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Archived: RNIB Tate House Good

The provider of this service changed - see old profile

The provider of this service changed - see new profile

Inspection Summary


Overall summary & rating

Good

Updated 23 December 2015

This inspection took place on 17 November 2015 and was unannounced. Since the last visit to the service in February 2014 the registered provider has merged with a similar charity and formed RNIB Charity.

Tate House is a care home and is owned by RNIB Charity. The service is registered to provide personal care for up to thirty-nine people who have a visual impairment, and those requiring personal care. The service is close to Harrogate town centre.

The service had a registered manager. 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.

During the inspection there was a happy, friendly atmosphere and people who used the service were relaxed in the company of staff and others they lived with. People who used the service and staff told us they were very happy in the service.

People who used the service told us they felt safe and knew what to do if ever they felt unsafe. They were protected against the risks associated with medicines because the provider had appropriate arrangements in place to manage medicines safely.

There were clear assessments about people’s ability to consent to care and make choices. Where people were unable to make their own decisions about their care needs we saw the service had recorded best interest decisions. These had involved the person, their families and any relevant health and social care professionals.

People who used the service were well cared for. Staff knew people very well and understood how to meet people’s needs. People were involved in making decisions about their care and were involved in the care planning process. People who used the service engaged in social activities which were person centred, this involved group activities and individual one to one sessions. Care was centred on the person.

Staff helped make sure people were safe. This involved having meetings with people and talking about how to stay safe and involved specialist input to make sure the environment was safe for those with a visual impairment. People who used the service helped to plan the menu and enjoyed the meals. They received good support to make sure their nutritional and health needs were met.

People who used the service told us staff were ‘very very kind, understood them and what they needed.’ Visitors also complimented the staff team. There were enough staff, and staff were skilled and experienced to meet people’s needs because they received appropriate training and support. Some training was due to be repeated but this was planned and in progress.

The fabric and décor in some parts of the service were looking tired and showing signs of wear and tear. We noted that funds had been set aside to carry out some redecoration before the Christmas period and that an on-going programme of redecoration and refurbishment was being planned.

The service had good management and leadership procedures. The management team promoted quality and safety and had good systems in place to help ensure this was achieved. They worked alongside staff and therefore knew what was happening in the service. People who used the service told us they knew ‘who was who’ and knew staff names. People had no concerns about the care and knew how to make a complaint if they were unhappy with the service provided.

Inspection areas

Safe

Good

Updated 23 December 2015

The service was safe.

People who used the service were safeguarded from abuse. Regular discussions were held to help people understand how to stay safe. Medicine was managed safely and people received their medicine as prescribed.

Systems were in place to identify, manage and monitor risk, and for dealing with emergencies. Checks were carried out around the service to keep the building safe.

Some parts of the service were looking tired and fabric and décor was showing signs of wear and tear. We noted that an on-going programme of redecoration and refurbishment was being planned and that funds had been set aside to carry out some redecoration before the Christmas period.

There were enough staff who worked flexibly to meet people’s individual needs.

Effective

Good

Updated 23 December 2015

The service was effective.

People’s needs were met by staff who had the right skills, competencies and knowledge. Training was provided on an on-going basis.

People who used the service told us they enjoyed the food, which was varied and well-presented and that they had enough to eat and drink at all times during the day and night.

People who used the service received good support that made sure their healthcare needs were met. A range of other professionals were involved to support people to stay healthy.

Caring

Good

Updated 23 December 2015

The service was caring.

People who used the service and staff told us they were very happy living and working in the service.

The service had a ‘person centred culture’ which focused on everyone as an individual. The service was run for the benefit of those living there.

Staff demonstrated they knew people really well and had a good understanding of their wishes, needs and aspirations.

We noted throughout our visit that staff were attentive, professional and engaged with people in a sensitive and friendly manner.

Responsive

Good

Updated 23 December 2015

The service was responsive.

People’s needs were assessed and care and support was planned. Support plans were person centred. They contained clear guidance for staff about the support people needed. There was information about people’s life experiences before they moved into the service and this helped staff understand what was important to people.

People who used the service enjoyed a range of person centred activities within the service and the wider community.

Systems were in place to respond to concerns and complaints and people who used the service were encouraged to give feedback about the service.

Well-led

Good

Updated 23 December 2015

The service was well led.

Staff morale was high. The staff we spoke with told us how important it was to them that people received a good standard of care. They told us they felt well supported by the management team.

The manager and provider completed regular audits of the service to make sure they were providing good care.

People who used the service and staff spoke positively about the management team. They also told us they thought service was well led.

Everyone was encouraged to put forward suggestions to help improve the service.