Archived: Care Management Group - Tamarisk House

Updated 6 July 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:

Care Management Group – Tamarisk House is a ‘care home’. People in care homes receive accommodation and nursing or personal care as single package under one contractual agreement. CQC regulates both the premises and the care provided, and both were looked at during this inspection. The care home accommodates up to five people in a bungalow. Each resident has their own bedroom with ensuite bathroom. There is a shared living room and kitchen/dining area. There is a ramp to access the property at the front of the house.

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

Notice of inspection:

We gave 24 hours’ notice of the inspection because the service is small, and we need to make sure that people would be in.

What we did:

Before the inspection we looked at all the information we had about the service. This included information from statutory notifications. Statutory notifications include information about important events which the provider is required to send us by law. We used the information in the Provider Information Return (PIR). This is information we require providers to send us at least once annually to give some key information about their service, what they do well, and improvements they plan to make. This information helps support our inspections. We also contacted professionals working with the service for their views.

During the inspection we spoke to the registered manager, the regional manager, and three support staff. We spoke to three people using the service and one relative. We reviewed three people’s care records and looked at the medicine administration records (MAR) and supporting documents for three people. We looked at records relating to governance and management of the service.

Updated 6 July 2019

About the service: Care Management Group - Tamarisk is a residential care home providing accommodation and personal care to people with learning disabilities. At the time of the inspection there were five people living in the home. The building design fitted into the residential area and was similar to other domestic homes of a similar size. There were deliberately no identifying signs, intercom, cameras, industrial bins or anything else outside to indicate it was a care home.

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, promotion of choice and control, independence, and inclusion. People's support focused on them having as many opportunities as possible for them to gain new skills and become more independent.

People were safeguarded from the risk of abuse.

Individual risks to people were identified and managed and covered falls, choking and anxieties.

There were safe protocols in place to ensure that people received their medicines as prescribed.

Systems were in place to monitor accidents and incidents to take action to prevent things going wrong in the future.

Peoples needs were holistically assessed and person-centred so that staff could support people according to the choice and preferences.

Staff had the training and support they needed to support people.

The service worked with professionals to ensure that their healthcare needs were met.

People were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible.

Staff treated people with kindness and compassion. They understood people well and responded to their needs.

People were involved in making decisions about their care through key worker meetings, residents’ meetings and in the day to day delivery of support.

Care plans included details of people’s hobbies and interests and the service supported people to maintain these as well as to develop new interests.

There was a strong person-centred management team leading the service.

Robust procedures were in place to monitor and audit the quality of care.

A business plan supported the process of driving improvement. This was discussed with staff at staff meetings and supervisions.

The service had consideration of equality characteristics and had actively supported people to enable them to combat discrimination and live the life they chose.

Rating at last inspection: At the last inspection the service was rated good (report published 16 December 2016).

Why we inspected: This was a planned comprehensive inspection based on the rating at the last inspection.

For more details, please see the full report which is on the CQC website at www.cqc.org.uk.