CQC report explained · a nursing home
What the CQC found at Tenby House
Rated Good: inspectors found the home performing well and meeting their expectations.
What inspectors found, April 2021
Inspected but not rated; inspectors found good COVID-19 infection prevention and control arrangements.
The CQC carried out an announced, targeted inspection on 23 March 2021. It focused on infection prevention and control because of the COVID-19 pandemic.
Inspectors found good practice in visiting arrangements, social distancing, use of protective equipment, cleaning, testing and plans for managing a possible outbreak. They said people were supported to keep in touch with family safely.
The home was inspected but not rated overall, and the safe question was also inspected but not rated. This was not a full inspection of the home's care quality.
Family contact
The home supported people to keep in touch with relatives through video calls and carefully arranged visits.
“People were well supported by staff to maintain contact with their family and loved ones.” from the report
Safer visiting
A dedicated visiting room, screening and visitor testing were used to reduce infection risks.
“A dedicated visiting room was well laid out with screening in place.” from the report
Protective equipment
Staff used protective equipment during personal care and around the home, and disposed of it safely.
“Staff wore PPE when undertaking any personal care and around the home; this was disposed of safely.” from the report
Cleanliness
Inspectors found the home clean and said its cleaning schedule was being followed effectively.
“The home was clean and hygienic throughout. A structured cleaning schedule was in place and cleaning regimes were adhered to” from the report
Outbreak planning
The management team had considered how to separate people and organise the home if an outbreak occurred.
“The management team had carefully considered zoning and cohorting in the event of a potential outbreak” from the report
Inspectors raised no specific concerns in this report.
- 01How are visits currently arranged, and what infection control steps do visitors need to follow?
- 02How would you support my relative to keep in touch with family if in-person visiting was not possible?
- 03What arrangements would you use to separate people and manage the home if there were an infection outbreak?
- 04How often are communal areas and bedrooms cleaned, and how do you check that cleaning is completed?
- 05How do staff currently use protective equipment and access testing when required?
This was an announced, targeted inspection of infection prevention and control during the COVID-19 pandemic; it was not a full inspection and the service was inspected but not rated. This explanation was written from the published report of 16 April 2021 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.
What inspectors found, May 2018
Tenby House rated Good; inspectors found safe, kind and personalised care, with a shortfall in guidance for some as-needed medicines.
This was an unannounced comprehensive inspection on 6 February 2018. Inspectors spoke with people living at the home, relatives, staff, managers and a visiting GP. They also observed care and checked care plans, medicines records, staff records, complaints and quality checks.
The home was rated Good overall and Good in all five areas: Safe, Effective, Caring, Responsive and Well-led. People were described as safe, well cared for and treated with respect. Staffing, recruitment, cleanliness, medicines and healthcare arrangements were found to be suitable.
Care was tailored to people's needs, including people living with dementia. People had choices about daily life, food and activities. Relatives' views were sought and complaints had been dealt with satisfactorily.
The inspectors found one medicines-recording shortfall. Instructions for some medicines given only when needed did not contain enough detail, but the manager updated the guidance during the inspection. The home remained Good, as at the previous inspection, with no evidence of serious risks or concerns.
Safe staffing
Inspectors found enough staff to keep people safe. Staffing levels were based on people's care and support needs, and agency staff were rarely needed.
“There were sufficient numbers of staff to keep people safe.” from the report
Kind and respectful care
Staff were patient, friendly and understood people's needs, including needs linked to dementia. People were treated with dignity and given privacy.
“We observed staff genuinely cared for people and treated them with respect and compassion.” from the report
Personalised support
Care plans included detailed information about people's health, preferences, life histories and support needs. People and relatives were involved in reviewing care.
“Care plans provided detailed information for staff about people's care and support needs.” from the report
Good oversight
The home used several checks to monitor medicines, care records, falls and recruitment. Feedback was collected and issues raised were dealt with promptly.
“A range of systems was in place to measure and monitor the quality of care, the service provided overall and to drive improvement.” from the report
As-needed medicines guidance
needs fixingInstructions for some medicines given only when needed did not give enough detail for staff who did not know the person. The manager updated the guidance in the care records during the inspection.
“The description of when to give these to people did not give sufficient guidance to staff if they did not know the person.” from the report
How residents' views were collected
minorResidents' meetings were not found to be an effective way of obtaining people's views. The home instead met people individually and planned to seek relatives' views through social media.
“Residents' meetings had been found not to be an effective way of obtaining people's views” from the report
- 01What extra detail is now included when medicines are prescribed to be given only when needed?
- 02How will you involve my relative and our family in writing and reviewing their care plan?
- 03How do you make sure activities match my relative's interests, abilities and wishes?
- 04How will we raise a complaint, and can an advocate support my relative if needed?
- 05If my relative prefers baths, what alternatives would be available given that the home has no baths?
This was an unannounced comprehensive inspection covering all five questions; all five ratings were Good and the overall rating remained unchanged from the previous inspection. This explanation was written from the published report of 18 May 2018 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 Tenby House
2 rated inspections over 2 years: the service has held its Good rating throughout.
- April 2021Inspected but not ratedcurrent ratingSafe: Inspected but not rated
- May 2018Goodstayed GoodSafe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
- November 2015GoodSafe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
- December 2013
Report published without a new overall rating.
- April 2013
Report published without a new overall rating.
- December 2011
Report published without a new overall rating.
- January 2011
Registered with the Care Quality Commission on 26 January 2011.
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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28 live-in carers within about an hour of West Sussex
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 £1,020 to £1,170 a week. 23 can care for a couple. 11 years' experience on average.
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.