Tudor House

Updated 22 September 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 was a comprehensive inspection which took place on the 11 and 19 June 2018. The first day of this inspection was unannounced with a second day of inspection which was announced. The inspection was carried out by one inspector.

Before this inspection we reviewed information, the provider sent us 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 the service, what the service does well and improvements they plan to make. We also reviewed other information held about the provider which included notifications. This is information the provider is expected to tell us in law, when incidents happen.

During the inspection we spoke to the registered manager, two people, two relatives of people who used the service, three members of the care staff team and the cook. People weren’t always able to tell us what they felt about the service they received at Tudor House due to the fact that they were living with dementia and may have also been unable to communicate verbally with us. We completed observations of the interactions between staff and people. We also spoke with a Mental Capacity Act [MCA] professional [Best Interests Assessor – BIA], who visited the service during the inspection and a specialist end of life community matron professional after the inspection. Professionals, staff and relatives of people’s who lived at the service agreed that their comments could be included within this report. We completed observations of interactions between people and staff at the service.

We reviewed records for two people and three members of care staff. We also reviewed staff training records, policies and procedures which described how the service was run, activities records, accidents and incidents records and other maintenance documents.

Updated 22 September 2018

This inspection took place on the 11 and 19 June 2018. The first day of this inspection was unannounced with a second day of inspection which was announced.

Tudor House is a family run residential care home which provides accommodation for up to 24 older people living with dementia who required nursing or personal care. At the time of this inspection 14 people lived at the service. Tudor House is a well maintained detached building in a residential area of Bognor Regis, located a short distance from the seafront and town centre. There is a dining room, large communal lounge and conservatory which leads out into an accessible and pleasant garden area.

At our last inspection on 12 January 2016 we rated the service as Good in all key question areas of Safe, Effective, Caring, Responsive and Well-led. At this inspection we found the information supported the rating of Good with the key question of Responsive which had improved to a rating of Outstanding for the exceptional effort that the management and staff team made towards providing a wide range of exceptionally personalised activities that engaged and stimulated people who were living with dementia. There was no evidence or information from our inspection and ongoing monitoring that demonstrated serious risks or concerns. This inspection report is written in a shorter format because our overall rating of the service has not changed since our last inspection.

People were supported by a proactive management team and caring staff. A wide range of excellent, stimulating activities were organised by the management of the service to support those people who were living with dementia. These activities were very beneficial to people and evidently provided positive experiences for relatives as well as people alike. We observed people engaged very positively with the wide range of activities provided. External experts were sourced by the management team to provide creative art based activities for those who lived with dementia. Wonderful, personalised experiences were facilitated for people to share with their loved ones by the service staff, which had very positive outcomes for people.

People’s needs were met by a sufficient number of staff who were well trained to meet people’s individual and diverse needs and preferences. People who may have had difficulty communicating or who required one to one support to eat their meals were supported by patient staff who took the time to listen and care for them. Staff were trained appropriately and supported by the management team with regular supervisions to review their performance in their roles.

Risks to people were assessed and minimised appropriately and medicines were managed safely. Infection control measures were in place to reduce the risks of infection. Staff understood their roles and responsibilities and people were safeguarded from abuse, with appropriate policies and procedures in place.

Access to healthcare was provided when people required this and the management team had developed positive relationships with health and social care professionals to continue to develop the service and to maintain their knowledge of current best practice initiatives.

Professionals and relatives of those who lived at this home were very supportive and complimentary about the service provided at Tudor House for people who lived with dementia.

The Mental Capacity Act (2005) and Deprivation of Liberty Safeguards (DoLS) were understood by the management team and staff. People were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible; the policies and systems in the service supported this practice.

Further information is in the detailed findings below