Tudor House

Tudor House is a family run residential care home which provides accommodation for up to 24 older people living with dementia who required nursing or personal care. At the time of this inspection 14 people lived at the service. Tudor House is a well maintained detached building in a residential area of Bognor Regis, located a short distance from the seafront and town centre. There is a dining room, large communal lounge and conservatory which leads out into an accessible and pleasant garden area.

At our last inspection on 12 January 2016 we rated the service as Good in all key question areas of Safe, Effective, Caring, Responsive and Well-led. At this inspection we found the information supported the rating of Good with the key question of Responsive which had improved to a rating of Outstanding for the exceptional effort that the management and staff team made towards providing a wide range of exceptionally personalised activities that engaged and stimulated people who were living with dementia. There was no evidence or information from our inspection and ongoing monitoring that demonstrated serious risks or concerns. This inspection report is written in a shorter format because our overall rating of the service has not changed since our last inspection.

People were supported by a proactive management team and caring staff. A wide range of excellent, stimulating activities were organised by the management of the service to support those people who were living with dementia. These activities were very beneficial to people and evidently provided positive experiences for relatives as well as people alike. We observed people engaged very positively with the wide range of activities provided. External experts were sourced by the management team to provide creative art based activities for those who lived with dementia. Wonderful, personalised experiences were facilitated for people to share with their loved ones by the service staff, which had very positive outcomes for people.

People's needs were met by a sufficient number of staff who were well trained to meet people's individual and diverse needs and preferences. People who may have had difficulty communicating or who required one to one support to eat their meals were supported by patient staff who took the time to listen and care for them. Staff were trained appropriately and supported by the management team with regular supervisions to review their performance in their roles.

Risks to people were assessed and minimised appropriately and medicines were managed safely. Infection control measures were in place to reduce the risks of infection. Staff understood their roles and responsibilities and people were safeguarded from abuse, with appropriate policies and procedures in place.

Access to healthcare was provided when people required this and the management team had developed positive relationships with health and social care professionals to continue to develop the service and to

maintain their knowledge of current best practice initiatives.

Professionals and relatives of those who lived at this home were very supportive and complimentary about the service provided at Tudor House for people who lived with dementia.

The Mental Capacity Act (2005) and Deprivation of Liberty Safeguards (DoLS) were understood by the management team and staff. People were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible; the policies and systems in the service supported this practice.

Further information is in the detailed findings below

The five questions we ask about services and what we found