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Inspection Summary


Overall summary & rating

Requires improvement

Updated 7 September 2019

About the service

Tusker House is a residential care home which provides accommodation and personal care for 72 older people in one adapted building. At the time of the inspection there were 37 people living at the home.

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

Improvements were needed to the quality assurance system. It had not identified the shortfalls we found in relation to the lack of mental capacity assessments. Mental capacity assessments had not been completed in relation to key decisions that had been made regarding people’s care. People’s records did not reflect the care and support people received. We made a recommendation about this.

Although there was a range of activities taking place, improvements were needed to ensure everybody was given the opportunity to take part in activities that were meaningful and reflected their individual interests. We made a recommendation about this.

People were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible and in their best interests. However, these had not been recorded. We made a recommendation about this.

People were supported by staff who were kind and caring. They treated people with compassion and patience. Staff knew people well and understood their needs. People received care and support that was person centred and met their individual needs and choices.

People were protected from the risks of harm, abuse or discrimination because staff knew what actions they should take if they identified concerns. There were enough staff working to provide the support people needed, at times of their choice. Staff understood the risks associated with the people they supported. Risk assessments provided further guidance for staff about individual and environmental risks. People were supported to receive their medicines when they needed them.

Recruitment procedures ensured only suitable staff worked at the service. The home was clean and tidy throughout, good infection control procedures were followed.

Staff received the training they required to enable them to deliver the care and support that people needed. They received regular supervision and were well supported. People's health and well-being needs were met. They were supported to receive healthcare services when they needed them. People's nutritional needs were assessed. They were supported to eat a wide range of healthy, freshly cooked meals, drinks and snacks each day.

The registered manager and staff were well thought of by people and their relatives. People told us it was a friendly and happy home.

For more details, please see the full report which is on the CQC website at www.cqc.org.uk

Rating at last inspection

The last rating for this service was Good (published 2 December 2016).

Why we inspected

This was a planned inspection based on the previous rating.

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 7 September 2019

The service was safe.

Details are in our safe findings below.

Effective

Requires improvement

Updated 7 September 2019

The service was not always effective.

Details are in our effective findings below.

Caring

Good

Updated 7 September 2019

The service was caring.

Details are in our caring findings below.

Responsive

Good

Updated 7 September 2019

The service was responsive.

Details are in our responsive findings below.

Well-led

Requires improvement

Updated 7 September 2019

The service was not always well-led

Details are in our Well-Led findings below.