Tile House

Updated 5 March 2019

We carried out this inspection under Section 60 of the Health and Social Care Act 2008 as part of our regulatory functions. This inspection was planned to check whether the provider is meeting the legal requirements and regulations associated with the Health and Social Care Act 2008, to look at the overall quality of the service, and to provide a rating for the service under the Care Act 2014.

This inspection took place on 16 January 2019 and was unannounced. The inspection was undertaken by two inspectors.

Before the inspection, the provider completed a Provider Information Return (PIR). This is a form that asks the provider to give some key information about the service, what the service does well and any improvements they plan to make. We reviewed information we held about the service, including previous inspection reports and notifications of significant events the provider sent to us. Notifications are information about specific important events the service is legally required to tell us about.

During the inspection we spoke with five people using the service and engaged with six others, who communicated with us verbally in a limited way. We observed care and support being delivered in communal areas of the home. We used the Short Observational Framework for Inspection (SOFI). SOFI is a way of observing care to help us understand the experience of people who could not talk with us. We also spoke with four visitors, two health care professionals and two social care professionals. Additionally, we spoke with a company director, the registered manager, the deputy manager, three care staff members and the cook. Following the inspection, we contacted two people, or their family members by telephone.

We looked at care plans and associated records for eight people and records relating to the management of the service. These included staff recruitment files, records of complaints, accidents and incidents and quality assurance records.

The service was last inspected in May 2016 when it was rated as Good. At this inspection we found the service remains Good.

Updated 5 March 2019

Tile House is a ‘care home’. People in care homes receive accommodation and nursing or 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 home is registered to provide accommodation for up to 19 people, including people living with a cognitive impairment. At the time of our inspection there were 18 people living in the home. The service also provided personal care support to five people in their own home within the local community, known as 'the hub'.

Accommodation was arranged over three floors which could be accessed by stair lifts and a staircase. People had their own private rooms and there were two communal lounge areas, a dining room and a quiet area so people could socialise or spend time alone.

The inspection was conducted on 16 January 2019 and was unannounced.

At the last inspection we rated the service ‘Good.’ At this inspection, the evidence continued to support the rating of ‘Good’ and there was no evidence or information from our inspection and on-going monitoring that demonstrated serious risks or concerns.

A registered manager was in post. 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.

People felt safe living at Tile House. Staff knew how to identify, prevent and report abuse. Safeguarding investigations were thorough and identified learning to help prevent a reoccurrence.

Individual and environmental risks to people were managed effectively. Risk assessments identified risks to people and provided clear guidance to staff on how risks should be managed and mitigated.

There were enough staff to meet people’s needs in a timely way and staff were able to support people in a relaxed and unhurried way. Appropriate recruitment procedures were in place to help ensure only suitable staff were employed.

Arrangements were in place for the safe management of medicines. People received their medicines as prescribed. The home was clean and staff followed best practice guidance to control the risk and spread of infection.

People’s needs were met by staff who were competent, trained and supported appropriately in their role. Staff acted in the best interests of people and followed legislation designed to protect people’s rights and freedom.

People had access to health professionals and other specialists if they needed them.

Procedures were in place to help ensure that people received consistent support when they moved between services.

People were cared for with dignity and respect and were treated in a kind and caring way by staff. Staff knew people well, encouraged people to remain as independent as possible and involved them in decisions about their care.

Staff protected people’s privacy and dignity and responded promptly when people’s needs or preferences changed.

The service worked well and in collaboration with all relevant agencies; including health and social care professionals to help ensure there was joined-up care provision. Staff worked in partnership with healthcare professionals to support people at the end of their lives to have a comfortable, dignified and pain-free death.

People had access to a range of activities. They knew how to make a complaint and felt any concerns would be listened to and addressed effectively.

People, their family members and external professionals were positive about the running of the service and were confident in the management team.

There were robust auditing processes in place. The quality of the service was monitored and appropriate actions were taken when required.

People, their families and staff had the opportunity to become involved in developing the service.