The Tulips Care Home I is a small care home that provides support to a maximum of four people who have mental health issues. The service is situated over two floors with a large lounge and access to a garden.

At the last inspection, the service was rated Good. At this inspection we found the service maintained an overall rating of Good.

The service had a registered manager in place.

People continued to receive support in taking their medicines safely and in line with good practice. Records showed staff administered, recorded and stored people’s medicines correctly and staff were aware of the correct action to take should errors in with medicines be identified.

The service continued to protect people against the risk of harm and abuse. Staff received on-going safeguarding training and were able to identify different types of abuse and how to report their concerns. Records detailed how people were protected against the risk of avoidable harm, through risk assessments. Staff confirmed risk assessments gave them guidance on how to support people when faced with identified risks. Risk assessments were reviewed regularly to reflect people’s changing needs.

People are supported to have maximum choice and control of their lives and staff support them in the least restrictive way possible; the policies and systems in the service support this practice. At the time of the inspection there was one person subject to a DoLS authorisation.

People continued to be supported to make decisions and choices about the care and support they received. People confirmed they were given choices and had their choices respected and adhered to. People gave consent to care and treatment prior to it being delivered. The service continued to support people to access sufficient amounts of food and drink that met their nutritional needs and preferences. People were encouraged to plan and make their meals to encourage their independence and gain life skills. People’s health and wellbeing was monitored by staff and people were supported to access health care services as and when needed.

People were supported by sufficient numbers of suitably qualified staff to meet their needs. Staff employed by the service underwent a comprehensive employment and induction programme and had their competencies assessed. Staff continually reflected on their working practices through supervisions and annual appraisals.

The service maintained an ethos that was shared by staff to empower people through compassion and support. People were supported to maintain and enhance their independence. People continued to be supported by staff that respected their respected their privacy and maintained their dignity.

People’s care plans were person centred and detailed their preferences, health care and medical needs. Care plans were reviewed frequently by staff and changes made to reflect their needs were shared with staff. People were encouraged and supported to participate in activities that reflected their preferences. Activities provided encouraged rehabilitation and access to the local community. Staff were aware of the risks of social isolation and the detrimental effect this could have in people’s mental health.

The service continued to ensure people were aware of how to raise concerns and complaints. People confirmed they knew how to raise a complaint and felt these would be managed responsively and in-line with the provider’s guidelines and policy.

The service continued to seek feedback from people, their relatives and staff about the quality of the service provision. Annual quality assurance questionnaires were reviewed and action taken to address any concerns identified swiftly. Staff completed audits of the service which looked at the safety of the environment, medicine management, training and records.

The Tulips Care Home I is a small care home that provides support to a maximum of four people who have mental health issues. The service is situated over two floors with a large lounge and access to a garden.

At the last inspection, the service was rated Good. At this inspection we found the service maintained an overall rating of Good.

The service had a registered manager in place.

People continued to receive support in taking their medicines safely and in line with good practice. Records showed staff administered, recorded and stored people’s medicines correctly and staff were aware of the correct action to take should errors in with medicines be identified.

The service continued to protect people against the risk of harm and abuse. Staff received on-going safeguarding training and were able to identify different types of abuse and how to report their concerns. Records detailed how people were protected against the risk of avoidable harm, through risk assessments. Staff confirmed risk assessments gave them guidance on how to support people when faced with identified risks. Risk assessments were reviewed regularly to reflect people’s changing needs.

People are supported to have maximum choice and control of their lives and staff support them in the least restrictive way possible; the policies and systems in the service support this practice. At the time of the inspection there was one person subject to a DoLS authorisation.

People continued to be supported to make decisions and choices about the care and support they received. People confirmed they were given choices and had their choices respected and adhered to. People gave consent to care and treatment prior to it being delivered. The service continued to support people to access sufficient amounts of food and drink that met their nutritional needs and preferences. People were encouraged to plan and make their meals to encourage their independence and gain life skills. People’s health and wellbeing was monitored by staff and people were supported to access health care services as and when needed.

People were supported by sufficient numbers of suitably qualified staff to meet their needs. Staff employed by the service underwent a comprehensive employment and induction programme and had their competencies assessed. Staff continually reflected on their working practices through supervisions and annual appraisals.

The service maintained an ethos that was shared by staff to empower people through compassion and support. People were supported to maintain and enhance their independence. People continued to be supported by staff that respected their respected their privacy and maintained their dignity.

People’s care plans were person centred and detailed their preferences, health care and medical needs. Care plans were reviewed frequently by staff and changes made to reflect their needs were shared with staff. People were encouraged and supported to participate in activities that reflected their preferences. Activities provided encouraged rehabilitation and access to the local community. Staff were aware of the risks of social isolation and the detrimental effect this could have in people’s mental health.

The service continued to ensure people were aware of how to raise concerns and complaints. People confirmed they knew how to raise a complaint and felt these would be managed responsively and in-line with the provider’s guidelines and policy.

The service continued to seek feedback from people, their relatives and staff about the quality of the service provision. Annual quality assurance questionnaires were reviewed and action taken to address any concerns identified swiftly. Staff completed audits of the service which looked at the safety of the environment, medicine management, training and records.

We spoke to three people using the service. All three people told us they were happy living at the home and said the staff were very kind. One person told us, 'The staff always listen to me and help me.' Another told us, 'I love living here. It is a nice, peaceful home.'

We found that people were involved in their care planning and confirmed they received the care and support they needed. We were told by one person that 'The staff ask us questions, we answer them, they write it down and then do it.' People were supported to access other health care professionals and social care services they needed.

During the visit we observed staff interact with the people who lived there and saw they were caring and respectful at all times.

The grounds and premises were well maintained. Systems were in place to ensure the premises met safety standards, such as fire regulations, electrical and gas testing and health and safety checks.

We saw there were sufficient numbers of skilled and experienced staff on duty to meet people's care and support needs. Staff were supported by senior personnel.

We saw evidence that the provider regularly monitored the quality of the service provided. We were shown quality assurance audits and we noted that risk and needs assessments were updated and reviewed on a regular basis.

At the time of our inspection, three of the four residents at Tulips Care Home I were away from the home taking part in various activities in the community.

We spoke to the only resident available during our inspection. We also spoke with two visitors to the home, who were residents of the provider' second care home, Tulips Care Home II.

People were very complimentary overall about the care and support they received at Tulips Care Home I.

We observed staff interactions with people using services as warm, respectful and caring.

Tulips Care Home I was decorated to a good standard, comfortable and clean. The communal areas were neatly arranged and comprised a large lounge, a kitchen and dining room, and a large garden that was well maintained.

People's bedrooms had suitable furniture in place and allowed them to have their own personalised and private spaces.