Updated 25 September 2025
Date of Assessment: 2 to 17 October 2025. At our last assessment, we rated this service overall as requires improvement. At this assessment, we rated this service overall as good. Tilsley House Care Home is a residential service providing accommodation and personal care up to 32 adults some who are living with dementia. At the time of the assessment 26 people were living at the service. We carried out this assessment to review actions taken by the provider following our last assessment published in April 2023. We assessed 21 quality statements in safe, effective and well led. The provider was previously in breach of the legal regulations of person-centred care, safe care and treatment in relation to risks to people and medicines and good governance. Improvements were found at this assessment and the provider was no longer in breach of these regulations. Two recommendations had been made previously in relation to recruitment procedures and supporting people in line with guidance around food and fluid. The provider had made changes and met these recommendations.
Improvements had been made at the service to ensure people received safe and person-centred care. There was now a stable and skilled management team who implemented effective governance systems to monitor and assess the quality and safety of the service. Areas for improvement were identified and monitored through a service level action plan.
People received safe and effective care and were protected from the risk of avoidable harm. People received their medicines as prescribed. The home was clean and regular checks were undertaken on the environment and equipment. People could access the garden. Staff were recruited safely and were supported through an induction, supervision and training. Regular assessments of staff competency were undertaken to ensure person centre care was being delivered. People’s health needs were monitored and concerns were escalated promptly. The service had good working relationships with other health and social care professionals.
The management team were visible and approachable. They had worked to develop a culture, where staff worked well as a team and people enjoyed a positive atmosphere. Feedback was regularly gathered through surveys and meetings. However, the quality of information recorded in accident and incident reports needed improvement. The provider needed to address paperwork and documentation which referred to a previous company and not the current provider. This included the statement of purpose and service user guide.