Updated 16 April 2024
Date of assessment 25 April 2024 – 2 May 2024. Tanglewood Mews is registered to provide personal care for people living in supported living accommodation. The service specialises in providing care to adults with a learning disability and autistic people. This was a responsive assessment due to concerns received in relation to the safety and quality of care being provided. We looked at 14 quality statements during this assessment. At our last inspection published on 7 April 2021, the service was rated good overall, with a rating of requires improvement in well led. We found no evidence in relation to poor care being provided or concerns with safeguarding. There was enough staff on duty to keep people safe. However, staffing levels including 1-1 care hours didn’t always ensure people could get out to do activities. Medicines were not always managed well. Recording of administration was not clear and procedures were not followed when people took their medicines to out with them during the day. Some activities had been taking place in own homes however, people told us they would like to do more and go out more. Records of accidents and incidents were not robust to give the manager oversight and to ensure lessons were learned. Records and the process of decisions made with people was not completed effectively. Staff recruitment and training needed more robust records regarding checks training needs. Staff were not always receiving supervision, appraisal, and induction. The provider, manager and staff worked well with other healthcare professionals.