Updated 19 September 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. We checked whether the provider was meeting the legal requirements and regulations associated with the Act. We looked at the overall quality of the service and provided a rating for the service under the Care Act 2014.
Inspection team
The inspection was carried out by one inspector.
Service and service type
Tanfield House is a care home. People in care homes receive accommodation and nursing or personal care as single package under one contractual agreement. The Care Quality Commission (CQC) regulates both the premises and the care provided, and both were looked at during this inspection.
The service had a manager 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.
Notice of inspection
This inspection was unannounced.
What we did before the inspection
We reviewed information we had received about the service since the last inspection. This information included, the last inspection report and records of statutory notifications that the provider had sent to us. Statutory notifications include information about important events which the provider is required to send us by law. We also used the information the provider sent us in the provider information return (PIR). This is information providers are required to send us with key information about their service, what they do well, and improvements they plan to make. This information helps support our inspections. We used all this information to plan our inspection.
During the inspection-
We spoke with a manager (the registered manager was not present at this inspection), the deputy manager, nominated individual (responsible for supervising the management of the service on behalf of the provider), therapeutic support worker and four care workers. We also spoke the five people using the service and one person’s relative about their experience of the care provided.
We reviewed a range of records. These related to people's individual care and the running of the service. We looked at four people’s care records, medication records and four staff employment records. A variety of records in relation to the management of the service, including policies procedures and quality monitoring records were also reviewed.
After the inspection
We continued to seek clarification from the provider to validate evidence found. We looked at training information and risk assessment records. We received feedback from three local authority care managers responsible for commissioning people’s care and one healthcare professional who had regularly visited the service.