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Inspection Summary

Overall summary & rating


Updated 4 January 2017

The inspection was undertaken on 13 December 2016 and was unannounced.

The provider of Tutnall Hall Care Home is registered to provide accommodation and nursing care for up to 35 people who have nursing needs. At the time of this inspection 34 people lived at the home.

There was a registered manager in post who was supported by a deputy 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.

Staff we spoke with were aware of how to recognise signs of abuse, and systems were in place to guide them in reporting these. They were knowledgeable about how to manage people’s individual risks, and were able to respond to people’s needs. People told us they were supported in a safe way and had their medicines as prescribed. Since our last inspection in January 2016 we found improvements in the way medicines were stored.

People and their relatives told us they were happy with the care and support provided by staff. People felt staff understood their needs and they felt safe. Staff knew how to report abuse and unsafe practices. Staff were recruited based upon their suitability to work with people who lived at the home.

People were assisted in having enough to eat and drink to stay healthy. People were given choice of meals. Where necessary they were given extra help to eat and drink to stay well. People said they had access to health professionals, and there was a weekly visit from their GP. Relatives had been informed if appropriate and were confident their family member had the support they needed.

Staff knew how to support people when specific decisions needed to be made to meet their needs in their best interests. We saw people were given choices about their care and support. This enabled people to be involved in the decisions about how they would like their care and support delivered.

People told us they were happy living at the home, supported by caring staff. People’s independence was promoted. Visitors were welcome to see their family members or friends when they wanted.

Relatives said they felt included in planning for the care their family member received and were always kept up to date with any concerns. They knew how to raise complaints and felt confident that they would be listened to and action taken to resolve any concerns. The registered manager had arrangements in place to ensure people were listened to and action could be taken if required.

There was an improvement in the monitoring of the quality of the care and support delivered since our last inspection in January 2016. The provider and the registered manager had introduced regular assessing and monitoring the quality of the service provided for people. The provider and registered manager took account of people’s views and suggestions to make sure planned improvements focused on people’s experiences.

Inspection areas



Updated 4 January 2017

This service was safe.

People felt safe living at the home. Staff had identified the risks relating to people’s care and how to keep people safe as a result. There were sufficient numbers of suitably recruited, qualified and skilled staff on duty to keep people safe and support people with their health and social care needs.

People received their medicines as prescribed.



Updated 4 January 2017

This service is effective.

People received care from a staff team who had the skills and knowledge to meet their needs. People were always asked for their consent before care was given. People had access to health professionals when required.



Updated 4 January 2017

This service is caring.

People had positive relationships with staff that were based on respect and promoting people’s independence. People were treated with dignity at all times. People were supported by a stable team of staff who they were able to build trusting relationships with.



Updated 4 January 2017

The service was responsive.

People received care and support which was personal to them and took account of their preferences. Care plans had been regularly reviewed to ensure they reflected people’s current needs. People felt comfortable to make a complaint and felt any concerns raised would be dealt with.



Updated 4 January 2017

This service was well-led

The registered manager and provider had introduced regular audits to monitor and improve the quality of care provided to people living in the home.