CQC report explained · a nursing home
What the CQC found at Tudor Bank Nursing Home
Rated Outstanding: inspectors found the home performing exceptionally well.
- Safe?
- Good
- Inspectors found enough staff, suitable risk assessments, safe recruitment and safe medicines management. They asked the home to improve person-centred protocols for some medicines taken as required.
- Effective?
- Good
- People's needs and choices were assessed and recorded. Staff had suitable skills and training, supported people's health and nutrition, and involved people in decisions about their care.
- Caring?
- Outstanding
- Staff were exceptionally kind and compassionate. They knew people well, promoted dignity and independence, and used creative approaches to help people communicate and take part in decisions.
- Responsive?
- Outstanding
- Care was highly personalised and staff worked hard to support people's goals, interests, relationships and changing needs. The home also provided individual communication support and dignified end-of-life care.
- Well-led?
- Outstanding
- Inspectors found distinctive leadership, an open culture and a strong focus on improvement. Managers involved people, relatives and staff and worked with outside organisations to develop care.
What inspectors found, March 2020
Rated Outstanding; inspectors found exceptionally caring, responsive and well-led care, with safe and effective care rated Good.
This was an unannounced planned inspection on 3 and 5 February 2020. The inspectors spoke with people living at the home, relatives, staff and managers. They also reviewed care, medicines, staff and management records.
The home was supporting 39 people, with separate areas for people living with dementia and people with enduring mental health conditions. Inspectors found enough staff, safe medicines management, good care planning and skilled staff.
People were treated with kindness, dignity and respect. Staff supported people to make choices, build confidence, stay connected and take part in activities that mattered to them. The home was rated Outstanding for caring, responsive care and leadership.
The overall rating improved from Good at the previous inspection. Responsive and well-led care changed from Good to Outstanding. Safe and effective care remained Good.
Kind and respectful staff
People were supported by staff who knew them well and treated them with kindness, dignity and respect.
“People received care and support from staff who were kind, caring and compassionate and familiar to them.” from the report
Personalised support
Staff took time to understand what mattered to each person and used this to support greater choice, confidence and independence.
“The service took the time to get to know about what was most important to people.” from the report
Meaningful activities
The home helped people develop interests, join in activities and access the community. Inspectors found examples of this having a major positive effect on people's lives.
“The service was extremely pro-active in achieving the best possible outcomes for people.” from the report
Strong leadership
Leaders promoted an open, inclusive culture and actively sought views from people, relatives and staff. The home also looked for new ways to improve care.
“The registered manager promoted an open and inclusive culture which staff readily embraced.” from the report
Good safety arrangements
Inspectors found enough staff, suitable risk assessments, safeguarding training and checks on new staff. The home was clean and well maintained.
“There were sufficient numbers of staff to meet people's needs.” from the report
As-required medicines
needs fixingInspectors discussed the need for more person-centred instructions for medicines given only when needed. This was an improvement point rather than a reported breach.
“We discussed with the registered manager the need to implement more person centred protocols for people's 'as required' medication.” from the report
- 01What person-centred instructions are now in place for my relative's medicines taken as required?
- 02How will you support my relative's particular interests, goals and independence?
- 03How will you communicate with my relative if they have difficulty speaking, reading or completing paperwork?
- 04How do you involve relatives and other professionals when a person's needs or health change?
- 05How would you support my relative's wishes if they needed end-of-life care?
This was an unannounced inspection covering all five CQC questions, with accommodation and care both looked at; safe and effective remained Good, while responsive and well-led improved from Good to Outstanding. This explanation was written from the published report of 6 March 2020 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, August 2017
Tudor Bank Nursing Home was rated Good overall; inspectors found Outstanding caring and strong safety, but some families wanted more chances to discuss care.
This was an unannounced inspection on 25 July 2017. Inspectors observed care, spoke with people, relatives, staff and professionals, and checked care records, medicines, staff files, training, complaints and management records.
The home was rated Good overall and remained Good in Safe, Effective, Responsive and Well-led. Caring was rated Outstanding. Inspectors found enough staff, safe medicines management, suitable training, personalised care and good support with food and healthcare.
Inspectors were especially impressed by the kindness and understanding of staff. They found respectful communication, personalised support for people living with dementia and exceptional end of life care.
There were no stated breaches or enforcement actions. Some relatives wanted more opportunities to discuss care needs, and quality checks did not always record the actions taken.
Enough staff
Inspectors saw that staff were available and not rushed. People and relatives said staffing levels kept people safe and met their needs.
“We saw that staff were not rushed and were available to monitor and provide care as required.” from the report
Exceptionally caring staff
Staff knew people well and adapted their approach to reduce anxiety and distress. They communicated gently and supported people with respect and dignity.
“Throughout the inspection we saw that staff were exceptionally caring in their approach to the provision of care.” from the report
Strong end of life care
The home was recognised for its end of life care. Inspectors saw support that respected people's wishes, comfort and dignity.
“provided exceptional end of life care and had achieved commended status within the Gold Standard Framework for end of life care.” from the report
Personalised support
Bedrooms, care plans and daily support reflected people's preferences and needs. The dementia area included adaptations intended to help people living with dementia.
“Care records provided evidence of regular review and personalised approaches.” from the report
Family communication
needs fixingSome family members said they would like more opportunities to discuss their relative's care needs with staff.
“However, some family members said that they would welcome more opportunities to discuss care needs with staff.” from the report
Audit actions not always recorded
needs fixingThe home carried out regular quality and safety checks, but records did not always show what action had been taken afterwards.
“We saw evidence of action undertaken as a result of these audits and checks. However, the actions were not always recorded.” from the report
- 01How will you make sure families have regular opportunities to discuss and review their relative's care?
- 02How do you record and follow up actions identified through quality and safety audits?
- 03What staffing levels would be provided for a person with similar nursing, mental health or dementia needs to my relative?
- 04How would you support my relative if they became anxious or distressed?
- 05How would you involve my relative and family in end of life wishes and decisions?
This was an unannounced inspection covering all five CQC questions, and the report says the service remained Good overall since the previous inspection. This explanation was written from the published report of 8 August 2017 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 Tudor Bank Nursing Home
3 rated inspections over 4 years: the service has improved, from Good to Outstanding.
- March 2020Outstandingcurrent ratingup from GoodSafe: GoodEffective: GoodCaring: OutstandingResponsive: OutstandingWell-led: Outstanding
- August 2017Goodstayed GoodSafe: GoodEffective: GoodCaring: OutstandingResponsive: GoodWell-led: Good
- November 2015GoodSafe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
- June 2014
Report published without a new overall rating.
- June 2013
Report published without a new overall rating.
- April 2013
Report published without a new overall rating.
- March 2012
Report published without a new overall rating.
- January 2011
Registered with the Care Quality Commission on 25 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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Most charge £980 to £1,270 a week. 34 can care for a couple. 11 years' experience on average.
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