Background to this inspection
Updated
9 July 2022
The review
We carried out this review under section 46 of the Health and Social Care Act 2008, which permits us to conduct a review of how a provider carries on a regulated activity. We can carry out a review under s46 without needing to do an inspection (site visit) but we must assess the performance of the provider and publish a report of our assessment. Any rating adjustment made following the review must reflect the outcome of our assessment.
How we carried out this desk-based review
The review was carried out by one inspector. No notice of the review was given to the provider, but the review included a discussion with the provider.
The well-led key question was reviewed to ensure that appropriate action had been taken by the provider to meet the fundamental standards of health and social care. For this desk-based assessment of evidence we:
• Spoke with the provider and deputy manager
• Reviewed policies and audits relating to water temperature checks
• Reviewed relevant records covering financial audits for service users
Service and service type
The Tulips Care Home II is a 'care home'. People in care homes receive accommodation and nursing or personal care as a single package under one contractual agreement. CQC regulates both the premises and the care provided.
The service did not have a manager registered with the Care Quality Commission as it is not a requirement of their registration. The manager of the home is registered as an individual provider. This means that they are legally responsible for how the service is run and for the quality and safety of the care provided.
Updated
9 July 2022
About the service
The Tulips Care Home II is a small residential care home providing personal care for up to four adults with mental health needs. At the time of the last inspection four people were receiving care at the service. At the time of our review three people were living in the service.
Background to this report
At our previous comprehensive inspection at The Tulips Care Home II on 20 and 21 August 2019 we identified concerns relating to well-led. We found that quality assurance systems were not robust enough to demonstrate the service was effectively managed.
This was a breach of regulation 17 (Good Governance) for which we issued a requirement notice. The key question well-led was rated requires improvement and the overall location rating was requires improvement.
The full report of that inspection can be found by selecting the ‘all reports’ link for The Tulips Care Home II on our website at www.cqc.org.uk.
Why we carried out this review
We carried out this review on 21 April 2022 to follow-up on the requirement notice and assess whether the provider has addressed the improvements required at our previous inspection.
We did this using a ‘desk-based’ review process because evidence to demonstrate that the requirement notice had been met could be obtained and assessed remotely without needing an inspection visit to the location. This was not an inspection: the scope of this review did not include a visit to the service or an assessment of the outcomes for people using the service.
What we found
Details of the findings from this remote assessment can be found under the well-led section of this report.
Through this desk-based review, The Tulips Care Home II was able to provide sufficient evidence that they have taken action to address the breach identified at the last inspection. They therefore are no longer in breach of regulation 17.
Rating at last inspection and update
Following the last inspection, this location was rated requires improvement. Although only the well-led key question was rated requires improvement, if there is a breach of a regulation a location cannot be rated higher than requires improvement overall. As the provider is no longer in breach of regulation 17 the overall rating has changed to good.