Background to this inspection
Updated
31 January 2018
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 31 October 2017. It was unannounced and was carried out by two inspectors.
We reviewed all the information we had available about the service, including notifications sent to us by the provider. A notification is information about important events which the provider is required to send us by law. We also reviewed a Provider Information Return (PIR). A PIR is a form that asks the provider to give some key information about the service, what the service does well and improvements they plan to make. We used this information to plan what areas we were going to focus on during our inspection.
During the inspection we spoke with six people who used the service, the registered manager, deputy manager, two care staff and two activities coordinators. We also spoke with two relatives and two friends that were visiting at the time of our inspection.
Some people had complex needs and were not able to speak with us; therefore we used observation as our main tool to gather evidence of people’s experiences of the service. We spent time observing care in the communal part of the house and used the Short Observational Framework for inspection (SOFI). SOFI is a way of observing care to help us understand the experience of people who could not talk to us.
We reviewed four people’s care records, medication administration records (MAR) and a selection of documents about how the service was managed. These included, staff recruitment files, induction and training schedules and a training plan. We also looked at the service’s arrangements for the management of medicines, and records relating to complaints and compliments, safeguarding alerts and quality monitoring systems.
Updated
31 January 2018
This inspection took place on 31 October 2017 and was unannounced.
Tang Hall provides residential care for up to 20 people. Some people who live in the home may have an acquired brain injury, mental health needs or dementia. There were nineteen people living at the service at the time of our inspection.
When we last visited the service it was rated good. At this inspection we found the service remained good.
The service has a registered manager in post. A registered manager is a person who has registered with the Care Quality Commission (CQC) 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 safe because staff supported them to understand how to keep safe and staff knew how to manage risk effectively. There were appropriate arrangements in place for medication to be stored and administered safely, and there were sufficient numbers of care staff with the correct skills and knowledge to safely meet people’s needs.
The service was meeting the requirements of the Deprivation of Liberty Safeguards (DoLs). Appropriate mental capacity assessments and best interest decisions had been undertaken by relevant professionals. This ensured that decisions were taken in accordance with the Mental Capacity Act (MCA) 2005, DoLs and associated codes of practice.
People had access to healthcare professionals. A choice of food and drink was available that reflected their nutritional needs, and took into account their personal lifestyle preferences and health care needs.
Staff had good relationships with people who used the service and were attentive to their needs. People’s privacy and dignity was respected at all times.
People and their relatives were involved in making decisions about their care and support.
People were treated with kindness and respect by staff who knew them well and listened to their views and preferences.
People were encouraged to follow their interests and hobbies. They were supported to keep in contact with their family and friends.
There was a strong management team who encouraged an open culture and who led by example. Staff morale was high and they felt that their views were valued.
The management team had systems in place to monitor the quality and safety of the service provided.
For a more comprehensive report regarding this service, please refer to the report of our last visit which was published on 24 August 2015.