CQC report explained · a residential care home
What the CQC found at The Tager Centre
Rated Outstanding: inspectors found the home performing exceptionally well.
- Safe?
- Good
- People were protected from abuse and identified risks. Staffing, recruitment, infection control and medicines arrangements were considered safe, although two medicines refresher training records needed checking.
- Effective?
- Good
- Staff had relevant induction, training and supervision, including training about autism and behaviours that challenge. People received appropriate support with health, nutrition, consent and mental capacity.
- Caring?
- Good
- Staff were kind, respectful and familiar with people's communication methods, preferences and needs. Privacy, dignity, confidentiality and independence were promoted.
- Responsive?
- Outstanding
- The home adapted exceptionally well to changing and complex needs. Care plans, communication methods, activities and community opportunities were strongly tailored to each person.
- Well-led?
- Outstanding
- Inspectors found open and inclusive leadership, committed staff and strong systems for involving people, families and staff. Audits and improvement plans were used to monitor and improve the home.
What inspectors found, July 2018
Rated Outstanding; inspectors found exceptionally person-centred care and strong leadership, with two staff training records needing checking.
This was an unannounced inspection on 15 May 2018. One inspector reviewed care records for three people, medicines and other records, and observed care in communal areas. They spoke with staff, managers, a visiting professional and family members, and received written feedback from staff and families.
The home supported 16 people with learning disabilities, including people on the autistic spectrum. Inspectors rated it Good for Safe, Effective and Caring. They rated it Outstanding for Responsive and Well-led, giving the home an overall Outstanding rating.
Inspectors found staff knew people very well and responded to their individual communication, needs, choices and distress. Care plans and activities were highly personalised. The home had improved from an overall Good rating at the previous inspection in February 2016.
Personalised support
Care was built around each person's communication, preferences, abilities and goals. Staff adapted their approach when people's needs changed.
“The service was extraordinarily person-centred and staff had an excellent understanding of people's needs.” from the report
Meaningful activities
People were offered flexible activities linked to their interests, health and choices. Each unit had a vehicle for activities and events outside the home.
“The staff team was totally committed to supporting people to pursue their interests.” from the report
Kind and respectful staff
Staff knew people well and communicated in ways they could understand. Inspectors saw friendly, respectful and caring interactions.
“People were supported by a dedicated and very caring staff team who knew them well.” from the report
Strong leadership
The home had an open culture where people, families and staff could contribute. Management used audits, meetings and an improvement plan to drive changes.
“Exceptionally good governance was a feature of the service which benefitted people who lived there because it ensured the quality of care was maintained and enhanced.” from the report
Medicines refresher records
minorThe record showed that two staff were overdue for medicines e-learning refresher training. The manager said they would check whether this was a recording problem or whether the training was actually overdue.
“There were two staff who were overdue for medicine e.learning refresher training according to the record.” from the report
Mental capacity records
minorThe report says the manager planned to expand the mental capacity assessment form so the reasons and outcomes of best-interest decisions were recorded in more detail.
“There were plans to expand the use of the mental capacity assessment form so that the end to end process could be captured and recorded.” from the report
- 01Have the two medicines refresher training records been checked, and are all staff who administer medicines currently up to date?
- 02How do you now record mental capacity assessments and best-interest decisions from start to finish?
- 03How will you keep staffing familiar for each person, given the relatively high staff turnover reported in the previous 12 months?
- 04How are my relative's communication methods and signs of anxiety or distress recorded and shared with all staff?
- 05How will my relative be involved in choosing activities, reviews, meals and other lifestyle decisions?
This was an unannounced inspection of all five areas, with records for three people reviewed; the previous overall rating was Good and the current ratings were reassessed. This explanation was written from the published report of 19 July 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 The Tager Centre
2 rated inspections over 2 years: the service has improved, from Good to Outstanding.
- July 2018Outstandingcurrent ratingup from GoodSafe: GoodEffective: GoodCaring: GoodResponsive: OutstandingWell-led: Outstanding
- March 2016GoodSafe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
- May 2014
Report published without a new overall rating.
- February 2014
Report published without a new overall rating.
- April 2013
Report published without a new overall rating.
- December 2010
Registered with the Care Quality Commission on 20 December 2010.
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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78 live-in carers within about an hour of Wokingham
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 £1,260 a week. 71 can care for a couple. 12 years' experience on average.
“I can truly say that Peter always put Dad at the centre of everything and I know that they found a great friendship in difficult times.”
“Not only has she looked after him beautifully, she has also been great company for him with lively conversation, kindness and humour.”
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.