CQC report explained · a residential care home
What the CQC found at Tunhill
Rated Good: inspectors found the home performing well and meeting their expectations.
- Safe?
- Good
- People were protected from abuse and avoidable harm. Risks were assessed and reviewed, staffing was considered sufficient, medicines were managed safely, and the home was clean.
- Effective?
- Good
- People's needs and choices were assessed and recorded. Staff had training and supervision, people were supported with food and healthcare, and consent and capacity processes were understood.
- Caring?
- Good
- Inspectors saw kind, patient and respectful interactions. People were involved in decisions, treated with dignity and encouraged to remain independent.
- Responsive?
- Good
- Care plans were personalised and regularly reviewed. People had activities, outings, holidays and community opportunities, and there was a complaints process.
- Well-led?
- Good
- People, relatives and staff said the home was approachable and well managed. Audits, meetings and surveys were used to monitor and improve the service, although the registered manager had recently left.
What inspectors found, June 2019
Rated Good; inspectors found safe, kind and personalised care, with a new registered manager still being recruited.
This was an unannounced, planned comprehensive inspection on 29 May 2019. One inspector spoke with people, relatives and staff, observed daily care, looked around the home, and checked care, medicines, staff and management records.
The home was rated Good in all five areas: Safe, Effective, Caring, Responsive and Well-led. Inspectors found enough staff, safe medicines systems, personalised care plans, kind support and good opportunities for activities and community visits.
The registered manager had recently left. The deputy manager was running the home with support from the provider group, and interviews for a new registered manager were planned. Inspectors also noted that some communal areas looked sparse and mostly magnolia, although redecoration was being considered.
Personalised support
Care plans recorded people's histories, preferences, communication and support needs. Staff knew people well and used this information to provide individual care.
“People received personalised support from staff who knew them well.” from the report
Kind and respectful care
Inspectors observed friendly, patient interactions. People and relatives gave positive feedback about the way staff treated and supported them.
“In all cases people were cared for by staff that were kind, patient and respectful.” from the report
Community activities
People were supported to take part in hobbies, household tasks, outings, holidays and leisure activities in the community.
“People had opportunities to engage in a variety of suitable activities both at home and out in the community, including household tasks, hobbies and leisure activities.” from the report
Safe staffing and medicines
Inspectors found enough staff for people's needs and safe systems for ordering, giving and disposing of medicines.
“There was a safe recruitment process in place.” from the report
People's involvement
People were involved in care reviews, meetings and decisions about the home. Inspectors saw that their views could influence decisions.
“It was positive to see people were confident enough and had been supported to reject this change.” from the report
Registered manager vacancy
needs fixingThe registered manager had recently left, so the deputy manager was running the home with support from others. Interviews for a replacement were planned for the week after the inspection.
“The registered manager of Tunhill had recently left the service.” from the report
Sparse communal areas
minorAlthough the home was clean, inspectors found some corridors and communal areas sparse, with bare walls and mainly magnolia decoration. The home was considering redecoration with people's involvement.
“The home was clean although the corridors and communal areas did seem a little sparse with a prevalent colour of magnolia and bare walls noticeable.” from the report
- 01Who is the registered manager now, and how is management supported?
- 02What happened after the planned interviews for a new registered manager?
- 03What changes, if any, have been made to the sparse communal areas and bare walls?
- 04How are people involved in decisions about redecoration and refurbishment?
- 05How often are care plans, risk assessments and medicines records reviewed for the person we are considering?
This was an unannounced comprehensive inspection covering all five CQC questions, including the premises, care, medicines, staff and management records. This explanation was written from the published report of 27 June 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, December 2016
Rated Good; inspectors found safe, kind and personalised care, with improvements since the previous inspection.
Inspectors visited the home on 15 November 2016 after giving two days’ notice. They spoke with three people living there, two relatives and five staff. They observed daily care and checked care records, staff files, training records, medicines and quality checks.
The home was supporting four people with a learning disability or autistic spectrum disorder. People and relatives spoke positively about the care. Inspectors found safe medicines systems, suitable staffing, trained staff, good health support and activities based on people’s interests.
All five areas were rated Good: Safe, Effective, Caring, Responsive and Well-led. The previous inspection had found breaches about staffing and good governance. This inspection found improvements in staff supervision, appraisals, monitoring visits, staff meetings and surveys.
Safe medicines
Medicines were stored, given and recorded safely. Inspectors found completed medicine records and regular checks of controlled medicines.
“Appropriate arrangements were in place for the safe storage, administration and disposal of medicines.” from the report
Kind and respectful staff
Staff knew people well and treated them with patience, warmth and respect. People were included in decisions and their independence was encouraged.
“Staff were positive and caring in their approach and interactions with people.” from the report
Personalised support
Care plans included people's preferences, interests, communication needs and risks. Plans were reviewed when people's needs changed.
“People's care plans contained a range of information and had been reviewed and amended in response to changes in their needs.” from the report
Improved management checks
Since the previous inspection, the home had increased monitoring visits, held regular staff meetings and used surveys to gather people's views.
“At this inspection we found improvements to the quality monitoring which showed systems were in operation to check and audit the running of the home.” from the report
One staff file was incomplete at first
minorOne staff file did not initially contain evidence of a Disclosure and Barring Service check. The evidence was supplied from head office during the inspection, and the report said the required checks had been completed.
“We found some recruitment information was kept at the head office and one file seen did not include evidence of a Disclosure and Barring Service (DBS) check.” from the report
- 01How often is the registered manager present at the home, and who takes charge when they are working at the other two homes?
- 02How do you keep staff recruitment records complete and make sure all DBS evidence is available at the home?
- 03How are people involved in reviewing their care plans, risk assessments and monthly support meetings?
- 04What activities are currently available that match each person's interests and goals?
- 05How would you assess a new person's needs and compatibility with the people already living here?
This was an inspection of the overall quality of the home and covered all five CQC areas, with evidence gathered from people, relatives, staff, observations and records. This explanation was written from the published report of 16 December 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 Tunhill
3 rated inspections over 4 years: the service has improved, from Requires improvement to Good.
- June 2019Goodcurrent ratingstayed GoodSafe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
- December 2016Goodup from Requires improvementSafe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
- July 2015Requires improvementSafe: GoodEffective: Requires improvementCaring: GoodResponsive: GoodWell-led: Requires improvement
- March 2014
Report published without a new overall rating.
- March 2013
Report published without a new overall rating.
- September 2012
Report published without a new overall rating.
- April 2012
Report published without a new overall rating.
- March 2012
Report published without a new overall rating.
- December 2010
Registered with the Care Quality Commission on 24 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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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 £1,270 a week. 76 can care for a couple. 11 years' experience on average.
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