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Inspection Summary


Overall summary & rating

Good

Updated 7 July 2021

The Tidings is a residential care home that provides care and support for up to two people who have a learning disability and or autism. The Tidings is a detached house, and at the time of our inspection there were two people living in the service.

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

We received positive feedback from people’s relatives who told us they wouldn’t hesitate to recommend the service to others. One described the happy and homely environment where staff, “Do what they’re supposed to do… Do what they promise… It’s a kind place.”

Relatives felt their family members were provided with safe care, in a homely, clean environment. Staff had received training in safeguarding and understood their responsibilities in reporting any concerns. People received their medicines safely as prescribed by trained staff. Safe recruitment processes were being followed and there were enough staff available to support people’s individual needs.

People living in the service, staff, and relatives felt the positive management of the service ensured good communication and they felt comfortable to voice an opinion and raise any issues, knowing they would be acted upon.

Staff had been sensitive to people’s anxiety about the pandemic, providing individual support to explain why staff were wearing face masks and carrying out routine testing. Staff explained to people why they were unable to temporarily attend some of the external activities they enjoyed, whilst creating new indoor activities to support their well-being.

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; the policies and systems in the service supported this practice.

We expect health and social care providers to guarantee autistic people and people with a learning disability the choices, dignity, independence and good access to local communities that most people take for granted. Right Support, right care, right culture is the statutory guidance which supports CQC to make assessments and judgements about services providing support to people with a learning disability and/or autistic people.

This service was able to demonstrate how they were meeting the underpinning principles of Right support, right care, right culture. The outcomes for people using the service promoted choice and control, independence and inclusion. One person told us, “I tell staff what to do,” not the other way round, and they felt included in decisions. Staff and leadership focused on ensuring people reached their personal goals through person centred approaches.

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 requires improvement (published 4 March 2020).

Why we inspected

We carried out an unannounced comprehensive inspection of this service on 17 February 2020. Breaches of legal requirements were found. The provider completed an action plan after the last inspection to show what they would do and by when to improve safe care and treatment and governance.

We undertook this focused inspection to check they had followed their action plan and to confirm they now met legal requirements. This report only covers our findings in relation to the Key Questions Safe and Well-led which contain those requirements.

The ratings from the previous comprehensive inspection for those key questions not looked at on this occasion were used in calculating the overall rating at this inspection. The overall rating for the service has changed from requires improvement to good. This is based on the findings at this inspection.

We looked at infection prevention and control measures under the Safe key question. We look at this in all care home inspections even if no concerns or risks have been identified. This is to provide assurance that the service can respond to COVID-19 and

Inspection areas

Safe

Good

Updated 7 July 2021

The service was safe.

Details are in our safe findings below.

Effective

Good

Updated 7 July 2021

Caring

Good

Updated 7 July 2021

Responsive

Good

Updated 7 July 2021

Well-led

Good

Updated 7 July 2021

The service was well-led.

Details are in our safe findings below.