About the service:

Tanglewood is a small residential service which provides accommodation and personal care for up to four people who have learning disabilities, some complex health care needs. At the time of our inspection there were three people living there, who were also registered blind.

The service applied the principles and values of Registering the Right Support and other best practice guidance. These ensure that people who use the service can live as full a life as possible and achieve the best possible outcomes that include control, choice and independence.

People’s experience of using this service:

¿ The outcomes for people using the service reflected the principles and values of Registering the Right Support in the following ways; the service accommodated up to four people, with three people living there at the time of our inspection. There were no signs outside the property to identify it as a care home. People were encouraged to be a part of the local community; attending clubs and sporting events, visiting local shops and pubs.

¿ The registered manager and provider did not formally document quality checks they completed on the service. We identified that although accidents and incidents were documented, there was not a formal recording process in place, which was reviewed by the registered manager. We discussed this with the registered manager, and they implemented improvements following the inspection.

¿ People and their relatives told us they felt safe living at the service. Staff understood their safeguarding responsibilities, and people were supported around risks, and taking positive risks. People were involved in keeping the service clean, and supported by sufficient staff numbers. People received their medicines when they needed them, and in their preferred way.

¿ People were supported eat and drink sufficient amounts to maintain good health. People were supported to live healthy lives, and encouraged to take part in regular exercise. When people’s needs changed, staff supported them to access healthcare professionals.

¿ People were treated with kindness and compassion. People were supported and promoted to be as independent as possible. People were involved in their reviews, and supported in decision making for more complex decisions. Staff received the training, support and supervision to enable them to support people to the best of their abilities.

¿ People engaged in a range of activities they told us they enjoyed. Care plans we reviewed were person centred, and up to date, reflecting people’s current needs.

¿ Relatives told us they knew how to raise concerns or complaints but had not had cause to. The provider was in the process of receiving formal feedback from relatives, people and stakeholders. Staff, people and relatives told us there was a positive culture within the service, that promoted positive outcomes for people.

The service met the characteristics of Good in most areas; more information is in the full report.

Rating at last inspection:

This was the first inspection of Tanglewood under a new registration due to changes to the provider.

Why we inspected:

This was the first inspection since a new provider took over the registration.

Follow up:

We will continue to monitor the service through the information we receive. We will carry out another scheduled inspection to make sure the service continues to maintain Good.