Updated 19 August 2023
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 Health and Social Care Act 2008.
As part of this inspection, we looked at the infection control and prevention measures in place. This was conducted so we can understand the preparedness of the service in preventing or managing an infection outbreak, and to identify good practice we can share with other services.
Inspection team
The inspection was carried out by 3 inspectors and an Expert by Experience. An Expert by Experience is a person who has personal experience of using or caring for someone who uses this type of care service.
Service and service type
Tiltwood is a ‘care home’. People in care homes receive accommodation and nursing and/or personal care as a single package under one contractual agreement dependent on their registration with us. Tiltwood is a care home without nursing care. CQC regulates both the premises and the care provided, and both were looked at during this inspection.
This provider is required to have a registered manager to oversee the delivery of regulated activities at this location. A registered manager is a person who has registered with the Care Quality Commission to manage the service. Registered managers and providers are legally responsible for how the service is run, for the quality and safety of the care provided and compliance with regulations.
At the time of our inspection there was a registered manager in post. The registered manager was not available during the inspection and the service was being overseen by an interim management team.
Notice of inspection
This inspection was unannounced.
Inspection activity started on 27 June 2023 and ended on 30 June 2023. We visited the service on 27 June 2023.
What we did before the inspection
We reviewed information we had received about the service since the last inspection. We also used the information the provider sent us in the provider information return (PIR). This is information providers are required to send us annually with key information about their service, what they do well, and improvements they plan to make.
During the inspection
During the course of our inspection activity, we spoke with 10 people and received feedback from 2 relatives about their experiences of using the service. We interviewed 18 members of staff which included the management team, team leaders, care staff, domestic and kitchen staff. Feedback was also received from 2 visiting professionals.
We looked at a range of documentation relating to people’s care and the management of the service. These included the medicine records and support plans for 10 people. We also reviewed the recruitment information of 4 members of staff and documents relating to the training and supervision staff. A variety of records relating to the management of the service, including incidents, accidents and audits were also reviewed.