.

People received the care and support they needed and were treated with dignity and respect.

Staff were caring and kind towards the people they supported.

People were supported in an individualised way that encouraged them to be as independent as possible

People and their relatives were involved in planning their care and support.

Responsive

Outstanding

Updated 16 May 2018

The service remained outstandingly responsive.

The service had an excellent range of activities which maximised people�s potential and enabled them to learn new life skills.

The registered manager and staff had an excellent understanding of people�s emotional well-being and provided appropriate support to people.

People were able to express their views about the service and staff acted on these views.

Care plans clearly described how people should be supported. People and their relatives were supported to make choices about their care and support.

There was a robust system in place to manage complaints. All people and staff were confident any complaints would be listened to and taken seriously.

Care plans recorded people�s likes, dislikes and preferences. Staff had information that enabled them to provide support in line with people�s wishes.

People received end of life care and support which met their individual needs and preferences.

Well-led

Outstanding

Updated 16 May 2018

The service benefitted from excellent leadership and strived to provide people with exceptional outcomes. .

The registered manager was highly driven to sustain and improve standards of care in their own service and across the wider care industry through their involvement in several local initiatives.

Staff felt supported and were clear on the visions and values of the service.

Quality monitoring systems were used to further improve the service.

There were positive comments from people, relatives and staff regarding the management team.

The registered manager took part in various forums and steering groups to ensure good practice was sustained.