Tuscany House

On this page

• Overview
• Person-centred Care
• Care provision, Integration and continuity
• Providing Information
• Listening to and involving people
• Equity in access
• Equity in experiences and outcomes
• Planning for the future

Responsive – this means we looked for evidence that the provider met people’s needs.

At our last assessment we rated this key question Requires Improvement. At this assessment the rating has changed to Good. This meant people’s needs were met through good organisation and delivery.

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

This service scored 68 (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 were at the centre of their care and treatment choices and they decided, in partnership with people, how to respond to any relevant changes in people’s needs.

During the recent refurbishment of the service, people were supported to choose which colour they would like their own rooms. We observed rooms were individually decorated and personalised to the person’s interests. There were various photos of the people who live at the service in communal areas to ensure the environment was homely.

People were supported to do a variety of activities or outings that were of personal interest to them. This included bowling, visiting a local trampoline park, trips to theme parks and to the local day centre. People who preferred not to access the community as frequently were supported enjoy activities at the service. One staff member told us, “[Person] doesn’t really like going out. But he loves jumping so we purchased the trampoline in the garden for him which he loves.”

Care plans included clear information on people’s likes and dislikes. For example, -1 or a person’s care plan stated they enjoyed jigsaw puzzles, building Lego, baking and watching films. This guided staff on how best to support individual people to enjoy their day.

The provider understood the diverse health and care needs of people and their local communities, so care was joined-up, flexible and supported choice and continuity.

‘Hospital passports’ were in place. These are documents that contain vital information about a person’s health, care, and communication needs that can be taken with them when they move to a different setting, such as a hospital attendance.

The provider supplied appropriate, accurate and up-to-date information in formats that were tailored to individual needs.

Newsletters containing information of any staff changes and what activities people had taken part in were available in the communal lounge. The deputy manager told us they were seeking permission from people’s next of kin to share pictures of their family members with others so that the newsletter could be sent out to every person’s relative and next of kins by email going forward.

The deputy manager also informed us of her plans to create staff profile pages to give to next of kins. She told us, “They rightly want to know who’s looking after their family member.”

The provider made it easy for people to share feedback and ideas, or raise complaints about their care, treatment and support. Staff involved people in decisions about their care and told them what had changed as a result.

Resident meetings were being held to allow people to give their feedback and be involved in planning their care. Staff members were aware that communication would need to be adapted for each individual to allow them to participate and had plans of how to make this happen. The deputy manager told us, “We’ve got to make sure its adaptable for all people. For example, the best time to do it with [person] is after dinner when he’s having pudding. We’ll be doing thumbs up and thumbs down options too.”

People’s communication needs were clearly recorded in their care plans. This included information such as whether the person was non-verbal and their preferred communication technique such as sign language, Makaton or picture cards. This allowed people to be involved in communicating their needs around their care.

We did not look at Equity in access during this assessment. The score for this quality statement is based on the previous rating for Responsive.

We did not look at Equity in experiences and outcomes during this assessment. The score for this quality statement is based on the previous rating for Responsive.

People were supported to plan for important life changes, so they could have enough time to make informed decisions about their future, including at the end of their life.

End of life care plans were in place for people. These detailed who they would like to be with them during their final days, and any funeral plans in place. Where possible, people had been involved with the creation of the care plan to give their thoughts and directions.