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Tilsley House Care Home Requires improvement

The provider of this service changed - see old profile

Inspection Summary


Overall summary & rating

Requires improvement

Updated 10 April 2019

About the service: Tilsley House Care Home is a residential care home that was providing personal care to 26 people aged 65 and over at the time of the inspection.

People’s experience of using this service:

Governance systems were not always used effectively to identify gaps in records or areas that required further investigation.

People received personalised care that considered their individual needs. The registered manager was aware of the needs of people and knew them well.

Recruitment procedures were safe and staff members received training relevant to their roles.

The service worked effectively with healthcare professionals and were involved in pilot schemes and projects to help them improve the lives of people.

People and relatives spoke positively about the care provided by the service.

Safeguarding concerns were identified and appropriate actions were taken to protect people from potential abuse.

Rating at last inspection: The service was rated as ‘good’ at the last inspection. At this inspection we found two breaches of the Health and Social Care Act 2008 (Regulated Activities) Regulations 2014. These breaches were in relation to safe care and treatment, and good governance. The service was rated requires improvement.

Why we inspected: This was a planned inspection based on the previous rating.

Follow up: We will review the report on actions the provider intends to take following the inspection. We will continue to monitor the service through the information we receive. We will inspect in line with our inspection programme or sooner if required.

Inspection areas

Safe

Requires improvement

Updated 10 April 2019

The service was not always safe

Details are in our Safe findings below.

Effective

Good

Updated 10 April 2019

The service was effective

Details are in our Effective findings below.

Caring

Good

Updated 10 April 2019

The service was caring

Details are in our Caring findings below.

Responsive

Good

Updated 10 April 2019

The service was responsive

Details are in our Responsive findings below

Well-led

Requires improvement

Updated 10 April 2019

The service was not always well-led

Details are in our Well-Led findings below.