CQC report explained · a residential care home
What the CQC found at Tanglewood
Rated Good: inspectors found the home performing well and meeting their expectations.
- Safe?
- Good
- People were protected from abuse and avoidable harm. Risks, staffing, medicines, recruitment and infection control were checked and found to be managed safely.
- Effective?
- Good
- People were supported with nutrition, exercise and healthcare appointments. Staff had suitable training and understood how to support people with decisions and consent.
- Caring?
- Good
- People were treated with kindness, dignity and respect. They were supported to be independent and involved in decisions about their care.
- Responsive?
- Good
- Care plans were person-centred and up to date. People were supported with activities they chose, relationships and involvement in the local community.
- Well-led?
- Requires improvement
- The home had a positive culture, but its systems for recording accidents and incidents and formally checking quality were not consistent enough. Improvements were made after the inspection.
What inspectors found, March 2019
Rated Good overall; inspectors found safe, caring and responsive support, but the home needed to improve its quality checks and leadership.
This was an unannounced inspection on 4 February 2019. One inspector spoke with one person, observed staff supporting people, spoke with the manager and four staff, and reviewed care, medicine, recruitment, training and management records.
The home supported up to four people with learning disabilities and some complex healthcare needs. Three people lived there at the inspection, and all were registered blind. Inspectors found people were safe, treated kindly, supported to make choices and involved in activities and the local community.
The home was rated Good overall. Safe, Effective, Caring and Responsive were each rated Good. Well-led was rated Requires Improvement because accidents and incidents were not recorded in a clear format and quality checks were not formally documented. The manager introduced an accidents and incidents form after the inspection.
Safe care
Inspectors found that people were protected from abuse and avoidable harm. Staff understood safeguarding and risks were assessed and managed.
“People were safe and protected from avoidable harm. Legal requirements were met.” from the report
Kind and respectful support
People had strong relationships with staff and were treated with dignity. Staff supported people to make choices and remain as independent as possible.
“People were supported and treated with dignity and respect; and involved as partners in their care.” from the report
Personalised care
Care plans reflected people's current needs and preferences. Staff knew people's routines and supported them to take part in activities they enjoyed.
“People's care plans we reviewed were up to date and reflected their needs.” from the report
Community involvement
People were encouraged to take part in local activities, clubs, sporting events, shopping and social visits.
“People were encouraged to be a part of the local community; attending clubs and sporting events, visiting local shops and pubs.” from the report
Incident recording and oversight
needs fixingAccidents and incidents were written in daily notes, but there was no clear formal recording process or evidence of management oversight. Inspectors said this created a risk that action might not be taken to prevent incidents happening again.
“Accidents and incidents were not recorded in a clear format, and there was no evidence of oversight from the provider or registered manager.” from the report
Feedback was not yet analysed
minorFeedback questionnaires had been sent to people and relatives, but the manager had not yet received and analysed them. This meant the home had not completed that part of its formal feedback process.
“Feedback questionnaires had been sent to people and their relatives, following the providers first year since taking on the registration, but these had yet to be returned and analysed by the registered manager.” from the report
- 01What formal process is now used to record, review and learn from accidents and incidents?
- 02Who checks that actions after an incident have been completed and that similar incidents are less likely to happen again?
- 03Have feedback questionnaires from people and relatives now been returned, analysed and used to make improvements?
- 04How will you make sure staffing levels continue to match people's changing needs?
- 05How will people be involved in developing their end of life care plans if their needs change?
This was an unannounced inspection of the care home covering all five CQC questions, including the premises and the care provided. This explanation was written from the published report of 19 March 2019 by an AI system and checked against the report text: every quoted line appears in the report. It is a guide to the report, not a substitute for it. Read the full report on cqc.org.uk.
Every inspection of Tanglewood
Each visit the CQC has published, newest first, back to the day the home was registered.
- March 2019Goodcurrent ratingSafe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Requires improvement
- February 2018
Registered with the Care Quality Commission on 6 February 2018.
Ratings and report dates from the Care Quality Commission, Open Government Licence v3.0. A home can also be visited without a new rating being published, so the timeline shows published inspections.
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39 live-in carers within about an hour of Kent
These are self-employed carers on PrimeCarers, the introductory agency that runs this directory. Each has a profile with their own rates and reviews from families, and you choose who to talk to.
Most charge £980 to £1,260 a week. 33 can care for a couple. 12 years' experience on average.
“Always on time and with a lovely smile for my mum. Theresa is kind and sensitive to my mum's needs.”
“Irene was a very kind and empathetic carer who knew just the right words to say to put a smile on my face.”
Every carer has had an enhanced DBS check in the last 18 months, ID and right-to-work checks and an online interview. Their skills and training are for you to check with them. Carers set their own rates, and who is free changes week to week.