Background to this inspection
Updated
2 April 2020
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
Our inspection was completed by one inspector 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
Tudor House Nursing Home is a nursing home that provides accommodation with personal and nursing care for older adults with dementia.
People in care homes receive accommodation and nursing or personal care as a single package under one contractual agreement. The Care Quality Commission (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 the registered manager and 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.
What we did before the inspection
Our inspection was informed by evidence we already held about the service. We also checked for feedback we received from members of the public, the local authority and clinical commissioning groups (CCGs).
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.
During the inspection
We spoke with 12 people using the service, seven relatives and a health and social care professional. We also spoke with the director, the registered manager, three support workers, three domestic assistants and the chef. We reviewed four people’s care records, medicines records, four staff files, audits and other records about the management of the service.
Updated
2 April 2020
About the service
Tudor House Nursing Home is a residential care home providing accommodation with nursing and personal care. The home accommodates up to 37 people in one house. At the time of our inspection 34 people were living at the home, many of whom were older people living with dementia.
People’s experience of using this service and what we found
The provider carried out a range of health and safety checks. Although window restrictors were in place, some required adjusting to ensure the risk of falls was reduced. The provider carried out water safety checks although they had not carried out an assessment to ensure all risks were identified and managed. The provider told us they would improve immediately.
Staff supported people with their medicines safely. Risks to people, including those relating to dementia and any health conditions, were suitably managed. The provider carried out recruitment checks on staff, including checks of nursing registrations, to ensure they were suitable to work with people. There were enough staff to support people safely. Staff followed suitable infection control practices and received training to understand their responsibilities and the service was clean and free from malodours.
Staff received a suitable induction with ongoing training and support to care for people with dementia and nursing needs. People were supported to maintain their health and staff assessed and monitored their needs. People received food they enjoyed and were given food choices. 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 liked the staff who supported them and developed good relationships with them. Staff knew people well and treated them with dignity and respect. People were involved people in their care. People’s care plans were based on their needs and preferences and people received personalised care. An activity officer engaged people in activities they were interested in and people had enough activities to occupy them. The provider had a suitable process to respond to any concerns or complaints.
The provider had sufficient oversight of the service and carried out a range of checks to ensure standards remained high, although their checks of window restrictors and water hygiene required improvement. A registered manager was in post who understood their role and responsibilities, as did the director and staff. Staff felt well supported by the management team. People, visitors and staff told us the service was well-led and the provider engaged well with them.
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 (report published August 2017).
Why we inspected
This was a planned inspection based on the rating at the last inspection.
Follow up
We will continue to monitor intelligence we receive about the service until we return to visit as per our re-inspection programme. If any concerning information is received, we may inspect sooner.