Tiltwood

Updated 19 August 2023

The inspection

We carried out this inspection under Section 60 of the Health and Social Care Act 2008 (the Act) as part of our regulatory functions. We checked whether the provider was meeting the legal requirements and regulations associated with the Act. We looked at the overall quality of the service and provided a rating for the service under the Health and Social Care Act 2008.

As part of this inspection, we looked at the infection control and prevention measures in place. This was conducted so we can understand the preparedness of the service in preventing or managing an infection outbreak, and to identify good practice we can share with other services.

Inspection team

The inspection was carried out by 3 inspectors and an Expert by Experience. An Expert by Experience is a person who has personal experience of using or caring for someone who uses this type of care service.

Service and service type

Tiltwood is a ‘care home’. People in care homes receive accommodation and nursing and/or personal care as a single package under one contractual agreement dependent on their registration with us. Tiltwood is a care home without nursing care. CQC regulates both the premises and the care provided, and both were looked at during this inspection.

This provider is required to have a registered manager to oversee the delivery of regulated activities at this location. A registered manager is a person who has registered with the Care Quality Commission to manage the service. Registered managers and providers are legally responsible for how the service is run, for the quality and safety of the care provided and compliance with regulations.

At the time of our inspection there was a registered manager in post. The registered manager was not available during the inspection and the service was being overseen by an interim management team.

Notice of inspection

This inspection was unannounced.

Inspection activity started on 27 June 2023 and ended on 30 June 2023. We visited the service on 27 June 2023.

What we did before the inspection

We reviewed information we had received about the service since the last inspection. We also used the information the provider sent us in the provider information return (PIR). This is information providers are required to send us annually with key information about their service, what they do well, and improvements they plan to make.

During the inspection

During the course of our inspection activity, we spoke with 10 people and received feedback from 2 relatives about their experiences of using the service. We interviewed 18 members of staff which included the management team, team leaders, care staff, domestic and kitchen staff. Feedback was also received from 2 visiting professionals.

We looked at a range of documentation relating to people’s care and the management of the service. These included the medicine records and support plans for 10 people. We also reviewed the recruitment information of 4 members of staff and documents relating to the training and supervision staff. A variety of records relating to the management of the service, including incidents, accidents and audits were also reviewed.

Updated 19 August 2023

About the service

Tiltwood is a residential care home providing personal care for up 50 people. The service provides support to older people who are living with dementia. At the time of our inspection there were 42 people using the service. Accommodation is arranged into 5 individual suites, each with their own communal dining and sitting areas. During the day, people also have access to a range of internal and external activity spaces.

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

We identified that the physical environment was not wholly suitable for people living with dementia and have recommended that the provider consider best practice as they undertake their planned changes to the design and decoration of the service.

There were systems in place to keep people safe. People were safeguarded from the risk of abuse or avoidable harm. The management team had appropriately assessed risks and staff took action to protect people.

People were supported by a team of staff who knew them well. Appropriate steps were taken to ensure staff were suitably vetted prior to appointment. Staff completed regular training and coaching was ongoing to ensure staff had the skills and experience to support people effectively.

People were supported to have choice and control of their lives and staff supported them in the least restrictive way possible and in their best interests; the policies and systems in the service supported this practice.

The provider’s governance systems had improved and were being continuously used to improve the service.

For more details, please see the full report which is on the CQC website at www.cqc.org.uk

Rating at last inspection and update

The last rating for this service was Good (published 7 June 2018).

Why we inspected

The inspection was prompted in part due to concerns received about the management, staffing and safety of the service. A decision was made for us to inspect and examine those risks. As a result, we undertook a focused inspection to review the key questions of Safe, Effective and Well-led only. For those key questions not inspected, we used the ratings awarded at the last inspection to calculate the overall rating.

We found that the provider needs to make improvements as outlined in the Effective key question. However, the provider was aware of the areas requiring improvement and had already taken significant action against these. We therefore found no evidence during this inspection that people were at risk of continued harm from these concerns.

You can read the report from our last comprehensive inspection, by selecting the ‘all reports’ link for Tiltwood on our website at www.cqc.org.uk.

Follow up

We will continue to monitor information we receive about the service, which will help inform when we next inspect.