Tudor Avenue Residential Care Home

Updated 16 February 2022

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.

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

One inspector carried out the inspection.

Service and service type.

Tudor Avenue Residential Care Home 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.

Notice of inspection

This inspection visit took place on 11 November 2021. We gave the registered manager 24 hours notice of our inspection.

What we did before the inspection

We received concerning information about the service since the last inspection. We reviewed information we held about the service, including details about incidents the provider must notify us about, such as abuse or when a person is injured. We used all this information to plan our inspection.

The provider was asked to complete a provider information return prior to this inspection. 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. We took this into account when we inspected the service and made the judgements in this report.

During the inspection

We spoke with one person who used the service, three members of care staff and the registered manager. We reviewed two people’s care records and other records relating to how the service is run.

Updated 16 February 2022

About the service

Tudor Avenue Residential Care Home is a service providing accommodation and personal care for up to six people who have a learning disability. There were four people using the service at the time of our visit.

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

We expect health and social care providers to guarantee autistic people and people with a learning disability the choices, dignity, independence and good access to local communities that most people take for granted. Right Support, right care, right culture is the statutory guidance which supports CQC to make assessments and judgements about services providing support to people with a learning disability and/or autistic people.

The service was able to demonstrate how they were the underpinning principles of Right support, Right care, Right culture.

Right support:

Model of care and setting maximises people's choice, control and independence. People had a range of activities and personal items available to them. People were supported to engage in a range of activities and their independence was promoted.

Right care:

Care is person-centred and promotes people's dignity, privacy and human rights. People could live their lives how they chose and were supported to achieve this safely by staff who took responsibility for people's needs. People's privacy was respected.

Right culture:

Ethos, values, attitudes and behaviours of leaders and care staff ensure people using the services lead confident, inclusive and empowered lives. Staff were passionate about providing the best care for people. The service was relaxed, friendly and people knew each other and the staff team well.

Safeguarding procedures were followed, and staff were encouraged to report any concerns.

We saw risks were being regularly assessed and managed to help keep people safe. There were enough staff on duty for people to be supported safely. People received their medicines as prescribed and medicines were managed safely. The home was clean, tidy and staff promoted good infection control practices.

Staff felt supported and received appropriate training to carry out their roles. This included moving and positioning training although hoist equipment was not in use at the time of our inspection.

We were assured the service met good infection prevention and control guidelines. People were protected from the risk of acquiring infections and the premises were kept clean and hygienic. Personal protective equipment (PPE) was in good supply and staff were following the latest guidance for its use.

Issues were identified during the inspection in relation to the electronic systems for training and care planning. It was of concern that the findings of a Serious Incident Review had only been supplied to the registered manager on the day before this visit took place.

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 (published 8 November 2017).

Why we inspected

We undertook this inspection to follow up on specific concerns about the service in relation to moving and positioning. A decision was made for us to inspect and to review the key questions of safe, effective and well-led only.

We reviewed the information we held about the service. No areas of concern were identified in the other key questions. We therefore did not inspect them. Ratings from previous comprehensive inspections for those key questions were used in calculating the overall rating at this inspection.

The overall rating for the service has not changed. This is based on the findings at this inspection.

You can read the report from our last comprehensive inspection, by selecting the ‘all reports’ link for Tudor Avenue Residential Care Home on our website at www.cqc.org.uk.

We also looked at infection prevention and control measures under the Safe key question. We look at this in all care homes even if no concerns or risks have been identified. This is to provide assurance that the service can respond to COVID-19 and other infection outbreaks effectively.

Follow up

We will return to visit as per our re-inspection programme. If we receive any concerning information we may inspect sooner.