CQC report explained · a residential care home
What the CQC found at Tudor Rose
Rated Good: inspectors found the home performing well and meeting their expectations.
- Safe?
- Good
- People were protected from abuse and risks were assessed and managed. Medicines were given by trained staff, and staffing levels met people's assessed needs despite earlier vacancies.
- Effective?
- Good
- People's health and care needs were assessed and staff had relevant training. The report says the previous concerns about deprivation of liberty applications had been addressed.
- Caring?
- Good
- Staff treated people with kindness and compassion, offered choices and supported independence. Permanent staff used Makaton where appropriate.
- Responsive?
- Good
- Care was individualised and reviewed with people. People had activities based on their interests, including work, horse riding, swimming and community events.
- Well-led?
- Good
- The home had an experienced registered manager and systems to monitor quality. People's, relatives' and staff views were sought and used to improve the service.
What inspectors found, November 2018
Rated Good; inspectors found safe, kind and person-centred care, with staffing vacancies being managed.
Inspectors visited without notice on 10 and 12 October 2018. They spoke with people living in the home, relatives and staff, observed care, and checked care plans, recruitment records and management records.
All five areas were rated Good: Safe, Effective, Caring, Responsive and Well-led. People appeared relaxed and comfortable, and inspectors saw staff treating them with kindness, respect and compassion.
The home had enough staff to meet people's assessed needs, although there had been staff vacancies and some use of agency staff. Medicines, safeguarding, risk management and infection control were found to be managed safely.
The Effective rating improved from Requires Improvement at the previous inspection. The report says earlier concerns about recording and authorising restrictions on people's liberty had been addressed. The overall rating stayed Good.
Kind and respectful care
Inspectors saw relaxed, friendly and unrushed interactions. People were supported to make choices and have privacy.
“We saw people enjoyed relaxed, friendly, unrushed interactions with staff.” from the report
Individual communication
Staff used Makaton where appropriate and one person also had a communication aid and software applications to communicate with others.
“This intervention had increased their independence, participation and representation.” from the report
Active lives
People chose their own activities and were supported to use local facilities, take part in voluntary work and attend community events.
“People lived very full and active lives both at home and in the local and wider community.” from the report
Improved decision-making safeguards
The previous concern about the rationale and outcome of deprivation of liberty applications was addressed at this inspection.
“At this inspection, we found this issue had been addressed.” from the report
Quality monitoring
The home used audits, reviews and weekly reports to identify and act on improvements.
“Any required actions identified were added to the service's action plan and there was evidence to show that items identified were actioned for people.” from the report
Staff vacancies
needs fixingThere had been vacancies, so bank and agency staff were used. Inspectors found staffing levels were met, but relatives felt the situation had not been ideal.
“There had been issues with staff vacancies.” from the report
Agency staff communication
needs fixingSome relatives were concerned that agency staff might not be able to use Makaton. A permanent staff member who could communicate in this way was present on each shift.
“Some relatives felt that as agency staff could not necessarily use Makaton to communicate with people this was not ideal.” from the report
- 01How many staff vacancies remain, and how often are bank or agency staff used now?
- 02How do you make sure agency staff understand each person's communication needs before starting a shift?
- 03What arrangements ensure that someone able to use Makaton is available on every shift?
- 04How do you check that any restrictions on a person's liberty remain necessary, legally authorised or minimised?
- 05How are people's monthly care reviews and activity choices recorded and acted on?
This was an unannounced inspection covering the overall quality of the home and all five CQC questions; the report used a shorter format because the overall rating had not changed. This explanation was written from the published report of 9 November 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 Tudor Rose
2 rated inspections over 3 years: the service has held its Good rating throughout.
- November 2018Goodcurrent ratingstayed GoodSafe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
- April 2016GoodSafe: GoodEffective: Requires improvementCaring: GoodResponsive: GoodWell-led: Good
- July 2014
Registered with the Care Quality Commission on 7 July 2014.
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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26 live-in carers within about an hour of Hampshire
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. 23 can care for a couple. 14 years' experience on average.
“I cannot recommend Prisca highly enough, she is one in a million.”
“He stayed with her throughout the pandemic, refusing to visit his own family, who lived nearby, to reduce the risk of infection.”
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.