12 September 2017
During a routine inspection
Tudor Care Home is registered to provide accommodation and care for up to ten older people who are living with Dementia or who have a physical disability. The home is located on two floors with a stair lift to access the first floor. There was a communal lounge, kitchen and dining room where people could spend their time. At the time of the inspection there were nine people using the service.
The service had a registered manager. 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 were protected from the risk of harm at the service because staff knew their responsibilities to keep people safe from avoidable harm and abuse. Staff knew how to report any concerns they had about people’s welfare.
There were effective systems in place to manage risks and this helped staff to know how to support people safely. Where risks had been identified, measures to reduce these were in place.
There were enough staff to meet people’s needs. The provider had safe recruitment practices. Staff had been checked for their suitability before they started their employment.
People’s equipment was regularly checked and there were plans to keep people safe during significant events such as a fire. The building was well maintained and kept in a safe condition. Evacuation plans had been written for each person, to help support them safely in the event of an emergency.
People’s medicines were handled safely and were given to them in accordance with their prescriptions. Staff had been trained to administer medicines and had been assessed for their competency to do this. Liquid medicines were not always dated when they were opened. Staff had not always signed when they had given a person their medicine. There were processes in place to ensure medicines had been given.
Staff received appropriate support through a structured induction, support and guidance. There was an on-going training programme to ensure staff had the skills and up to date knowledge to meet people’s needs.
People were supported to maintain good health and nutrition. People had access to healthcare services. Follow up actions from health appointments were not always recorded.
People were supported to make their own decisions. Staff and managers had an understanding of the Mental Capacity Act (MCA) 2005 and Deprivation of Liberty Safeguards (DoLS). Assessments of mental capacity had usually been completed. Staff sought people’s consent before delivering their support.
People developed positive relationships with staff who were caring and treated them with respect, kindness and compassion.
People received care and support that was responsive to their needs and preferences. Care plans provided information about people so staff knew what they liked and enjoyed.
People were encouraged to maintain and develop their independence. People took part in activities that they enjoyed.
People and their relatives knew how to make a complaint. The provider had implemented effective systems to manage any complaints they may receive.
Systems were in place which assessed and monitored the quality of the service and identified areas for improvement. These had not always been completed at the required frequency.
Policies and procedures were in place and gave staff guidance on their role. These had not always been updated to reflect current legislation.
People and staff felt the service was well managed. The service was led by a registered manager who understood most of their responsibilities under the Care Quality Commission (Registration) Regulations 2009. Staff felt supported by the registered manager.
People had been asked for feedback on the quality of the service they received.