Tuscany House

On this page

• Overview
• Assessing needs
• Delivering evidence-based care and treatment
• How staff, teams and services work together
• Supporting people to live healthier lives
• Monitoring and improving outcomes
• Consent to care and treatment

Safe – this means we looked for evidence that people were protected from abuse and avoidable harm.

At our last assessment we rated this key question Requires Improvement. At this assessment the rating has changed to Good. This meant people were safe and protected from avoidable harm.

The provider was previously in breach of the legal regulation in relation to safe care and treatment. Improvements were found at this assessment and the provider was no longer in breach of this regulation.

This service scored 75 (out of 100) for this area. Find out what we look at when we assess this area and How we calculate these scores.

The provider made sure people’s care and treatment was effective by assessing and reviewing their health, care, wellbeing and communication needs with them.

People’s care plans were updated as their needs changed. One staff member told us, “As time goes on there are changes in behaviour and the care plan doesn’t reflect the person as well. So for this month we reviewed 3 of them to reflect the new behaviours.”

There had been no new admissions into the service since our previous inspection.

The provider planned and delivered people’s care and treatment with them, including what was important and mattered to them. They did this in line with legislation and current evidence-based good practice and standards.

Guidelines and advice from professionals involved in people’s care was followed. For example, we observed the guidance given by the speech and language team (SALT) for 1 or a person being followed by staff members during his lunchtime meal.

People were supported to maintain relationships with their family and friends. This included facilitating people visiting their family home, and welcoming visitors for people into the service.

The provider worked well across teams and services to support people. They made sure people only needed to tell their story once by sharing their assessment of needs when people moved between different services.

Detailed shift planners were in place. These detailed which staff members had supported which person each shift, and if there was anything to note regarding their health or wellbeing. Verbal handovers were also in place between day and night shifts. One staff member told us, “I get all the information I need in the handovers.” The deputy manager told us, “The staff teams work really well together. Sometimes I will plan a shift so they know what I perceive a good shift to look like. There’s been no staff animosity.”

Staff worked well as a team. One staff member told us, “The staff are amazing. My colleagues are approachable, they listen to me and support me.”

We did not look at Supporting people to live healthier lives during this assessment. The score for this quality statement is based on the previous rating for Effective.

The provider routinely monitored people’s care and treatment to continuously improve it. They ensured that outcomes were positive and consistent, and that they met both clinical expectations and the expectations of people themselves.

Local healthcare professionals were positive about the input of the service on people’s health and wellbeing. One healthcare professional said, “There is good liaison and joint working to meet health care needs. Staff are skilled in supporting people to have health checks, especially those reluctant to have examinations and injections and use distraction and reassurance effectively. Staff monitor health care needs and carry out checks.” Staff were able to describe to us how they supported people to have medical examinations and low-level interventions to maintain their health.

The provider told people about their rights around consent and respected these when delivering person-centred care and treatment.

Staff were aware of their responsibility to respect people’s rights. One staff member told us, “It’s important as we have to give people choice. Even if someone’s making an unwise choice, we can’t choose for them if they have capacity. We need to respect that regardless.” We observed appropriate documentation was in place to assess people’s capacity and authorise any restrictions in their care due to this.