Tudor Rose

At our last inspection we rated the service good overall, but requires improvement in the key area of effective, with no breaches of the regulations. At this inspection we found the evidence continued to support the rating of good and 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.

At this inspection we found the service remained good.

Processes, training and systems were in place and operated effectively to ensure people were kept safe from the risk of abuse. Risks to people had been assessed and measures taken to manage any potential risks to people.

There had been issues with staff recruitment, but the provider had taken appropriate action to address this for people and there were sufficient staff rostered to meet people's needs. The provider operated robust recruitment procedures.

People's medicines were safely managed by trained staff. There were processes in place to protect people from the risk of acquiring an infection. Incidents were reviewed, and any required improvements were made to reduce the risk of re-occurrence for people.

People's needs were assessed, and the delivery of their care was underpinned by relevant guidance. Technology was used to enhance people's experience of the care provided. Staff had the skills, knowledge and experience to deliver people's care.

People were supported by staff to make choices about their meals. Staff worked both within and across organisations to ensure people received effective care. Staff supported people to meet their healthcare needs. People's needs were met by the design of the premises. People were supported to make their own decisions and, where people lacked the capacity to make a decision, legal requirements were met.

People were treated with kindness, respect and compassion by the staff who provided their care. People were supported to express their views and to be actively involved in making decisions about their care. People were supported to maximise their independence.

People contributed to the planning of their care. Staff supported people to undertake activities that were socially and culturally relevant to them. People had access to a wide range of opportunities including

voluntary work. Processes were in place to enable people or their representatives to raise any issues or concerns about the service.

The provider had a clear set of values which underpinned the delivery of people's care by staff. These included; empowering, together, honesty, outstanding, and supportive. There was an experienced registered manager in post to run the service.

The views of people, relatives and staff about the service had been sought and used to improve the service. Processes were in place to monitor the quality of the service provided and to identify areas for improvement which were acted upon for people. The service worked in partnership with relevant agencies for the benefit of people.

Further information is in the detailed findings below.

The five questions we ask about services and what we found