We carried out a review of the data available to us about Tudor Avenue Residential Care Home on 6 July 2023. We have not found evidence that we need to carry out an inspection or reassess our rating at this stage.
This could change at any time if we receive new information. We will continue to monitor data about this service.
If you have concerns about Tudor Avenue Residential Care Home, you can give feedback on this service.
Tudor Avenue Residential Care Home is a service providing accommodation and personal care for up to six people who have a learning disability. There were four people using the service at the time of our visit.
People’s experience of using this service and what we found
We expect health and social care providers to guarantee autistic people and people with a learning disability the choices, dignity, independence and good access to local communities that most people take for granted. Right Support, right care, right culture is the statutory guidance which supports CQC to make assessments and judgements about services providing support to people with a learning disability and/or autistic people.
The service was able to demonstrate how they were the underpinning principles of Right support, Right care, Right culture.
Right support:
Model of care and setting maximises people's choice, control and independence. People had a range of activities and personal items available to them. People were supported to engage in a range of activities and their independence was promoted.
Right care:
Care is person-centred and promotes people's dignity, privacy and human rights. People could live their lives how they chose and were supported to achieve this safely by staff who took responsibility for people's needs. People's privacy was respected.
Right culture:
Ethos, values, attitudes and behaviours of leaders and care staff ensure people using the services lead confident, inclusive and empowered lives. Staff were passionate about providing the best care for people. The service was relaxed, friendly and people knew each other and the staff team well.
Safeguarding procedures were followed, and staff were encouraged to report any concerns.
We saw risks were being regularly assessed and managed to help keep people safe. There were enough staff on duty for people to be supported safely. People received their medicines as prescribed and medicines were managed safely. The home was clean, tidy and staff promoted good infection control practices.
Staff felt supported and received appropriate training to carry out their roles. This included moving and positioning training although hoist equipment was not in use at the time of our inspection.
We were assured the service met good infection prevention and control guidelines. People were protected from the risk of acquiring infections and the premises were kept clean and hygienic. Personal protective equipment (PPE) was in good supply and staff were following the latest guidance for its use.
Issues were identified during the inspection in relation to the electronic systems for training and care planning. It was of concern that the findings of a Serious Incident Review had only been supplied to the registered manager on the day before this visit took place.
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 (published 8 November 2017).
Why we inspected
We undertook this inspection to follow up on specific concerns about the service in relation to moving and positioning. A decision was made for us to inspect and to review the key questions of safe, effective and well-led only.
We reviewed the information we held about the service. No areas of concern were identified in the other key questions. We therefore did not inspect them. Ratings from previous comprehensive inspections for those key questions were used in calculating the overall rating at this inspection.
The overall rating for the service has not changed. This is based on the findings at this inspection.
You can read the report from our last comprehensive inspection, by selecting the ‘all reports’ link for Tudor Avenue Residential Care Home on our website at www.cqc.org.uk.
We also looked at infection prevention and control measures under the Safe key question. We look at this in all care homes even if no concerns or risks have been identified. This is to provide assurance that the service can respond to COVID-19 and other infection outbreaks effectively.
Follow up
We will return to visit as per our re-inspection programme. If we receive any concerning information we may inspect sooner.
Tudor Avenue is a care home that supports up to six people with a learning disability and additional physical disabilities or complex health needs. The home is managed by Support For Living Limited and is situated in Hampton in the London Borough of Richmond-Upon-Thames.
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 and associated Regulations about how the service is run.
People and their relatives thought the home was a good place to live and people were happy there. When we visited people were supported to choose the activities they wanted to do and when they wished to do them. People were supported and encouraged to participate in community based activities and to maintain contact with friends and family.
Relatives felt that the home provided a caring environment with good support from external health professionals and that staff had a very caring attitude.
Relatives and staff knew how to raise concerns and told us they felt confident they would be resolved. Relatives told us that communication with the staff and management team was good.
People felt safe living at the home and were able to move freely without risk of accidents because the staff ensured that appropriate risk assessments were carried out and that the premises were free of hazards. The home was well maintained, furnished, clean and provided a safe environment for people to live and staff to work in.
Medicines and other health care regimes were managed appropriately, with accurate records being maintained.
Throughout our visit people’s body language and their interaction with staff and each other was positive and relaxed.
There were comprehensive records that were kept up to date. The care plans contained clearly recorded and up to date information which was regularly reviewed. This enabled staff to support people in the way they preferred.
The staff knew the people they worked with and understood their roles and responsibilities. They had the appropriate skills and training required to meet people’s needs and they were focussed on providing care and support for each person as an individual. This was delivered in an enabling, friendly and professional manner. Staff training and supervision emphasised providing care in a person-centred way. Staff spoke positively about working in the home and confirmed they received training and support.
Staff understood the requirements of the Mental Capacity Act 2005 and the need to ensure that as far as possible they received people's informed consent to the care and support provided.
People were protected from nutrition and hydration associated risks by being provided with balanced diets that also met their likes and preferences. People with complex nutritional needs and special assistance with feeding were provided with support in a respectful and dignified manner.
There was an open and inclusive atmosphere in the home. Staff were able to contribute to the vision for the home through regular team meetings. The provider carried out regular audits to monitor the quality of the service and to plan improvements.