Tanglewood

Updated 19 March 2019

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. This inspection was planned to check whether the provider was meeting the legal requirements and regulations associated with the Act, to look at the overall quality of the service, and to provide a rating for the service under the Care Act 2014.

Inspection team:

The inspection was carried out by one inspector.

Service and service type:

Tanglewood is a care home. People in a care home receive accommodation and nursing or personal care. CQC regulates both the premises and the care provided, and both were looked at during this inspection.

The service had a registered manager. This means that they are registered with the Care Quality Commission and with the registered provider are legally responsible for how the service is run and for the quality and safety of the care provided. The registered manager was also the registered provider.

Notice of inspection:

The inspection was unannounced.

What we did:

We reviewed information we had received about the service. This included details about incidents the provider must notify us about, such as abuse; and we sought feedback from the funding authorities. We assessed the information we require providers to send us at least once annually to give key information about the service, what the service does well and the improvements they plan to make. We used this information to plan our inspection.

Not everyone living at Tanglewood could tell us about their experiences living at the service.

¿ We spoke with one person, and spent time observing staff with people in communal areas during the inspection.

¿ We spoke with the registered manager, home manager, and four staff.

¿ We reviewed a range of records. This included two people's care records and medicine records.

¿ We looked at recruitment records, supervision and training records of all staff.

¿ We reviewed records relating to the quality and management of the home.

Updated 19 March 2019

About the service:

Tanglewood is a small residential service which provides accommodation and personal care for up to four people who have learning disabilities, some complex health care needs. At the time of our inspection there were three people living there, who were also registered blind.

The service applied the principles and values of Registering the Right Support and other best practice guidance. These ensure that people who use the service can live as full a life as possible and achieve the best possible outcomes that include control, choice and independence.

People’s experience of using this service:

¿ The outcomes for people using the service reflected the principles and values of Registering the Right Support in the following ways; the service accommodated up to four people, with three people living there at the time of our inspection. There were no signs outside the property to identify it as a care home. People were encouraged to be a part of the local community; attending clubs and sporting events, visiting local shops and pubs.

¿ The registered manager and provider did not formally document quality checks they completed on the service. We identified that although accidents and incidents were documented, there was not a formal recording process in place, which was reviewed by the registered manager. We discussed this with the registered manager, and they implemented improvements following the inspection.

¿ People and their relatives told us they felt safe living at the service. Staff understood their safeguarding responsibilities, and people were supported around risks, and taking positive risks. People were involved in keeping the service clean, and supported by sufficient staff numbers. People received their medicines when they needed them, and in their preferred way.

¿ People were supported eat and drink sufficient amounts to maintain good health. People were supported to live healthy lives, and encouraged to take part in regular exercise. When people’s needs changed, staff supported them to access healthcare professionals.

¿ People were treated with kindness and compassion. People were supported and promoted to be as independent as possible. People were involved in their reviews, and supported in decision making for more complex decisions. Staff received the training, support and supervision to enable them to support people to the best of their abilities.

¿ People engaged in a range of activities they told us they enjoyed. Care plans we reviewed were person centred, and up to date, reflecting people’s current needs.

¿ Relatives told us they knew how to raise concerns or complaints but had not had cause to. The provider was in the process of receiving formal feedback from relatives, people and stakeholders. Staff, people and relatives told us there was a positive culture within the service, that promoted positive outcomes for people.

The service met the characteristics of Good in most areas; more information is in the full report.

Rating at last inspection:

This was the first inspection of Tanglewood under a new registration due to changes to the provider.

Why we inspected:

This was the first inspection since a new provider took over the registration.

Follow up:

We will continue to monitor the service through the information we receive. We will carry out another scheduled inspection to make sure the service continues to maintain Good.