28 September 2015.
During a routine inspection
This unannounced inspection was carried out on 28 September 2015.This was the first inspection of this service since GCH (Tudors) Limited had been registered with the Care Quality Commission as the provider. This change of registration occurred on 5 January 2015.
The Tudors Care Home is registered to provide accommodation and personal care for 44 older people, some of whom were living with dementia. There were 38 people living at the home during this inspection. The home is situated over two floors, which can be assessed by stairs, a lift, and a stair lift. All bedrooms except for five rooms have en-suite facilities. There are a number of communal areas within the home, including lounge and dining areas, a library area, cinema area, hairdressing room, shop, bar and a garden for people to use.
There was a registered manager in place. 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 in the Health and Social Care Act 2008 and associated Regulations about how the service is run.
The Care Quality Commission (CQC) is required by law to monitor the operation of the Mental Capacity Act 2005 (MCA) and the Deprivation of Liberty Safeguards (DoLS) and report on what we find. We found that there were formal systems in place to assess people’s capacity for decision making and applications had been made to the authorising agencies for people who needed these safeguards. Staff respected people choices and staff were aware of the key legal requirements of the MCA and DoLS.
People who used the service were supported by staff in a kind and respectful that promoted people’s privacy and dignity. People had individualised care and support plans in place which recorded their care and support needs. Individual risks to people were identified by staff. Plans were put into place to minimise these risks to enable people to live as independent and safe a life as possible. These records guided staff on any assistance a person may require. Arrangements were in place to ensure that people were supported and protected with the safe management of their prescribed medication.
People were supported to take part in activities within the home and the local community. People’s family and friends were encouraged to visit the home to help support and promote people’s social inclusion.
There was an ‘open’ culture within the home. People and their relatives were able to raise any suggestions or concerns that they might have with staff and the registered manager and felt listened too. People were supported to access a range of external health care professionals and were supported to maintain their health. People’s health and nutritional needs were met.
Staff were trained to provide effective care which met people’s individual needs. Staff understood their role and responsibilities to report poor care. Staff were supported by the registered manager to develop their skills and knowledge through regular supervision, appraisals and training.
Recruitment checks were in place to make sure that staff were deemed suitable to work with the people they supported. There were a sufficient amount of staff on duty to meet peoples care and support needs.
The registered manager sought feedback about the quality of the service provided from people who used the service, their relatives and staff by holding regular meetings. They had in place a quality monitoring process to identify areas of improvement required within the home.