Updated 22 May 2019
The inspection:
We carried out this inspection under Section 60 of the Health and Social Care Act 2008 (the Act) as part of our regulatory functions. This inspection was planned to check whether the provider was meeting the legal requirements and regulations associated with the Act, to look at the overall quality of the service, and to provide a rating for the service under the Care Act 2014.
Inspection team:
The inspection team consisted of one CQC Inspector over both the days of the inspection visit.
Service and service type:
The Tides is a care home that can accommodate up to eight people with learning or physical disabilities. People in care homes receive accommodation and personal care as a single package under one contractual agreement. CQC regulates both the premises and the care provided, and both were looked at during this inspection.
The service had a registered manager in post. A registered manager is a person who has registered with the Care Quality Commission. This means that they and the provider are legally responsible for how the service is run and for the quality and safety of the care provided.
The service had been developed and designed in line with the values that underpin the registering the Right Support and other best practice guidance. These values include choice, promotion of independence and inclusion. People with learning disabilities and autism using the service can live as ordinary a life as any citizen.
Notice of inspection:
The inspection on day one was unannounced.
What we did:
Before the inspection we reviewed information we held about the service. This included information about incidents the provider had notified us of and contacting health professionals and the local authority for their views on the service. The provider had completed a Provider Information Return (PIR). This is a form that asks the provider to give some key information about the service, what it does well and improvements they plan to make.
During the inspection, we met with seven of the people living at The Tides and spoke with two of them. Some of the people we met had complex learning disabilities and were not able to tell us about their experiences of life at the home. We therefore used our observations of care and our discussions with relatives and staff to help form our judgements. Throughout the inspection we observed people looked relaxed and comfortable with staff and actively sought staff out to engage with. We spoke with four members of staff which included the registered manager, the deputy manager and care staff. We received written feedback from a health professional and immediately following the inspection we spoke with four relatives on the telephone and obtained their views on the service The Tides provided. We also received e-mail feedback from a further two relatives.
We observed how people were supported and to establish the quality of care people received we looked at records relating to their care and support. This included individual care and support plans and all Medicine Administration Records (MARS). We also looked at records relating to the management of the service including; staffing rotas, staff recruitment, supervision and training records, premises maintenance records, training and staff meeting minutes and a range of the providers policies and procedures.