CQC report explained · a residential care home
What the CQC found at The Tides
Rated Good: inspectors found the home performing well and meeting their expectations.
- Safe?
- Good
- People were protected from abuse and avoidable harm. Inspectors found detailed risk assessments, enough trained staff, safe recruitment and safe medicines management.
- Effective?
- Outstanding
- People's outcomes were consistently better than expected compared with similar services. Staff were well trained and supported, and worked closely with health professionals to improve people's health and wellbeing.
- Caring?
- Good
- People were treated with kindness, dignity and respect. Staff knew how each person communicated and supported people to make choices and maintain their independence.
- Responsive?
- Good
- Care plans were detailed, personalised and regularly reviewed. People were supported with communication, activities, community trips and complaints.
- Well-led?
- Good
- Inspectors found an approachable management team, a positive staff culture and systems for checking quality, learning from incidents and involving families and professionals.
What inspectors found, May 2019
Rated Good overall, with Outstanding effective care and strong person-centred support.
This was a planned inspection over two days. The first day was unannounced. One inspector observed care, spoke with people, relatives, staff and a health professional, and checked care records, medicines records, staffing, training and safety documents.
Inspectors found that people were safe, treated with kindness and supported to live as independently as possible. Staff knew people very well. Care was tailored to individual needs, and people were supported with activities, community trips, health care and everyday choices.
The home was rated Good overall. Safe, Caring, Responsive and Well-led were rated Good. Effective was rated Outstanding because people achieved very good outcomes, staff were highly trained and supported, and the home worked closely with health professionals.
Highly effective support
Inspectors found that people's outcomes were consistently better than expected. The home worked closely with health professionals and acted quickly when people's health needs changed.
“People's outcomes were consistently better than expected compared to similar services.” from the report
Staff knew people well
Staff understood people's preferences, communication and health needs. Care was planned around each person and aimed to promote independence.
“Staff knew people exceptionally well and expressed care and affection for them and worked hard to enable people to share their views and live active lives as independently as possible.” from the report
Strong training and support
Staff received thorough induction, regular supervision and appraisals. They were supported to develop their skills and qualifications.
“Staff were very well supported with regular supervision sessions and annual appraisals.” from the report
Personalised environment
Bedrooms and shared areas were adapted to people's needs and preferences. Changes to one bedroom helped one person become calmer, more settled and more involved in communal life.
“This had resulted in the person being happier, calmer, less anxious and more settled and had led to a major improvement in their overall well being.” from the report
Activities and community life
People had individual activity schedules and were supported to take part in varied activities and trips. The home also supported some people to have their own disability car.
“People were supported to take part in a wide and varied range of activities they enjoyed, each person had their own individual activity schedule which was planned to ensure people could benefit from as many activities as they wished to participate in.” from the report
Positive leadership
Staff, relatives and health professionals described the management team as approachable and supportive. Quality checks and staff meetings were used to improve care.
“There was a process of continual improvement and quality assurance in place.” from the report
End of life wishes still being collected
minorNo one was receiving end of life care during the inspection. However, the home was still obtaining completed records of people's end of life wishes from health professionals and relatives.
“Staff were in the process of obtaining completed end of life wishes documentation from GP's, health professionals and relatives.” from the report
- 01How many of the current staff team also worked at the time of the inspection, and how do you maintain consistent staffing?
- 02How are each person's individual communication methods and health needs kept up to date?
- 03What activities and community trips are currently available, and how are people supported to choose them?
- 04What progress has been made in recording each person's end of life wishes?
- 05How are families involved in care plan reviews and decisions made in a person's best interests?
This was a planned inspection covering all five CQC questions, including the premises, care, records, medicines, staffing, training and management systems. This explanation was written from the published report of 22 May 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.
What inspectors found, October 2016
The Tides was rated Good; inspectors found safe, kind and personalised care, with a small records shortfall.
This was an unannounced inspection on 8 and 9 September 2016. One inspector met all six people living at the home, spoke with relatives and staff, observed care, and checked care records, medicines, recruitment files and quality checks.
The inspectors found the home safe and well managed. Staff understood people's needs, medicines were handled safely, staffing levels met people's needs, and risks were assessed and managed. People received suitable food, health care and support with communication and activities.
Inspectors saw kind and respectful relationships. People appeared happy and relaxed, and relatives said they felt their family members were safe. The home had improved after a period of management instability, although a small number of daily physiotherapy records were incomplete.
The home was rated Good in all five areas: Safe, Effective, Caring, Responsive and Well-led. This means the inspection found the required standards were being met at that time, but it does not mean every part of the service was perfect.
Safe medicines practice
Medicines were stored securely, given as prescribed and checked regularly. Staff understood when as-needed medicines should be used.
“Medication Administration Records (MAR) showed that medicines were administered as prescribed.” from the report
Kind and respectful care
Staff had warm relationships with people and treated them with patience, dignity and respect. They supported privacy and encouraged people to do what they could for themselves.
“Staff smiled and they were relaxed and friendly, they were kind and they treated people with patience and respect.” from the report
Personalised support
Staff understood people's different ways of communicating and used detailed care plans to guide support. Activities reflected individual interests and included outings in the community.
“People's care records included their life history, important relationships, how they communicated their strengths, things they enjoyed and things they didn't like.” from the report
Staff skills and training
Staff received core training and specialist training for people's health needs. They also received induction support, supervision and appraisals.
“Staff completed core training, for example, infection control, moving and positioning, epilepsy, safeguarding, fire safety, health and safety and food hygiene.” from the report
Learning and oversight
The home used audits, meetings and reviews to monitor safety and quality. It recorded learning from complaints, accidents, incidents and safeguarding matters.
“There was learning from safeguarding, accidents, incidents and complaints.” from the report
Incomplete physiotherapy records
minorA small number of entries showing daily physiotherapy exercises were missing for one person. The manager knew about this and had already identified it as an area for improvement.
“There were a small number of omissions in one person's records of their daily physiotherapy exercises.” from the report
- 01How do you now make sure daily physiotherapy exercises are completed and recorded?
- 02What has changed in the management team since the period of instability mentioned in the report?
- 03How will you assess and support my relative's particular communication style and health needs?
- 04How are relatives involved in care plan reviews and decisions when a person cannot communicate verbally?
- 05What activities and community outings would be available for my relative, based on their interests?
This was an unannounced inspection covering all five quality areas and the overall rating, with observations, discussions and checks of care and management records. This explanation was written from the published report of 21 October 2016 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 Tides
2 rated inspections over 3 years: the service has held its Good rating throughout.
- May 2019Goodcurrent ratingstayed GoodSafe: GoodEffective: OutstandingCaring: GoodResponsive: GoodWell-led: Good
- October 2016GoodSafe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
- April 2014
Report published without a new overall rating.
- January 2014
Report published without a new overall rating.
- January 2014
Report published without a new overall rating.
- March 2013
Report published without a new overall rating.
- November 2011
Registered with the Care Quality Commission on 24 November 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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37 live-in carers within about an hour of Bournemouth, Christchurch and Poole
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 £1,000 to £1,340 a week. 26 can care for a couple. 11 years' experience on average.
“We could not have managed without her calm, reassuring presence and practical knowledge and skill in caring and supporting both my husband and the family and I.”
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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.