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Tilsley House Care Home Good

The provider of this service changed - see old profile

Inspection Summary


Overall summary & rating

Good

Updated 15 July 2021

About the service

Tilsley House Care Home is a residential care home and was providing personal and nursing care to 24 people aged 65 and over at the time of the inspection. The service can support up to 31 people. Accommodation is laid out over three floors, there are bedrooms on each floor, some of which have en-suite facilities. The ground floor offers a spacious lounge, conservatory and dining space and there is level access to the rear garden. The registered manager’s office can be found in close proximity to the lounge.

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

People told us they felt safe and staff worked to ensure care was provided safely. Risks were assessed, and measures were implemented to mitigate or remove them. People were protected from the risk of abuse and staff told us they would act if abuse was witnessed or suspected. Staff were recruited safely and there were enough staff to meet the needs of people. Lessons were learned when things went wrong. Medicines were managed and administered in line with requirements.

The provider and registered manager maintained oversight of the service. Quality checks and audits were undertaken to identify errors, concerns and omissions. There was a strong team identity and staff spoke positively about the registered manager. People received person-centred care, their views were sought, and the registered manager was accessible so stakeholders could speak with them as required. Staff worked with professionals to ensure people experienced good outcomes.

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 Requires Improvement (published 10 April 2019) and there was a breach of regulation 12 (Safe Care and Treatment)

Why we inspected

This was a planned inspection based on the previous rating.

We looked at infection prevention and control measures under the Safe key question. We look at this in all care home inspections even if no concerns or risks have been identified. This is to provide assurance that the service can respond to COVID-19 and other infection outbreaks effectively.

We carried out an unannounced comprehensive inspection of this service on 05 and 06 February 2019. A breach of legal requirements was found. The provider completed an action plan after the last inspection to show what they would do and by when to improve safe care and treatment.

We undertook this focused inspection to check they had followed their action plan and to confirm they now met legal requirements. This report only covers our findings in relation to the Key Questions Safe and Well-led which contain those requirements.

The ratings from the previous comprehensive inspection for those key questions not looked at on this occasion were used in calculating the overall rating at this inspection. The overall rating for the service has changed from requires improvement to good. This is based on the findings at this inspection.

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

Follow up

We will continue to monitor information we receive about the service until we return to visit as per our re-inspection programme. If we receive any concerning information we may inspect sooner.

Inspection areas

Safe

Good

Updated 15 July 2021

The service was safe.

Details are in our safe findings below

Effective

Good

Updated 15 July 2021

Caring

Good

Updated 15 July 2021

Responsive

Good

Updated 15 July 2021

Well-led

Good

Updated 15 July 2021

The service was well-led.

Details are in our well-Led findings below.