Background to this inspection
Updated
23 October 2015
We carried out this inspection under Section 60 of the Health and Social Care Act 2008 as part of our regulatory functions. This inspection was planned to check whether the provider is meeting the legal requirements and regulations associated with the Health and Social Care Act 2008, to look at the overall quality of the service, and to provide a rating for the service under the Care Act 2014.
This inspection took place on 21 September and was unannounced.
The inspection was undertaken by one inspector. Before the inspection we looked at information about the home that we had. This included previous inspection reports, information provided by the home, the provider information return (PIR) form, correspondence and notifications.
During the inspection we spoke with four people living in the home. We also spoke to the manager and four members of staff.
We looked at the home’s policies and procedures, four care records and four medicines administration records. Staffing records were held centrally by London Borough Of Richmond upon Thames.
We also spoke to a sample of external professionals who provided support to the home, for example the community health teams and received their feedback.
We observed the care practice at the home, tracked the care provided to people by reviewing their records and interviewing staff.
Updated
23 October 2015
We carried out an inspection of 3 Tudor Avenue on 21 September 2015. The inspection was unannounced. At the previous inspection of 17 October 2013 the home had met all the required standards.
3 Tudor Avenue is a home for up to six people who have learning disabilities, some of whom have additional physical disabilies. At the time of our inspection there were six people living in the home.
The home 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 who lived at the home were protected from the risk of abuse happening to them. People who were able to told us they felt safe and well cared for at the service and that they felt comfortable with the staff. Other people were able to demonstrate through their body language and interaction with staff that they felt safe and well cared for.
We saw that people’s health and nutrition were regularly monitored. There were well established links with GP services and other community health services such as occupational therapists, dieticians and speech and language therapists.
Care records were individual to each person and contained information about people’s life history, their likes and dislikes, and information which would be helpful to hospitals or other health support services.
Staffing levels were managed flexibly to suit people's needs so that people received their care when they needed it. Staff had access to information, support and training that they needed to do their jobs well. The provider’s training programme was designed to meet the needs of people using the service so that staff had the knowledge and skills they required to care for people effectively.
There was an open and inclusive atmosphere in the service. People who used the service and staff told us they found the manager to be approachable and supportive. Staff were able to challenge when they felt there could be improvements.
The provider carried out regular audits to monitor the quality of the service and to plan improvements. Action plans were used so the provider could monitor whether necessary changes were made.