Tiled House

Updated 25 March 2021

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.

As part of CQC’s response to the coronavirus pandemic we are looking at the preparedness of care homes in relation to infection prevention and control. This was a targeted inspection looking at the infection control and prevention measures the provider has in place.

This inspection took place on 05 March 2021 and was announced.

Updated 25 March 2021

About the service

Tiled House is a residential care home providing personal care for up to 48 people aged 65 and over, some who live with dementia. There were 41 people living at the home at the time of our inspection. The care provided is aimed to be short term. People are admitted for rehabilitation with the goal of allowing them to return to their own home. To facilitate this there are physiotherapists, occupational therapists and nurses based on site but not managed by the provider. These health professionals provide a role that reflects that provided by community healthcare services, for example district nursing.

Tiled House has units over two floors and was built for purpose. All bedrooms in use are single. There are also numerous communal living areas available on each floor.

People’s experience of using this service and what we found

People were safe, and staff knew what to do to minimise risks to people as far as this was possible without infringing their rights. There was enough staff available to keep people safe and staffing levels were reviewed to reflect changes in people’s needs.

People's care plans on most occasions reflected people’s needs and preferences although there were some inconsistencies found. However, staff were able to explain how they provided appropriate safe care that reflected people’s needs and preferences. People also expressed satisfaction with the care they received.

People were supported by care staff who had the skills and knowledge to meet their needs. There was ongoing training based on the training needs identified by the registered manager and training updates were on going. People expressed confidence in staff skills and knowledge and staff understood, felt confident and well supported in their role. People's health was supported as staff worked with health care providers, whether on or off site, as needed to support people’s healthcare needs.

People were supported to have maximum choice and control of their lives and staff understood they should support them in the least restrictive way possible; the policies and systems in the service supported this practice.

People had access to food and drink they enjoyed, and the service offered specialist or culturally appropriate diets when needed.

People were supported by care staff that were caring and expressed interest in people and the support they provided them. People received person centred care and support based on their individual needs and preferences. Staff were knowledgeable about people, their needs and preferences and used this to develop good relationships with the people. People’s privacy, dignity and independence was respected by staff.

We saw the service was responsive to information from people and relatives. People could complain, and concerns were listened and responded to by the staff. Complaints and comments were used as a tool to drive improvement of the service.

People, relatives and staff were able to share their views with staff and were involved in planning their care. People said they enjoyed staying at Tiled House and said it helped them reach better levels of independence. People were able to follow their chosen routines and had access to a range of activities.

Quality monitoring systems included audits and regular checks on people’s satisfaction with the service they received. The provider has systems in place to ensure they kept up to date with developments in the sector and changes in the law.

The registered manager and staff were approachable, organised, listened and responded to people and acted on feedback they when they shared this with them. The registered manager had demonstrated they were not complacent and had improved the service since our previous inspection.

For more details, please see the full report which is on the CQC website at www.cqc.org.uk

Rating at last inspection

The last rating for this service was requires improvement (report published 02/10/2018)

Why we inspected

This was a planned inspection based on the previous rating.