We expect health and social care providers to guarantee people with a learning disability and autistic people respect, equality, dignity, choices and independence and good access to local communities that most people take for granted. ‘Right support, right care, right culture’ is the guidance CQC follows to make assessments and judgements about services supporting people with a learning disability and autistic people and providers must have regard to it. About the service
Tidings is a care home which is registered to support up to 13 people. The home specialises in the care of people with a learning disability and people with mental health issues. Some people at the home had degenerative conditions which resulted in complex physical and mental health needs. At the time of the inspection there were 12 people living at the home.
People’s experience of using this service and what we found
Right Support:
People were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible and in their best interests; the policies and systems in the service supported this practice.
People were able to make choices about their day to day lives and how they wished to spend their time.
People received very personalised care which was built around their needs and wishes. This enabled people to gain independence and follow their own interests.
Staff supported people with their medicines in a way that promoted their independence and achieved the best possible health outcome. Staff worked with other professionals to avoid people taking unnecessary medicines.
Staff supported people to access healthcare services which were appropriate to their individual needs. Visiting professionals praised how well staff worked with people to meet their healthcare needs.
Right Care:
People received kind and compassionate care from staff who were respectful and friendly.
People were kept safe from avoidable harm because the home had a clear policy to support staff to recognise and report abuse or poor care. Staff spoken with said they would be confident to report any concerns about possible abuse or poor practice. People told us they felt safe and well looked after.
The home had enough appropriately skilled staff to meet people’s needs and keep them safe. Staff had a good understanding of people’s needs and were flexible to enable them to meet changing needs and wishes.
People’s care, treatment and support plans reflected their range of needs and this promoted their wellbeing and enjoyment of life. Risk assessments were carried out to enable people, not to restrict them.
People’s legal rights were protected because staff understood how to support people to make decisions or to make decisions in the person’s best interests.
Right Culture:
People were supported by a management team who worked hard to promote a culture where people were valued and respected as individuals. This culture enabled people to develop and flourish. Staff spoken with were committed to providing high quality personalised care.
There was a family type atmosphere where people felt included and ‘at home.’
The staff and management team were open and approachable. People said they could talk to any member of staff at any time and would feel listened to. Relatives told us they were always made welcome.
Staff placed people’s wishes, needs and rights at the heart of everything they did. Staff worked around people’s personal routines.
People told us they were happy at the home. Relatives and professionals praised the quality of the care and support provided to people.
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 24 May 2018.)
Why we inspected
This inspection was prompted by a review of the information we held about this service and the length of time since the last inspection.
We looked at infection prevention and control measures under the Safe key question. We look at this in all care home inspections 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.
This was a focused inspection looking at safe, effective and well-led key questions only. For those key questions not inspected, we used the ratings awarded at the last inspection to calculate the overall rating.
You can read the report from our last comprehensive inspection, by selecting the ‘all reports’ link for Tidings on our website at www.cqc.org.uk.
The overall rating for the service has not changed from good based on the findings of this inspection.
Follow up
We will continue to monitor information we receive about the service, which will help inform when we next inspect.