Tudor House

Updated 25 July 2019

The inspection

We carried out this inspection under Section 60 of the Health and Social Care Act 2008 (the Act) as part of our regulatory functions. We checked whether the provider was meeting the legal requirements and regulations associated with the Act. We looked at the overall quality of the service and provided a rating for the service under the Care Act 2014.

Inspection team

This inspection was carried out by one inspector.

Service and service type

Tudor 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 service had a manager registered with the Care Quality Commission. This means that they and the provider are legally responsible for how the service is run and for the quality and safety of the care provided.

Notice of inspection

This inspection was unannounced.

Inspection activity started on 18 June 2019 and ended on 26 June 2019. We visited the service on 20 June 2019.

What we did before inspection

We reviewed information we had received about the service since the last inspection. We sought feedback from the local authority and professionals who work with the service. We used the information the provider sent us in the provider information return. This is information providers are required to send us with key information about their service, what they do well, and improvements they plan to make. This information helps support our inspections. We used all this information to plan our inspection.

During the inspection

We spoke with three people who used the service and three relatives about their experience of the care provided. Some people were not able to verbalise their thoughts about using the service. We used observations to help us understand their experiences. We spoke with two members of staff, an advanced skills worker and the registered manager.

We looked at a range of records. This included two people’s support plans and medicine records and three staff files in relation to recruitment and staff supervision. Information relating to the management of the service, including policies and procedures, were also reviewed.

After the inspection

The provider sent us information after the inspection visit which we had requested. We spoke with one professional who knew the service well.

Updated 25 July 2019

About the service

Tudor House is a small service providing accommodation and personal care for up to four people who have a learning disability and/or autism and require 24-hour support and care on a short term basis. On the day of our inspection, four people were using the service.

The service has been developed and designed in line with the principles and values that underpin Registering the Right Support and other best practice guidance. This ensures that people who use the service can live as full a life as possible and achieve the best possible outcomes. The principles reflect the need for people with learning disabilities and/or autism to live meaningful lives that include control, choice, and independence. People using the service receive planned and co-ordinated person-centred support that is appropriate and inclusive for them.

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

People were safe from harm as there were enough staff with the appropriate skills and experience who had been recruited safely. Systems and processes were in place to safeguard people from the risk of abuse. Staff knew how to manage risks and to support people effectively. People received their medicines as prescribed and infection control procedures were in place to ensure the service was clean and to prevent the spread of infection. The provider had learnt lessons and improved the service when things had gone wrong.

Assessments were in place which detailed people’s needs and choices. People received support from staff who had been trained and had regular supervision to ensure their support to people was effective. People were fully supported to have a balanced and varied diet and to make choices about their meals. People were able to continue to access community, leisure and healthcare services as they would do if they were at home. People were supported to live healthy lives and could access healthcare services when they needed to.

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

People and their relatives were supported by staff who were warm, friendly, caring and kind. Staff provided consistent care and support within homely surroundings. Staff supported people in a dignified and respectful way and involved them in making choices and decisions about their day to day lives whilst at the service.

Care was personalised to ensure people had choice and control and to meet their individual needs and preferences. The service considered people’s communication needs and information was available in different formats. The provider had a complaints procedure in place and dealt with complaints appropriately. Due to the nature of the service, they did not provide end of life care to people.

The registered manager and staff were clear about their role, responsibilities and regulatory requirements. The service had a well-defined management structure, with a consistent staff team. Quality audits were in place and the service was monitored to ensure it provided high quality care and support. People and their relatives were involved in developing the service and encouraged to give their feedback. This information was used to look at how the service could be continuously improved.

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 Good (2 November 2016)

Why we inspected

This was a planned inspection based on the previous rating.

Follow up

We will continue to monitor information we receive about the service until we return to visit as per our re-inspection programme. If we receive any concerning information, we may inspect sooner.